[Senate Report 111-243]
[From the U.S. Government Publishing Office]


111th Congress                                                   Report
                                 SENATE
 2d Session                                                     111-243
_______________________________________________________________________

                                     

                                                       Calendar No. 504


  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2011

                               ----------                              

                              R E P O R T

                                 of the

                      COMMITTEE ON APPROPRIATIONS
                              U.S. SENATE

                                   on

                                S. 3686

                                     




                 August 2, 2010.--Ordered to be printed
  Departments of Labor, Health and Human Services, and Education, and 
          Related Agencies Appropriation Bill, 2011 (S. 3686)


                                                       Calendar No. 504
111th Congress                                                   Report
                                 SENATE
 2d Session                                                     111-243

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



 
  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2011
                                _______
                                

                 August 2, 2010.--Ordered to be printed

                                _______
                                

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

                                 REPORT

                         [To accompany S. 3686]

    The Committee on Appropriations reports the bill (S. 3686) 
making appropriations for Departments of Labor, Health and 
Human Services, and Education, and related agencies for the 
fiscal year ending September 30, 2011, 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.............    $731,887,768,000
Amount of 2010 appropriations.......................     738,707,813,000
Amount of 2011 budget estimate......................     732,873,505,000
Bill as recommended to Senate compared to--
    2010 appropriations.............................      -6,820,045,000
    2011 budget estimate............................        -985,737,000



                                CONTENTS

                              ----------                              
                                                                   Page

Summary of Budget Estimates and Committee Recommendations........     4
Overview.........................................................     4
Other Highlights of the Bill.....................................    12
Title I: Department of Labor:
    Employment and Training Administration.......................    13
    Employee Benefits Security Administration....................    26
    Pension Benefit Guaranty Corporation.........................    27
    Wage and Hour Division.......................................    28
    Office of Labor-Management Standards.........................    28
    Office of Federal Contract Compliance Programs...............    29
    Office of Workers' Compensation Programs.....................    29
    Occupational Safety and Health Administration................    32
    Mine Safety and Health Administration........................    34
    Bureau of Labor Statistics...................................    35
    Office of Disability Employment Policy.......................    36
    Departmental Management......................................    37
    General Provisions...........................................    40
Title II: Department of Health and Human Services:
    Health Resources and Services Administration.................    42
    Centers for Disease Control and Prevention...................    69
    National Institutes of Health................................    95
    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......................................   162
    Office of the Secretary......................................   168
    General Provisions...........................................   181
Title III: Department of Education:
    Education for the Disadvantaged..............................   183
    Impact Aid...................................................   188
    School Improvement Programs..................................   189
    Indian Education.............................................   195
    Innovation and Improvement...................................   196
    Safe Schools and Citizenship Education.......................   207
    English Language Acquisition.................................   209
    Special Education............................................   210
    Rehabilitation Services and Disability Research..............   213
    Special Institutions for Persons With Disabilities:
        American Printing House for the Blind....................   219
        National Technical Institute for the Deaf................   220
        Gallaudet University.....................................   221
    Career, Technical, and Adult Education.......................   221
    Student Financial Assistance.................................   224
    Student Aid Administration...................................   225
    Higher Education.............................................   226
    Howard University............................................   238
    College Housing and Academic Facilities Loans................   238
    Historically Black College and University Capital Financing 
      Program Account............................................   238
    Institute of Education Sciences..............................   239
    Departmental Management:
        Program Administration...................................   242
        Office for Civil Rights..................................   242
        Office of the Inspector General..........................   243
    General Provisions...........................................   243
Title IV: Related Agencies:
    Committee for Purchase From People Who Are Blind or Severely 
      Disabled...................................................   245
    Corporation for National and Community Service...............   245
    Corporation for Public Broadcasting..........................   250
    Federal Mediation and Conciliation Service...................   250
    Federal Mine Safety and Health Review Commission.............   251
    Institute of Museum and Library Services.....................   252
    Medicare Payment Advisory Commission.........................   253
    National Council on Disability...............................   253
    National Health Care Workforce Commission....................   253
    National Labor Relations Board...............................   254
    National Mediation Board.....................................   254
    Occupational Safety and Health Review Commission.............   254
    Railroad Retirement Board....................................   255
    Social Security Administration...............................   256
Title V: General Provisions......................................   260
Compliance With Paragraph 7, Rule XVI of the Standing Rules of 
  the Sen- 
  ate............................................................   260
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules 
  of the Senate..................................................   261
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of 
  the Senate.....................................................   261
Budgetary Impact of Bill.........................................   266
Disclosure of Congressionally Directed Spending Items............   266
Comparative Statement of New Budget Authority....................   321

       SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS

    For fiscal year 2011, the Committee recommends total budget 
authority of $731,887,000,000 for the Departments of Labor, 
Health and Human Services [HHS], and Education, and Related 
Agencies. Of this amount, $169,626,000,000 is current year 
discretionary funding, including offsets.
    The bill provides discretionary program level funding of 
$13,919,000,000 for the Department of Labor, $74,566,000,000 
for the Department of HHS, $66,415,000,000 for the Department 
of Education and $14,726,000,000 for related agencies. The 
comparable fiscal year 2010 levels were $13,696,000,000 for 
Labor, $72,424,000,000 for HHS, $63,717,000,000 for Education 
and $13,890,000,000 for related agencies.

                                OVERVIEW

    The Labor, HHS, and Education and related agencies 
appropriations bill 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.
    The Committee wrote this year's bill in a period of great 
uncertainty. Although the economy is expanding again, far too 
many Americans still can't find a job, and the threat of a 
double-dip recession looms large. In the longer term, the 
national debt continues to rise to frightening levels. As the 
largest nondefense Federal appropriations bill being considered 
by Congress this year, this bill must respond to both sets of 
challenges, addressing today's hard economic realities while 
taking every possible opportunity to reduce waste, fraud, and 
abuse.
    Three themes permeate the Committee's recommendation. 
First, this bill invests in critical programs that help people 
gain the skills they need to find jobs, protect workers from 
safety hazards, and provide a safety net for the neediest 
Americans. Second, the Committee recognizes that every taxpayer 
dollar should be used wisely; efforts to root out waste are 
bolstered, and duplicative and inefficient programs are 
eliminated. Finally, just because times are lean doesn't mean 
that innovation should cease. This bill launches several new 
initiatives that will leverage reform and transform key Federal 
services.
    Each theme is described more fully below.

                SUPPORTING ECONOMIC RECOVERY AND GROWTH

Aid to Workers

    With the Nation's unemployment rate at 9.5 percent, 
programs that help Americans find jobs and upgrade their skills 
are critically needed. This bill continues and expands support 
for programs that provide important job training and education 
services to workers.
    Job Training.--The Committee provides an increase of 
$163,582,000 over the fiscal year 2010 level for State grants 
for job training and for employment services, for a total of 
$3,836,607,000. These programs provide education and job 
training to workers who have lost their jobs as a result of 
plant closings or mass layoffs, low-income individuals, and 
disadvantaged youth, particularly those who have dropped out of 
school. In addition, this funding level supports services that 
connect job seekers to employment opportunities and help 
employers find a qualified and diverse workforce.
    The Committee also provides $1,712,205,000, an increase of 
$4,000,000, for the Office of Job Corps. This amount will 
enable 125 Job Corps Centers across the country to help more 
than 60,000 young people learn a career, earn a high school 
diploma or GED, pursue higher education, and find a new job. 
Finally, the bill includes $110,000,000, an increase of 
$7,500,000, for the YouthBuild program to provide education, 
employment training and job placements to disadvantaged youth 
at risk of long-term unemployment.
    Green Jobs.--The bill also provides a $25,000,000 increase 
for the Green Jobs Innovation Fund, for a total of $65,000,000. 
This fund provides workers with job training in green and 
renewable energy industries as well as sustainable agriculture, 
transportation and green construction.
    State Paid Leave.--When jobs are hard to come by, many 
workers are unable or reluctant to take time off to care for 
loved ones who need their help. The Committee takes an 
important step in addressing this problem by providing 
$10,000,000 to create a new State Paid Leave Program. This 
program will provide competitive grants to help States 
establish paid leave programs, which typically offer up to 6 
weeks of benefits to workers who must take time off to care for 
a seriously ill child, spouse, or parent, or to bond with a 
newborn or recently adopted child.

Worker Rights, Safety, and Health

    Employers have an obligation to provide a safe and healthy 
workplace for their employees; pay them the wages and benefits 
they earn for their efforts; respect employee voices in the 
workplace; and prevent discrimination on the basis of race, 
disability or military service. Some workers' rights are more 
vulnerable today because of the downturn in the economy, since 
employees are less likely to report abuses that may jeopardize 
their employment. In addition, staffing cuts to the Department 
of Labor and related agencies during the previous 
administration have limited their ability to carry out their 
missions.
    The Committee bill takes additional steps to reverse this 
diminished capacity by making important investments in key 
agencies that enforce rules protecting the health, safety, and 
rights of workers, including $574,096,000, an increase of 2.8 
percent over fiscal year 2010, for the Occupational Safety and 
Health Administration; $377,000,000, an increase of 5.5 
percent, for the Mine Safety and Health Administration; and 
$244,240,000, an increase of 7.3 percent, for the Wage and Hour 
Division. In general, these investments will bring the staffing 
levels of these agencies back to levels last seen a decade ago.
    International Labor Rights.--The bill also preserves jobs 
here in the United States and supports the adherence to 
internationally recognized labor rights around the globe by 
making sure our international trading partners don't exploit 
workers, particularly children. The Committee bill provides 
$117,000,000 for the Bureau of International Labor Affairs for 
its efforts in this area. This amount is an increase of 
$24,331,000 over the fiscal year 2010 level. This significant 
investment comes at a critical juncture, with trade 
relationships increasing around the world and the global 
economic downturn presenting threats to worker rights and the 
possible exploitation of children.
    Mine Safety Appeals.--The explosion at the Upper Big Branch 
mine in West Virginia earlier this year is a tragic reminder of 
the important role the Federal Government must play in ensuring 
the safety of our Nation's miners. A key component of this is 
the timely adjudication of mine safety violations at the 
Federal Mine Safety and Health Review Commission. The number of 
contested mine safety violations has more than quadrupled since 
2006, while staffing at the Commission has not kept pace to 
promptly review these cases. As a result, the number of cases 
awaiting review has increased fourfold and it now takes over 
400 days to issue a final decision. These delays can undermine 
mine safety efforts and ultimately puts miners at risk. The 
Committee addresses this issue by providing a total increase of 
$23,397,000 for the Department of Labor and the Commission to 
begin working down this backlog and reduce the time it takes to 
review contested mine safety and health violations.

Safety Net for Neediest Americans

    For many Americans, especially in a struggling economy, 
programs funded in this bill make the difference between going 
hungry and having a meal, attending college or ending their 
education after high school, and having a warm place to stay or 
sleeping on the street. The Committee targets many of the 
increases in this bill to those who need help the most.
    Child Care.--Quality child care helps children develop the 
skills they need to succeed in school while allowing their 
parents to maintain employment. The American Recovery and 
Reinvestment Act included important investments in child care, 
allowing States to increase assistance for low-income families 
and support quality improvement activities. The Committee 
maintains the funding level provided for in the Recovery Act by 
providing an increase of $1,000,000,000 over the fiscal year 
2010 level, for a total of $3,127,000,000.
    Head Start.--The Committee provides $8,223,958,000 for Head 
Start, an increase of $990,278,000 over the fiscal year 2010 
appropriation. This will allow Head Start programs to provide 
comprehensive early childhood development services to 978,000 
low-income children, and maintain increases in families served 
through Recovery Act funding in fiscal years 2009 and 2010.
    Senior Nutrition Services.--The Committee bill includes 
$857,552,000 for local programs that provide congregate and 
home-delivered meals to seniors. This amount is an increase of 
$38,199,000 over the fiscal year 2010 appropriation.
    Homeless Services.--The Committee bill addresses the 
problem of homelessness in a number of ways.
    With many families unable to afford housing, a growing 
number of children are at risk of having their education 
disrupted by frequent moves from shelter to shelter. The 
Committee notes that the most recent data reported to the 
Department of Education show that a total of 956,914 homeless 
students were reported enrolled in school districts in the 
2008-2009 school year, a 20 percent increase from the 2007-2008 
school year. The Committee bill increases funding for the 
education of homeless children and youth by $10,000,000, for a 
total of $75,427,000.
    The bill also includes $159,362,000, an increase of 
$17,009,000, for substance abuse and mental health services 
targeting the homeless. Funds are included to support a new 
initiative with the Department of Housing and Urban Development 
that will help individuals at risk of chronic homelessness move 
into, and remain, in permanent supportive housing.
    Finally, the economic climate has put increasing pressure 
on all families, which in turn, has increased the number of 
runaway and homeless youth. The Committee provides $123,705,000 
for runaway and homeless youth programs, an increase of 
$8,000,000 over last year. This supports emergency shelter and 
related services, transitional living programs, and outreach 
activities for this vulnerable population.
    Refugee Social Services.--Refugees are eligible for cash 
and medical assistance for their first 8 months in the United 
States. However, the economic downturn has made an already 
challenging transition more difficult as newly arrived refugees 
struggle to find employment and ultimately become self-
sufficient within that time period. Refugee Social Services 
supports a variety of employment and support services to 
address barriers to employment for newly arrived refugees. The 
Committee provides an increase of $33,000,000 for this 
activity, for a total of $187,005,000.
    Title I (Education for the Disadvantaged).--The Committee 
bill includes $14,942,401,000 for title I grants to local 
education agencies for improving education for low-income 
students. This amount is $450,000,000 higher than the budget 
request and the fiscal year 2010 funding level. These funds 
provide support to more than 90 percent of the 15,000 school 
districts across the Nation--an important contribution given 
the reductions to education spending by State and local 
governments.
    Student Financial Aid.--The Committee includes 
$19,453,809,000 for student financial assistance, maintaining 
the maximum discretionary Pell Grant Program award level at 
$4,860. Combined with mandatory funding provided in the Health 
Care and Education Reconciliation Act of 2010, the maximum 
award is maintained at $5,550 for the 2011-2012 school year. 
The Pell Grant program supports an estimated 8,743,000 low- and 
middle-income students.

Health Professions

    Healthcare training provides dual benefits--improving 
access to necessary health services for patients and opening 
doors to those who seek a career change as a response to long-
term unemployment. While precise estimates vary, no one 
disputes that healthcare workforce shortages exist nationwide 
and are likely to increase as baby boomers age and access to 
healthcare expands. These shortages are particularly striking 
in a time of record unemployment and a shrinking middle class.
    The Committee includes an additional $170,000,000 over the 
fiscal year 2010 level for a total of $706,807,000 to expand 
health training programs.
    The Committee recommendation invests heavily in occupations 
at the first rung of a career ladder, and occupations that pay 
a wage sufficient to support those struggling to raise families 
or support aging dependents. Among the programs increased:
    Nurse Career Ladders.--The Committee includes $10,000,000 
within the Nurse Education, Practice and Retention program to 
support programs that provide a continuous career ladder from 
certified nurse assistants through advanced practice nursing.
    Nurse Faculty Loan Forgiveness.--Over 50,000 students were 
turned away from nurse training programs last year, largely due 
to a lack of faculty. The Committee recommendation more than 
doubles the resources available to provide loan forgiveness to 
nurses who agree to teach, from $24,947,000 in fiscal year 2010 
to $53,309,000 in fiscal year 2011.
    Primary Care Training.--The Committee includes $90,000,000, 
an increase of $51,077,000, for primary care training 
activities. In recognition of the rapid expansion of coverage 
required by the Patient Protection and Affordable Care Act over 
the next 3 years, the Committee includes bill language allowing 
the Department of Health and Human Services to direct more than 
15 percent of the resources to physician assistant training.
    Psychology Education.--The health professions initiative 
includes an increase of $5,737,000, for a total of $8,682,000 
within the Allied Health appropriation directed to the training 
of mental and behavioral health specialists.
    Oral Health Training.--The Committee includes an increase 
of $15,063,000 for training programs in oral healthcare, for a 
total of $47,982,000.
    Public Health Workforce.--The Committee increases by 
$20,000,000 the public health workforce training programs at 
the Centers for Disease Control and Prevention, for a total of 
$57,939,000.
    Rural Physician Pipeline.--The Committee includes 
$5,100,000 for a newly authorized program to create 
opportunities for primary care physicians to train in rural 
areas, in hopes they will continue to serve in these shortage 
areas.

                         FISCAL ACCOUNTABILITY

Reducing Waste, Fraud, and Abuse

    For fiscal year 2011, the Committee increases funding for a 
variety of activities aimed at reducing fraud, waste, and abuse 
of taxpayer dollars. These program integrity initiatives have 
proven to be a wise Federal investment, 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 $65,000,000, an increase of $5,000,000 
over the fiscal year 2010 level, to conduct eligibility reviews 
of claimants of unemployment insurance [UI]. The recommendation 
will support the continuation and expansion of this initiative 
in approximately 40 States and will save State UI Trust funds 
an estimated $210,000,000--representing a return on investment 
of more than $3 for every $1 spent.
    Social Security Program Integrity.--The Committee provides 
$796,000,000 for Social Security Administration program 
integrity activities. This amount is a $38,000,000 increase 
over fiscal year 2010. These funds ensure that Federal benefits 
are paid correctly by reviewing factors that could affect 
eligibility and benefit amounts. Efforts include conducting 
continuing disability reviews and redeterminations of 
Supplemental Security Income program eligibility. The Committee 
also includes funding for the completion of a financial asset 
verification initiative. Combined, these activities have a 
return on investment of $9 for every $1 spent and are expected 
to save over $7,000,000,000 for the Social Security, Medicare, 
and Medicaid programs over 10 years.
    Health Care Program Integrity.--Fraud committed against 
Federal healthcare 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 includes $561,000,000 for Health Care Fraud and 
Abuse Control activities at the Center for Medicare and 
Medicaid Services. This amount is a $250,000,000 increase over 
the fiscal year 2010 level of $311,000,000. The historical 
return on investment for the life of the Medicare Integrity 
program has been about $14 for every $1 spent. For fraud and 
abuse activities throughout Medicare and Medicaid, the Federal 
Government saves or recovers $6 for every $1 spent.
    Inspectors General.--The bill provides $214,000,000, an 
increase of $12,000,000, for the inspectors general at the 
three Departments and the Corporation for National and 
Community Service to conduct additional audits and 
investigations of possible waste and fraud in Government 
programs.
    Improving Oversight of Federal Contracts.--The Committee 
bill includes $16,096,280 to supplement existing acquisition 
workforce improvement activities at the three Departments and 
the Social Security Administration. These funds will help 
agencies acquire goods and services at reduced costs and in 
ways that are better aligned with the agencies' missions.
    Program Eliminations.--Lean economic times require tough 
choices and a critical look at all programs in the bill, even 
those that have been funded for decades. The Committee bill 
eliminates 23 programs totaling $371,467,000.

                           LEVERAGING REFORM

    Workforce Innovation Funds.--The Committee includes a total 
of $242,000,000 for five new Workforce Innovation Funds that 
are intended to reform the Nation's workforce investment system 
by improving the delivery of education and training programs to 
workers. To ensure coordination of Federal investments in 
education and training, these funds will be administered 
jointly by the Secretaries of Labor and Education. The funds 
consist of $55,000,000 for dislocated workers, $35,000,000 for 
adult job training, $95,000,000 for youth, $27,000,000 for 
disabled individuals and $30,000,000 for adult education 
programs. Resources for the Innovation Funds come from funding 
provided for State grants for these programs.
    Early Learning Challenge Fund.--The Committee includes 
$300,000,000 for a new Early Learning Challenge Fund that will 
provide competitive grants to States to raise the bar for early 
childhood programs. There is robust evidence that high-quality 
early learning programs help children develop the cognitive, 
social, and emotional skills needed to succeed in school and 
later in life. Yet quality varies greatly across settings, 
within States, and across the Nation. The Early Learning 
Challenge Fund will encourage States to coordinate quality 
improvement activities across early learning settings, 
including child care, Head Start and pre-kindergarten programs; 
expand the number of low-income children in high-quality 
programs; and ensure that more children enter kindergarten 
ready to succeed.
    Prevention Fund.--The Patient Protection and Affordable 
Care Act included $750,000,000 in mandatory spending for the 
Prevention and Public Health Fund. The Committee is responsible 
for allocating the resources by transferring them in this bill 
to various programs within the Department of Health and Human 
Services that are intended to improve public health and reduce 
healthcare costs. The Committee has focused on community-based 
programs that make healthy options more available and 
preventive services more accessible.
    Chronic Disease Block Grant.--Obesity is predominant risk 
factor in 3 of the top 5 most prevalent chronic diseases in 
this country: diabetes, heart disease, and arthritis. Yet, the 
public health response to these diseases has historically been 
fragmented and the relationship between the States and the 
Centers for Disease Control and Prevention [CDC] has evolved 
into five discrete ``silos'' that compete for resources at both 
the Federal and State levels.
    The Committee consolidates the funding streams and 
requirements of these programs and adds additional resources to 
create a comprehensive $687,151,000 public health initiative to 
prevent and reduce obesity-related chronic disease. The 
initiative includes: $308,978,000 for community-based programs, 
$251,000,000 for State planning and policy change, $75,723,000 
for national research and surveillance, and $51,450,000 for the 
CDC to develop new models, evaluate current activities and 
produce cutting edge-science.
    Race to the Top.--The Committee includes $675,000,000 for 
the administration's signature education reform program. Race 
to the Top was created in the American Recovery and 
Reinvestment Act but this will be the first time it is funded 
in the Labor, Health and Human Services, and Education 
appropriations bill. This competitive program has achieved 
enormous success in spurring States to change their practices 
for the purposes of closing the achievement gap and making 
other needed improvements. Tennessee and Delaware have been 
awarded funds so far and 36 States applied for phase 2 grants 
that will be awarded over the next 2 months. Grants funded by 
the fiscal year 2011 bill may be awarded to local school 
districts as well as States.
    Investing in Innovation.--The Committee bill includes 
$250,000,000 to replicate education programs that have high 
levels of effectiveness as established under rigorous research 
and to develop and test promising new ideas. Like Race to the 
Top, Investing in Innovation was created in the Recovery Act 
but this will be the first time it is funded in the Labor, 
Health and Human Services, and Education appropriations bill.
    School Improvement Grants.--The Committee bill provides 
$625,000,000, an increase of 14.5 percent over the fiscal year 
2010 level, for school improvement grants. The bill requires 
that 40 percent of school improvement grant funds be directed 
to low-performing high schools and their feeder middle schools, 
as part of an initiative to improve the academic skills and 
graduation rates of secondary students. The bill also doubles--
to $100,000,000--funding for the high school graduation 
program.
    Extended Learning Time.--A growing body of evidence 
suggests that students benefit academically from a longer 
school day and a longer school year. The Committee includes 
bill language that will allow grants for the 21st century 
community learning centers program to be used to help 
communities establish or expand extended learning time that 
includes both academic instruction and enrichment 
opportunities, and to support a more systemic restructuring of 
the school year. The bill includes an increase of $100,000,000 
for the 21st century community learning centers program, for a 
total of $1,266,166,000.
    Cures Acceleration Network.--Too often, basic biomedical 
research will suggest a promising path for a cure or treatment, 
but funding falls short to pursue the idea to its fullest 
potential. The Committee bill includes $50,000,000 to create a 
new Cures Acceleration Network [CAN] within the National 
Institutes of Health that will help speed the translation and 
application of discoveries that have shown signs of success at 
the laboratory level but have not advanced far enough to 
attract significant investments from the private sector. CAN 
will make grants to biotech companies, universities and patient 
advocacy groups, and will also help facilitate FDA review for 
the high need cures that are funded by CAN.
    Medical Home Demonstration.--The Committee includes 
$40,000,000 for two new authorizations that support the 
creation of patient-centered medical homes. Research indicates 
that medical homes result in improved quality, reduced errors, 
fewer emergency visits, and fewer hospitalizations, which all 
result in savings to the healthcare system. While the concept 
has been attempted in various medical systems since 1967, the 
Committee hopes this demonstration will identify the best ways 
of organizing and funding medical homes to maximize their 
benefit.
    Social Innovation Fund.--The Committee recommendation 
provides an increase of $10,000,000 for the Social Innovation 
Fund at the Corporation for National Community Service, for a 
total of $60,000,000.

                      OTHER HIGHLIGHTS OF THE BILL

    National Institutes of Health [NIH].--The bill provides 
$32,007,237,000, an increase of $1,002,036,000, to fund 
biomedical research at the 27 Institutes and Centers that 
comprise the NIH. The 3.5 percent increase provided for the NIH 
is equal to the rate of biomedical inflation.
    Education for Individuals With Disabilities.--The Committee 
bill provides $11,925,211,000 under section 611 of part B 
grants to States for educating students with disabilities. This 
amount is $420,000,000 more than the fiscal year 2010 level and 
$170,000,000 more than the budget request.
    Institute of Education Sciences.--The Committee bill 
includes $722,756,000 to support the Institute's activities 
related to education research, data collection and analysis, 
and assessment of student progress. This funding level is 
$63,750,000 more than the amount provided in the fiscal year 
2010 appropriations bill and will expand much-needed 
investments in research, development and evaluation to generate 
solutions to critical problems in education. These funds also 
will support evaluation of reforms taking place under the Race 
to the Top fund and School Improvement Grants program.
    Corporation for National and Community Service.--The 
Committee bill recommends $1,365,586,000 for the Corporation 
for National and Community Service. This level is $215,865,000 
above the fiscal year 2010 level. The recommendation is 
sufficient to increase the number of AmeriCorps members from 
87,000 to over 97,000.
    Social Security Administration.--The Committee bill 
includes $12,378,863,000 for the administrative expenses of the 
Social Security Administration. This amount is an increase of 
$932,363,000 over the fiscal year 2010 level and will allow the 
SSA to continue to work toward eliminating the disability 
hearings backlog by the end of fiscal year 2013 while keeping 
up with an unprecedented level of disability and retirement 
claims. It also includes $796,000,000, an increase of 
$38,000,000, in program integrity funding.

                  REPROGRAMMING AND TRANSFER AUTHORITY

    The Committee includes 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, 2010....................................  $3,828,530,000
Budget estimate, 2011...................................   3,925,475,000
Committee recommendation................................   3,877,478,000

    The Committee recommends $3,877,478,000 for this account, 
which provides funding primarily for activities under the 
Workforce Investment Act [WIA]. The fiscal year 2010 comparable 
amount is $3,828,530,000 and the budget request provides 
$3,925,475,000 for this purpose.
    The training and employment services account 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. Funds provided for fiscal year 2011 will support the 
program from July 1, 2011, through June 30, 2012. A portion of 
this account's funding, $1,772,000,000, is available on October 
1, 2011, for the 2011 program year.
    Pending reauthorization of WIA, the Committee is acting on 
the basis of current law.
    As requested by the administration, the Committee 
recommends designating a portion of the appropriations from the 
WIA formula programs to create a workforce innovation fund to 
make competitive awards for workforce innovation activities 
under the act's pilot and demonstration authority. These 
activities would test innovative strategies or replicate proven 
practices that support systemic reform of the workforce 
investment system and substantially improve education and 
employment outcomes for participants. To support alignment at 
the Federal level, the Committee expects the Secretary to make 
such awards in cooperation with the Secretary of Education. 
Awards would be made to either: States in partnership with 
local workforce investment boards; or a local workforce 
investment board or consortium of such boards that serve a 
regional labor market. Priority will be given to applicants 
that demonstrate significant alignment across workforce 
development, education, and supportive services at the State, 
regional, or local level and that support economic development 
goals and improved education and employment outcomes for 
participants, particularly those who are hardest to serve. 
Awards would also prioritize applicants that demonstrate 
comprehensive strategic planning and coordination at the State, 
regional, or local level. The Committee directs that the 
Department provide a briefing to the Committee not less than 30 
days prior to the release of a solicitation of grant 
applications for this program.
    The Committee recommendation includes language in section 
106 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 WIA until 
such time as legislation reauthorizing the act is enacted. This 
language is continued from last year's bill.

Grants to States

    The Committee recommends $3,133,031,000 for Training and 
Employment Services Grants to States, including a total of 
$185,000,000 for the Workforce Innovation Fund. The fiscal year 
2010 comparable amount is $2,969,449,000 and the budget request 
provides $3,178,031,000 for this purpose.
    The bill continues legislative language that allows a local 
workforce board to transfer up to 30 percent between the adult 
and dislocated worker assistance State grant programs, if such 
transfer is approved by the Governor. This language was 
proposed in the budget request. The bill also continues 
legislative language that allows a local workforce board to 
contract with eligible training providers to facilitate the 
training of multiple individuals in high-demand occupations, as 
long as it does not limit customer choice. This authority is 
continued from the American Recovery and Reinvestment Act and 
is intended to support local efforts to provide workers with 
the skills they need to find and sustain employment.
    Adult Employment and Training.--For Adult Employment and 
Training activities, the Committee recommends $896,884,000. The 
fiscal year 2010 comparable amount is $861,540,000 and the 
budget request provides $906,884,000 for this purpose.
    This program is formula-funded to States and further 
distributed to local workforce investment boards. Three types 
of services for adults will be provided through the one-stop 
system; core services, intensive services, and job training. 
Core services are available to all adults with no eligibility 
requirements. Intensive services are provided to unemployed 
individuals who are not able to find jobs through core services 
alone. Training services may be available to adults who have 
been determined unable to obtain or retain employment through 
intensive services. Most customers receiving a training service 
will use their individual training accounts to determine which 
programs and providers fit their needs.
    Funds made available in this bill support program year 2011 
activities that occur from July 1, 2011, through June 30, 2012. 
The bill provides that $184,884,000 is available for obligation 
on July 1, 2011, and that $712,000,000 is available on October 
1, 2011. Both categories of funding are available for 
obligation through June 30, 2012.
    The bill would make available to the Secretary of Labor not 
more than $35,000,000 of the appropriated amount for workforce 
innovation activities that strengthen the workforce investment 
system to enhance program delivery and improve education and 
employment outcomes for program beneficiaries. The 
administration requested 5 percent of the funding for Adult 
Employment and Training activities, $45,344,000, for this 
purpose.
    Youth Training.--For Youth Training, the Committee 
recommends $995,000,000. The fiscal year 2010 comparable amount 
is $924,069,000 and the budget request provides $1,025,000,000 
for this purpose.
    The purpose of Youth Training is to provide eligible youth 
with assistance in achieving academic and employment success 
through improved education and skill competencies, connections 
to employers, mentoring, training, and supportive services. The 
program also supports 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 2011 
activities, which occur from April 1, 2011, through June 30, 
2012.
    The bill would make available to the Secretary of Labor not 
more than $95,000,000, for a new youth innovation fund to test 
and evaluate activities that strengthen the workforce 
investment system to enhance program delivery and improve 
education and employment outcomes for at-risk youth, 
particularly out-of-school youth. The administration requested 
15 percent of Youth Training funds, or $153,750,000, for this 
purpose. As requested in the budget, the bill provides that the 
Governor may reserve not more than 10 percent of the youth 
formula funds allotted to the State for statewide activities. 
It also provides that not less than 30 percent would be used 
for projects providing summer employment activities for youth.
    Dislocated Worker Assistance.--For Dislocated Worker 
Assistance, the Committee recommends $1,241,147,000. The fiscal 
year 2010 comparable amount is $1,183,840,000 and the budget 
request provides $1,246,147,000 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 must use statewide 
reserve funds for rapid response assistance to help workers 
affected by mass layoffs and plant closures. Also, States must 
use these funds to carry out additional statewide employment 
and training activities such as providing technical assistance 
to certain low-performing local areas, evaluating State 
programs, and assisting with the operation of one-stop delivery 
systems. States may also use funds for implementing innovative 
incumbent and dislocated worker training programs.
    The bill would make available to the Secretary of Labor not 
more than $55,000,000 for workforce innovation activities that 
strengthen the workforce investment system to enhance program 
delivery and improve education and employment outcomes for 
program beneficiaries. The administration requested 5 percent 
of Dislocated Worker Assistance funds, $62,307,000 for this 
purpose.
    Funds made available in this bill support program year 2011 
activities, which occur from July 1, 2011, through June 30, 
2012. The bill provides that $381,147,000 is available for 
obligation on July 1, 2011, and that $860,000,000 is available 
on October 1, 2011. Both categories of funding are available 
for obligation through June 30, 2012.

Federally Administered Programs

    Dislocated Worker Assistance National Reserve.--The 
Committee recommends $229,160,000 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 that cannot be 
otherwise anticipated as well as for technical assistance, 
training, and demonstration projects. This amount is the same 
as the fiscal year 2010 level and the budget request.
    Funds made available in this bill support program year 2011 
activities, which occur from July 1, 2011, through June 30, 
2012. The bill provides that $29,160,000 is available for 
obligation on July 1, 2011, and that $200,000,000 is available 
on October 1, 2011. Both categories of funding are available 
for obligation through June 30, 2012.
    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 or 
incumbent workers and assistance where there have been 
dislocations across multiple sectors or local areas of a State.
    Native American Programs.--The Committee recommends 
$55,000,000, the same amount as the budget request, for Native 
American programs. The comparable fiscal year 2010 level is 
$52,758,000 for this program. 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 in securing permanent, unsubsidized employment.
    Migrant and Seasonal Farmworker Programs.--The Committee 
recommends $87,378,000, the same amount as the budget request, 
for Migrant and Seasonal Farmworkers. The comparable fiscal 
year 2010 level is $84,620,000 for this program. 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, 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 $80,868,000 be 
used for State service area grants. The Committee 
recommendation also includes bill language directing that 
$6,000,000 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 
$510,000 to be used for section 167 training, technical 
assistance and related activities, including funds for migrant 
rest center activities. Finally, the Committee wishes to advise 
the Department regarding WIA requirements 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 
$1,000,000 for program year 2011 activities as authorized under 
the Women in Apprenticeship and Non-Traditional Occupations Act 
of 1992. This amount is the same as the fiscal year 2010 level 
and the fiscal year 2011 budget request. 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 $110,000,000 for the 
YouthBuild program. The fiscal year 2010 comparable amount is 
$102,500,000. The budget request includes $120,000,000 for the 
Youth Build program.

National Activities

    Pilots, Demonstrations, and Research.--The Committee 
recommends $73,559,000 for pilots, demonstration and research 
authorized by section 171 of the Workforce Investment Act. The 
comparable fiscal year 2010 level is $93,450,000 and the budget 
request includes $46,556,000 for this purpose. These funds 
support grants or contracts to conduct research, pilots or 
demonstrations that foster promising practices for national 
policy application or launch pilot projects on a broader scale.
    The Committee bill provides that up to $40,000,000 can be 
used to demonstrate and evaluate transitional job program 
models. Transitional job models combine a comprehensive set of 
support services including pre-job placement assessment, skills 
development, job readiness training, and case management for an 
individual in a subsidized transitional job that leads to 
placement and continued support in competitive employment. This 
represents the second year of funding for this initiative. The 
Committee is aware that these models have shown great potential 
in studies that evaluated employment outcomes for individuals 
with multiple barriers to employment.
    The budget proposes bill language to authorize the transfer 
of up to 10 percent of the transitional jobs funds to the 
Departments of Health and Human Services or Justice. The 
Committee provides the requested transfer authority to assist 
with the effective implementation of transitional jobs 
projects, including support for leveraging resources under 
their control, and to enable the Department of Labor to 
evaluate such projects. Given that various Federal funding 
streams currently support transitional jobs programs around the 
United States, the Committee intends that the funds provided 
not simply replace existing resources for such programs, but 
leverage other resources to support program growth. The 
Committee requests that the Department submit a plan and 
timeline for the solicitation of grant applications as well as 
advance notice prior to its publication in the Federal 
Register.
    The Committee remains concerned about the low level of 
literacy and numeracy skills among adult workers, as 1 in 7 
adults do not have basic literacy skills to succeed in 
tomorrow's industries and jobs. The Committee encourages the 
Department to continue to examine and publish successful 
strategies and best practices that can help adults with low 
literacy levels improve their overall skills and employment 
opportunities.
    The Committee recognizes the importance of building 
stronger linkages between title I job training programs and 
title II adult education and literacy programs in the Workforce 
Investment Act of 1998 in order to create career pathways that 
enhance participants' long-term economic success. The Committee 
strongly urges the Department to expand funding to community-
based programs that have successfully implemented strategies 
for delivering basic literacy instruction together with 
employment training so that they may document and disseminate 
best practices related to the integration of title I job 
training programs with title II adult literacy programs.
    The Committee notes the ongoing need for training and 
education programs that prepare participants for employment in 
high demand and emerging industry sectors such as healthcare. 
The Health Care Training Initiative works to define career 
pathways across the healthcare sector. As part of this 
initiative, the Committee encourages the funding of replicable 
demonstration programs that create apprenticeships for jobs in 
healthcare.
    The Committee recommendation includes language providing 
funding for the following activities in the following amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
AFL-CIO Working for America Institute, Washington, DC,        $1,000,000
 for employment and training programs...................
Apprentice Training for Electrical Industry,                     100,000
 Philadelphia, PA, for a job training program...........
Arrowhead Economic Opportunity Agency, Virginia, MN, for         100,000
 an educational and transportation assistance program
 for job seekers........................................
Association of Village Council Presidents, Bethel, AK,           500,000
 for workforce development and training.................
Baltimore City Mayor's Office of Employment Development,         150,000
 Baltimore, MD, for a summer jobs program...............
Brevard Workforce Development Board, Rockledge, FL, for          600,000
 a job training initiative..............................
Capps Workforce Training Center, Stoneville, MS, for             500,000
 workforce training.....................................
Catholic Charities, Baltimore, MD, for a job training            250,000
 and job placement program..............................
Center for Education, Business and the Arts, Interlocal          108,000
 Agency, St. George, UT, for workforce development
 program in green jobs..................................
Chesapeake Bay Trust, Annapolis, MD, for a job training          200,000
 program and development of a training curriculum.......
City of Buffalo, NY, for youth employment readiness              500,000
 programs...............................................
City of Jackson, MS, for workforce training.............         100,000
College of Southern Idaho, Twin Falls, ID, for job               150,000
 training in green construction.........................
Community Transportation Association of America,                 450,000
 Washington, DC, to continue the Joblinks program.......
Des Moines Area Community College, Ankeny, IA, for the           400,000
 development of the Perry Career Technical Academy......
Easter Seals of Southern Nevada, Las Vegas, NV, for a            200,000
 job training program for dislocated workers............
Envirolution, Reno, NV, for a green jobs resources               200,000
 center.................................................
Expertise, Inc, Las Vegas, NV, for job readiness and             100,000
 employment training....................................
Finishing Trades Institute, Kenner, Louisiana, for job           150,000
 training and workforce development.....................
First African Community Development Corporation,                 100,000
 Philadelphia, PA, for training in green and technology-
 related jobs...........................................
Fletcher Community College, Houma, Louisiana, for job            200,000
 training and workforce development.....................
Florida Institute of Technology, Melbourne, FL, for              250,000
 training in cyber security.............................
Foundation for an Independent Tomorrow, Las Vegas, NV,           125,000
 for job search support program.........................
Fox Valley Technical College, Appleton, WI, to expand            250,000
 truck driver training program..........................
Fund for the City of New York, NY, for an academic               200,000
 success and workforce development program..............
Goodwill Industries of Southeastern WI, Inc., Milwaukee,         750,000
 WI, for community job center...........................
Goodwill of Southern Nevada, Las Vegas, NV, for the              100,000
 career connections job training program................
Great Basin College, Elko, NV, for job training program.         200,000
Haven for Hope, San Antonio, TX, for job training and            200,000
 education for the homeless.............................
Hispanic Federation, New York, NY, for a Latino                  100,000
 Workforce Training Initiative..........................
Holmes Community College, Goodman, MS, for workforce             225,000
 training...............................................
Hopkins House, Alexandria, VA, for workforce development         150,000
 and training in early childhood education..............
Iowa Workforce Development, Des Moines, IA, for the            1,000,000
 IowaWORKS Integration Project..........................
Jobs for Mississippi Graduates, Inc., Jackson, MS, for           125,000
 career development for at-risk youth...................
Lakeshore Technical College, Cleveland, WI, to support           750,000
 the training of workers for manufacturing jobs.........
Las Vegas-Clark County Urban League, Las Vegas, NV, to           145,000
 provide job development and workforce readiness skills
 for unemployed or underemployed individuals............
Lawrence Technological University, Dearborn, MI, to              150,000
 train displaced workers in green jobs..................
Maine Centers for Women, Work, & Community/University of         100,000
 Maine at Augusta/University of Maine System, Augusta,
 ME, for job training and workforce development.........
Maui Community College, Kahului, HI, for remote rural          2,300,000
 Hawaii job training....................................
Maui Community College, Kahului, HI, for the Samoan/           2,000,000
 Asian Pacific Job Training program.....................
Maui Economic Development Board, Kihei, HI, Rural                300,000
 Computer Utilization Training..........................
Maui Economic Development Board, Kihei, HI, to recruit,          450,000
 train and retain women and minorities in STEM careers..
MedTech Association, Inc., Syracuse, NY, to identify             150,000
 career pathways that connect to bioscience jobs........
Metropolitan State College of Denver, Denver, CO, for            100,000
 the purchase of equipment for aviation training program
Milwaukee Area Technical College, Milwaukee, WI, for             300,000
 Solar Jobs Training Center.............................
Mississippi Gulf Coast Community College, Perkinston,            250,000
 MS, for workforce training.............................
Mississippi State University, Mississippi State, MS, for         375,000
 the Mississippi Integrated Workforce Performance System
Mississippi Technology Alliance, Ridgeland, MS, for the          250,000
 Mississippi ILED training program......................
Montana State University--Northern, Havre, MT, for               200,000
 Energy Training Center.................................
Moore Community House, Biloxi, MS, for workforce                 100,000
 training...............................................
New Hampshire Manufacturing Extension Partnership,               200,000
 Concord, NH, for incumbent worker retraining initiative
Nine Star Education & Employment Services, Anchorage,            100,000
 AK, for job training for prisoner reentry pro-  grams..
Nine Star Education and Employment, Anchorage, AK, to            200,000
 expand Math for the Trades course......................
North Carolina Rural Economic Development Center,                150,000
 Raleigh, NC, for Community Mobilization Project for
 Dislocated Workers.....................................
North Dakota State College of Science, Fargo, ND, for            400,000
 biosciences workforce training and equipment...........
Parnassa Fund, Inc., New York, NY, for EPI Emergency             150,000
 Employment and Job Creation Network....................
Partners in Careers, Vancouver, WA, for workforce                100,000
 development for female veterans........................
Peralta Community College District, Oakland, CA, for the         500,000
 East Bay Green Jobs Project............................
Philadelphia Opportunities Industrialization Center,             100,000
 Philadelphia, PA, for salaries and equipment...........
Plattsburgh-North Country Chamber of Commerce,                   100,000
 Plattsburgh, NY, for an on the job training program....
Rapides Parish Police Jury Office of Economic &                  200,000
 Workforce Development, Alexandria, LA, to train
 displaced workers in demand occupations including green
 jobs...................................................
Regional Education & Training Center at Satsop, Elma,            900,000
 WA, for programs focused on rapid certifications, entry-
 level degrees, and advanced certifications.............
River Valley Resources, Inc., Madison, IN, for workforce         100,000
 training...............................................
San Mateo County Community College District, San Mateo,          150,000
 CA, for curriculum development, job placement and job
 retention services at the Allied Health Career
 Advancement Academy....................................
Scranton Electricians JATC, Scranton, PA, for training           100,000
 in green technologies..................................
SEIU Healthcare NW Training Partnership, Federal Way,            300,000
 WA, for training of home care aides, including
 equipment..............................................
South Delta Planning and Development District,                   400,000
 Greenville, MS, for workforce training.................
Southwest Alaska Vocational & Education Center, King             100,000
 Salmon, AK, for workforce development programs in rural
 Alaska.................................................
Southwest Mississippi Community College, Summit, MS, for         350,000
 workforce training.....................................
Spectrum Resources, Des Moines, IA, to expand the                200,000
 Project Phoenix job training program...................
St. Bernard Project, Chalmette, LA, for operational and          200,000
 equipment expenses.....................................
State of Vermont Department of Public Safety, Waterbury,         100,000
 VT, for firefighting and emergency services training
 support................................................
Steamfitters Local 449 and Plumbers Local 27,                    100,000
 Pittsburgh, PA, for training program for those entering
 the pipe trades industry...............................
Total Action Against Poverty, Roanoke, VA, to provide            250,000
 job training to help individuals obtain and retain
 employment.............................................
Twin Cities RISE!, Minneapolis, MN, to expand job                100,000
 training program, and support program replication in
 other cities...........................................
United 4 Economic Development, Salt Lake City, UT, for           250,000
 workforce development and training.....................
Utah Capital Investment Corporation, Salt Lake City, UT,         250,000
 for workforce development, education and train-  ing...
Vermont HITEC, Williston, VT, for the Vermont HITEC Job          500,000
 Training Initiative....................................
Vermont Technical College, Randolph Center, VT, for              300,000
 development of a paramedicine program..................
Vermont Technical College, Randolph Center, VT, for              500,000
 Green Jobs Workforce Development.......................
Veterans Leadership Program of Western Pennsylvania,             150,000
 Pittsburgh, PA, for a jobs program for veterans........
Washington State Workforce Board, Olympia, WA, to better       1,000,000
 engage employers with regional workforce development
 systems................................................
Women's Initiative for Self Employment, San Francisco,           100,000
 CA, for an economic self sufficiency program for low-
 income women...........................................
Workforce Development Council of Seattle-King County,            400,000
 Seattle, WA, to align K-12 and post-secondary education
 to better meet the workforce skill needs in King County
Year Up Boston, Boston, MA, to support the expansion of          100,000
 curriculum development and career placement services
 for urban youth........................................
Youthcare, Seattle, WA, to provide youth with education          100,000
 and training in the telecommunications industry........
YWCA Middle Rio Grande, Albuquerque, NM, for a                   150,000
 transitional living program for at-risk women veterans
 and their children to prepare them for entry into the
 workforce..............................................
------------------------------------------------------------------------

    Green Jobs Innovation Fund.--The Committee recommends 
$65,000,000 for the Green Jobs Innovation Fund. The budget 
request includes $85,000,000 for the Fund and the comparable 
fiscal year 2010 level is $40,000,000. The funds requested will 
be used for competitive grants to help workers access green 
training and green career pathways. Funds could be awarded for 
activities including enhanced pre-apprenticeship and Registered 
Apprenticeship programs, and innovative partnerships that 
connect community-based organizations in underserved 
communities with the workforce investment system. The Committee 
notes that other programs within the Employment and Training 
Administration such as Job Corps and YouthBuild are developing 
green jobs curricula or programs, and it encourages the close 
coordination of this Fund with other activities in the 
Department to prevent duplication and ensure the sharing of 
best practices. The Committee requests a report on the 
implementation of this program and its coordination with other 
green jobs initiatives within 90 days after enactment of this 
act.
    Reintegration of Ex-offenders.--The Committee recommends 
$98,000,000, the same as the fiscal year 2011 budget request, 
to continue funding for the Reintegration of Ex-offenders 
program. The comparable fiscal year 2010 level is $108,493,000. 
The Responsible Reintegration of Ex-offenders program targets 
critical funding to help prepare and assist ex-offenders return 
to their communities through 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. Programs are carried out 
directly through State and local governmental entities and 
community-based organizations, as well as indirectly through 
intermediary organizations.
    Evaluation.--The Committee recommends $11,600,000, the same 
as the fiscal year 2011 budget request, to provide for new and 
continuing rigorous evaluations 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 2010 level is $9,600,000 for this 
purpose.
    Career Pathways Innovation Fund.--The Committee concurs in 
the budget request to eliminate funding for this program. The 
comparable fiscal year 2010 level is $125,000,000. This program 
focuses on expanding career pathway programs at community 
colleges. The Committee is confident that significant other 
funding sources exist to support community colleges. Most 
recently, the Health Care and Education Reconciliation Act of 
2010 provided $500,000,000 for each of fiscal years 2011-2014 
for the Community College and Career Training Grant program.
    Workforce Data Quality Initiative.--The Committee 
recommends $13,750,000, the same as the requested level, for 
the Workforce Data Quality Initiative. The comparable fiscal 
year 2010 amount for this program is $12,500,000. Funds will be 
used to assist States with incorporating comprehensive 
workforce information into longitudinal data systems being 
developed in part with the support of funding provided by the 
Department of Education. The initiative also will help improve 
the quality and accessibility of performance data being 
produced by training providers.

                          OFFICE OF JOB CORPS

Appropriations, 2010....................................  $1,708,205,000
Budget estimate, 2011...................................   1,707,363,000
Committee recommendation................................   1,712,205,000

    For Job Corps, the Committee recommends $1,712,205,000. The 
comparable fiscal year 2010 amount is $1,708,205,000. The 
budget request includes $1,707,363,000 for Job Corps.
    The recommendation for operations of Job Corps centers is 
$1,577,095,000, comprised of $986,095,000 in fiscal year 2011 
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, 2011.
    The recommendation for administration is $30,110,000.
    The Committee understands that construction on the new Job 
Corps center in Ottumwa, Iowa, will be completed in March 2011. 
The Committee's recommended level for operations includes funds 
to ensure that competitively awarded contracts will be in place 
to enable the Ottumwa center to open on or before July 2011 and 
to serve the contracted capacity of 300 students.
    The Committee also recommends $5,000,000 in construction, 
renovation and acquisition funds, which are available from July 
1, 2011, to June 30, 2014. In addition, $100,000,000 in 
construction, rehabilitation and acquisition [CRA] funds are 
provided in advance funding, which will make these funds 
available on October 1, 2011, through June 30, 2014.
    Job Corps received $211,646,000 in CRA funds in the 
American Recovery and Reinvestment Act of 2009. These funds 
helped address a number of Job Corps facility needs. In light 
of this recent influx of capital funds and consistent with the 
budget request, the Committee directs Job Corps to use its 
authority to transfer up to 15 percent of CRA funds to meet the 
operational needs of Job Corps centers.
    For 3 years, Congress has highlighted the need to expand 
Job Corps programs in areas experiencing increased numbers of 
high school dropouts, unemployed youth, youth aging out of 
foster care, and homeless youth. In fiscal year 2010, the 
Committee included $5,000,000 to begin the process of 
establishing a minimum of two new Job Corps centers, 
particularly in large metropolitan areas without a Job Corps 
center and areas focused on the acute socio-economic needs of 
America's poorest rural youth. To date, the Department has yet 
to begin the expansion process. The Committee directs the 
Department to announce a competition for a minimum of two new 
Job Corps centers as stated in House Report 111-366.

            COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2010....................................    $825,425,000
Budget estimate, 2011...................................     600,425,000
Committee recommendation................................     600,425,000

    The Committee recommends $600,425,000, the same as the 
fiscal year 2011 budget request, for community service 
employment for older Americans. The comparable fiscal year 2010 
level is $825,425,000. The fiscal year 2010 appropriation 
included a one-time program expansion designed to serve 
additional unemployed low-income seniors affected by the 
economic downturn.
    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 2011 
appropriation will support the program from July 1, 2011, 
through June 30, 2012.
    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 minority neighborhoods. Senior enrollees 
provide necessary and valuable services at Head Start centers, 
schools, hospitals, libraries, elderly nutrition sites, senior 
centers, 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 also 
enables more low-income seniors to participate in the program.
    Bill language is continued from last year to enable the 
Department to recapture and obligate unneeded program funds at 
the end of a program year for support of technical assistance, 
incentive grants or other purposes, as authorized by the Older 
Americans Act. The budget did not propose continuing this 
language.

              FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2010....................................  $1,818,400,000
Budget estimate, 2011...................................   1,938,200,000
Committee recommendation................................   1,938,200,000

    The Committee recommends $1,938,200,000, the same as the 
fiscal year 2001 budget request, in mandatory funds for Federal 
unemployment benefits and allowances. The fiscal year 2010 
comparable amount is $1,818,400,000. Trade adjustment benefit 
payments are expected to increase from $1,067,000,000 in fiscal 
year 2010 to $1,595,000,000 in fiscal year 2011, while trade 
training expenditures in fiscal year 2011 are estimated to be 
$278,200,000 for the expected certification of 321,000 trade-
affected workers.
    The Trade and Globalization Adjustment Assistance Act of 
2009 [TGAAA] reauthorized the Trade Adjustment Assistance [TAA] 
programs. The reauthorization expanded TAA coverage to more 
workers and employers, including those in the service sector. 
It also made benefits available to workers whose jobs have been 
lost to any country, not just those countries involved in a 
trade agreement with the United States. The expansions 
authorized under TGAAA sunset after December 31, 2010.
    The TAA program assists trade-impacted workers with 
services including: training, income support, employment, case 
management, and assistance with health insurance coverage. In 
addition, the program, through Reemployment Trade Adjustment 
Assistance, includes a wage insurance option for certain 
workers at least 50 years old.

     STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS

Appropriations, 2010....................................  $4,113,681,000
Budget estimate, 2011...................................   4,435,327,000
Committee recommendation................................   4,440,327,000

    The Committee recommends $4,440,327,000 for this account. 
The recommendation includes $4,348,924,000 authorized to be 
drawn from the Employment Security Administration account of 
the unemployment trust fund, $91,403,000 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 that 
administer Federal and State unemployment compensation laws and 
operate the public employment service.
    The Committee bill continues language that enables States 
to use funds appropriated under this account to assist other 
States if they are impacted by a major disaster declared by the 
President; at the request of one or more States, authorizes the 
Secretary to reallot funds for States to carry out activities 
that benefit the administration of unemployment compensation 
laws of a requesting State; and permits the Secretary to use 
funds to make payments on behalf of States for the use of the 
National Directory of New Hires.
    The Committee recommends a total of $3,581,389,000 for 
unemployment insurance activities.
    For unemployment insurance [UI] State operations, the 
Committee recommends $3,570,079,000. These funds are available 
for obligation by States through December 31, 2011. However, 
funds used for automation acquisitions, for re-employment and 
eligibility assessments discussed below and funds awarded to 
States under the misclassification initiative are available for 
obligation by States through September 30, 2013.
    The recommendation includes $65,000,000 to conduct in-
person reemployment and eligibility assessments [REAs] and 
unemployment insurance improper payment reviews, as proposed in 
the budget request. The recommendation will support 
continuation and expansion of the REA initiative in 
approximately 40 States. This important program integrity 
initiative will save State UI trust fund accounts an estimated 
$210,000,000 representing a return on investment of more than 3 
to 1. The Committee intends for a portion of the funds to be 
used for additional technology-based overpayment prevention, 
detection, and collection activities.
    In addition, the Committee recommendation provides for a 
contingency reserve amount should the unemployment workload 
exceed an average weekly insured claims volume of 6,051,000, as 
proposed in the budget request. This contingency amount would 
fund the administrative costs of the unemployment insurance 
workload over the level of 6,051,000 insured unemployed persons 
per week at a rate of $28,600,000 per 100,000 insured 
unemployed persons, with a pro rata amount granted for amounts 
of less than 100,000 insured unemployed persons.
    For UI national activities, the Committee recommends 
$11,310,000. 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 and supporting 
training and contracting for actuarial support for State trust 
fund management.
    For the Employment Service allotments to States, the 
Committee recommends $703,576,000, which includes $22,683,000 
in general funds together with an authorization to spend 
$680,893,000 from the Employment Security Administration 
account of the unemployment trust fund. This amount is the same 
as the fiscal year 2011 budget request and the fiscal year 2010 
comparable funding level.
    The Committee also recommends $20,994,000 for Employment 
Service national activities. This is the same level as the 
budget request and the comparable amount for fiscal year 2010. 
The administration of the work opportunity tax credit accounts 
for $18,520,000 of the recommended amount while the balance is 
for technical assistance, training, and the Federal share of 
State Workforce Agencies Retirement System payments. The fiscal 
year 2010 Committee report encouraged the Department to focus a 
technical assistance program on services to individuals with 
disabilities available through State Employment Services and 
the One-Stop Career Center Network. The Committee anticipates a 
report on the Department's response to that request.
    For carrying out the Department's responsibilities related 
to foreign labor certification activities, the Committee 
recommends $65,648,000, the same amount proposed in the budget 
request. The fiscal year 2010 comparable amount is $68,436,000. 
In addition, 5 percent of revenue from H-1B fees is available 
to the Department for costs associated with processing H-1B 
alien labor certification applications.
    For One-Stop Career Centers and Labor Market Information, 
the Committee recommends $68,720,000. The budget request 
includes $63,720,000, the same as the fiscal year 2010 
comparable amount for these activities. The Committee 
recommendation includes $17,000,000 for the Employment and 
Training Administration [ETA], in collaboration with the Office 
of Disability Employment Policy [ODEP], to implement a plan for 
improving effective and meaningful participation of persons 
with disabilities in the workforce. The Committee expects that 
these funds, in combination with funding available to ODEP, 
will improve the accessibility and accountability of the public 
workforce development system for individuals with disabilities. 
The Committee further expects these funds to continue promising 
practices implemented by disability program navigators. These 
practices include the effective deployment of staff in selected 
States to: improve coordination among employment, training, and 
asset development programs carried out at the State and local 
level such as the Ticket to Work program; and build effective 
community partnerships that leverage public and private 
resources to improve services and employment outcomes for 
individuals with disabilities. The Committee requests that ETA 
and ODEP develop appropriate objectives and performance 
measures by which this initiative will be evaluated. The 
Committee eagerly awaits the issuance of the solicitation for 
grant applications for fiscal year 2010 funds consistent with 
language in the fiscal year 2010 Committee report that 
described this initiative.

                         STATE PAID LEAVE FUND

Appropriations, 2010....................................................
Budget estimate, 2011...................................     $50,000,000
Committee recommendation................................      10,000,000

    The Committee recommends $10,000,000 for the State Paid 
Leave Fund, which is a new activity. The budget request 
includes $50,000,000 for the Fund. The Fund will provide 
competitive grants to help States establish paid leave 
programs. Currently, California, New Jersey, and Washington 
have passed legislation to offer such programs, which are 
called family leave insurance. Typically, the programs offer up 
to 6 weeks of benefits to workers who must take time off to 
care for a seriously ill child, spouse, or parent, or to bond 
with a newborn or recently adopted child. The programs are 
typically employee funded through small payroll premiums.
    Grants will support State start-up activities relating to 
the implementation of paid leave programs, such as program 
infrastructure in States that have passed but not implemented 
paid leave programs. The Committee is interested in the 
capacity of this new initiative to encourage passage of paid 
leave programs in additional States. Accordingly, these funds 
will have a 2-year period of availability to allow sufficient 
time for States to consider and pass legislation authorizing 
paid leave programs. The Committee directs the Department to 
provide a briefing not less than 30 days prior to the release 
of a solicitation of grant applications and provide regular 
updates on the status of this initiative and State efforts to 
pass paid leave legislation.

        ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2010....................................    $120,000,000
Budget estimate, 2011...................................     200,000,000
Committee recommendation................................     200,000,000

    The Committee recommends $200,000,000 in mandatory funds, 
the same as the fiscal year 2011 budget request, for this 
account. The fiscal year 2010 funding level is $120,000,000 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 bill includes language proposed in the budget 
request to allow the Department additional flexibility to 
access funds as needed for covered programs.

                         PROGRAM ADMINISTRATION

Appropriations, 2010....................................    $147,656,000
Budget estimate, 2011...................................     162,042,000
Committee recommendation................................     162,042,000

    The Committee recommends $104,904,000 in general funds for 
this account, as well as authority to expend $57,138,000 from 
the Employment Security Administration account of the 
unemployment trust fund, for a total of $162,042,000. The 
fiscal year 2010 comparable amount is $147,656,000, and the 
budget request provides $162,042,000 for this purpose.
    General funds in this account pay for the Federal staff 
needed to administer employment and training programs under the 
Workforce Investment Act, the Older Americans Act, the Trade 
Act of 1974, 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 recommendation includes funds requested to 
continue essential oversight, monitoring, and closeout 
activities related to the American Recovery and Reinvestment 
Act of 2009.

               Employee Benefits Security Administration


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $154,861,000
Budget estimate, 2011...................................     161,995,000
Committee recommendation................................     161,995,000

    The Committee recommends $161,995,000 for the Employee 
Benefits Security Administration [EBSA]. This amount is the 
same as the budget request. The comparable fiscal year 2010 
amount is $154,861,000.
    The EBSA plays a critical role in improving health benefits 
and retirement security for American workers and their 
families. 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. EBSA 
provides funding for the enforcement and compliance, policy, 
regulation, and public services, and program oversight 
activities.
    The Committee expects this appropriation to help the EBSA 
better protect pension and health benefits for workers, 
retirees, and their families. These funds will provide for 
increased enforcement capacity, continued investments in EBSA 
education and compliance assistance programs, and enhanced 
research and evaluation activities.

                  Pension Benefit Guaranty Corporation

    The Pension Benefit Guaranty Corporation's estimated 
obligations for fiscal year 2011 include single employer 
benefit payments of $6,677,000,000, multi-employer financial 
assistance of $102,000,000 and administrative expenses of 
$466,301,000. Administrative expenses are comprised of three 
activities: (1) Pension insurance activities, $71,896,000; (2) 
pension plan termination expenses, $249,408,000; and (3) 
operational support, $144,997,000. These expenditures are 
financed by permanent authority.
    The Pension Benefit Guaranty Corporation [PBGC] is a wholly 
owned Government corporation established by ERISA. 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. These additional funds would 
be available for obligation through September 30, 2012. The 
Committee bill continues this provision 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 provided 
by these provisions.
    The President's budget also continues language included in 
last year's bill that 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 single-employer program protects about 33,600,000 
participants in approximately 28,000 defined benefit pension 
plans. The multi-employer insurance program protects about 10 
million participants in more than 1,500 plans.

                         Wage and Hour Division


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $227,606,000
Budget estimate, 2011...................................     244,240,000
Committee recommendation................................     244,240,000

    The Committee recommends $244,240,000, the same amount as 
the budget request, for the Wage and Hour Division. The 
comparable fiscal year 2010 amount is $227,606,000.
    The Wage and Hour Division was formerly part of the 
Employment Standards Administration, which was disbanded last 
year. The Wage and Hour Division is responsible for 
administering and enforcing laws that provide minimum standards 
for wages and working conditions in the United States. The Fair 
Labor Standards Act, employment rights under the Family and 
Medical Leave Act, and the Migrant and Seasonal Agricultural 
Worker Protection Act are several of the important laws the 
Wage and Hour Division is charged with administering and/or 
enforcing.
    The Committee recommendation provides sufficient funding to 
support the continued rebuilding of the Wage and Hour 
Division's capacity 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 
is particularly interested in the continued focus of the Wage 
and Hour Division on increased employer compliance with the 
special minimum wage program authorized under section 14(c) of 
the Fair Labor Standards Act.
    The Committee recommendation also supports the 
administration's misclassification initiative. The budget 
request includes $12,000,000 for the Wage and Hour Division to 
participate in a joint Department of Labor-Department of the 
Treasury initiative to detect and deter the inappropriate 
misclassification of employees as independent contractors. When 
employees are inappropriately misclassified, it deprives them 
of important benefits, such as overtime and unemployment 
insurance, and reduces revenues that ought to be paid into the 
Treasury and Unemployment Insurance programs. The Committee 
expects to be updated on actions taken to implement this 
important initiative.

                  Office of Labor-Management Standards


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $41,367,000
Budget estimate, 2011...................................      45,181,000
Committee recommendation................................      45,181,000

    The Committee recommends $45,181,000, the same amount as 
the budget request, for the Office of Labor-Management 
Standards. The comparable fiscal year 2010 amount is 
$41,367,000. The Office of Labor-Management Standards was 
formerly part of the Employment Standards Administration, which 
was disbanded last year.
    The Office of Labor-Management Standards administers the 
Labor-Management Reporting and Disclosure Act of 1959 and 
related laws. These laws establish safeguards for union 
democracy and financial integrity. They also require public 
disclosure by unions, union officers, employers and others. In 
addition, the office also administers employee protections 
under federally sponsored transportation programs.

             Office of Federal Contract Compliance Programs


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $105,386,000
Budget estimate, 2011...................................     113,433,000
Committee recommendation................................     112,433,000

    The Committee recommends $112,433,000 for the Office of 
Federal Contract Compliance Programs. The comparable fiscal 
year 2010 amount is $105,386,000 and the budget request 
includes $113,433,000 for this office. The Office of Federal 
Contract Compliance Programs was formerly part of the 
Employment Standards Administration, which was disbanded last 
year.
    The Office of Federal Contract Compliance Programs protects 
workers and potential employees of Federal contractors from 
employment discrimination as prohibited under Executive Order 
11246, section 503 of the Rehabilitation Act of 1973 and the 
Vietnam Era Veterans' Readjustment Assistance Act of 1974.

                Office of Workers' Compensation Programs


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $118,295,000
Budget estimate, 2011...................................     127,346,000
Committee recommendation................................     126,346,000

    The Committee recommends $126,346,000 for the Office of 
Workers' Compensation Programs. The budget request is 
$127,346,000. The comparable fiscal year 2010 amount is 
$118,295,000. The bill provides authority to expend $2,181,000 
from the special fund established by the Longshore and Harbor 
Workers' compensation Act.
    The Office of Workers' Compensation Programs was formerly 
part of the Employment Standards Administration, which was 
disbanded last year. The Office administers four distinct 
compensation programs which include the Federal Employees' 
Compensation Act, the Longshore and Harbor Workers' 
Compensation Act, the Black Lung Benefits programs and the 
Energy Employees Occupational Illness Compensation Program. In 
addition, the Office houses the Division of Information 
Technology Management and Services, which provides services to 
offices that were previously part of the Employment Standards 
Administration.

     DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION

                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $51,900,000
Budget estimate, 2011...................................      53,778,000
Committee recommendation................................      53,778,000

    The Committee recommends $53,778,000 for the Division of 
Energy Employees Occupational Illness Compensation. This amount 
is the same as the budget request. The comparable fiscal year 
2010 amount is $51,900,000. This is a mandatory appropriation.
    The Division administers the Energy Employees Occupational 
Illness Compensation Program Act [EEIOCPA], which provides 
benefits to eligible employees and former employees of the 
Department of Energy, its contractors and subcontractors or to 
certain survivors of such individuals. The mission also 
includes delivering benefits to certain beneficiaries of the 
Radiation Exposure Compensation Act. The Division is part of 
the Office of Workers' Compensation Programs, which was part of 
the Employment Standards Administration until it was 
reorganized last year.
    In 2011, the volume of incoming claims under part B of the 
EEOICPA is estimated at about 6,400 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, approximately 6,800 new claims will be 
received during fiscal year 2011. 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.

                            SPECIAL BENEFITS

Appropriations, 2010....................................    $187,000,000
Budget estimate, 2011...................................     183,000,000
Committee recommendation................................     183,000,000

    The Committee recommends $183,000,000, the same as the 
budget request, for this account. The comparable fiscal year 
2010 amount is $187,000,000. This mandatory appropriation 
primarily provides benefits under the Federal Employees' 
Compensation Act [FECA]. This benefit program is administered 
by the Office of Workers' Compensation Programs, which was 
formerly part of the Employment Standards Administration, which 
was disbanded last year.
    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 
re-employed 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 and declining thereafter.
    The Committee recommendation also continues language 
allowing carryover of unobligated balances from fiscal year 
2010 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. Finally, the Committee continues 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, 2010....................................    $225,180,000
Budget estimate, 2011...................................     203,220,000
Committee recommendation................................     203,220,000

    The Committee recommends a mandatory appropriation of 
$158,220,000 in fiscal year 2011 for special benefits for 
disabled coal miners. This is in addition to the $45,000,000 
appropriated last year as an advance for the first quarter of 
fiscal year 2011. These mandatory funds are used to provide 
monthly benefits to coal miners disabled by black lung disease 
and their widows and certain other dependents, as well as to 
pay related administrative costs.
    This account pays for the benefits and administrative costs 
of part B of the Black Lung Benefits Act. The program is 
administered by the Division of Coal Mine Workers' 
Compensation, which is part of the Office of Workers' 
Compensation Programs. The Office was part of the Employment 
Standards Administration until it was reorganized last year.
    Part B benefits are based on black lung claims filed on or 
before December 31, 1973. In fiscal year 2011, an estimated 
24,000 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 
$41,000,000 for the first quarter of fiscal year 2012. This 
amount is the same as the budget request. These funds will 
ensure uninterrupted benefit payments to coal miners, their 
widows, and dependents.

                    BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2010....................................    $662,874,000
Budget estimate, 2011...................................     709,523,000
Committee recommendation................................     709,523,000

    The Committee recommends $709,523,000 for this mandatory 
appropriations account. This amount is the same as the budget 
request. The comparable fiscal year 2010 amount is 
$662,874,000.
    This benefit program is administered by the Division of 
Coal Mine Workers' Compensation, which is part of the Office of 
Workers' Compensation Programs. The Division was part of the 
Employment Standards Administration until it was reorganized 
last year.
    The appropriation language continues to provide indefinite 
authority for the Black Lung Disability Trust Fund to provide 
for benefit payments. The recommendation assumes that 
$228,389,000 for benefit payments will be paid in fiscal year 
2011. In addition, the appropriation bill provides for 
transfers from the trust fund for administrative expenses for 
the following Department of Labor agencies: up to $33,075,000 
for the part C costs of the Division of Coal Mine Workers' 
Compensation Programs, up to $25,394,000 for Departmental 
Management, Salaries and Expenses, and up to $327,000 for 
Departmental Management, Inspector General. The bill also 
allows a transfer of up to $356,000 for the Department of the 
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 that are incurred in administering the benefits program 
and operating the trust fund.
    It is estimated that 25,250 individuals will receive black 
lung benefits financed through the end of the fiscal year 2011.
    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 Emergency Economic Stabilization 
Act of 2008 authorized the restructuring of the Black Lung 
Disability debt and extended the current tax structure until 
the end of 2018.

             Occupational Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $558,620,000
Budget estimate, 2011...................................     573,096,000
Committee recommendation................................     574,096,000

    The Committee recommends $574,096,000 for this account. The 
comparable fiscal year 2010 amount is $558,620,000. The budget 
request includes $573,096,000. 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 
the Occupational Safety and Health Administration [OSHA] to 
retain up to $200,000 per fiscal year of training institute 
course tuition fees to be used 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 with the exception of 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 recommendation supports the important mission 
carried out by OSHA. The Committee notes that 14 workers 
suffered a fatal occupational injury each day during calendar 
year 2008. While an improvement over 2007, this rate is still 
too high. This appropriation will help OSHA meet its goal of 
securing safe and healthy workplaces, particularly for the most 
dangerous workplaces. The Committee intends these funds to help 
rebuild OSHA's enforcement capacity, accelerate safety and 
health standards development, and maintain robust compliance 
assistance programs.
    The Committee recommends $105,893,000 for grants to States 
under section 203(g) of the Occupational Safety and Health Act. 
These funds are provided to States that have taken 
responsibility for administering their own occupational safety 
and health programs for the private sector and/or the public 
sector. State plans must be at least as effective as the 
Federal program and are monitored by OSHA. The Committee 
continues language that allows OSHA to provide grants of up to 
50 percent for the costs of State plans approved by the agency. 
The Committee believes that, given the continuing fiscal 
pressures facing State budgets, OSHA should continue its 
practice of allowing States an extra year to match fiscal year 
2011 resources offered for support of their State plans.
    The Committee continues to be concerned that a significant 
proportion of work-related injuries and illnesses appear not to 
be 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 have found that the BLS 
survey may miss between 25 percent and 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 the apparent level of underreporting 
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 continues to believe that OSHA needs to take steps to 
better understand the completeness of employer-provided data. 
Specifically, the Committee directs OSHA to continue oversight 
and enforcement of its recordkeeping standard to ensure 
complete and accurate recording and reporting by employers. 
Within the Committee recommendation, funds are available to 
continue a recordkeeping enforcement initiative on injury and 
illness recording. The Committee intends for this effort to 
enable OSHA to review the completeness and accuracy of 
individual employers' injury and illness records and determine 
whether there are employer 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 strongly supports the Department's goal of 
giving workers a voice in the workplace and OSHA's critical 
role in that effort, which involves the enforcement of 17 
whistleblower protection statutes. The Committee notes that 
OSHA used a portion of the fiscal year 2010 appropriation to 
provide an increase of 25 full-time equivalent [FTE] staff for 
its work in this area. The Committee requests that future 
congressional budget justifications identify funding and FTE 
levels for whistleblower activities and the specific 
performance goals and measures addressing program quality and 
timeliness issues.
    The Committee also 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 
recommendation includes $11,000,000 for the OSHA Susan Harwood 
Training Grant Program.

                 Mine Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $357,293,000
Budget estimate, 2011...................................     360,780,000
Committee recommendation................................     377,000,000

    The Committee recommendation includes $377,000,000 for the 
Mine Safety and Health Administration [MSHA]. The comparable 
fiscal year 2010 amount is $357,293,000. The budget request 
includes $360,780,000 for MSHA.
    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.
    The explosion at Upper Big Branch earlier this year was a 
tragic reminder of the important role that MSHA must play in 
preventing injury and death in our Nation's mines. The 
Committee believes that MSHA must utilize effectively its 
authority and resources to prevent another disaster through 
vigorous enforcement of mine safety law and regulations. The 
Committee has added $16,520,000 above the budget request to 
support MSHA's efforts. This appropriation should be used to 
address several key areas, as described below.
    The Committee recommendation provides funding to support 
the costs of the Upper Big Branch investigation and internal 
review. The families of the deceased and injured miners, the 
Department of Labor, MSHA, Congress, and the public must have a 
complete understanding of what went wrong and why, as well as 
the steps planned to address any issues identified. However, 
the Committee believes that the yet-to-be-completed 
investigation is not a reason to delay a single action that 
would strengthen MSHA's ability to improve the health and 
safety of our Nation's miners and help mine operators carryout 
their responsibilities to provide for a safe workplace.
    Miners know the conditions of their mine and equipment, and 
potential safety and health threats, but the Committee believes 
MSHA should take additional actions to ensure that miners are 
trained properly in and aware of their rights to identify and 
report safety hazards in their workplaces. The Committee has 
provided additional funds for MSHA to support training on miner 
rights in the workplace, focused particularly on identifying 
and reporting safety and health hazards. Miners and their 
families also must be protected from discrimination for 
reporting safety and health hazards in the workplace and the 
Committee urges MSHA to take action to ensure their rights are 
protected. The Committee also has provided additional funds to 
enhance MSHA's hazard conditions complaint system.
    While every effort must be made to avoid a mine accident, 
the Committee recommendation includes additional funds to 
strengthen MSHA's emergency response capability in case one 
does occur. Funds also are provided for the Office of 
Assessments to effectively identify mines that meet a pattern 
of violation status and support necessary rulemaking 
activities. Sufficient funds are available to support adequate 
staff for meeting MSHA's mission, including its inspection 
requirements, technical support, and review of mining plans.
    The Committee requests that MSHA prepare an operating plan 
for this appropriation that describes how funds will be 
utilized in carrying out its mission. This report shall be 
provided to the Committees on Appropriations of the Senate and 
House of Representatives not later than 30 days after enactment 
of this act.
    The Committee bill continues language authorizing MSHA to 
use up to $2,000,000 for mine rescue and recovery activities. 
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.
    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 also recommends $1,500,000 to the United Mine 
Workers of America to continue an award for classroom and 
simulated rescue training for mine rescue teams at its Beckley, 
West Virginia, and Washington, Pennsylvania, career centers.

                       Bureau of Labor Statistics


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $611,447,000
Budget estimate, 2011...................................     645,351,000
Committee recommendation................................     634,851,000

    The Committee recommends $634,851,000 for this account. The 
comparable fiscal year 2010 amount is $611,447,000. The budget 
request includes $645,351,000. The recommendation includes 
$67,438,000 from the Employment Security Administration account 
of the unemployment trust fund, and $567,413,000 in Federal 
funds. Language pertaining to the Current Employment Survey is 
retained from prior-year bills.
    The Bureau of Labor Statistics [BLS] is the principal fact-
finding agency in the Federal Government in the broad field of 
labor economics.
    The Committee continues to be concerned about 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 recommendation includes resources 
to continue BLS efforts 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 recommendation also includes $1,500,000 to 
continue the Mass Layoff Statistics Program.
    The Committee notes that the fiscal year 2011 request for 
BLS includes a number of proposals to reduce the cost of its 
programs, including restructuring the current employment survey 
program and developing an alternative source of data for 
locality pay surveys. These actions will allow BLS to continue 
its production of high-quality data at lower costs.
    The Committee bill does not contain language included in 
the fiscal year 2010 bill that requires the BLS to continue the 
women worker series within the current employment statistics 
program. The administration's fiscal year 2011 budget request 
proposes deleting the language. The Committee understands BLS 
will continue this data collection as it currently exists; 
therefore, this bill language is unnecessary.

                 Office of Disability Employment Policy

Appropriations, 2010....................................     $39,031,000
Budget estimate, 2011...................................      39,138,000
Committee recommendation................................      44,138,000

    The Committee recommends $44,138,000 for this account in 
fiscal year 2011. The comparable fiscal year 2010 level is 
$39,031,000. The budget request is $39,138,000. 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 ODEP is to provide leadership, 
develop policy and initiatives, and award grants furthering the 
objective of eliminating physical and programmatic 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 recommendation includes $17,000,000 for the 
ODEP, in collaboration with the Employment and Training 
Administration [ETA], to continue to implement their joint plan 
for improving effective and meaningful participation of persons 
with disabilities in the workforce. The Committee expects that 
these funds, in combination with funding available to ETA, will 
improve the accessibility and accountability of the public 
workforce development system for individuals with disabilities. 
The Committee further expects these funds to continue promising 
practices implemented by disability program navigators, 
including effective deployment of staff in selected States to: 
improve coordination and collaboration among employment and 
training and asset development programs carried out at a State 
and local level, including the Ticket to Work program; and 
build effective community partnerships that leverage public and 
private resources to better serve individuals with disabilities 
and improve employment outcomes.

                        Departmental Management


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $356,006,000
Budget estimate, 2011...................................     428,624,000
Committee recommendation................................     432,624,000

    The Committee recommendation includes $432,624,000 for the 
Departmental Management account. The comparable fiscal year 
2010 amount is $356,006,000 and the budget request includes 
$428,624,000 for this purpose. An amount of $327,000 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 appropriations for 
salaries and expenses are not suitable.
    The Committee recommendation includes an increase above the 
budget request of $16,000,000 within the legal services 
activity to continue support of the Department's efforts to 
reduce the backlog of cases before the Federal Mine Safety and 
Health Review Commission [FMSHRC]. The Committee remains 
concerned that the backlog of cases at the FMSHRC has increased 
by greater than 400 percent over historical levels. The 
Committee understands that this backlog is largely due to the 
fact that the rate of contested citations has grown from 7 
percent before the enactment of the MINER Act of 2006 to more 
than 25 percent last year. The Committee is continuing its 
efforts to address this issue by increasing funding for the 
FMSHRC, as described later in the report, to reduce the backlog 
by engaging additional judges and support staff, and continue 
the transition to an electronic case management system.
    The Committee intends these funds to support necessary 
expenses of the Department of Labor related to an increased 
capacity of the Commission to process caseloads pending before 
it. The Committee expects the Department to make every effort 
to support the timely processing of contested citations, 
particularly for operators that have the highest proportion of 
significant and substantial citations or other evidence of 
unacceptable health and safety records.
    Up to $7,200,000 of these additional funds for legal 
services may be transferred to the Mine Safety and Health 
Administration for related costs and other activities designed 
to improve the safety and health of miners. The Committees on 
Appropriations of the Senate and House of Representative shall 
be notified not later than 10 days prior to the transfer of 
such funds. The Committees further expect the Department and 
Federal Mine Safety and Health Review Commission to continue to 
implement activities that will reduce incentives for mine 
operators to challenge cases and improve the efficiency by 
which challenges are heard. The Committee requests that the 
Department and FMSHRC submit such a plan not later than 30 days 
after enactment of this act, and provide quarterly progress 
reports thereafter on the status of activities identified in 
the plan, including an explanation for any activity that is not 
completed within the timeframe identified in the operating 
plan.
    The Committee recommendation includes $117,000,000 for the 
Bureau of International Labor Affairs [ILAB]. The comparable 
fiscal year 2010 appropriation is $92,669,000 and the budget 
request includes $115,000,000. These funds are available to 
help improve working conditions and labor standards for workers 
around the world and carry out ILAB's statutory mandates and 
international responsibilities. These funds may be used to 
support microfinance programs and other livelihood activities 
that contribute to a more comprehensive approach to addressing 
the root causes of labor exploitation, including child and 
forced labor. Of the funds provided for ILAB, $40,000,000 is 
designated for the United States' contribution to the 
International Labor Organization's International Program on the 
Elimination of Child Labor.
    The budget request proposes making the appropriation for 
ILAB available for obligation through December 31, 2011. The 
Committee bill allows $66,500,000 to be available for 
obligation for an extra quarter, as was provided in the fiscal 
year 2010 appropriations act. The Committee will continue to 
monitor ILAB's use of the extended obligation authority 
provided for the current fiscal year in making a final decision 
about this budget proposal.
    The Committee strongly supports ILAB's initiatives designed 
to ensure compliance with internationally recognized worker 
rights. The Committee believes that is important for ILAB to 
support projects that enhance the capacity of governments at 
all levels to enforce core labor standards; build support with 
industry to ensure compliance with core labor standards 
throughout the entire supply chain; and become self-financed 
monitoring programs. In line with this goal, the Committee 
supports extending monitoring efforts throughout the entire 
supply chain to ensure that the worst forms of child labor are 
not used to produce goods in target sectors. The Committee 
requests that ILAB consult with the Committee on the planned 
and proposed uses of all technical assistance activities and 
other programs planned to be undertaken with funds available to 
ILAB.
    The Committee believes that the oversight committee created 
in 2006 to report publicly 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. The Committee intends for ILAB 
to continue to support the implementation of the Harkin-Engel 
Protocol by providing assistance to countries that helps them 
strengthen partnerships; collect data; develop, expand, and 
evaluate effective programs in order to substantially reduce 
the worst forms of child labor in the cocoa sector.
    The Committee continues to support ILAB's worker rights 
technical assistance projects and programs, for which the 
budget proposes additional resources. 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 or free trade agreements.
    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 2010 report 
all former GSP recipients that have achieved a Free Trade 
Agreement with the United States over the preceding year.
    The Committee recommendation includes $4,536,900 for the 
departmental management working capital fund, as proposed in 
the budget request. These funds are available, pursuant to 
section 108 of the title I general provisions of this act. With 
15-day advance notification of the Committees on Appropriations 
of the Senate and House of Representatives, the Secretary may 
transfer amounts made available to the fund to supplement 
existing acquisition workforce improvement activities, 
including training existing staff and hiring additional staff. 
The Committee expects these funds to help DOL agencies acquire 
goods and services at reduced costs and better aligned with 
achievement of agencies' missions.

                    VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2010....................................    $256,127,000
Budget estimate, 2011...................................     262,494,000
Committee recommendation................................     262,494,000

    The Committee recommends $262,494,000 for this account, 
including $50,971,00 in general revenue funding and 
$211,523,000 to be expended from the Employment Security 
Administration account of the unemployment trust fund.
    This account includes resources for the Veterans' 
Employment and Training Services [VETS] that enable it to 
maximize employment opportunities for veterans and 
transitioning service members, including protecting their 
employment rights. VETS carries out its mission through a 
combination of grants to States, competitive grants, and 
Federal enforcement and oversight.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010....................................     $84,014,000
Budget estimate, 2011...................................      85,082,000
Committee recommendation................................      85,082,000

    The Committee recommends $85,082,000, the same amount as 
the budget request, for the Office of the Inspector General 
[OIG]. The bill includes $79,090,000 in general funds and 
authority to transfer $5,992,000 from the Employment Security 
Administration account of the unemployment trust fund. In 
addition, an amount of $327,000 is available by transfer from 
the black lung disability trust fund. The comparable fiscal 
year 2010 amount is $84,014,000.
    The 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 general transfer authority (sec. 101).
    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. 102).
    Require 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. 103).
    Require the Secretary to award competitively funds 
available for section 414(c) of the American Competitiveness 
and Workforce Improvement Act of 1998 (sec. 104).
    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'' and limit the use of Job Corps funding for 
compensation of an individual that is not a Federal employee at 
a rate not to exceed Executive Level I (sec. 105).
    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. 106).
    Provides the Employment and Training Administration with 
authority to transfer funds provided for technical assistance 
services to grantees to program administration when it is 
determined that those services will be more efficently 
performed by Federal staff (sec. 107).
    Provides $4,536,900 to the Departmental Management, Working 
Capital Fund in support of an acquisition workforce initiative 
and allows funds to be transferred to any other account in the 
Department of Labor, subject to 15-day prior notification of 
the Committees on Appropriations of the Senate and House of 
Representatives (sec. 108).
    Rescinds $3,900,000 in funds available for the Investment 
in Reinvention Fund (sec. 109).

                                TITLE II

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

              Health Resources and Services Administration

                     HEALTH RESOURCES AND SERVICES

Appropriations, 2010....................................  $7,507,994,000
Budget estimate, 2011...................................   7,626,658,000
Committee recommendation................................   7,515,663,000

    The Committee provides a program level of $7,515,663,000 
for Health Resources and Services. The Committee recommendation 
includes $7,490,663,000 in budget authority and an additional 
$25,000,000 via transfers available under section 241 of the 
Public Health Service Act. The fiscal year 2010 comparable 
program level was $7,507,994,000. The budget request for fiscal 
year 2011 was $7,626,658,000.
    HRSA activities support programs to provide healthcare 
services for mothers and infants; the underserved, elderly and 
homeless; migrant farm workers; and disadvantaged minorities. 
This appropriation supports cooperative programs in community 
health, AIDS care, healthcare provider training, and healthcare 
delivery systems and facilities.

                     BUREAU OF PRIMARY HEALTH CARE

                        COMMUNITY HEALTH CENTERS

    The Committee provides $2,185,146,000 in this bill for the 
community health centers program. Combined with the 
$1,000,000,000 appropriated for fiscal year 2011 in Public Law 
111-152, the fiscal year 2011 program level totals 
$3,185,146,000. The fiscal year 2010 comparable program level 
was $2,185,146,000. The budget request for fiscal year 2011 in 
this bill was $2,479,993,000. This group of programs includes 
community health centers, migrant health centers, healthcare 
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, the Committee has provided 
$100,000,000 under the Federal Tort Claims Act [FTCA] 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 supports the proposal in the President's 
budget to continue providing funds to health centers to care 
for the 3 million patients added through the American Recovery 
and Reinvestment Act [ARRA]. Within the fiscal year 2011 
program level, the Committee directs HRSA to continue the 
Increased Demand for Services funding and continue to support 
the new access points established through ARRA.
    The Committee strongly supports the expansion of primary 
care services in school settings. Within the funds available 
for new access points and expanded medical capacity, the 
Committee directs HRSA to give priority to applications that 
include school-based care. The Committee further encourages 
HRSA to provide technical assistance to community health 
centers on how they can form partnerships with school districts 
and local health departments that currently operate school-
based health centers within the service area of the community 
health center.
    In addition, the Committee supports continued efforts to 
expand the Health Centers program into those areas of the 
country with high need and inadequate access to services to 
meet such need. The Committee notes that the Government 
Accountability Office [GAO], in an August 2008 report, found 
that 60 percent of the Medically Underserved Areas [MUAs] in 
the Midwest Census Region States are without a federally 
supported health center site. These States had the highest 
percentage of MUAs without a health center site in the United 
States, according to the GAO report. The Committee urges HRSA 
to make funding available to increase capacity at existing 
centers, and for service expansion awards to expand access to 
behavioral health services, oral health services, and pharmacy 
services provided by 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.
    Child Maltreatment Prevention.--The Committee continues to 
believe that parent training is a promising strategy for 
preventing child maltreatment that should be tested in primary 
care settings such as community health centers. The Committee 
urges HRSA to ensure that community health centers are actively 
engaged in the new home visitation initiative funded in the 
Patient Protection and Affordable Care Act.
    Substance Abuse Coordination.--The Committee is aware of 
the initiative in the President's budget to expand behavioral 
and mental health services in community health centers. Insofar 
as those services include substance abuse treatment, the 
Committee encourages HRSA to issue guidance to community health 
centers on collaboration with State substance abuse agencies to 
ensure the promotion of State standards of care, coordination 
of referrals, and further services.

                      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 healthcare 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 last year's level be 
provided for these activities in fiscal year 2011.
    The Committee encourages HRSA to support efforts to expose 
our Nation's youth to potential careers in the health 
professions; for example, in nursing, pharmacy, and public 
health. It is especially important that youth in rural America 
and from a range of ethnic groups, including Native Hawaiians, 
have access to early career counseling and ``hands on'' 
experiences.
    The Committee encourages HRSA to work collaboratively with 
appropriate federally qualified community health centers to 
develop screening, prevention and treatment initiatives 
addressing the extraordinarily high incidence of kidney disease 
among Filipino citizens.

                       STATE HEALTH ACCESS GRANTS

    The Committee does not provide funding for State Health 
Access Grants. The fiscal year 2010 comparable level was 
$74,480,000 and the budget request for fiscal year 2011 was 
$75,000,000.
    This program gives grants to States to develop new models 
for expanding access to healthcare coverage. The Committee 
notes that the Patient Protection and Affordable Care Act 
imposes new requirements on States relating to all activities 
currently funded by this program. Therefore, there is no longer 
a need for this program.

               FREE CLINICS MEDICAL MALPRACTICE COVERAGE

    The Committee provides $40,000 in funding for payments of 
claims under the Federal Tort Claims Act to be made available 
for free clinic health professionals as authorized by, section 
224(o) of the Public Health Service Act. The fiscal year 2010 
comparable level and the budget request for fiscal year 2011 
both 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 
healthcare services to low-income individuals in medically 
underserved areas.

                   NATIONAL HANSEN'S DISEASE PROGRAM

    The Committee includes $16,109,000 for the National 
Hansen's Disease Program, the same as the budget request for 
fiscal year 2011. The fiscal year 2010 comparable level was 
$16,075,000. 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 $129,000 for the repair and 
maintenance of buildings at the Gillis W. Long Hansen's Disease 
Center. The fiscal year 2010 comparable level was $128,000 and 
the budget request for fiscal year 2011 was $129,000 for this 
program.

            PAYMENT TO HAWAII FOR HANSEN'S DISEASE TREATMENT

    The Committee provides $1,976,000 for Hansen's Disease 
services. The fiscal year 2010 comparable level was $1,976,000, 
the same as the budget request for fiscal year 2011. 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

    The Committee provides $141,420,000 in this bill for 
National Health Service Corps [NHSC] activities. Together with 
$290,000,000 appropriated in fiscal year 2011 in the Patient 
Protection and Affordable Care Act, the recommendation for the 
fiscal year 2011 program level is $431,420,000. The fiscal year 
2010 comparable level was $141,420,000. The budget request for 
fiscal year 2011 in this bill was $168,589,000.
    This program provides full-cost scholarships or sizable 
loan repayment to students 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. Salary costs of most new assignees are paid by the 
employing entity.
    The Committee continues to recognize that the NHSC is an 
essential tool for recruitment and retention of primary care 
health professionals in Health Professional Shortage Areas 
nationwide. The Committee applauds efforts by HRSA to enhance 
access to the NHSC by reducing application documentation 
requirements, allowing for pre-qualification of applicants, 
instituting rolling deadlines, and planning a part-time service 
demonstration. The Committee encourages HRSA to continue with 
these and other improvements, as well as collaboration with the 
Health Centers program in order to maximize the investment in 
the NHSC.
    The Committee is aware that psychologists are among the 
occupations eligible to participate in the NHSC if they agree 
to practice in underserved areas, and the Committee encourages 
HRSA to ensure that mental health professionals are aware of 
this opportunity.
    The Committee is aware that specialty care is increasingly 
rare in communities that have been declared a public health 
emergency and may be critically needed to respond to injuries 
or illnesses sustained in the emergency. The Committee notes 
that HRSA has the authority to consider requests by local 
entities for alternative provider types with special 
considerations. Therefore, the Committee encourages HRSA to 
provide technical assistance to communities experiencing public 
health emergencies to ensure that they can utilize all 
available options to respond to needs resulting from the 
disaster.

                           HEALTH PROFESSIONS

    The Committee provides $648,868,000 for HRSA health 
professions programs. The fiscal year 2010 comparable level was 
$496,835,000. The budget request for fiscal year 2011 was 
$503,903,000.
    The Committee urges HRSA to maximize the capacity of health 
professions education programs to be inter-professional in 
nature in order that healthcare professionals educated through 
these programs graduate competent to provide patient-centered, 
team-based care.
    In addition, the Committee is aware of research findings 
that suggest a neurological basis for women's experience of 
greater pain sensitivity which may account for the greater 
degree to which women seek help for chronic pain. Therefore, 
the Committee encourages HRSA to undertake a health 
professional education effort regarding these conditions. Such 
an effort should include the development of continuing medical 
education courses and other curricula to reduce gender-based 
barriers to effective care.

Training for Diversity

            Centers of Excellence
    The Committee provides $24,602,000 for the Centers of 
Excellence program, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$24,550,000.
    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 healthcare 
needs of their patients, often without payment.
            Health Careers Opportunity Program
    The Committee provides $22,133,000 for the Health Careers 
Opportunity Program, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$22,086,000.
    This program provides funds to medical and other health 
professions schools for recruitment of disadvantaged students 
and pre-professional school preparations.
            Faculty Loan Repayment
    The Committee provides $6,266,000 for the Faculty Loan 
Repayment program. The budget request for fiscal year 2011 and 
the fiscal year 2010 comparable level were $1,266,000.
    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 at least 2 years as a faculty member of a health 
professions school.
            Scholarships for Disadvantaged Students
    The Committee provides $49,342,000 for the Scholarships for 
Disadvantaged Students program, the same as the budget request 
for fiscal year 2011. The fiscal year 2010 comparable level was 
$49,236,000.
    This program provides grants to health professions schools 
for student scholarships to individuals who are from 
disadvantaged backgrounds and are enrolled as full-time 
students in such schools.
            Primary Care Training and Enhancement
    The Committee provides $90,000,000 for Primary Care 
Training and Enhancement programs. The fiscal year 2010 
comparable level was $38,923,000. The budget request for fiscal 
year 2011 included $39,275,000 for this program.
    This program supports the expansion of training in internal 
medicine, family medicine, pediatrics, and physician 
assistance. Funds may be used for developing training programs 
or providing direct financial assistance to students and 
residents. The Committee has included bill language specifying 
that no less than 15 percent of funds must be used to train 
physician assistants. The Committee urges HRSA to prioritize 
training physician assistants due to the ability of programs to 
rapidly expand to graduate high numbers of clinicians to fill 
the growing need for primary care.
    The Committee notes the findings of the recent ``Annals in 
Internal Medicine'' study ranking medical schools based on the 
communities where their graduates worked and whether those 
doctors practiced primary care. The Committee urges HRSA to 
prioritize applications from schools with a proven record of 
educating primary care physicians who go on to serve in 
shortage areas.
            Training in Oral Health Care
    The Committee recommends $47,982,000 for Training in Oral 
Health Care programs. The fiscal year 2010 comparable level was 
$32,919,000 and the budget request for fiscal year 2011 was 
$32,982,000.
    These programs support a variety of training opportunities 
in the field of oral health, authorized under sections 748 and 
340G of the Public Health Service [PHS] Act. Funds may be used 
to expand training in general dentistry, pediatric dentistry, 
public health dentistry, dental hygiene, and other oral health 
programs. Funds may be used to plan and operate training 
programs, as well as to provide financial assistance to 
students and residents.
    Within the funds provided, the Committee intends no less 
than $2,000,000 be used for public health dental residencies. 
The Committee further intends that no less than $15,000,000 be 
allocated for grants to training programs authorized under 
section 748 of the PHS Act and that State Health Workforce 
grants be funded at no less than $22,500,000.
    The Committee supports efforts by States to develop 
licensure requirements and by universities to develop curricula 
for advanced dental hygiene practitioners.
    The Committee strongly supports the continued development 
of the faculty loan repayment program and expects HRSA to 
allocate no less than last year's level to this newly 
authorized activity. The Committee encourages HRSA to 
prioritize applications from schools with a proven track record 
of graduating dentists who go on to practice in underserved 
areas.
    The Committee is supportive of programs that link oral 
healthcare with primary care training. In addition, the 
Committee is supportive of dental public health specialty 
training, including the completion of the Master of Public 
Health or an equivalent degree and the 1-year residency 
program.
            Rural Physician Training
    The Committee includes $5,100,000 for the Rural Physician 
Training Grants program. This is a new program authorized by 
the Patient Protection and Affordable Care Act. The budget 
request for fiscal year 2011 did not propose funding.
    This program will provide funds to health professions 
schools to establish, improve, or expand a rural-focused 
training program. Funds may be used to design curricula on 
issues prevalent in rural care, provide clinical practice 
experience in rural settings, and recruit students most likely 
to practice in rural communities.

Interdisciplinary, Community-based Linkages

            Area Health Education Centers
    The Committee provides $33,345,000 for the Area Health 
Education Centers [AHEC] program, the same as the budget 
request for fiscal year 2011. The fiscal year 2010 comparable 
level was $33,274,000.
    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 AHEC grants; and model programs to 
extend AHEC programs with 50 percent Federal funding.
            Allied Health and Other Disciplines
    The Committee provides $10,617,000 for the Allied Health 
and Other Disciplines programs. The fiscal year 2010 comparable 
level was $4,880,000. The budget request for fiscal year 2011 
was $4,890,000.
    The Committee recommendation is sufficient to continue 
Chiropractic Demonstration programs at the same levels as in 
fiscal year 2010.
    The Committee has included bill language providing 
$8,672,000 for mental and behavioral health training grants 
authorized in section 756 of the Public Health Service Act. The 
Committee urges HRSA to allocate no less than last year's level 
for graduate psychology education.
    These programs seek to improve the diversity of allied 
health practitioners and their distribution to areas of need. 
The programs also improve access to comprehensive and 
culturally competent healthcare services for underserved 
populations.
    The graduate psychology education program trains psychology 
graduate students while they provide supervised behavioral and 
mental health services to underserved populations. The 
Committee is concerned that current economic conditions are 
significantly increasing the numbers of people seeking mental 
health services as they struggle with unemployment, job and 
income loss, and the many associated problems that result. The 
Committee supports efforts by HRSA that would help integrate 
health service psychology trainees at Federally Qualified 
Health Centers to provide behavioral and mental health services 
to underserved populations. In addition, the Committee 
encourages HRSA to focus on supporting programs with 
demonstrated, scientifically based potential to improve the 
outcome of mental and behavioral healthcare services. These 
programs should include academic institutions with a 
demonstrated commitment for improving health outcomes, as 
documented by science-based accreditation processes.
            Geriatric Education
    The Committee provides $33,747,000 for Geriatric Education 
programs, the same as the budget request for fiscal year 2011. 
The fiscal year 2010 comparable level was $33,675,000.
    Geriatric programs include: Geriatric Education Centers, 
the Geriatric Academic Career awards program, and the Geriatric 
Training program for Physicians, Dentists, and Behavioral and 
Mental Health Professionals.

Health Professions Workforce Information and Analysis

    The Committee is recommending $13,781,000 for health 
professions workforce information and analysis. The budget 
request for fiscal year 2011 was $8,781,000. The fiscal year 
2010 comparable level was $2,826,000. The program provides 
grants and contracts to eligible entities to provide for the 
collection and analysis of targeted information, research on 
high-priority workforce questions, the development of analytic 
and research infrastructure, and the conduct of program 
evaluation and assessment.
    The allied health professions, like nurses and primary care 
physicians, face serious workforce shortages due to student 
recruitment, shortages of faculty and clinical sites. The 
Committee encourages HRSA to include allied health professions 
in any comprehensive workforce study of the health professions.
    The Committee is aware that hospice and palliative medicine 
[HPM] improves quality, controls cost, and enhances patient/
family satisfaction for the rapidly expanding population of 
patients with serious or life-threatening illness. Therefore, 
the Committee encourages HRSA to study workforce trends, 
training capacity and need for HPM physicians, physician 
assistants and nurse practitioners in our Nation's academic 
medical centers, hospice organizations and palliative care 
programs.

Public Health and Preventive Medicine Training Programs

    The Committee provides $19,668,000 for these programs. The 
fiscal year 2010 comparable level was $9,647,000. The budget 
request for fiscal year 2011 included $9,668,000 for these 
programs. The Committee intends that the increase over the 
fiscal year 2010 appropriated level be used to expand 
fellowships and training in the area of preventive medicine.
    This funding supports awards to schools of medicine, 
osteopathic medicine, and public health to provide for 
residency training programs in preventive medicine and public 
health; and for financial assistance to trainees enrolled in 
such programs.

Nursing Workforce Development Programs

    The Committee provides $292,285,000 for the Nursing 
Workforce Development programs. The fiscal year 2010 comparable 
level was $243,553,000. The budget request for fiscal year 2011 
was $243,872,000.
    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 50,000 qualified applicants were turned away from 
baccalaureate and graduate nursing programs in 2009 due 
primarily to a shortage of nurse faculty, including nearly 
7,000 applicants to master's and doctoral programs. 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
                         Budget activity                               2010         Fiscal year      Committee
                                                                    comparable     2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Advanced Education Nursing......................................          64,301          64,438          74,438
Nurse education, practice and retention.........................          39,811          39,896          50,000
Nursing workforce diversity.....................................          16,073          16,107          16,107
Loan repayment and scholarship program..........................          93,864          93,864          93,864
Comprehensive geriatric education...............................           4,557           4,567           4,567
Nursing faculty loan program....................................          24,947          25,000          53,309
----------------------------------------------------------------------------------------------------------------

    Within the allocation for advanced education nursing, the 
Committee encourages HRSA to allocate funding for nurse 
anesthetist education at no less than last year's level.
    The increase provided for nurse education, practice, and 
quality is intended to make grants for career ladder programs, 
authorized in the Patient Protection and Affordable Care Act.
    In all programs, the Committee encourages HRSA to 
prioritize grant applications from institutions with a proven 
track record for graduates practicing in underserved areas.
    The Committee also encourages HRSA to support schools of 
nursing in the development and implementation of both 
traditional and telehealth outreach programs in rural 
underserved communities.

Children's Hospitals Graduate Medical Education Program

    The Committee provides $317,500,000 for the Children's 
Hospitals Graduate Medical Education [GME] program, the same as 
the budget request for fiscal year 2011. The fiscal year 2010 
comparable level was $316,824,000.
    The program provides support for health professions 
training in children's teaching hospitals that have a separate 
Medicare provider number (``free-standing'' children's 
hospitals). Children's hospitals are 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 
that of 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 $5,000,000 for the 
Patient Navigator Outreach and Chronic Disease Outreach 
program, the same as the budget request for fiscal year 2011. 
The comparable funding level for fiscal year 2010 was 
$4,965,000.
    The program provides demonstration grants to public or 
nonprofit health centers to help patients overcome barriers in 
the healthcare system to prompt screening, referral, diagnosis, 
and treatment services.

National Practitioner Data Bank

    The Committee provides $21,000,000 for the national 
practitioner data bank. This amount is the same as the budget 
request for fiscal year 2011. The fiscal year 2010 comparable 
level was $19,750,000. 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.

Healthcare Integrity and Protection Data Bank

    The Committee provides $4,000,000 for the healthcare 
integrity and protection data bank. This amount is the same as 
the administration request for fiscal year 2011. The fiscal 
year 2010 comparable level was $3,758,000. 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. 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. The 
data bank is intended to collect, maintain, and report on 
certain actions taken against healthcare providers, suppliers, 
and practitioners.

                    MATERNAL AND CHILD HEALTH BUREAU

    The Committee is pleased to learn of the successful launch 
by the National Healthy Mothers-Healthy Babies Coalition of the 
Text4Babies program, a program that sends text messages to 
expectant woman and new mothers to help keep the mothers and 
their babies healthy. Within the first 5 months of the program, 
more than 25,000 women in more than 45 States have registered 
for the free service, which is supported largely by private 
contributions for this public-private partnership.

                 MATERNAL AND CHILD HEALTH BLOCK GRANT

    The Committee provides $673,187,000 for the maternal and 
child health [MCH] block grant, the same as the budget request 
for fiscal year 2011. The fiscal year 2010 comparable level was 
$660,710,000.
    The Maternal and Child Health Block Grant program provides 
a flexible source of funding that allows States to target their 
most urgent maternal and child health needs through development 
of community-based networks of preventive and primary care that 
coordinate and integrate public and private sector resources 
and programs for pregnant women, mothers, infants, children, 
and adolescents. The program supports a broad range of 
activities including providing prenatal care, well child 
services and immunizations; reducing infant mortality; 
preventing injury and violence; expanding access to oral 
healthcare; 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 
$93,999,263 for the Special Projects of Regional and National 
Significance [SPRANS] set-aside. Within that total, the 
Committee recommendation includes sufficient funding to 
continue the set-asides for oral health, epilepsy, sickle cell, 
doula programs, and fetal alcohol syndrome at no less than last 
year's level.
    Epilepsy.--The Committee has provided funding to continue 
outreach, technical assistance, and State demonstration 
programs that develop and implement systems of care to improve 
access to comprehensive, coordinated healthcare and related 
services for children and youth with epilepsy living in 
medically underserved areas.
    Oral Health.--The Committee has provided funding to 
continue and expand early childhood oral health interventions 
and prevention programs encompassing the medical/dental 
interface, topical fluorides, school and community-based 
sealant programs, and systems building with WIC, Head Start, 
and others.
    Vision Screening.--The Committee is pleased that the 
Maternal and Child Health Bureau has created the National 
Universal Vision Screening for Young Children Coordinating 
Center. The center's mission is to develop the public health 
infrastructure to promote and ensure a continuum of eye care 
for young children within the healthcare delivery system. The 
Committee supports the mission and goals of this new center and 
looks forward to hearing about its progress.

                       SICKLE CELL ANEMIA PROGRAM

    The Committee provides $4,750,000 for the sickle cell 
anemia demonstration program, the same as the budget request 
for fiscal year 2011. The fiscal year 2010 comparable level was 
$4,740,000. This 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 $9,939,000 for the traumatic brain 
injury program, the same as the budget request for fiscal year 
2011. The fiscal year 2010 comparable level was $9,918,000. 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 $55,000,000 for the autism and other 
developmental disorders initiative, the same as the budget 
request for fiscal year 2011. The fiscal year 2010 comparable 
level was $47,898,000. 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.
    Bill language is included to ensure that fiscal year 2011 
grants may be awarded for multi-year activities, as the 
authorization bill intended.
    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 Neuro-
developmental and Related Disabilities program.

               NEWBORN SCREENING FOR HERITABLE DISORDERS

    The Committee provides $10,013,000 for the newborn 
heritable disorders screening program, as described in section 
1109 of the Newborn Screening Saves Lives Act of 2008. The 
fiscal year 2010 comparable level was $9,992,000 and the fiscal 
year 2011 budget request was $10,013,000.
    This program provides funding to improve the ability of 
States to provide newborn and child screening for heritable 
disorders. Newborn screening provides early identification and 
followup for treatment of infants affected by certain genetic, 
metabolic, hormonal, and/or functional conditions.

                    CONGENITAL DISABILITIES PROGRAM

    The Committee has not provided funding for the congenital 
disabilities program. The budget request for fiscal year 2011 
included $500,000 for these activities. The fiscal year 2010 
comparable level was $499,000. The Committee is pleased with 
the materials created in this program and encourages HRSA to 
distribute the materials through the Maternal Child Health 
Bureau's programs.
    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 nongovernmental 
organizations with expertise in prenatally and postnatally 
diagnosed conditions.

                             HEALTHY START

    The Committee provides $103,200,000 for the Healthy Start 
infant mortality initiative. The fiscal year 2010 comparable 
level was $104,776,000 and the budget request for fiscal year 
2011 was $110,186,000.
    The Committee intends these funds to fully provide for 
continuations of previously awarded grants. The Committee is 
aware that the Patient Protection and Affordable Care Act 
[PPACA] includes $250,000,000 in fiscal year 2011 for home 
visitation programs to improve maternal and child birth 
outcomes, and that Healthy Start grantees are eligible to apply 
for this funding. In awarding the PPACA funds, the Committee 
encourages HRSA to give full and fair consideration to grantees 
currently and formerly funded in Healthy Start and in the home 
visitation initiative under the Administration for Children and 
Families.
    The primary purpose of Healthy Start is to reduce infant 
mortality by 50 percent and generally improve maternal and 
infant health in at-risk communities. Grants are awarded 
largely to State and local health departments, and nonprofit 
organizations to conduct an infant mortality review, develop a 
package of innovative health and social services for pregnant 
women and for infants, and evaluate these efforts.

       UNIVERSAL NEWBORN HEARING SCREENING AND EARLY INTERVENTION

    The Committee provides $19,000,000 for universal newborn 
hearing screening and early intervention activities, the same 
as the budget request for fiscal year 2011. The fiscal year 
2010 comparable level was $18,960,000.
    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.
    This program awards grants to 53 States and territories 
that support statewide systems of newborn hearing screening, 
audiologic diagnostic testing before 3 months of age and 
enrollment in early intervention programs before the age of 6 
months.

                EMERGENCY MEDICAL SERVICES FOR CHILDREN

    The Committee provides $22,500,000 for emergency medical 
services for children [EMSC]. The fiscal year 2010 comparable 
level was $21,454,000 and the budget request for fiscal year 
2011 was $21,500,000. The program supports demonstration grants 
for the delivery of emergency care to acutely ill and seriously 
injured children.
    The EMSC program makes funding available to every State EMS 
office to improve emergency care for children, and to pay for 
critical research and dissemination of best practices. The 
Committee commends the program's efforts to improve the 
evidence base for pediatric emergency care in the pre-hospital 
and emergency department settings and to drive the rapid 
translation of new science into professional practice.

                            HIV/AIDS BUREAU

                  ACQUIRED IMMUNE DEFICIENCY SYNDROME

                        RYAN WHITE AIDS PROGRAMS

    The Committee provides $2,340,345,000 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 2010 comparable level was $2,312,179,000 and 
the budget request for fiscal year 2011 was $2,330,401,000.
    These programs provide a wide range of community-based 
services, including primary and home healthcare, case 
management, substance abuse treatment, mental health services, 
and nutritional services.
    The Committee is aware that many of the benefits currently 
provided through Ryan White Care Act programs will become 
available to people living with HIV/AIDS over the next few 
years through State high-risk pools, health exchanges and other 
newly authorized programs. The Committee expects HRSA to offer 
a plan for how to transition Ryan White benefits into a larger 
system of care so that Ryan White resources may be targeted to 
the areas of most need. The plan should include a year-by-year 
list of actions needed by the administration, the Congress and 
the States in order to ensure the smoothest possible transition 
for beneficiaries. The Committee expects the plan no later than 
8 months after enactment of this act.

                          EMERGENCY ASSISTANCE

    The Committee provides $679,074,000 for emergency 
assistance grants to eligible metropolitan areas 
disproportionately affected by the HIV/AIDS epidemic. This 
amount is the same as the fiscal year 2010 comparable level and 
the budget request for fiscal year 2011.
    Grants 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 2010 comparable 
level included a provision directing funds to particular 
metropolitan areas facing dramatic cuts as a result of the 
changes to the Ryan White formula. The Committee has not 
continued this provision in fiscal year 2011.

                      COMPREHENSIVE CARE PROGRAMS

    The Committee provides $1,303,791,000 for HIV healthcare 
and support services. The fiscal year 2010 comparable level was 
$1,278,791,000 and the budget request for fiscal year 2011 was 
$1,283,791,000. 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.
    The Committee includes bill language providing $885,000,000 
for AIDS medications in the AIDS Drug Assistance Program 
[ADAP]. The fiscal year 2010 comparable level was $860,000,000 
and the budget request for fiscal year 2011 was $855,000,000.
    The Committee is very concerned by the vulnerability of 
State funding for ADAP, the continuing increases in drug 
prices, and the ongoing unemployment that has caused spikes in 
enrollment. Sufficient funding is included to continue the 
emergency allocations from fiscal year 2010 and extend 
additional life-saving support in fiscal year 2011.
    The Committee strongly supports the use of ADAP funds to 
pay coverage premiums as a means of getting ADAP beneficiaries 
additional services while simultaneously reducing the cost and 
expanding the number of individuals that can benefit. The 
Committee urges HRSA to work with States, the Centers for 
Medicare and Medicaid Services, and the Office of Personnel 
Management to maximize this resource mechanism. The Committee 
directs HRSA to report in the fiscal year 2012 budget 
submission on the number of individuals and the amount of funds 
being used from ADAP and each portion of the Ryan White Care 
Act to support premiums.
    In addition, the Committee requests that HRSA include in 
the fiscal year 2012 submission the average cost to ADAP of 
each drug included in the ADAP formulary and the cost of that 
prescription drug to ADAP over the previous 3 fiscal years.

                      EARLY INTERVENTION SERVICES

    The Committee provides $206,383,000 for early intervention 
grants, the same as the fiscal year 2010 comparable level. The 
budget request for fiscal year 2011 was $211,877,000.
    Funds are awarded competitively to primary healthcare 
providers to enhance healthcare 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 $77,787,000 for grants for 
coordinated services and access to research for women, infants, 
children, and youth. This amount is the same as the budget 
request for 2011. The fiscal year 2010 comparable level was 
$77,621,000.
    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 healthcare 
services to populations with or at risk for HIV disease.

                          AIDS DENTAL SERVICES

    The Committee provides $13,565,000 for AIDS Dental 
Services, the same as the fiscal year 2010 comparable level. 
The budget request for fiscal year 2011 was $15,429,000.
    This program provides grants to dental schools, dental 
hygiene schools, and postdoctoral dental education programs to 
assist with the cost of providing unreimbursed oral healthcare 
to patients with HIV disease.

                  AIDS EDUCATION AND TRAINING CENTERS

    The Committee provides $34,745,000 for the AIDS education 
and training centers [AETCs], the same as the fiscal year 2010 
comparable level. The budget request for fiscal year 2011 
included $37,443,000.
    AETCs train healthcare 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 $27,991,000 for organ donation and 
transplantation activities. The fiscal year 2010 comparable 
level was $25,991,000 and the budget request for fiscal year 
2011 was $26,049,000.
    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 to educate public and health professionals about organ 
donations and transplants, and to support agency staff 
providing clearinghouse and technical assistance functions.
    The Committee is aware of the large and growing national 
organ transplantation waiting list. Although an average of 80 
patients received transplants each day last year, a daily 
average of 18 patients died due to the unavailability of 
organs. Healthcare professionals, particularly physicians, 
nurses, and physician assistants, if given enhanced knowledge 
and training, can positively impact organ donation. Therefore, 
the Committee has included $500,000 for the development of 
curriculum and continuing education programs for targeted 
health professionals. The remainder of the increase is intended 
to support additional projects to increase organ donation.

National Cord Blood Inventory

    The Committee has provided $13,883,000 for the National 
Cord Blood Inventory, which is the successor of the National 
Cord Blood Stem Cell Bank program. The fiscal year 2010 
comparable level was $11,957,000 and the budget request for 
fiscal year 2011 was $13,883,000. 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 $26,544,000 for the C.W. Bill Young 
Cell Transplantation Program, which is the successor of the 
National Bone Marrow Donor Registry. The fiscal year 2010 
comparable level was $23,467,000 and the budget request for 
fiscal year 2011 was $26,544,000.

Office of Pharmacy Affairs

    The Committee provides $5,220,000 for the Office of 
Pharmacy Affairs, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level for this 
program was $2,220,000. The Office of Pharmacy Affairs promotes 
access to clinical 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 
noncompliance with the 340B pricing requirements and errors and 
omissions in the office's covered entity database.
    The Committee strongly supports a definition of patient 
that protects the 340B drug program's integrity while ensuring 
the Nation's healthcare safety net is not weakened. The 
Committee expects HRSA to provide guidance to 340B-covered 
entities based upon current law.
    The Committee also requests that HRSA and CMS convene a 
working group to ensure that all phases of the 340B drug 
discount program are administered without redundancy or 
contradiction by the two agencies of jurisdiction.

Poison Control Centers

    The Committee provides $29,314,000 for Poison Control 
Center activities, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$29,250,000. The Poison Control Centers 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.
    HRSA estimates that $7 is saved in medical spending for 
every dollar spent on Poison Control Centers because treatment 
guidance for the majority of poison exposures (over 70 percent) 
can be provided over the phone, thereby reducing emergency 
department visits, ambulance use, and hospital admissions. For 
that reason, the Committee is strongly supportive of ensuring 
that all citizens have access to poison control hotlines.
    Declines in State budgets have reduced the staffing of 
poison control centers, causing many centers to curtail 
marketing their services. Given that first-time parents are one 
of the main consumers of poison control services, marketing 
efforts are essential to reach this ever-changing group. The 
Committee notes that current technology allows for very 
efficient routing of calls. The Committee requests HRSA to 
submit a report 3 months after enactment of this act on the 
advantages and disadvantages of the current system compared to 
a regional system or a national system. The report should 
include cost projections for each approach.

Medical Home Demonstration Programs

    The Committee recommends $40,000,000 for medical home 
demonstration programs. These programs have not been funded 
previously, and the fiscal year 2011 budget request did not 
include funds for this purpose.
    Programs eligible for funding include the Community Health 
Teams authorized in section 3502 of the Patient Protection and 
Affordable Care Act and the Community-Based Collaborative Care 
Network authorized in section 340H of the Public Health Service 
Act. Under these authorizations, funds may be used for the 
creation and support of interdisciplinary patient care teams, 
assistance to low-income individuals to access care, case 
management, benefit enrollment, and other assistance.
    The Committee requests an operating plan no later than 90 
days after enactment of this act detailing the number and size 
of awards to be made under each authorization.

                         RURAL HEALTH PROGRAMS

Rural Healthcare Services Outreach Grants

    The Committee provides $57,266,000 for rural health 
outreach grants, the same as the budget request for fiscal year 
2011. The fiscal year 2010 comparable level was $55,905,000. 
This program supports projects that demonstrate new and 
innovative models of outreach in rural areas, such as 
integration and coordination of health services.
    Frontier Extended Stay Clinics.--The Committee is aware 
that a research program is underway at the Centers for Medicare 
and Medicaid Services related to frontier extended stay 
clinics. The Committee urges HRSA to maintain its existing 
relationship with the clinics, so that there are no 
complicating factors in the interpretation of the research 
results.

Rural Health Research

    The Committee provides $9,950,000 for the Rural Health 
Research program, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$9,929,000.
    The funds provide support for the Office of Rural Health 
Policy to be the focal point for the Department's efforts to 
improve the delivery of health services to rural communities 
and populations. Funds are used for rural health research 
centers, the National Advisory Committee on Rural Health, and a 
reference and information service.

Rural Hospital Flexibility Grants

    The Committee provides $41,200,000 for rural hospital 
flexibility grants, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$40,915,000.
    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.
    The Committee remains strongly supportive of the 
collaboration between the Department of Veterans Affairs and 
rural hospitals to provide locally based care, and understands 
that one of the largest barriers to this effort is the lack of 
electronic medical records that are interoperable with the 
VISTA system. For that reason, the Committee has again included 
bill language identifying $1,000,000 for grants authorized 
under section 1820(g)(6) of the Social Security Act to provide 
telehealth equipment and to develop electronic health records 
that are compatible with the VISTA system. The Committee 
encourages HRSA to coordinate with the Department of Veterans 
Affairs to ensure that this equipment furthers the goal of 
treating the illnesses and disabilities of our Nation's 
veterans. The Committee is particularly concerned with ensuring 
that veterans receive appropriate mental healthcare.

Delta Health Initiative

    The Committee has included $34,927,000 for the Delta Health 
Initiative as authorized in section 219 of division G of Public 
Law 110-161. The fiscal year 2010 comparable level was 
$34,927,000. The budget request for fiscal year 2011 did not 
include funds for this purpose.

Rural and Community Access to Emergency Devices

    The Committee provides $2,526,000 for rural and community 
access to emergency devices. This is the same amount as the 
budget request for fiscal year 2011. The fiscal year 2010 
comparable level was $2,521,000.
    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 urges HRSA to prioritize rural communities.
    Funding will be used to purchase automated external 
defibrillators, place them in public areas where cardiac 
arrests are likely to occur and train lay rescuers and first 
responders in their use.
    The Committee encourages the placement of additional 
automated external defibrillators [AEDs] in rural areas. Only 
an estimated 8 percent of victims who suffer a sudden cardiac 
arrest outside of a hospital survive. Immediate cardiopulmonary 
resuscitation and early intervention, using an AED, can more 
than double a patient's chance of survival. Communities with 
comprehensive AED programs, including training of anticipated 
rescuers, have achieved survival rates of nearly 40 percent.

State Offices of Rural Health

    The Committee provides $10,075,000 for the State Offices of 
Rural Health, the same as the budget request for fiscal year 
2011. The fiscal year 2010 comparable level was $10,005,000.
    The State Offices of Rural Health program helps the States 
strengthen rural healthcare 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. 
This is the same amount as the budget request for fiscal year 
2011. The fiscal year 2010 comparable level was $7,185,000.
    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 $1,952,000 for activities authorized 
by the Radiation Exposure Compensation Act. This is the same 
amount as the budget request for fiscal year 2011. The fiscal 
year 2010 comparable level was $1,948,000.
    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 Healthcare

    The Committee does not provide funding for the Denali 
Commission. The fiscal year 2010 comparable level was 
$10,000,000 and the budget request for fiscal year 2011 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.

Family Planning

    The Committee provides $327,356,000 for the title X family 
planning program, the same as the budget request for fiscal 
year 2011. The fiscal year 2010 comparable level was 
$316,832,000.
    Title X grants support primary healthcare 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 urges HRSA to use the increased funds to 
augment the awards for existing grantees to offset the rising 
cost of providing healthcare services. In addition, the 
Committee encourages the Department to provide a portion of the 
increase provided for family planning to be used to provide 
technical assistance to grantees to be prepared for healthcare 
reform, including the expansion of Medicaid, technology 
upgrades and participating as essential community providers.
    The Committee is aware of a 2009 Institute of Medicine 
[IOM] report which found that the title X family planning 
program provides critically needed health services to 
individuals with the most difficulty accessing family planning 
care. The Committee supports the Office of Family Planning's 
efforts to review and update the title X program guidance and 
administrative directives in response to the IOM report. The 
Committee encourages the Office of Family Planning to consider 
additional ways to strengthen the program's infrastructure and 
service delivery needs.

Healthcare-related Facilities and Activities

    The Committee provides $156,329,000 for the construction 
and renovation (including equipment) of healthcare-related 
facilities and other healthcare-related activities. In fiscal 
year 2010, $337,300,000 was provided and the budget request for 
fiscal year 2011 included $100,000,000 for these activities.
    The Committee expects HRSA to use no more than 1 percent of 
the funds allocated for projects for agency administrative 
expenses. These funds are to be used for the following projects 
and in the following amounts:

------------------------------------------------------------------------
                                                             Amount
------------------------------------------------------------------------
Aberdeen Area Tribal Chairmen's Health Board, Rapid             $450,000
 City, SD, for facilities and equipment to improve
 prenatal care........................................
Alameda County Medical Center, Oakland, CA, for                  775,000
 facilities and equipment.............................
Alaska Medicare Clinic, Anchorage, AK, for facilities            500,000
 and equipment........................................
Alaska Native Tribal Health Consortium, Anchorage, AK,         1,000,000
 for facilities and equipment.........................
Alaska Native Tribal Health Consortium, Anchorage, AK,           250,000
 for the oral health disparities project..............
Alexian Brothers Hospital Network, Arlington Heights,            375,000
 IL, for facilities and equipment.....................
Anchorage Neighborhood Health Center, Anchorage, AK,             500,000
 for facilities and equipment.........................
Anchorage Project Access, Anchorage, AK, for outreach,           200,000
 care coordination, and support of oral health-  care.
Apple Tree Dental, Minneapolis, MN, for facilities and           150,000
 equipment related to oral healthcare.................
Archbold Medical Center, Thomasville, GA, for                    150,000
 facilities and equipment.............................
Arkansas Methodist Hospital Corporation, Paragould,              500,000
 AR, for facilities and equipment.....................
Assiniboine and Sioux Tribes of the Fort Peck                    200,000
 Reservation, Poplar, MT, for facilities and equipment
 related to dialysis..................................
Association for Utah Community Health, Salt Lake City,           106,000
 UT, to implement an electronic medical record system.
Barbara Ann Karmanos Cancer Institute, Detroit, MI,              250,000
 for facilities and equipment.........................
Barnabas Uplift, Waverly, IA, for a healthcare job               300,000
 training program.....................................
Baton Rouge Children's Health Project, Baton Rouge,              200,000
 Louisiana, for the purchase of mobile mental health
 units................................................
Baxter Regional Medical Center, Mountain Home, AR, for           450,000
 facilities and equipment.............................
Baylor Health Care System and City of Dallas, Dallas,            110,000
 TX, for facilities and equipment.....................
Bear Lake Memorial Hospital, Montpelier, ID, for                 150,000
 facilities and equipment.............................
Beebe Medical Center, Lewes, DE, for facilities and              150,000
 equipment related to nurse training..................
BioOhio, Columbus, OH, for a national vaccine                    100,000
 manufacturing and logistics center study.............
Bi-State Primary Care Association, Montpelier, VT, for            40,000
 education and outreach...............................
Bi-State Primary Care Association, Montpelier, VT, for           110,000
 equipment and support of a dental clinic.............
Bozeman Deaconess Hospital, Bozeman, MT, for                     250,000
 facilities and equipment, including electronic health
 records..............................................
Briar Cliff University, Sioux City, IA, for health               100,000
 training equipment and online instruction............
Broadlawns Medical Center, Des Moines, IA, for                   500,000
 facilities and equipment.............................
Brookhaven Memorial Hospital Medical Center,                     100,000
 Patchogue, NY, to establish the Brookhaven Breast
 Cancer Coalition.....................................
Cassia Regional Medical Center, Burley, ID, for                  150,000
 facilities and equipment.............................
Center for Asbestos Related Disease, Libby, MT, for              300,000
 facilities and equipment, including information
 technology...........................................
Center for Enhanced Diabetic Eye Care, Pikesville, MD,           100,000
 for programs related to diabetic retinopathy,
 including equipment..................................
Central Arkansas Radiation Therapy Institute, Little             500,000
 Rock, AR, for facilities and equipment...............
Central Maine Medical Center College of Nursing and              200,000
 Health Professions, Lewiston, ME, for facilities and
 equipment............................................
Central Maine Medical Center, Lewiston, ME, for health           225,000
 professions training, including equipment............
Chestnut Health Systems, Bloomington, IL, for                    350,000
 facilities and equipment.............................
Children's Medical Center--Dallas, Dallas, TX, for               300,000
 facilities and equipment.............................
Children's Memorial Hermann Hospital, Houston, TX, for           200,000
 facilities and equipment.............................
Children's Aid and Family Services, Paramus, NJ, for             200,000
 facilities and equipment.............................
Children's Hospital of Wisconsin and Health System,              700,000
 Milwaukee, WI, for facilities and equipment..........
Children's Hospital, Aurora, CO, for information                 150,000
 technology upgrades..................................
Children's Mercy Hospital, Kansas City, MO, for                  500,000
 facilities and equipment.............................
Chippewa Valley Free Clinic, Eau Claire, WI, for                 500,000
 facilities and equipment.............................
CHRISTUS St. Frances Cabrini, Alexandria, LA, for                200,000
 electronic health record implementation..............
Chronic Disease Fund, Plano, TX, to expand chronic               500,000
 disease program......................................
Clarian Health, Indianapolis, IN, for outreach and               100,000
 education services for diabetes......................
Cleveland State University, Cleveland, OH, for                   100,000
 facilities and equipment.............................
Coastal Carolina University, Conway, SC, for                     200,000
 facilities and equipment.............................
Coastal Family Health Center, Astoria, OR, for                   100,000
 facilities and equipment.............................
Columbus Regional Hospital, Columbus, IN, for                    100,000
 facilities and equipment.............................
Community Dental, Portland, ME, for dental health                450,000
 services, including equipment........................
Community Foundation of Southwest Kansas, Dodge City,            150,000
 KS, for facilities and equipment.....................
Community Health Access Project, Inc., Mansfield, OH,            250,000
 for facilities and equipment.........................
Community Health Center of Ft. Dodge, Ft. Dodge, IA,             100,000
 for facilities and equipment.........................
Community Health Center, Inc., Middletown, CT, for a             150,000
 residency training program for nurse practition-  ers
Community Health Centers of Arkansas, North Little               250,000
 Rock, AR, for facilities and equipment...............
Community Health Centers of Southeastern Iowa,                   100,000
 Burlington, IA, for facilities and equipment.........
Community Health Centers of Southern Iowa, Leon, IA,             250,000
 for facilities and equipment.........................
Community Health, Chicago, IL, for facilities and                150,000
 equipment............................................
Comprehensive Community Action Inc., Cranston, RI, for           500,000
 health center facilities and equipment...............
Concordia University School of Pharmacy, Mequon, WI,             500,000
 for facilities and equipment.........................
Connecticut Children's Medical Center, Hartford, CT,             500,000
 for facilities and equipment.........................
Coos County Family Health Services, Berlin, NH, for              150,000
 facilities and equipment.............................
Copper River Native Association, Copper Center, AK,              500,000
 for facilities and equipment.........................
Council Bluffs Community Health Center, Council                  350,000
 Bluffs, IA, for facilities and equipment.............
County of Riverside, Moreno Valley, CA, for facilities         1,000,000
 and equipment related to trauma care.................
Crouse Hospital, Syracuse, NY, for facilities and                150,000
 equipment............................................
Cure for the Kids Foundation, Las Vegas, NV, for                 500,000
 facilities and equipment.............................
Dakota Wesleyan University, Mitchell, SD, for health             200,000
 training equipment...................................
Dallas County Community College District, Dallas, TX,            250,000
 for a health careers resource center.................
Dartmouth Hitchcock Medical Center, Lebanon, NH, for             400,000
 facilities and equipment.............................
Dean McGee Eye Institute, Oklahoma City, OK, for                 150,000
 facilities and equipment.............................
Delta State University, Cleveland, MS, for facilities          1,300,000
 and equipment........................................
Denver Hospice, Denver, CO, for facilities and                   150,000
 equipment............................................
Dillard University, New Orleans, LA, for facilities              250,000
 and equipment at the Gentille Center for Health
 Disparities and Disease Prevention...................
Drew Memorial Hospital, Monticello, AR, for facilities           500,000
 and equipment........................................
East Carolina University, Greenville, NC, for                    500,000
 facilities and equipment.............................
East Carroll Parish Hospital, Lake Providence, LA, for           600,000
 facilities and equipment.............................
East Orange General Hospital, East Orange, NJ, for               200,000
 facilities and equipment.............................
Easter Seals Joliet Region, Inc., Joliet, IL, for                200,000
 facilities and equipment related to autism...........
Eastern Maine Healthcare System, Brewer, ME, for a               385,000
 hospice and palliative care initiative...............
Eastern Shore Rural Health System, Inc., Nassawadox,             150,000
 VA, for equipment related to oral healthcare.........
Egyptian Public & Mental Health Department, Eldorado,            275,000
 IL, for facilities and equipment at a rural health
 clinic...............................................
Flathead Valley Community College, Kalispell, MT, for            100,000
 health professions training, including equipment.....
Floyd Medical Center, Rome, GA, for facilities and               100,000
 equipment............................................
Free Clinics of Iowa, Des Moines, IA, for coordination           350,000
 of care..............................................
Garfield Memorial Hospital, Panguitch, UT, for                   106,000
 facilities and equipment.............................
Gillette Children's Specialty Healthcare, St. Paul,              100,000
 MN, for facilities and equipment.....................
Global to Local Health Initiative, Seattle, WA, for a            400,000
 health disparities program, including equipment......
Good Samaritan Health Clinic of Cullman, Inc.,                   100,000
 Cullman, AL, to implement an electronic medical
 records system.......................................
Goodall Hospital, Sanford, ME, for facilities and                300,000
 equipment............................................
Grays Harbor Community Hospital, Aberdeen, WA, for               750,000
 facilities and equipment.............................
Greater Sioux Community Health Center, Sioux Center,             600,000
 IA, for facilities, equipment, supplies, and outreach
Habersham Medical Center, Demorest, GA, for facilities           100,000
 and equipment........................................
Harms Memorial Hospital District, American Falls, ID,            100,000
 for facilities and equipment.........................
Harris County Hospital District, Houston, TX, for                250,000
 facilities and equipment.............................
Hawkeye Community College, Waterloo, IA, for health              400,000
 education facilities and equipment...................
Health Work Force Institute, Seattle, WA, for programs           300,000
 to identify and address workforce needs..............
Healthy Howard Health Plan, Inc, Columbia, MD, for               500,000
 outreach, support and care coordination..............
Hidalgo Medical Services, Lordsburg, NM, for                     250,000
 facilities and equipment in Silver City..............
Hospice of the Panhandle, Martinsburg, WV, for                 3,000,000
 facilities and equipment.............................
Houston Community College, Houston, TX, for                      250,000
 recruitment and nurse training.......................
Howard Community College, Columbia, MD, for health               250,000
 education facilities and equipment...................
Hudson Perinatal Consortium, Jersey City, NJ, for a              200,000
 program to improve birth outcomes....................
Idaho State University, Pocatello, ID, for facilities            150,000
 and equipment........................................
Innovis Health, Fargo, ND, for facilities and                    175,000
 equipment............................................
Integrated Service Solutions, Caribou, ME, to                    255,000
 implement an electronic health record system.........
Iowa CareGivers Association, West Des Moines, IA, for            300,000
 the Direct Care Worker Resource and Outreach Center..
Iowa Healthcare Collaborative, Des Moines, IA, to                650,000
 improve healthcare provider efficiency and
 effectiveness........................................
Iowa Nebraska Primary Care Association, Des Moines,              600,000
 IA, for planning grants..............................
Iowa State University, Ames, IA, for facilities and            1,000,000
 equipment for the Institute for Novel Vaccines and
 Anti-Microbial Design................................
Iowa Valley Community College District, Marshalltown,            100,000
 IA, to assist underserved individuals in pursuing a
 healthcare career....................................
Iowa Western Community College, Council Bluffs, IA,              250,000
 for facilities and equipment for the nursing cen-
 ter..................................................
J.C. Blair Memorial Hospital, Huntingdon, PA, for                100,000
 facilities and equipment.............................
Jackson Laboratory, Bar Harbor, ME, for facilities and           100,000
 equipment............................................
Jackson Park Hospital, Chicago, IL, for facilities and           250,000
 equipment............................................
Jackson State University, Jackson, MS, for facilities          1,000,000
 and equipment........................................
Jacksonville State University, Jacksonville, AL, for a           100,000
 nursing education program including equipment........
Jameson Health System, New Castle, PA, for facilities            100,000
 and equipment........................................
Kalihi-Palama Health Center, Honolulu, HI, for a                 250,000
 program on renal disease.............................
Kanawha-Charleston Health Department, Charleston, WV,            350,000
 for a chronic disease management program.............
Kauai Community Health Center, Lihue, HI, for                    200,000
 facilities and equipment.............................
Kennesaw State University, Kennesaw, GA, for                     200,000
 facilities and equipment.............................
King County Project Access, Seattle, WA, for                      40,000
 facilities and equipment.............................
La Clinica del Valle Family Health Care Center, Inc.,            200,000
 Medford, OR, for facilities and equipment............
Lake Area Technical Institute, Watertown, SD, for                100,000
 health training equipment............................
Lanai'i Community Health Center, Lanai'i City, HI, for           100,000
 facilities and equipment.............................
Leflore County Health Center, Inc, Greenwood, MS, for            250,000
 a patient navigator initiative, including equip-
 ment.................................................
Legacy Health System, Vancouver, WA, for telemedicine            125,000
 programs, including equipment........................
Lewis-Clark State College, Lewiston, ID, for                     150,000
 facilities and equipment.............................
Linn Community Care, Cedar Rapids, IA, for facilities            250,000
 and equipment........................................
Little Company of Mary Hospital, Evergreen Park, IL,             400,000
 for facilities and equipment.........................
Livingston Health Care, Livingston, MT, for facilities           150,000
 and equipment........................................
Los Angeles Community College District, Los Angeles,             150,000
 CA, for health professions training, including
 equipment............................................
Loyola University, Chicago, IL, for facilities and               400,000
 equipment related to nurse training..................
Maine Medical Center, Portland, ME, for physician                355,000
 recruitment, including scholarships..................
Manchester College, Fort Wayne, IN, for facilities and           150,000
 equipment............................................
Maniilaq Association, Kotzebue, AK, for facilities and         1,500,000
 equipment............................................
Marcus Autism Center, Atlanta, GA, for rural health              200,000
 outreach.............................................
Marquette University, Milwaukee, WI, for a                       850,000
 comprehensive dental outreach program................
Marshall University, Huntington, WV, for facilities            2,300,000
 and equipment related to genetic research............
Massachusetts League of Community Health Centers,                100,000
 Boston, MA, for workforce training and development...
Maui Medical Center, Wailuku, HI, for health                     100,000
 professions training, including equipment............
Mental Crisis Services, Denver, CO, for electronic               150,000
 health record implementation.........................
Mercy Medical Center, Inc., Canton, OH, to implement             250,000
 an electronic medical records system.................
Mercy Medical Foundation, Des Moines, IA, for                    500,000
 pediatric care facilities and equipment..............
Minidoka Memorial Hospital, Rupert, ID, for facilities           150,000
 and equipment........................................
Minot State University, Minot, ND, for its Great                 200,000
 Plains Autism Treatment Program to serve transition-
 age youth with autism spectrum disorders.............
Mission Health System, Asheville, NC, for facilities             150,000
 and equipment........................................
Mississippi Blood Services, Inc., Jackson, MS, for               485,000
 facilities and equipment.............................
Mississippi County Hospital System d.b.a. Great River            200,000
 Medical Center, Blytheville, AR, for facilities and
 equipment............................................
Mississippi Primary Health Care Association, Jackson,            350,000
 MS, for facilities and equipment.....................
Mississippi State University, Mississippi State, MS,           1,000,000
 for biomedical engineering facilities and equip-
 ment.................................................
Mississippi State University, Mississippi State, MS,             500,000
 for facilities and equipment.........................
Mississippi University for Women, Columbus, MS, for              190,000
 facilities and equipment.............................
Missouri River Medical Center, Fort Benton, MT, for              300,000
 facilities and equipment.............................
Moses Cone Health System, Greensboro, NC, for                    200,000
 facilities and equipment.............................
Murray State University, Murray, KY, to purchase a               500,000
 mobile health unit...................................
Nathan Adelson Hospice Foundation, Las Vegas, NV, for            590,000
 facilities and equipment.............................
National Jewish Health, Denver, CO, for facilities and           250,000
 equipment............................................
Native Women's Health Care Center, Rapid City, SD, for           100,000
 facilities and equipment.............................
Navos, Seattle, WA, for facilities and equipment......           100,000
Nevada Cancer Institute, Las Vegas, NV, for equipment.           750,000
New Mexico Foundation for Dental Health, Research and            100,000
 Education, Albuquerque, NM, for outreach, care
 coordination, and support of oral healthcare.........
New York Presbyterian Hospital, New York, NY, for                150,000
 facilities and equipment.............................
New York University Langone Medical Center, New York,            750,000
 NY, for facilities and equipment.....................
North Colorado Medical Center, Greeley, CO, for                  250,000
 facilities and equipment.............................
North Dakota Medical Association, Bismarck, ND, to set           250,000
 up a statewide quality improvement network...........
North Idaho College, Coeur d'Alene, ID, to expand the            100,000
 physical therapy program.............................
North Shore Long Island Jewish Health System, Great              500,000
 Neck, NY, to implement electronic medical re-  cords.
Northeast Missouri Health Council, Inc., Kirksville,             750,000
 MO, for facilities and equipment.....................
Nye County, Pahrump, NV, for facilities and equipment.           400,000
Oakwood Healthcare, Inc., Dearborn, MI, for facilities           150,000
 and equipment related to orthopedics.................
Oglala Sioux Tribe, Pine Ridge, SD, for facilities and           250,000
 equipment related to emergency care..................
Ohio State University Comprehensive Cancer Center--              200,000
 James Cancer Hospital and Solove Research Institute,
 Columbus, OH, for facilities and equipment...........
Ohio University, Athens, OH, for health outreach and             200,000
 services in Appalachia Ohio..........................
Oklahoma Medical Research Foundation, Oklahoma City,             100,000
 OK, for facilities and equipment.....................
Olympic College, Bremerton, WA, for facilities and               350,000
 equipment related to nurse training..................
Our Lady of the Lake University, San Antonio, TX, for            110,000
 nursing curriculum development, including equipment..
Palmer College of Chiropractic and Myrna Brind Center            400,000
 of Integrative Medicine, Davenport, IA, to develop a
 model integrative healthcare program for the
 treatment of pain....................................
Parkland Health and Hospital System, Dallas, TX, for             400,000
 facilities and equipment.............................
Parkview Medical Center, Pueblo, CO, for facilities              250,000
 and equipment........................................
Peace Health Whatcom Region, Bellingham, WA, for                 200,000
 facilities and equipment.............................
Pennsylvania Breast Cancer Coalition, Ephrata, PA, for           100,000
 screening programs and outreach......................
Penobscot Community Health Care, Bangor, ME, for a               150,000
 rural dental health initiative.......................
Penobscot Valley Hospital, Lincoln, ME, for facilities           395,000
 and equipment........................................
Peoples Community Health Clinic, Waterloo, IA, for               250,000
 facilities and equipment.............................
Pierce College Puyallup, Puyallup, WA, for health                130,000
 training equipment...................................
Pioneer Valley Life Sciences Institute, Springfield,             100,000
 MA, for facilities and equipment.....................
Pratt Regional Medical Center, Pratt, KS, for                    500,000
 facilities and equipment.............................
Primary Care Association of Hawaii, Honolulu, HI, to           1,850,000
 support community health centers, including equipment
Providence Alaska Family Medicine Residency,                     500,000
 Anchorage, AK, for physician recruitment and
 retention initiative in rural Alaska.................
Providence ElderPlace Seattle, Seattle, WA, for                  300,000
 facilities and equipment.............................
Providence St. Peter Hospital, Olympia, WA, for                  135,000
 facilities and equipment.............................
Regis College, Weston, MA, for facilities and                    100,000
 equipment related to nurse training..................
Renown Health, Reno, NV, to expand nurse training.....           500,000
Rhode Island Free Clinic, Providence, RI, for                    250,000
 coordination of care, data collection and analysis...
Rice Lake Area Free Clinic, Rice Lake, WI, for                   100,000
 facilities and equipment.............................
Rice University, Houston, TX, for facilities and                 200,000
 equipment............................................
Richmond Medical Center dba Richmond University                  350,000
 Medical Center, Staten Island, NY, for facilities and
 equipment............................................
Rosebud Sioux Tribe, Rosebud, SD, for facilities and             450,000
 equipment............................................
Rosebud Sioux Tribe, Rosebud, SD, for facilities and              50,000
 equipment including purchase of a vehicle related to
 elderly care.........................................
Saint Elizabeth's Medical Center, Wabasha, MN, for               100,000
 facilities and equipment.............................
Saint Patrick Hospital and Health Sciences Center,               150,000
 Missoula, MT, for facilities and equipment...........
Salish Kootenai College, Pablo, MT, for facilities and           100,000
 equipment related to health professions training.....
Salve Regina University, Newport, RI, for facilities,            500,000
 equipment, and training for an expanded nursing
 program..............................................
San Luis Valley Regional Medical Center, Alamosa, CO,            250,000
 to implement electronic medical record system........
Sanders County Community Development Corporation,                300,000
 Thompson Falls, MT, for facilities and equipment at
 the Hot Springs Medical Clinic.......................
Seton Medical Center--Austin, Austin, TX, for                    200,000
 facilities and equipment.............................
Sherman County Health District dba Moro Medical                  150,000
 Clinic, Moro, OR, for facilities and equipment.......
Snow College, Ephraim, UT, for facilities and                    150,000
 equipment............................................
Solaris Health System--JFK Medical Center, Edison, NJ,           400,000
 for facilities and equipment.........................
Somerset Hospital, Somerset, PA, for facilities and              100,000
 equipment............................................
Southeast Missouri State University, Cape Girardeau,             200,000
 MO, for the S.H.O.W. mobile initiative, including
 equipment............................................
Southeastern Community College, West Burlington, IA,             200,000
 for facilities and equipment.........................
Southeastern Ohio Regional Medical Center, Cambridge,            250,000
 OH, for information technology upgrades..............
Southern Nevada Immunization Coalition, Las Vegas, NV,           200,000
 for a community immunization project.................
Southwest Colorado Mental Health Center, Inc.,                   250,000
 Durango, CO, for facilities and equipment at the
 Cortez Clinic........................................
Sparrow Ionia County Memorial Hospital, Lansing, MI,             500,000
 for facilities and equipment.........................
Spokane County Medical Society Foundation, Spokane,              100,000
 WA, for outreach and care coordination...............
St. Alexius Medical Center Foundation, Bismarck, ND,             300,000
 for facilities and equipment.........................
St. Charles Health Council, Inc., Pennington Gap, VA,            150,000
 for a mobile respiratory care clinic, including
 equipment............................................
St. John Medical Center Foundation, Longview, WA, for            100,000
 health professions training equipment................
St. Joseph Hospital, Nashua, NH, to implement an                 250,000
 electronic medical record system.....................
St. Joseph's Mercy Health Foundation, Hot Springs, AR,           200,000
 for facilities and equipment.........................
St. Jude Children's Research Hospital, Memphis, TN,            1,600,000
 for facilities and equipment.........................
St. Louis Children's Hospital, St. Louis, MO, for                500,000
 facilities and equipment.............................
St. Mary's Foundation for St. Mary's Regional Medical            300,000
 Center, Reno, NV, for planning and support of oral
 healthcare...........................................
St. Mary's Hospital, Cottonwood, ID, for facilities              100,000
 and equipment........................................
St. Mary's Janesville Hospital, Janesville, WI, for              700,000
 facilities and equipment.............................
St. Mary's Medical Center, Huntington, WV, for                   250,000
 facilities and equipment.............................
St. Vincent Hospital, Billings, MT, for facilities and           250,000
 equipment............................................
State of Maryland, Baltimore, MD, for facilities and           1,250,000
 equipment related to emergency care..................
Straub Hospital Burn Center, Honolulu, HI, for                   150,000
 facilities and equipment.............................
Temple University Health System, Philadelphia, PA, for           100,000
 facilities and equipment.............................
Teton Valley Hospital, Driggs, ID, for facilities and            100,000
 equipment............................................
Texas Children's Hospital, McAllen, TX, for education            250,000
 and outreach programs at the Vannie E. Cook Jr.
 Children's Cancer and Hematology Clinic..............
Texas Health Institute, Austin, TX, for emergency                200,000
 response initiative, including purchase of equipment.
Texas Medical Center, Houston, TX, for facilities and            650,000
 equipment............................................
Texas Tech University Health Sciences Center, Austin,            200,000
 TX, for facilities and equipment.....................
Texas Women's University, Denton, TX, for facilities             300,000
 and equipment........................................
Thomas Jefferson University Hospital, Philadelphia,              100,000
 PA, for facilities and equipment.....................
Thompson Health, Canandaigua, NY, for facilities and             150,000
 equipment............................................
Touro University Nevada, Henderson, NV, for facilities           750,000
 and equipment at the College of Optometry............
Tulane University School of Medicine, New Orleans, LA,           300,000
 for facilities and equipment.........................
Tulare Regional Medical Center, Tulare, CA, for                  550,000
 facilities and equipment.............................
Tyrone Hospital, Tyrone, PA, for facilities and                  100,000
 equipment............................................
Union Hospital, Terre Haute, IN, for facilities and              100,000
 equipment............................................
United General Hospital, Sedro Woolley, WA, for                  150,000
 facilities and equipment.............................
University at Albany SUNY, Albany, NY, for facilities            200,000
 and equipment related to orphan disease re-  search..
University Hospitals, Cleveland, OH, for facilities              200,000
 and equipment........................................
University Medical Center of Southern Nevada, Las                300,000
 Vegas, NV, for a diabetes management program.........
University of Alabama, Tuscaloosa, AL, for facilities         15,000,000
 and equipment........................................
University of Arkansas for Medical Sciences, Little              500,000
 Rock, AR, for facilities and equipment...............
University of Arkansas for Medical Sciences, Little              200,000
 Rock, AR, for facilities and equipment...............
University of California Davis Medical Center, Davis,            500,000
 CA, for facilities and equipment.....................
University of California, Riverside, Riverside, CA,              750,000
 for facilities and equipment at the School of Medi-
 cine.................................................
University of Central Arkansas, Conway, AR, for                  250,000
 facilities and equipment related to training mental
 health professionals.................................
University of Colorado--Denver School of Medicine,               400,000
 Aurora, CO, for facilities and equipment for the
 Linda Crnic Institute for Down Syndrome..............
University of Colorado--Denver, Aurora, CO, for a                150,000
 health professions training program..................
University of Hawaii at Hilo School of Nursing, Hilo,            350,000
 HI, to develop advanced degrees and expand rural
 nurse training.......................................
University of Hawaii at Hilo, Hilo, HI, for a clinical         1,600,000
 pharmacy training program............................
University of Hawaii School of Medicine, Honolulu, HI,           200,000
 for curriculum development...........................
University of Hawaii School of Nursing-Manoa,                    350,000
 Honolulu, HI, for rural nurse training programs......
University of Iowa, Carver College of Medicine, Iowa           2,000,000
 City, IA, for facilities and equipment for the
 Institute for Biomedical Discovery...................
University of Iowa, Iowa City, IA, for facilities and          1,000,000
 equipment at the College of Public Health............
University of Kansas Hospital, Kansas City, KS, for              500,000
 facilities and equipment.............................
University of Kansas, Lawrence, KS, for facilities and           550,000
 equipment............................................
University of Kentucky Research Foundation, Lexington,         1,900,000
 KY, for a colorectal cancer research program,
 including equipment..................................
University of Kentucky Research Foundation, Lexington,         2,000,000
 KY, to establish a program to reduce heart disease in
 rural areas..........................................
University of Louisville Research Foundation,                  4,000,000
 Louisville, KY, for facilities and equipment.........
University of Louisville Research Foundation,                    900,000
 Louisville, KY, for facilities and equipment.........
University of Louisville Research Foundation,                    700,000
 Louisville, KY, for facilities and equipment.........
University of Maryland Medical System, Baltimore, MD,            200,000
 for equipment and information technology upgrades....
University of Maryland--Baltimore, Annapolis, MD, for          1,000,000
 facilities and equipment related to stem cell
 research.............................................
University of Massachusetts Memorial Health Care,                250,000
 Worcester, MA, for implementation of an electronic
 medical record.......................................
University of Mississippi Medical Center, Jackson, MS,         4,384,000
 for facilities and equipment.........................
University of Mississippi, University, MS, for                 5,000,000
 facilities and equipment.............................
University of Nevada--Reno, NV, for health professions           300,000
 training and public education efforts related to
 pediatric Chron's disease............................
University of New Mexico, Albuquerque, NM, for                   100,000
 outreach, training and technical assistance related
 to cerebral cavernous malformations..................
University of North Carolina--Greensboro, NC, for a              300,000
 telespeech initiative, including equipment...........
University of North Dakota School of Medicine and                175,000
 Health Sciences, Grand Forks, ND, for facilities and
 equipment............................................
University of Pittsburgh Cancer Institute, Pittsburgh,           100,000
 PA, for equipment....................................
University of Rhode Island, Kingston, RI, for                    500,000
 equipment related to nursing education...............
University of Southern Mississippi, Hattiesburg, MS,           6,000,000
 for facilities and equipment.........................
University of Texas Health Center at Tyler, Tyler, TX,           500,000
 for facilities and equipment.........................
University of Texas Health Science Center at San                 500,000
 Antonio, San Antonio, TX, for facilities and equip-
 ment.................................................
University of Texas Health Science Center--Houston,              200,000
 Houston, TX, for facilities and equipment............
University of Texas MD Anderson Cancer Center,                   250,000
 Houston, TX, for facilities and equipment............
University of Utah, Salt Lake City, UT, for facilities         1,000,000
 and equipment........................................
University of Vermont, Burlington, VT, for equipment             500,000
 related to DNA sequencing............................
University of Washington, Seattle, WA, for facilities            570,000
 and equipment related to dental care.................
University of Wisconsin--Rock County, Janesville, WI,            250,000
 for a higher education collaboration to promote
 degrees in nursing...................................
Utah Department of Health, Salt Lake City, UT, for               100,000
 facilities and equipment.............................
Utah Department of Health, Salt Lake City, UT, to                106,000
 expand Monticello health education and screening
 initiative...........................................
Utah Medical Education Council, Salt Lake City, UT,              500,000
 for the purchase of a mobile dental unit.............
Utah Valley University, Orem, UT, for facilities and             400,000
 equipment............................................
Vanderbilt University, Nashville, TN, for facilities           2,400,000
 and equipment........................................
Virginia Community College System, Richmond, VA, for             100,000
 expansion of the Emergency Medical Technician program
Virginia Mason Medical Center, Seattle, WA, for                  500,000
 facilities and equipment.............................
Virginia State University, Petersburg, VA, for                   100,000
 facilities and equipment related to nurse training...
Washington County, NC, Plymouth, NC, for facilities              400,000
 and equipment........................................
Weber State University, Ogden, UT, for expansion of              350,000
 nursing programs, including equipment................
Wesley College, Dover, DE, for facilities and                    200,000
 equipment related to nurse training..................
West Hawaii Community Health Center, Kailua-Kona, HI,            250,000
 for facilities and equipment.........................
West Virginia Northern Community College, Weirton, WV,         3,000,000
 for facilities and equipment related to health
 professions training.................................
West Virginia University Health Sciences, Morgantown,          1,000,000
 WV, for facilities and equipment.....................
West Virginia University, Morgantown, WV, for the              2,300,000
 construction of a Multiple Sclerosis Center..........
Western Kentucky University, Bowling Green, KY, for            2,500,000
 facilities and equipment.............................
Whatley Health Services, Greensboro, AL, for                     150,000
 facilities and equipment.............................
Wheeling Jesuit University, Wheeling, WV, for the              2,500,000
 HealtheWV program, including equipment...............
White River Medical Center, Batesville, AR, for                  500,000
 facilities and equipment.............................
Whittemore-Peterson Institute for Neuro-Immune                 1,000,000
 Disease, Sparks, NV, for facilities and equipment....
Williamsport Hospital, Williamsport, PA, for                     100,000
 facilities and equipment.............................
Woman's Christian Association Hospital, Jamestown, NY,           150,000
 for facilities and equipment.........................
Yankton Sioux Tribe, Marty, SD, for facilities and               100,000
 equipment related to dialysis care...................
------------------------------------------------------------------------

Telehealth

    The Committee provides $15,000,000 for telehealth 
activities. The budget request for fiscal year 2011 was 
$11,600,000. The fiscal year 2010 comparable level was 
$11,575,000. The telehealth program promotes the effective use 
of technologies to improve access to health services for people 
who are isolated from healthcare and to provide distance 
education for health professionals.

Program Management

    The Committee provides $154,808,000 for program management 
activities for fiscal year 2011. The fiscal year 2010 
comparable level was $147,052,000 and the budget request for 
fiscal year 2011 was $153,808,000.
    Within the total provided, the Committee has included 
$1,000,000 for a GAO study on hospital contract management. The 
Committee recognizes the challenges that rural and safety-net 
hospitals face in managing contracts, including contracts for 
health professional services, information technology, supplies 
and pharmaceuticals. The Committee intends the GAO study to 
analyze the potential cost savings these hospitals can realize 
from the use of electronic contract management, in particular 
any possible savings to public assistance programs like 
Medicare and Medicaid. Electronic contract management provides 
for the construction of a database to administer the contracts 
necessary for hospital operations and to provide comprehensive 
Web-based access to such database through a software-as-a-
service application. The Committee expects a recommendation 
from the GAO on the efficacy of an electronic contract 
management service for rural, safety-net hospitals, especially 
those hospitals participating in disproportionate share 
hospital payments under the Medicaid and Medicare programs.

               HEALTH EDUCATION ASSISTANCE LOANS PROGRAM

    The Committee has transferred the administration of the 
Health Education Assistance Loans program to the Department of 
Education, as proposed in the President's budget. The fiscal 
year 2010 comparable level was $2,847,000.

             VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

Appropriations, 2010....................................    $122,410,000
Budget estimate, 2011...................................     122,410,000
Committee recommendation................................     122,410,000

    The Committee provides that $122,410,000 be released from 
the vaccine injury compensation trust fund in fiscal year 2011, 
the same as the comparable level in fiscal year 2010 and the 
budget request for fiscal year 2011. Of that amount, $6,502,000 
is for administrative costs.
    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.

                  COVERED COUNTERMEASURE PROCESS FUND

Appropriations, 2010....................................................
Budget estimate, 2011...................................      $2,500,000
Committee recommendation................................       2,500,000

    The Committee provides $2,500,000 for the administration of 
the Covered Countermeasure Process fund and for costs under the 
Smallpox Emergency Personal Protection Act of 2003. The fiscal 
year 2011 budget request was $2,500,000. The fiscal year 2010 
appropriation did not include funds for this purpose.
    The Covered Countermeasure Process fund provides 
compensation for individuals injured from the manufacture, 
administration, or use of countermeasures that the Secretary 
has declared necessary to respond to a public health threat. 
Funds are available until expended.

               Centers for Disease Control and Prevention


                DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2010....................................  $6,804,946,000
Budget estimate, 2011...................................   6,891,695,000
Committee recommendation................................   6,905,810,000

    The Committee provides a program level of $6,905,810,000 
for the Centers for Disease Control and Prevention [CDC]. The 
Committee recommendation includes $6,527,235,000 in 
discretionary budget authority, an additional $138,358,000 via 
transfers available under section 241 of the Public Health 
Service Act, an additional $55,358,000 in mandatory funds and 
assumes $184,859,000 in balances from Public Law 111-32 in 
accordance with the budget request. In addition, the Committee 
recommends $663,000,000 be transferred to the CDC from the 
Prevention and Public Health Fund. The fiscal year 2010 
comparable program level was $6,804,946,000, and the program 
level budget request for fiscal year 2011 was $6,891,695,000.
    The activities of the CDC focus on several major 
priorities: providing core public health functions; responding 
to urgent health threats; monitoring the Nation's health using 
sound scientific methods; building the Nation's health 
infrastructure to insure our national security against 
bioterrorist threats; assuring the Nation's preparedness for 
emerging infectious diseases and potential pandemics; promoting 
women's health; and providing leadership in the implementation 
of nationwide prevention strategies to encourage responsible 
behavior and adoption of lifestyles that are conducive to good 
health.
    The Committee is aware that the CDC began reorganizing 
itself in August 2009 and the reorganization took place in 
fiscal year 2010. That reorganization is largely complete; 
personnel have been moved and new leadership positions have 
been filled. Despite repeated requests, the Committee has yet 
to receive a reprogramming notification that would align the 
budget with the reorganization. Therefore, the recommendation 
that follows reflects the structure of the CDC Centers as they 
existed in fiscal year 2009. In addition, the Committee has 
included enacted figures in the internal funding tables in 
order to provide a better frame of reference as programs 
experience transfers, reorganizations and reprogrammings over 
the course of fiscal year 2010.

       NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES

    The Committee has included a program level of $735,807,000 
for the activities of this Center in fiscal year 2011. The 
comparable level for fiscal year 2010 was $718,460,000. The 
budget request for fiscal year 2011 included $579,463,000 for 
this Center. The Committee recommendation includes $12,864,000 
in transfers available under section 241 of the Public Health 
Service Act and $116,344,000 in transfers from Public Law 111-
32 in accordance with the budget request.
    The Committee recommendation includes funding for the 
following activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Section 317 Immunization Program................................         496,847         511,062         511,062
    Vaccine Purchase Grants.....................................         261,977         289,546         289,546
    State Infrastructure Grants.................................         234,870         221,516         221,516
Program Operations..............................................          62,621          65,630          65,630
    National Immunization Survey (PHS Evaluation Transfers) (non-         12,864          12,864          12,864
     add).......................................................
----------------------------------------------------------------------------------------------------------------

    Immunization.--The Committee supports the expansion of the 
section 317 immunization program contained in the Patient 
Protection and Affordable Care Act, and encourages the CDC to 
publish guidance expeditiously. The Committee requests that the 
CDC identify in the fiscal year 2012 budget justification a 
detailed breakdown of adult vaccines purchased by the States 
using the new authority. The Committee encourages the CDC to 
create and manage a broad public education campaign targeted at 
improving adult immunization rates, with active participation 
by and collaboration with State and local public health 
departments. The Committee further encourages the CDC to 
increase its capacity to measure adult immunization coverage 
rates and support enhanced development, interoperable 
functionality, and use of State and regional immunization 
registries and/or take advantage of advances in electronic 
medical health records.
    Influenza.--The Committee recommendation includes 
$159,115,000 for influenza activities, of which $116,344,000 is 
assumed to be transferred from Public Law 111-32 balances, 
consistent with the budget request. However, the Committee is 
concerned by the administration's proposal to use previously 
appropriated emergency funds to pay the salaries of the 
scientists and staff in the Influenza Division of this Center. 
Therefore, the Committee has provided $40,000,000 in budget 
authority for the pandemic influenza program. The Committee 
intends these funds to be used to pay the costs of FTE.

    NATIONAL CENTER FOR ZOONOTIC, VECTOR BORNE, AND ENTERIC DISEASES

    The Committee includes $80,488,000 for fiscal year 2011 for 
this Center. The comparable fiscal year 2010 level was 
$76,647,000 and the fiscal year 2011 budget request was 
$58,027,000. 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 recommendation includes funding for the 
following activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Vector-borne Diseases...........................................          26,717  ..............          26,717
Lyme Disease....................................................           8,938           9,055          10,000
Food Safety.....................................................          26,942          35,195          35,195
Chronic Fatigue Syndrome........................................           4,825           4,598           4,825
----------------------------------------------------------------------------------------------------------------

    Chronic Fatigue Syndrome.--The Committee urges the CDC to 
follow recommendations made by the CFS Advisory Committee and 
the 2008 peer review panel to prioritize laboratory efforts 
aimed at the identification of diagnostic subtypes and 
therapeutic biomarkers with increasing efforts in viral 
etiology. Intervention, including vaccination studies, against 
pathogens with known associations with CFS should be pursued in 
collaboration with other agencies and investigators to support 
genetic, genomic and intervention studies. The Committee 
continues to support efforts to make data accumulated since 
1984 by the CFS research program available to outside 
researchers to maximize the value of this data.
    Food Safety.--The Committee strongly supports the 
administration's proposal to expand food safety surveillance. 
In particular, the Committee believes that efforts to improve 
multi-jurisdictional outbreak investigations are crucial to 
improving the safety of the Nation's food. Further, the 
Committee believes that PulseNet should be a model program at 
the CDC for the way in which it allows officials at the 
Federal, State and local levels to submit and view information 
on outbreaks that are happening or could be happening within 
their jurisdictions.
    Prion Diseases.--The Committee has not included funding 
specifically for prion diseases. The fiscal year 2010 enacted 
level was $5,474,000 and the President requested $5,390,000 for 
this activity. Prion diseases are most often transmitted 
through food. The Committee has increased funding for food 
safety efforts by the CDC and intends that surveillance for 
prion diseases be incorporated into the national food safety 
detection and control programs.
    Vector Borne Disease.--The Committee has rejected the 
administration's proposal to eliminate funding for research and 
surveillance of vector-borne disease. The Committee notes that 
recent natural disasters like hurricanes or floods result in 
unavoidable pools of standing water that are breeding grounds 
for mosquitoes, and changes in weather patterns extend the 
areas in our country that are hospitable to mosquitoes. For 
these reasons, the Committee believes it would be irresponsible 
to eliminate funding to track vector borne diseases and 
premature to cancel research on prevention methods.

    NATIONAL CENTER FOR HIV, VIRAL HEPATITIS, STD, AND TB PREVENTION

    The Committee includes $1,072,004,000 for the activities at 
this Center in fiscal year 2011. The fiscal year 2010 level was 
$1,045,382,000 and the fiscal year 2011 budget request was 
$1,083,286,000. The Committee has included funding for the 
following activities at the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Domestic HIV/AIDS Prevention and Research.......................         727,980         758,540         746,041
    HIV Prevention by Health Departments........................         328,887         343,062         328,887
    HIV Surveillance............................................         109,455         109,113         109,455
    National/Regional/Local/Community/Other Organizations.......         134,793         135,052         134,793
    Enhanced HIV Testing........................................          65,273          63,680          65,273
    Improving Program Effectiveness.............................          89,572         107,633         107,633
Viral Hepatitis.................................................          19,259          21,107          21,107
Sexually Transmitted Diseases...................................         153,875         160,588         160,588
Tuberculosis....................................................         144,268         143,051         144,268
----------------------------------------------------------------------------------------------------------------

    Hepatitis Testing.--The Committee recognizes the high 
incidence of hepatitis and its often undocumented state. In 
fiscal year 2010, the Committee requested the 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 updating its 
testing guidelines. The Committee encourages the development of 
a pilot testing program to enhance this effort.
    HIV Prevention.--The Committee fully supports the goals of 
the National HIV/AIDS Strategy. Racial and ethnic minorities, 
men who have sex with men [MSM], and women are 
disproportionately affected by HIV in the United States. The 
Committee encourages the CDC to expand the range of 
interventions available through the Diffusion of Evidence-based 
Interventions program by increasing support for the development 
of promising ``home grown interventions'' that can be rapidly 
evaluated and disseminated into the field. The Committee also 
encourages the CDC to increase technical assistance and 
training activities to community-based organizations involved 
in adapting promising evidence-based interventions to new 
settings.
    HIV/AIDS Surveillance.--The Committee commends ongoing 
efforts by the CDC to enhance HIV/AIDS surveillance activities 
that monitor the HIV/AIDS epidemic and provide data for 
targeting the delivery of HIV prevention, care, and treatment 
services.
    HIV Testing.--The Committee commends ongoing efforts by the 
CDC to expand HIV testing among African Americans in clinical 
settings and encourages health departments to work with 
community-based organizations to expand testing in nonclinical 
settings.
    Improving Program Effectiveness.--The Committee commends 
the CDC efforts to improve the effectiveness of existing HIV 
prevention programs and to develop new tools for HIV 
prevention. Within the total provided, $10,000,000 is for 
efforts to integrate data in ways that improve program 
performance.
    Special Populations.--Recent CDC reports have shown that 
MSM account for more than one-half of all new HIV infections 
each year, with African-American MSM making up a 
disproportionate share of these infections, and that MSM are 44 
times more likely to acquire HIV than other men. The Committee 
urges the CDC to enhance prevention programs tailored to gay 
and bisexual men that integrate behavioral and biomedical 
interventions, community-level interventions, and structural 
interventions to shift social norms in support of safer sex and 
family acceptance of young gay men.
    Viral Hepatitis.--The Committee is aware of the January 
2010 Institute of Medicine report that outlined a national 
strategy for prevention and control of hepatitis B and C. 
Therefore, the Committee encourages the CDC to address the 
report's recommendations and continue to validate interventions 
focused on the mother-child transmission issue. Also, as the 
hepatitis B virus is the single greatest health disparity 
impacting the Asian and Pacific Islander populations in the 
United States, the Committee urges a targeted and increased 
effort to address this issue, including the funding of 
replicable demonstration projects to help reach these 
populations.

 NATIONAL CENTER FOR PREPAREDNESS, DETECTION AND CONTROL OF INFECTIOUS 
                                DISEASES

    The Committee includes $168,689,000 for fiscal year 2011 
for this Center. The fiscal year 2010 level was $168,689,000 
and the budget request for fiscal year 2011 was $192,075,000. 
In addition, the Committee recommends $50,000,000 in transfers 
from the Prevention and Public Health Fund. This Center builds 
epidemiology and laboratory capacity and provides technical 
assistance to identify and monitor infectious diseases.
    The Committee recommendation provides sufficient funding to 
maintain all existing activities at the fiscal year 2010 
enacted level.
    Epidemiology and Laboratory Capacity [ELC] Grants.--The 
Committee includes $50,000,000 for ELC grants from amounts 
transferred from the Prevention and Public Health Fund. The 
Committee has included bill language exempting the awards from 
statutory funding floors that exceed the transferred amount. 
The administration transferred $20,000,000 for this purpose in 
fiscal year 2010. The Committee is aware that the number of 
genetic and metabolic disorders included in State newborn 
screening programs ranges from 4 to 36 and that most States 
screen for 8 or fewer disorders. Tandem mass spectrometry has 
greatly increased the number of disorders that can be detected, 
but States have varying resources to acquire this technology. 
The Committee encourages the CDC to consider bulk purchasing to 
increase States' ability to utilize this life-saving 
technology.
    Lyme Disease.--The Committee requests that the CDC report 
on its implementation of its Lyme disease plan. In particular, 
the report should include details on grants on diagnostic 
methods, long-term complications, plans to support community-
based Lyme disease prevention and control programs, and the 
development of Lyme disease education for physicians and 
communities. The Committee is supportive of innovative 
advancements and technologies that provide opportunities for 
improved diagnostics beyond the technologies employed today.

  NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

    The Committee recommends $931,154,000 for chronic disease 
prevention and health promotion. The comparable level for 
fiscal year 2010 was $931,154,000 and the budget request for 
fiscal year 2011 was $937,307,000. In addition, the Committee 
recommends $542,000,000 in transfers from the Prevention and 
Public Health Fund.
    Chronic diseases are the most prevalent and costly 
healthcare problems in the United States, but are often 
preventable. Nearly half (45 percent) of all Americans suffer 
from at least one chronic disease. More than two-thirds of all 
deaths are caused by one or more of five chronic diseases: 
heart disease, cancer, stroke, chronic obstructive pulmonary 
disease, and diabetes. Many chronic diseases are lifelong 
conditions, and their impact lessens the quality of life not 
only of those suffering from the diseases, but also of their 
family members, caregivers, and others.
    Chronic disease not only affects health and quality of 
life, but is also a major driver of healthcare costs and 
threatens healthcare affordability. Research from the CDC 
indicates that chronic disease accounts for about 75 percent of 
the Nation's aggregate healthcare spending--or about $5,300 per 
person in the United States each year. In taxpayer-funded 
programs, treatment of chronic disease constitutes an even 
larger proportion of spending--96 cents per dollar for Medicare 
and 83 cents per dollar for Medicaid. Much of the persistent 
increase in spending over the past two decades is attributable 
to rising disease prevalence, lower clinical thresholds for 
treatment, and new medical innovations that have emerged to 
treat chronic and other diseases.
    Unhealthy behavior and increased incidence of chronic 
disease are also extremely costly in terms of healthcare 
coverage affordability. Since 2000, health insurance premiums 
for employer-sponsored family coverage have increased by 87 
percent. Healthcare costs for people with a chronic condition 
average $6,032 annually--five times higher than for those 
without such a condition.
    For these reasons, the Committee has included a major 
initiative in fiscal year 2011 to transform the chronic disease 
activities undertaken by the CDC in cooperation with State 
health departments.
    Currently, CDC funding to help States plan their approaches 
to addressing many of these chronic diseases is allocated 
through competitive, discrete, State-based programs. In fact, 
many States have received funding from the CDC to create 
separate plans for up to 4 of the 5 top chronic diseases, with 
only chronic obstructive pulmonary disease not directly funded. 
With the exception of the comprehensive cancer program, each of 
the other State funding streams has nearly identical target 
populations and largely overlapping public health 
interventions. Yet the programs that fund and manage these 
State plans have remained separate and distinct.
    The States and the CDC have long struggled with how to 
coordinate these separate programs through a variety of 
management devices. The President's budget, for example, 
includes statutory authority to allow States to redirect 10 
percent of their CDC chronic disease funds to supplement any 
other CDC grant on chronic disease that addresses the top five 
chronic diseases in that State.
    Compounding the problem, the amount of funding available to 
States to create or implement their multiple chronic disease 
plans have been far less than needed. Heart disease and stroke 
plans are being implemented in only 14 States. Nine of the 
remaining 36 States did not receive any funding in fiscal year 
2010 to create a plan. Diabetes plans, meanwhile, were created 
in every State, but only one State has more than $1,000,000 to 
address a disease that currently affects nearly 24 million 
Americans and will soon strike an estimated 57 million more.
    The Committee believes that the time is long past for a 
comprehensive approach to chronic disease, in particular, those 
chronic diseases for which obesity is the prime risk factor. 
Therefore, the Committee recommendation includes new bill 
language creating a State block grant for chronic disease that 
will consolidate several of the individual existing chronic 
disease programs. The Committee believes that this new approach 
will increase efficiency at the State level by breaking down 
the ``silos'' that currently divide each program. In addition, 
the Committee recommendation includes substantially more 
funding for the block grant than is currently available for the 
various programs combined. This increase will ensure that 
States receive funding to address all of the top obesity-
related chronic diseases, rather than apply to the CDC for 
competitive funds for each one.
    The Committee includes $687,151,000 for chronic disease 
efforts by the CDC, including $410,000,000 from the Prevention 
and Public Health Fund. The comparable fiscal year 2010 funding 
level was $301,327,000. Within this total, $308,978,000 is for 
community grants, $251,000,000 is for a new chronic disease 
block grant, $75,723,000 is for national activities, and 
$51,450,000 is for CDC leadership activities.

Community Grants

    The Committee includes $308,978,000 for community grants, 
including $270,000,000 in transfers from the Prevention and 
Public Health Fund. This amount includes $220,000,000 for the 
community transformation grants authorized under section 4201 
of the Patient Protection and Affordable Care Act [PPACA] and 
$88,978,000 for the Racial and Ethnic Approaches to Community 
Health [REACH] program.
    The Committee intends the increase in the REACH program 
primarily to increase the efforts of existing Action 
communities. The Committee is particularly interested in 
ensuring that REACH communities are taking full advantage of 
all the preventive benefits included in the PPACA.
    The Committee has not included funding for the Healthy 
Communities program with the intention that the CDC should use 
community transformation grants funds to complete all 
obligations made under that program. Within the community 
transformation grants, the Committee directs the CDC to give 
full and fair consideration to nonprofit organizations that 
have pioneered effective models for community transformation in 
cooperation with the CDC.
    The Committee has not included specific funding for the 
administration's proposed Big Cities Initiative. The budget for 
fiscal year 2011 proposed $20,000,000 for this initiative. The 
Committee intends that funding for the community transformation 
grants be structured in such a way that all communities may 
fully participate. For that to happen, the Committee is 
strongly supportive of efforts to ensure that municipal areas 
compete with areas of similar size.

State Grants

    The Committee recommendation includes $251,000,000, 
including $140,000,000 from the Prevention and Public Health 
Fund, to create a Chronic Disease block grant. Of this amount, 
$25,000,000 is available until September 30, 2012.
    Included in this block grant are existing State grant 
programs on diabetes; heart disease, and stroke; nutrition, 
physical activity, and obesity; arthritis; and school health, 
which totaled $111,000,000 in fiscal year 2010. Sufficient 
funding is included at the Committee-recommended level for 
every State to receive more funding from the block grant than 
it currently receives from the individual programs combined.
    The goal of the block grant shall be to decrease the 
incidence of preventable chronic diseases through surveillance, 
planning, policy change, and the implementation of evidence-
based public health interventions. Funds may be awarded to 
States, the District of Columbia, territories, and tribal 
nations.
    Of the amounts provided, $226,000,000 shall be awarded by 
formula based on rates of chronic disease and population to 
create and implement a comprehensive chronic disease plan. No 
State shall receive less than $2,000,000.
    In addition, $25,000,000 shall be awarded competitively for 
bonus payments. In the first year of this initiative, bonus 
payments shall be awarded based on a review of the strength of 
the comprehensive plan submitted. The Committee has included 2-
year availability for these funds to ensure that entities have 
sufficient time to complete quality plans. In subsequent years, 
a bonus payment shall be awarded to any State that achieves a 
goal from the comprehensive plan or enacts a major policy 
change in line with the comprehensive plan.
    The strength of the plan shall be determined by reviewing 
the degree to which the plan includes:
  --Active participation from the State Departments of Public 
        Health, Education, Human Services, Aging and 
        Transportation;
  --An assessment of the burden of chronic disease in the 
        State, a review of the existing programs and strategies 
        in place, and a plan for ongoing surveillance for 
        chronic diseases;
  --A review of and a plan to increase the number, reach, and 
        quality of policies and standards related to chronic 
        disease;
  --Implementation and evaluation plans for culturally 
        appropriate, evidence-based interventions and 
        prevention strategies aimed at reducing the top chronic 
        diseases related to obesity, including but not limited 
        to: diabetes, heart disease, stroke, and arthritis;
  --Efforts to address special populations currently impacted 
        by chronic disease and those at particular risk for 
        future chronic diseases (i.e., people with 
        disabilities, racial and ethnic populations, school-age 
        youth, seniors, etc.);
  --A plan for increasing public awareness of chronic disease 
        and prevention options;
  --An effort to increase collaboration between community, 
        public and private sector partners, including the 
        engagement with health professionals to increase 
        screening, referral to treatment and connections with 
        public health interventions; and
  --A plan to increase access to and use of environments to 
        support healthful eating and physical activity in 
        various settings;

National Activities on Chronic Disease

    The Committee includes $75,723,000 for national activities 
on chronic disease. This funding includes research, 
demonstration programs, outreach, surveillance and evaluation 
efforts.
    Arthritis.--The Committee is aware of the work by the CDC 
and stakeholders to develop a national public health agenda for 
osteoarthritis. This effort will use evidence-based strategies 
to prevent and reduce the burden of osteoarthritis, which today 
affects more than 27 million Americans.
    Diabetes.--The Committee recognizes that approximately one-
third of people with diabetes do not know that they have it, 
while another 57 million have pre-diabetes and are at high risk 
for developing this deadly disease. The Committee is impressed 
by the success of the National Diabetes Prevention program and 
is encouraged by private-sector implementation of this 
evidence-based model. The Committee encourages the CDC to 
continue expanding this model through public and private 
efforts including wide-spread distribution of training 
standards and models for training programs. The Committee 
further encourages the CDC to continue translating research 
findings into clinical and public health practice; supporting 
the National Diabetes Education Program; and strengthening 
public health surveillance. The Committee feels strongly that 
CDC efforts to develop, advance, and implement innovative 
interventions and national programs will improve diabetes 
outcomes and prevent diabetes.
    Diabetes in Native Americans/Native Hawaiians.--The high 
incidence of diabetes among Native American, Native Alaskan, 
and Native Hawaiian populations persists. The Committee is 
pleased with the CDC's efforts to target this population and 
assist the leadership of the Native Hawaiian and Pacific Basin 
Islander communities in addressing this disease. The Committee 
encourages the CDC to build on its historical efforts in this 
regard.
    Diabetes and Women's Health.--The Committee is concerned by 
the rising incidence of type 2 diabetes mellitus. Although the 
onset of type 2 diabetes can be prevented or delayed through 
prevention methods, obstetricians and other women's healthcare 
providers and their patients are often unaware of the woman's 
later risk and need for followup and preventive measures. Less 
than one-half of women with gestational diabetes receive 
recommended glucose testing at a postpartum visit. The 
Committee encourages the CDC to promote education and awareness 
among both patients and providers.
    Heart Disease and Stroke.--The Committee has included 
sufficient funding within chronic disease national activities 
to maintain the CDC's Paul Coverdell National Acute Stroke 
Registry. In addition, the Committee is supportive of the 
effort to establish a cardiovascular disease surveillance 
system to monitor and track these disorders at the national, 
State, and local levels. The Committee further notes that the 
CDC has developed an ``ABCS'' Initiative, which promotes 
appropriate, low-dose aspirin therapy, improved high blood 
pressure and cholesterol control and prevention, and smoking 
avoidance and cessation. The Committee urges the CDC to 
continue its work with communities, other Federal agencies, and 
food manufacturers to reduce sodium in food, thus helping 
control heart disease and stroke.
    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 recommendation for chronic disease national 
activities provides a total of not less than $5,000,000 to 
expand CDC's background community assessment of health and 
related social and environmental conditions in the Delta.
    Within the total provided for the National Center for 
Chronic Disease Prevention and Health Promotion, the following 
amounts are available for the following categories of funding:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Office of Smoking and Health....................................         110,704         107,214         197,214
    Prevention and Public Health Fund Transfer (non-add)........          14,500  ..............          90,000
Health Promotion................................................          29,856          26,724          29,866
    BRFSS.......................................................           7,316           7,179           7,316
    Community Health Promotion..................................           6,468           6,365           6,468
        Sleep (non-add).........................................             861             845             861
    Mind-Body Institute.........................................           1,500  ..............           1,500
    Glaucoma....................................................           3,519           3,524           3,524
    Visual Screening Education..................................           3,229           3,234           3,234
    Alzheimer's Disease.........................................           1,846           1,813           1,846
    Inflammatory Bowel Disease..................................             686  ..............             686
    Interstitial Cystitis.......................................             660  ..............             660
    Excessive Alcohol Use.......................................           2,500           2,474           2,500
    Chronic Kidney Disease......................................           2,132           2,135           2,132
Prevention Centers..............................................          33,675          33,136          43,675
    Prevention and Public Health Fund Transfer (non-add)........  ..............  ..............          10,000
Cancer Prevention and Control...................................         370,346         355,152         385,177
    Breast and Cervical Cancer..................................         214,850         210,935         217,550
        WISEWOMAN--Total (non-add)..............................          20,787          20,787          20,787
    Breast Cancer Awareness for Young Women.....................           5,000           5,006           5,000
    Cancer Registries...........................................          51,236          51,303          54,000
    Colorectal Cancer...........................................          44,532          44,590          44,590
    Comprehensive Cancer........................................          20,693          20,730          30,000
    Johanna's Law...............................................           6,807  ..............           6,807
    Ovarian Cancer..............................................           5,707           5,714           5,707
    Prostate Cancer.............................................          13,638          13,656          13,638
    Skin Cancer.................................................           2,190           2,200           2,190
    Geraldine Ferraro Cancer Education Program..................           4,677  ..............           4,677
    Cancer Survivorship Resource Center.........................           1,016           1,018           1,018
Oral Health.....................................................          15,000          14,607          25,000
Safe Motherhood/Infant Health...................................          44,782          55,643          46,782
    Pre-term Birth (non-add)....................................           2,005           2,008           2,008
    Sudden Infant Death Syndrome (non-add)......................             207             207             207
Community Health Workers (Prevention and Public Health Fund       ..............  ..............          30,000
 Transfer non-add)..............................................
Prevention Outreach Activities (Prevention and Public Health      ..............  ..............           2,000
 Fund Transfer non-add).........................................
Epilepsy........................................................           7,976           7,817           7,976
Lupus...........................................................           4,505           4,425           4,505
Psoriasis.......................................................           1,500           1,498           1,500
Genomics........................................................          12,308          11,708          12,308
----------------------------------------------------------------------------------------------------------------

    Aortic Aneurysms.--The Committee notes the release of new 
treatment guidelines for the management of aortic aneurysms by 
leaders in the professional cardiology community. The Committee 
encourages the CDC to raise awareness of the guidelines, which 
are of importance to millions of patients suffering from 
familial aortic aneurysms, Marfan syndrome, and other related 
conditions.
    Autoimmune-related Disease.--Correct diagnosis of 
autoimmune diseases often takes more than 4 years and 
approximately four doctors. The Committee recognizes the 
importance of increased awareness for early intervention and 
treatment of autoimmune disease. The Committee also recognizes 
the chronic nature of autoimmune disease and the importance of 
targeting minority communities and women that may be 
underserved or disproportionately affected by autoimmune 
diseases.
    Cancer Screening.--The Committee is aware that CDC's cancer 
screening programs cover only 1 in 10 eligible Americans and is 
strongly supportive of the dramatic expansion of preventive 
screening coverage authorized under the recent health reform 
legislation. The Committee has included additional funding with 
the intention that it be used to ensure that community-based 
screening programs are able to effectively transition from 
grant funding to reimbursement based care. The Committee 
requests the CDC to submit to the Committee no later than 8 
months from enactment of this act a plan for ensuring that CDC-
funded screening programs are able to be reimbursed by the new 
high-risk pools and private insurers. The plan should include 
projections for the number and proportion of screenings 
conducted by grant funds, Medicare, Medicaid, high-risk pools, 
private insurance, and by other funding sources over the next 5 
years.
    Childhood Cancer.--The Committee is pleased with the 
efforts the CDC has undertaken to implement the Conquer 
Childhood Cancer Act, which requires the CDC to track the 
epidemiology of pediatric cancer in a comprehensive nationwide 
registry. Additional funding is included in the Committee 
recommendation to continue the development of rapid reporting 
and simplifying the procedure for biomedical researchers to 
utilize registry data. The Committee is hopeful that these 
improvements will strengthen the registry for all forms of 
cancer.
    Chronic Obstructive Pulmonary Disease.--COPD is the fourth 
leading cause of death in the United States and the only 1 of 
the top 5 causes of death that is on the rise. The Committee 
encourages the CDC to develop, in consultation with appropriate 
stakeholders, a Federal plan to respond to this disease.
    Chronic Pain Conditions in Women.--The Committee encourages 
the CDC to build on its previous related epidemiological work 
to undertake a study of the prevalence, overlapping nature, and 
shared risk factors of chronic pain conditions which solely or 
disproportionately impact women, including vulvodynia, TMJ 
disorders, endometriosis, fibromyalgia, interstitial cystitis, 
and chronic fatigue syndrome. The Committee further encourages 
the CDC to educate the public about the seriousness and 
societal costs of these conditions; make available and promote 
sources of reliable information on the symptoms, diagnosis, 
treatment, and overlapping nature of the conditions; and make 
available information to women with chronic pain about how to 
communicate effectively with their health professionals about 
these conditions.
    Community Health Worker Demonstration.--The Committee 
recommendation includes $30,000,000 in transfers from the 
Prevention and Public Health Fund for grants to hire community 
health workers, newly authorized in the Patient Protection and 
Affordable Care Act [PPACA]. The Committee encourages the CDC 
to prioritize applications that include increasing awareness of 
the new preventive benefits covered in the PPACA.
    Deep Vein Thrombosis [DVT] and Pulmonary Embolism [PE].--
The Committee believes that public education and awareness are 
key to reducing the death rate blood clots that form in the 
legs [DVT] and then travel to the lungs [PE]. Therefore, the 
Committee encourages the CDC to expand its efforts to increase 
public and health provider awareness about the causes and 
prevention of DVT and PE, expand surveillance activities, and 
stimulate research.
    Epilepsy.--The Committee strongly supports the CDC epilepsy 
program, which has made considerable progress over the past 
decade in establishing and advancing a public health agenda to 
meet the needs of Americans with epilepsy. This funding allows 
for national programs to improve the lives of youth, seniors, 
young adults and others living with epilepsy; research 
activities that promote self-management and improved quality of 
life for people with epilepsy; and epidemiologic and 
surveillance research to improve understanding of the causes 
and prevalence of epilepsy among higher-risk subpopulations, as 
well as their needs and ability to access quality care.
    Excessive Alcohol Use.--The Committee applauds the work 
being done by the CDC to prevent underage and excessive alcohol 
use and encourages the development of tools that will support 
the translation of prevention strategies that have been shown 
to be effective through scientific reviews into public health 
practice.
    Inflammatory Bowel Disease [IBD].--The Committee continues 
to prioritize CDC's inflammatory bowel disease epidemiology 
study and has included funding to continue current research 
focused on the etiology of IBD, why the course of illness 
varies among individuals, and what factors may improve patient 
outcomes.
    Interstitial Cystitis.--The Committee is pleased with CDC's 
education and awareness campaigns on interstitial cystitis. 
Funding is included to continue education outreach activities 
to healthcare providers.
    Office of Smoking and Health.--The Committee includes 
$197,214,000 for the Office of Smoking and Health, including 
$90,000,000 in transfers from the Prevention and Public Health 
Fund. The Committee has long recognized that efforts to reduce 
tobacco use are among the most effective and cost-effective 
investments in prevention that can be made.
    The Committee is pleased with the work of the Environmental 
Health Laboratory's effort to analyze tobacco products and 
cigarette smoke, and believes this work will only grow in 
importance as the FDA continues to implement the Family Smoking 
Prevention and Tobacco Control Act. The Committee expects the 
Office of Smoking and Health to transfer no less than the 
amount it did in fiscal year 2010 to the Environmental Health 
Laboratory to support this work. The Committee notes that this 
transfer is to be provided to the lab in a manner that 
supplements and in no way replaces existing funding for 
tobacco-related activities.
    The Committee has included $55,000,000 through the 
Prevention and Public Health Fund for a media campaign to 
prevent tobacco use in youth. In addition, the Committee has 
long supported counseling through quitlines, and has increased 
funding for quitlines by $15,000,000 through the Prevention and 
Public Health Fund.
    To complement the efforts of the quitlines, the Committee 
is recommending $20,000,000 for a new demonstration program on 
providing expanded smoking cessation services to low-income and 
uninsured individuals. The Committee intends for the CDC to 
coordinate the existing quitlines and the new cessation program 
so that individuals with the hardest struggle can avail 
themselves of the best chance of success. The Committee 
requests to be briefed on the program model prior to funds 
being announced.
    Oral Health.--The Committee understands that preventing 
oral disease through broad-based community programs can 
ultimately result in significant cost savings. The Committee 
has increased funding for the Division of Oral Health to invest 
in community prevention of oral disease and to expand its 
program to States to strengthen their oral health 
infrastructure programs. The Committee remains concerned about 
the high incidence of tooth decay among American Indian/Alaska 
Native [AI/AN] children and therefore encourages the Division 
to collaborate with the Indian Health Service to assess the 
current Early Childhood Caries [ECC] epidemiology in AI/AN 
children. The Committee encourages the CDC to identify and fill 
strategic information gaps about age of onset, prevalence, 
severity and microbiology to improve and accelerate existing 
and novel approaches to prevent ECC and reduce the large 
disproportionate disease burden in Native American children.
    Prevention Outreach.--The Committee includes $2,000,000 for 
the education and outreach campaign authorized in section 4004 
of the Patient Protection and Affordable Care Act, funded 
through transfers from the Prevention and Public Health Fund.
    Prevention Research Centers.--The Committee recommendation 
includes $43,675,000 for the Prevention Research Centers, 
including $10,000,000 in transfers from the Prevention and 
Public Health Fund. The Committee intends the additional 
funding be used to expand existing centers and create new 
centers.
    Primary Immune Deficiency Diseases.--The Committee remains 
strongly supportive of this program and believes it has 
demonstrated success in identifying, and moving into treatment, 
persons with undiagnosed diseases that pose a public health 
threat.
    Psoriasis.--As many as 7.5 million Americans are affected 
by psoriasis and/or psoriatic arthritis--chronic, inflammatory, 
painful, and disfiguring autoimmune diseases for which there 
are limited treatment options and no cure. Recent studies show 
that people with psoriasis are at elevated risk for other 
chronic and debilitating health conditions, such as heart 
attack, diabetes, Crohn's disease, obesity, and liver disease, 
and that people with severe psoriasis have a 50 percent higher 
risk of mortality. The Committee encourages the CDC to continue 
to refine and implement the psoriasis and psoriatic arthritis 
data collection and registry process.
    Pulmonary Hypertension.--The Committee notes the 
significant increase in FDA-pproved therapies for pulmonary 
hypertension in recent years and encourages the CDC to expand 
awareness of the disease and its new treatment options among 
the general public and healthcare providers.
    Safe Motherhood/Infant Health.--The Committee is concerned 
about late preterm infants, who are at greater risk of 
morbidity and mortality, and it encourages the CDC to expand 
work in this area and to improve national data systems to track 
preterm birth rates and expand epidemiological research that 
focuses especially on the causes and prevention of preterm 
birth and births at 37-38 weeks gestation.
    Stillbirths.--The Committee is aware that there are more 
than 25,000 stillbirths and more than 4,000 Sudden Unexpected 
Infant Deaths [SUIDs] each year. In addition, in 2006 about 1 
in 11 newborns were late preterm in the United States--an 
increase of 20 percent from 1996. Late preterm births make up 
71 percent of all preterm births, and late preterm infants are 
at greater risk of morbidity and mortality. The Committee 
believes the CDC should continue to research and evaluate these 
issues. The Committee includes additional funding within the 
Safe Motherhood funding to improve and expand national and 
state data systems to track stillbirth, SUIDs, and preterm 
birth rates and expand epidemiological research that focuses 
especially on the causes and prevention of stillbirth, SUIDs, 
and preterm births.
    Vision Health.--The Committee recognizes that good vision 
is an integral component to health and well-being, affects 
virtually all activities of daily living, and impacts 
individuals physically, emotionally, socially, and financially. 
Vision-related conditions affect people across the lifespan 
from childhood through elder years. The Committee supports the 
Vision Health Initiative, which aims to improve State-based 
public health approaches to address vision and eye health; 
research on evidence-based public health interventions; and 
initiatives to address the growing problem of diabetes among 
children and the associated impacts of diabetic retinopathy, 
which can develop later in life.
    Well-integrated Screening and Evaluation for Women Across 
the Nation [WISEWOMAN].--WISEWOMAN screens uninsured and under-
insured low-income women ages 40 to 64 for heart disease and 
stroke risk and provides counseling, education, referral and 
followup to those with abnormal results. From 2000 to mid-2008, 
WISEWOMAN reached more than 84,000 low-income women, provided 
more than 210,000 lifestyle interventions, and identified 7,647 
new cases of high blood pressure, 7,928 new cases of high 
cholesterol, and 1,140 new cases of diabetes. Among those 
participants who were re-screened 1 year later, average blood 
pressure and cholesterol levels had decreased considerably.

     NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
                         DISABILITY AND HEALTH

    The Committee includes $145,289,000 for birth defects, 
developmental disabilities, disability, and health in fiscal 
year 2011. The comparable level for fiscal year 2010 was 
$143,347,000 and the fiscal year 2011 budget request was 
$143,539,000.
    Within the total provided, the following amounts are 
provided for the following categories of funding:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Birth Defects and Developmental Disabilities....................          64,697          65,442          71,613
    Birth Defects...............................................          21,342          20,819          26,492
        Prevention and Public Health Fund Transfer (non-add)....  ..............  ..............           5,000
        Craniofacial Malformation (non-add).....................           1,878           1,882           2,028
        Fetal Death (non-add)...................................             846             848             848
        Alveolar Capillary Dysplasia (non-add)..................             247  ..............             247
    Fetal Alcohol Syndrome......................................          10,140           9,990          10,140
    Folic Acid..................................................           3,126           3,110           3,126
    Infant Health...............................................           8,028           7,696           8,028
    Autism......................................................          22,061          23,827          23,827
Human Development and Disability................................          58,759          57,854          66,473
    Disability and Health (includes Child Development Studies)..          13,611          13,361          18,361
        Prevention and Public Health Fund Transfer (non-add)....  ..............  ..............           5,000
    Charcot Marie Tooth Disorders...............................           1,000           1,002           1,000
    Limb Loss...................................................           2,906           2,908           2,908
    Tourette Syndrome...........................................           1,749           1,749           1,749
    Early Hearing Detection and Intervention....................          10,888          10,689          10,888
    Muscular Dystrophy..........................................           6,291           6,021           6,021
    Special Olympics Healthy Athletes...........................           5,534           5,545           6,000
    Paralysis Resource Center...................................           6,882           6,886           6,886
    Attention Deficit Hyperactivity Disorder....................           1,751           1,755           1,751
    Fragile X...................................................           1,905           1,909           1,909
    Spina Bifida................................................           6,242           6,029           7,000
    Congenital Heart Failure....................................  ..............  ..............           2,000
Public Health Approach to Blood Disorders.......................  ..............          20,243  ..............
Hemophilia......................................................          17,203  ..............          17,203
----------------------------------------------------------------------------------------------------------------

    Birth Defects Research and Surveillance.--The Committee 
commends the CDC's work in the area of birth defects 
surveillance, research, and prevention and has provided 
$5,000,000 through the Prevention and Public Health Fund for 
CDC to analyze genetic samples obtained through the National 
Birth Defects Prevention Study. The Committee believes it is 
important to begin analyzing these samples because the 
identification of genetic risk factors for certain birth 
defects will further preventive efforts by targeting 
interventions to women at the highest-risk for certain defects.
    Blood Disorders.--The Committee recommendation rejects the 
administration's proposal to create a new public health 
approach to blood disorders. The Committee notes that the plan 
for the new program was significantly delayed and did not 
adequately address the transition from the current approach to 
the new structure. The Committee has included sufficient 
funding to maintain the Hemophilia Treatment Centers at the 
fiscal year 2010 enacted level. However, the Committee did not 
restore funding for thallasemia, diamond blackfan anemia or 
hemachromatosis.
    Congenital Disabilities.--The Committee encourages the CDC 
to continue to increase scientifically sound information and 
support services provided to patients receiving a positive test 
result for Down syndrome or other pre- or postnatally diagnosed 
conditions. The Committee further urges CDC to disseminate 
current and accurate information about the tested condition; 
coordinate the provision of, and access to, supportive services 
for patients and families; and provide assistance to State and 
local health departments to integrate the results of prenatal 
testing and pregnancy outcomes into State-based vital 
statistics and birth defects surveillance programs.
    Charcot-Marie-Tooth [CMT] Disorders.--The Committee has 
included funding to continue the national CMT resource center. 
This center will foster collaboration between CMT patients and 
their providers and ensure that patients are being properly 
diagnosed and treated with the latest standards of care.
    Congenital Heart Disease.--Approximately 800,000 children 
and 1,000,000 adults in the United States are now living with 
congenital heart disease [CHD], which requires life-long 
cardiac care. The Committee is concerned that there is a lack 
of rigorous epidemiological and longitudinal data on 
individuals of all ages with CHD and has included funding to 
begin to compile this information. The Committee is 
particularly interested in information on prevalence, barriers 
to effective care, survival outcomes, and neuro-cognitive 
outcomes.
    Craniofacial Malformation.--The Committee includes $150,000 
above last year's funding level for the enrichment of a 
physician awareness program on craniostosis for its 
dissemination not only to craniofacial centers throughout the 
United States, but also to medical schools, pediatricians, and 
fetal medicine doctors nationwide. This physician awareness 
program will be developed from already created medical postcard 
programs with the information and data presented at the March 
2010 conference in Atlanta, and will include Web-based courses 
for pediatricians, nurses, obstetricians and fetal medicine 
doctors on craniosyntosis to be developed starting in 2011.
    Disability and Health.--The Committee recommendation 
includes $18,361,000 for disability and health, including 
$5,000,000 in transfers from the Prevention and Public Health 
Fund. The Committee intends the increase to be used to expand 
research grants into health promotion for people with 
disabilities.
    Folic Acid Education Campaign.--The Committee strongly 
supports the folic acid education campaign. The Committee 
encourages the CDC to explore strengthening this campaign by 
incorporating its message in other prevention education 
initiatives aimed at improving birth outcomes, such as obesity 
prevention and medication use during pregnancy.
    Fragile X Syndrome.--The Committee has included funding to 
support the National Fragile X Public Health Initiative.
    Hereditary Hemorrhagic Telangiectasia [HHT].--The Committee 
is aware of a recent conference on HHT and encourages the CDC 
to review strategies and recommendations from that conference 
aimed at increasing the knowledge, education, and outreach on 
this preventable condition.
    Maternal Mortality.--The Committee encourages the CDC to 
address maternal mortality, given that each day two to three 
women in the United States die from delivery complications. The 
Committee encourages the CDC to expand its work gathering 
information on pregnancy-related deaths, collecting and 
providing information about women's health and behaviors around 
pregnancy, and translating findings and guidelines on 
preconception care into everyday practice and healthcare 
policy.
    Obesity Research, Treatment, and Prevention.--Obese 
pregnant women are at increased risk for poor maternal and 
neonatal outcome. The Committee urges the CDC to conduct 
research and interventions to address the increased risk of 
birth defects and stillbirths in obese women, especially those 
receiving infertility treatment; ways to optimize outcome in 
obese women who become pregnant after bariatric surgery; and 
the increased future risk of childhood obesity in their 
offspring.
    Spina Bifida.--The Committee recognizes that spina bifida 
is the most common permanently disabling birth defect in the 
United States. While spina bifida and related neural tube 
defects are highly preventable through adequate daily folic 
acid consumption, there are an estimated 166,000 individuals 
living with all forms of this complex birth defect. The 
Committee intends the funding provided for the National Spina 
Bifida Program to be used to support the implementation of a 
patient registry to improve the efficiency and quality of care.
    Tourette Syndrome.--The Committee commends CDC for its work 
in developing a public health education and research program on 
Tourette syndrome. The Committee encourages CDC to use these 
funds to continue to educate physicians, educators, clinicians, 
allied professionals, and the general public about the disorder 
and to expand on the scientific knowledge base on prevalence, 
risk factors, and co-morbidities of Tourette syndrome.

                 NATIONAL CENTER FOR HEALTH STATISTICS

    The Committee recommendation includes $161,883,000 for the 
National Center for Health Statistics [NCHS]. This amount is 
the same as the budget request for fiscal year 2011. The fiscal 
year 2010 comparable funding level was $138,683,000.
    In addition, the Committee recommendation provides 
$34,000,000 in transfers from the Prevention and Public Health 
Fund. The administration transferred $20,000,000 for these 
activities in fiscal year 2010.
    Statistics collected by NCHS provide policymakers with 
critical data to assess the health of the Nation and make 
informed decisions about how best to direct resources and 
activities. Health statistics also provide researchers with 
population-based trends that help identify the best targets for 
research and the data needed to reach reliable conclusions, and 
they help enable individuals to make informed choices in their 
lives and the lives of their families.
    National Health and Nutrition Examination Survey 
[NHANES].--Since 1959, NHANES has provided critical data about 
the state of the Nation's health. This information has resulted 
in a number of highly successful public health actions, 
including removing lead from gasoline and vaccinating all 
infants and children against hepatitis B infections. While 
these national data have been extremely important, many of our 
most pressing public health challenges are faced at the State 
and local level. The Committee encourages NHANES to consider 
ways to expand the applicability of NHANES reports to the State 
and local level.
    Sodium.--The Committee is strongly supportive of the work 
that the CDC is doing to determine the most appropriate method 
for ongoing surveillance of sodium intake. The Committee 
requests to be briefed by the CDC on the results of the various 
survey-design research efforts. The Committee further requests 
that the briefing include cost estimates for implementation.
    Vital Statistics.--The Committee strongly supports the 
effort to transition vital statistic collection to electronic 
systems, in particular the effort to phase in electronic death 
records. The Committee also encourages the CDC to work with the 
Centers for Medicare and Medicaid Services and the Office of 
the National Coordinator to pilot test the integration of 
electronic birth and death records and electronic medical 
records.

             NATIONAL CENTER FOR PUBLIC HEALTH INFORMATICS

    The Committee recommendation includes $67,285,000 for the 
National Center for Public Health Informatics. The budget 
request for fiscal year 2011 was $67,285,000. The comparable 
level for fiscal year 2010 was $70,597,000.
    The Committee is concerned that, despite approximately 
$70,000,000 in appropriations to the informatics division in 
fiscal year 2010, programs of the CDC routinely contract for 
informatics support outside the agency. The Committee 
reiterates its belief that the public health informatics 
division should serve the programs of the CDC.
    Information systems and information technology are critical 
to the practice of public health. The activities of this Center 
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.

                  NATIONAL CENTER ON HEALTH MARKETING

    The Committee recommendation includes $72,180,000 for the 
National Center for Health Marketing. The budget request for 
fiscal year 2011 was $77,779,000. The comparable level for 
fiscal year 2010 was $79,374,000. In addition, the Committee 
provides $7,000,000 through transfers from the Prevention and 
Public Health Fund. The administration transferred $5,000,000 
for this purpose in fiscal year 2010.
    The 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 the CDC's partnerships 
with public and private organizations to more effectively 
accomplish health protection and improvement.
    Task Force on Community Preventive Services.--The Committee 
recommendation includes $12,000,000 for the task force, 
including $7,000,000 in transfers from the Prevention and 
Public Health Fund.

                NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

    The Committee recommends $190,710,000 for Environmental 
Health in fiscal year 2010. The fiscal year 2010 comparable 
funding level was $187,090,000 and the budget request for 
fiscal year 2011 was $182,350,000.
    Many modern public health successes 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 recommendation includes funding for the 
following activities:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Environmental Health Laboratory.................................          43,346          41,980          43,346
    Newborn Screening Quality Assurance Program (non-add).......           6,915           6,755           6,915
    Newborn Screening for Severe Combined Immuno. Diseases (non-             988             982             988
     add).......................................................
Environmental Health Activities.................................          78,043          75,022          82,016
    Safe Water (non-add)........................................           7,237           7,001           8,737
    Environmental and Health Outcome Tracking Network (non-add).          33,124          32,548          33,124
    Amyotrophic Lateral Sclerosis Registry (non-add)............           6,014           5,795           7,000
    Climate Change (non-add)....................................           7,540           7,567           7,540
    International Emergency & Refugee Health (non-add)..........           6,262           6,250           6,262
    Built Environment & Health Initiative (non-add).............  ..............           4,000           4,000
Asthma..........................................................          30,924          30,734          30,734
Health Homes/Childhood Lead Poisoning...........................          34,805          34,614          34,614
----------------------------------------------------------------------------------------------------------------

    Asthma.--The Committee continues to encourage the CDC to 
work with States and the asthma community to implement 
evidence-based best practices for policy interventions, with 
specific emphasis on indoor and outdoor air pollution. The 
Committee requests an update on the status of implementation in 
the CDC fiscal year 2012 budget justification.
    Biomonitoring.--The Committee applauds the CDC's ongoing 
national biomonitoring efforts, which gather data that are 
invaluable in understanding the population's exposure to 
environmental chemicals and in helping prioritize research into 
the health impacts of those chemicals. The Committee commends 
the CDC for the publication of the Fourth National Report on 
Human Exposure to Environmental Chemicals. Funds may be used 
for State biomonitoring programs; intramural programs such as 
providing expertise, training and technical assistance to 
States; development and simplification of laboratory methods 
for detecting chemicals; studies to investigate the 
relationship between exposure to chemicals and adverse health 
effects; ongoing support to the National Children's Study; and 
measurements for new priority chemicals.
    Built Environment.--The Committee has included funding for 
the administration's built environment initiative, including 
the Healthy Community design activities. The Committee strongly 
supports efforts to integrate health impact assessments into 
community planning as universally as possible and as quickly as 
possible. For that reason, the Committee is concerned that the 
CDC's planned activities focus almost exclusively on adding 
personnel to health departments, rather than on designing 
toolkits and health assessment curricula that can be adopted by 
all actors in community planning. The Committee once again 
urges the CDC to design materials that can be used by nonhealth 
experts, and engage with urban planning schools and 
professional organizations. Further, the Committee notes that 
the new chronic disease State grant program seeks to 
incorporate State Departments of Transportation in the chronic 
disease planning and policy change process. The Committee urges 
the CDC to utilize the built environment resources to engage 
with State transportation officials to support this effort.
    National Environmental Public Health Tracking Network.--An 
estimated 125 million Americans suffer from at least one 
chronic condition. These chronic conditions account for three-
quarters of healthcare spending and 7 out of every 10 deaths in 
the United States. Since 2002, Congress has provided funding 
for, and the CDC has administered, the National Environmental 
Public Health Tracking program. The program's objective is to 
analyze environmental hazard data in relation to health outcome 
data to identify possible public health interventions and 
prevention strategies.
    Polycythemia Vera Cluster.--The Committee has not continued 
funding for research into polycythemia vera clusters. The 
Committee is pleased by the research completed and published in 
2010, funded by the CDC. The Committee notes that the 2-year 
award made in fiscal year 2009 is complete and the Agency for 
Toxic Disease Registry closed its investigation in 2008. The 
Committee expects the CDC to continue funding ongoing 
surveillance through the cancer registry program in the 
National Center on Chronic Disease Prevention and Health 
Promotion.

           NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

    The 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 
the CDC encompasses nonoccupational 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 recommends $147,729,000 for injury prevention 
and control activities at the CDC. The comparable fiscal year 
2010 funding level was $148,593,000. The budget request for 
2011 was $147,570,000.
    The Committee recommendation includes $6,152,000 for 
Traumatic Brain Injury programs, the same as the enacted fiscal 
year 2010 level. The President's budget request for fiscal year 
2011 was $5,985,000. In addition, the Committee has included 
$5,000,000 for the National Violent Death Reporting System. The 
enacted fiscal year 2010 level was $3,544,000 and the budget 
request for fiscal year 2011 was $5,008,000. All other 
activities are funded at the budget request level.
    Explosives.--The Committee recognizes the most likely cause 
of injuries in a man-made disaster will be related to 
explosives, and yet our emergency medical system is unprepared 
for bomb blast injuries, especially in a mass casualty 
situation. The Committee encourages the CDC to continue its 
ongoing work in preparing cities and hospital systems to 
respond to such events, with a special emphasis on assessing 
the bomb blast response capacity of high-risk cities and 
communities.
    Injury Control Research Centers.--Funds are provided to the 
centers to support core operations; conduct the research 
necessary to fill gaps in the evidence base for developing and 
evaluating new injury control interventions and improving 
translation of effective interventions; conduct training of 
injury control professionals; and undertake other programmatic 
activities to reduce the burden of injury.
    National Violent Death Reporting System.--The Committee 
supports the National Violent Death Reporting System [NVDRS], a 
State-based system aimed at preventing violent deaths by 
developing an understanding of the circumstances surrounding 
them. The program enables the collection and analysis of data 
from medical examiners, coroners, police, crime labs, and death 
certificates. NVDRS information is then used to develop, 
inform, and evaluate violence prevention programs at the 
national, State and community level. The Committee urges the 
CDC to continue to work with States to develop electronic 
portals at the State level for the submission of NVDRS data. 
States that apply for funding and demonstrate the ability to 
collect electronic data should be given priority.
    Suicide Prevention.--The Committee encourages the CDC to 
support evaluation efforts to identify promising and effective 
suicide prevention strategies that follow the public health 
model and prevent self-directed violence by promoting and 
strengthening connectedness among individuals, families, and 
communities.
    Traumatic Brain Injury [TBI].--The Committee has included 
funding to continue programs authorized by the Traumatic Brain 
Injury Act as amended in 2008, including public awareness and 
education efforts, grants to States for TBI registries, and 
studies on the incidence and prevalence of TBI in the United 
States.
    Violence Against Women.--The Committee encourages the CDC 
to continue research on the psychological sequelae of violence 
against women and expand research on special populations and 
their risk for violence, including adolescents, older women, 
ethnic minorities, women with disabilities, immigrant women, 
and other affected populations.
    Youth Violence Prevention.--The Committee supports the 
CDC's efforts to foster innovation in evidence-based youth 
violence prevention strategies through its Striving to Reduce 
Youth Violence Everywhere program.

                     OCCUPATIONAL SAFETY AND HEALTH

    The Committee recommends a program level of $453,293,000 
for occupational safety and health programs. The fiscal year 
2010 program level was $373,129,000 and the budget request for 
fiscal year 2011 was $456,042,000.
    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     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Education and Research Centers..................................          24,370          24,460          26,460
Personal Protective Technology..................................          17,218          16,892          16,892
Healthier Workforce Center......................................           5,036           5,055           5,459
National Occupational Research Agenda [NORA]....................         117,406         124,528         117,406
    NORA--Budget Activity.......................................          25,682          32,804          95,682
        NanoTechnology (non-add)................................           9,500          16,544           9,500
    NORA--PHS Evaluation Transfers..............................          91,724          91,724          21,724
World Trade Center--BA..........................................          70,723         150,137         150,137
    Mining Research.............................................          53,705          52,736          53,705
    Other Occupational Safety and Health Research...............          84,713          82,234          83,234
        Miners Choice (non-add).................................             648             650             650
        National Mesothelioma Registry and Tissue Bank  (non-              1,024           1,028           1,028
         add)...................................................
----------------------------------------------------------------------------------------------------------------

    Construction Research.--Construction is one of the most 
dangerous industries for its workers. Every year, some 1,200 
construction workers are killed on the job and thousands more 
die from occupationally related diseases. In 1990, Congress 
directed NIOSH to develop a comprehensive prevention program 
directed at health and safety problems affecting construction 
workers. The Committee is aware that the National Academy of 
Sciences/Institute of Medicine's Review of the NIOSH 
Construction Research Program, published in 2009, concluded 
that the NIOSH Construction Research Program has been highly 
relevant and has had an impact in improving safety and health 
in the construction industry. The Committee requests NIOSH to 
include in the fiscal year 2012 budget justification a 
description of plans to implement the recommendations of the 
report.
    Food Processing.--Within the funding for Occupational 
Safety and Health Research, the Committee has included 
additional funding for NIOSH to conduct a study on the 
relationship between line speed and worker safety in the meat 
packing, poultry and food processing industries. The Committee 
intends this study to be multi-year and industry-wide.
    National Occupational Research Agenda.--NIOSH continues to 
work with partners and stakeholders across the country to 
update the National Occupational Research Agenda [NORA]. This 
collaborative effort has produced strategic plans for priority 
research in each of the eight sectors into which the U.S. 
economy is divided. Several plans, such as that for 
agriculture, mining, and construction, are also informed by the 
major program reviews and positive feedback from the National 
Academies. Important issues cutting across all the different 
sectors are also addressed by NORA, such as developing methods 
of reducing the impact of stressful workplaces on psychological 
and physical health. The Committee is very concerned that the 
research coming from NORA be designed in a way that facilitates 
expeditious translation into practice. The Committee requests a 
report in the CDC fiscal year 2012 budget justification on the 
steps the agency is taking to integrate translational goals 
into the NORA prioritization system.
    Volcanic Emissions.--The Committee has included increased 
funding for NIOSH to continue to study the impact of 
potentially toxic volcanic emissions. In particular, pre-
existing respiratory conditions such as asthma, chronic 
bronchitis, and emphysema seem to be particularly susceptible 
to the effects of sulfur dioxide. Further study is warranted on 
the acute and long-term impact that these emissions have on 
both the healthy and the residents predisposed to illness. The 
Committee strongly advises the establishment of a dedicated 
center that embraces a multi-disciplinary approach studying the 
short- and long-term health effects of the volcanic emissions.

                             GLOBAL HEALTH

    The Committee recommends $353,294,000 for global health-
related activities at the CDC in fiscal year 2011. The fiscal 
year 2010 comparable level was $336,075,000 and the budget 
request for fiscal year 2011 was $351,944,000.
    The Global Health Center leads and coordinates the 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     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Global AIDS Program.............................................         118,979         118,092         118,092
Global Immunization Program.....................................         153,676         151,792         153,191
    Polio Eradication...........................................         101,800         100,601         102,000
    Other Global/Measles........................................          51,876          51,191          51,191
Global Disease Detection........................................          37,756          37,805          37,756
Global Malaria Program..........................................           9,405           9,173           9,173
Other Global Health.............................................          16,308          35,082          35,082
----------------------------------------------------------------------------------------------------------------

    The Committee has included bill language that would allow 
the CDC to administer the Afghanistan Health initiative 
formerly appropriated to the Office of the Secretary. The 
Committee has not specified a recommended amount in statute, 
consistent with the administration's fiscal year 2011 budget 
request.
    Chronic Disease.--The Committee is greatly concerned by the 
spread of chronic disease throughout the world. The Committee 
strongly supports the expansion of the Field Epidemiology 
Training programs to increase the capacity of other countries 
to conduct surveillance and evaluate local interventions to 
address this growing global crisis.
    Hepatitis B.--The Committee notes that there are 400 
million people chronically infected with hepatitis B worldwide, 
with more than 120 million of these individuals in China. While 
hepatitis B transmission requires direct exposure to infected 
blood, worldwide misinformation about the disease has fueled 
inappropriate discrimination against individuals with this 
vaccine-preventable, blood-borne, and treatable disease. The 
Committee encourages the CDC to consider global programs to 
increase the rate of vaccination, reduce mother-child 
transmission and promote educational programs to prevent the 
disease and to reduce discrimination targeted against 
individuals with the disease.
    Malaria.--The Committee is pleased with the CDC's 
continuing contribution to global malaria prevention and 
control efforts, particularly as part of the President's 
Malaria Initiative. In particular, CDC scientists and doctors 
excel in ``downstream'' research that connects basic science to 
practical field applications in order to develop new or modify 
existing prevention and control tools, enhance monitoring and 
surveillance to track outbreaks and measure disease control 
success.
    Neglected Tropical Diseases [NTDs] and Diarrheal 
Diseases.--NTDs are infections that affect more than 1.4 
billion people worldwide, many of them in the poorest nations. 
NTDs--including diarrheal and arboviral diseases--stigmatize, 
disable, and inhibit individuals from caring for themselves or 
their families, thereby promoting poverty. The Committee 
recognizes that the CDC has had a long history of working on 
NTDs and has provided much of the science that underlies those 
global policies and programs in existence today. The Committee 
encourages the CDC to continue its work on NTDs, diarrheal 
diseases believed to kill 2 million children ages 5 and younger 
worldwide each year, and arboviruses, such as Japanese 
encephalitis and dengue.

                PUBLIC HEALTH PREPAREDNESS AND RESPONSE

    The Committee provides $1,464,668,000 for public health 
preparedness and response activities. The amount requested by 
the administration in fiscal year 2011 was $1,464,656,000. The 
comparable fiscal year 2010 level was $1,549,128,000. The 
Committee recommendation includes funding for the following 
activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
State and Local Preparedness and Response Capability............         761,100         757,793         757,793
    Public Health Emergency Preparedness Cooperative Agreement           714,949         714,738         714,738
     (non-add)..................................................
    Academic Centers for Public Health Preparedness (non-add)...          30,013          30,009          30,009
    Advanced Practice Centers (non-add).........................           5,263           5,262           5,262
CDC Preparedness and Response Capability........................         192,509         183,330         183,342
    BioSense (non-add)..........................................          34,404          34,362          34,362
    Quarantine (non-add)........................................          26,518          26,485          26,518
Strategic National Stockpile....................................         595,749         523,533         523,533
    Public Law 111-32 Transfer (non-add)........................  ..............          68,515          68,515
----------------------------------------------------------------------------------------------------------------

    Biosurveillance Activities.--The Committee supports efforts 
by the CDC and State public health laboratories to strengthen 
national and international biosurveillance systems for 
effective, rapid detection and identification of influenza, 
emerging infectious diseases, biothreats, and ``all-threats'' 
detection. The Committee encourages the CDC to collaborate with 
other global and Federal agencies and continue to assist State 
laboratories in advancing these important efforts.

                         PUBLIC HEALTH RESEARCH

    Public Health Research.--The Committee has provided 
$31,170,000 to fund the Public Health Research program. This 
amount is the same as the fiscal year 2010 comparable level and 
the fiscal year 2011 budget request. In addition, the Committee 
recommends $20,000,000 in transfers from the Prevention and 
Public Health Fund, which is intended to support extramural 
grants for research on public health and prevention.
    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 $209,808,000 for public health 
improvement and leadership activities at the CDC. The fiscal 
year 2010 comparable level was $211,404,000 and the budget 
request for fiscal year 2011 was $192,916,000.
    The Committee recommendation includes funding for the 
following activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year     Fiscal year      Committee
                         Budget activity                           2010 enacted    2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
Leadership and Management.......................................         149,986         142,469         142,469
Director's Discretionary Fund...................................           3,000           2,508           5,000
Public Health Workforce Development.............................          37,826          47,939          57,939
----------------------------------------------------------------------------------------------------------------

    Disability.--The Committee is pleased by the formation of 
the first Disability and Health Work Group at the CDC. The 
Committee hopes the work group will advance the health of 
people with disabilities by facilitating collaboration on 
disability inclusion within and across all relevant components 
and activities, including surveys, showcasing best practices, 
and ensuring that relevant issues for people with disabilities 
are reflected in the CDC's programs and policies.
    Institutional Research Training Grant Program.--The 
Committee encourages the CDC to continue the Institutional 
Research Training Grant program.
    Leadership and Management Savings.--The Committee strongly 
believes that as large a portion as possible of 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.
    Public Health Workforce.--The Committee has included 
funding above the President's budget request for public health 
workforce efforts. Of the increase, the Committee intends that 
$5,000,000 be used for section 776 of the PHS Act and the 
remainder be used to supplement the Epidemiology Intelligence 
Service. In addition, the Committee is strongly supportive of 
the administration's proposed Health Prevention Corps and 
encourages the CDC to consider creating an inter-agency 
agreement with the Corporation for National and Community 
Service [CNCS] to provide loan repayment to participants 
through the CNCS Education Award Program.
    In addition, the Committee has included sufficient funding 
for the following projects in the following amounts for fiscal 
year 2011:

------------------------------------------------------------------------
                                                                Amount
------------------------------------------------------------------------
Chicago Public Schools, Chicago, IL, for nutrition and          $150,000
 health education programs, including equipment............
City of Fort Wayne, IN, for outreach, screening and              100,000
 education for Burmese refugees............................
East Carolina University, Greenville, NC, for a health           300,000
 disparities behavioral and chronic disease management
 initiative................................................
Fibrous Dysplasia Foundation, Washington, DC, for the            200,000
 development of a patient network..........................
Fletcher Allen Health Care, Burlington, VT, to expand the        100,000
 Center for Nutrition and Healthy Food Systems.............
Hawaii Primary Care Association, Honolulu, HI, to continue       200,000
 a program on childhood asthma.............................
John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ,      750,000
 to establish an outreach and education program to combat
 childhood obesity.........................................
Lower Brule Sioux Tribe, Lower Brule, SD, for health             100,000
 education and promotion programs..........................
Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana,         200,000
 for cancer outreach initiatives...........................
National Council of La Raza, Washington, DC, for the           1,000,000
 Institute of Hispanic Health..............................
PE4life Foundation, Kansas City, MO, for expansion and           300,000
 assessment of PE4life programs across Iowa................
Shelburne Farms, Shelburne, VT, to expand Farm-to-School         250,000
 activities................................................
Silent Spring Institute, Newton, MA, for studies of the          200,000
 impact of environmental pollutants on breast cancer and
 women's health............................................
South Dakota State University, Brookings, SD, for research       200,000
 on health promotion.......................................
University of Georgia, Athens, GA, for obesity intervention      100,000
 and prevention............................................
University of Hawaii at Hilo, HI, for occupational safety        100,000
 and health research.......................................
University of Northern Iowa, Cedar Falls, IA, for a health       300,000
 literacy program..........................................
Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school-      150,000
 based injury prevention program...........................
------------------------------------------------------------------------

           PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

    The Committee provides $102,034,000, the same as the fiscal 
year 2011 budget request, for the Preventive Health and Health 
Services block grant. The fiscal year 2010 comparable level was 
$102,019,000.
    The block grant provides funding for primary prevention 
activities and health services that address urgent health 
problems in local communities. This flexible source of funding 
can be used to target concerns where other funds do not exist 
or where they are inadequate to address the extent of the 
health problem. The grants are made to the 50 States, the 
District of Columbia, two American Indian tribes, and eight 
U.S. territories.

                        BUILDINGS AND FACILITIES

    The Committee provides $12,000,000 for buildings and 
facilities of the Centers for Disease Control and Prevention. 
The fiscal year 2010 comparable level was $69,140,000 and the 
budget request for fiscal year 2011 did not include funding for 
this activity.
    The Committee again provides bill language to allow the CDC 
to enter into a single contract or related contracts for the 
full scope of development and construction of facilities, and 
instructs the CDC to utilize this authority when necessary.
    The Committee has provided the statutory authority and 
sufficient funding for the CDC to conduct the necessary repairs 
to the Lake Lynn laboratory. The Committee is concerned that 
this unique research facility has been closed due to unsafe 
conditions, making it impossible for the United States to 
conduct some types of mine safety research, including research 
on mine explosions. This situation is unacceptable.

                     BUSINESS SERVICES AND SUPPORT

    The Committee provides $382,152,000 for business services 
support functions. This amount is the same as the 
administration request for fiscal year 2011. The fiscal year 
2010 comparable level was $369,814,000. These funds will be 
used to support agency-wide support functions.

                     National Institutes of Health

    The Committee recommends an overall funding level for the 
National Institutes of Health [NIH] of $32,007,237,000, the 
same as the budget request. This amount is $1,002,036,000 more 
than the fiscal year 2010 level.
    The Committee recognizes that the NIH faces an imposing 
``funding cliff'' following the historic increase--nearly 
$10,400,000,000--provided by the American Recovery and 
Reinvestment Act of 2009 [ARRA]. Negotiating the softest 
possible landing is critical to maintaining the scientific 
momentum gained over the past 2 years and ensuring that young 
investigators in particular can find a bright future in the 
field of biomedical research. While the 3.2 percent increase 
proposed by the administration and recommended by the Committee 
is less than what would have been desired in stronger economic 
times, it keeps up with biomedical inflation--a distinction 
that was all too rare during the mid-2000s. The Committee hopes 
that this will mark the first of several years of growth for 
the NIH that, if not spectacular, are at least steady and 
predictable.
    Within the increase provided, the Committee includes 
$50,000,000 to create the Cures Acceleration Network [CAN], 
which is described more fully in the section on the Office of 
the Director, which will administer the new program.
    The Committee recommends $561,629,000 for the Common Fund. 
This is the same amount as the budget request. The fiscal year 
2010 level was $544,109,000.

                       NATIONAL CANCER INSTITUTE

Appropriations, 2010....................................  $5,100,906,000
Budget estimate, 2011...................................   5,264,643,000
Committee recommendation................................   5,256,409,000

    The Committee recommends an appropriation of $5,256,409,000 
for the National Cancer Institute [NCI], of this amount, 
$8,000,000 is available for repairs and improvements to the NCI 
facility in Frederick, Maryland. The budget request for fiscal 
year 2011 is $5,264,643,000, and the comparable level for 
fiscal year 2010 is $5,100,906,000.
    The Committee commends the NCI for launching programs that 
will translate knowledge gained from sequencing the cancer 
genome into benefits for patients, such as the cancer Human 
Biobank [caHUB], a tissue acquisition and storage center; and 
BIG Health, an interoperable information technology program 
that is an offshoot of the highly successful cancer Biomedical 
Informatics Grid [caBIG].
    Adolescents.--NCI is encouraged to give additional 
consideration to adolescents, whose overall risk of contracting 
most cancers is lower than for adults, but who, because of 
factors peculiar to adolescence, are less likely to participate 
in clinical trials and often diagnosed at later stages. In 
particular, a research focus on health communication strategies 
for adolescents, their families and their health providers is 
encouraged.
    Behavioral Research on Tobacco Control.--The Committee 
notes that NCI's research on smoking cessation, smokeless 
tobacco and collaborations with NIDA, NICHD, and NHLBI are 
critical to building knowledge to reduce the use of tobacco by 
adolescents. The Committee also believes that behavioral 
science should facilitate FDA regulation of tobacco, including 
consumer perceptions, development of warning labels, product 
development and response, risk communication, and cultural 
effects, and recommends that the NCI support such research.
    Bone Defects.--The Committee urges research on how to 
repair bone defects caused by cancer cells, mechanisms by which 
cancer cells affect the bone's endogenouse cells, the biology 
of tumor dormancy and the role of tumor stroma in conferring 
therapeutic resistance.
    Breast Cancer Surveillance.--The Committee commends the 
NCI's commitment to breast cancer research and evaluation 
through the support and funding of the Breast Cancer 
Surveillance Consortium. This research program is critical for 
improving breast cancer surveillance and improving clinical and 
community practices. The NCI is urged to maintain support for 
this program in order to further the advancement of lifesaving 
breast cancer prevention research, improve quality of care, and 
save lives. The Committee also urges the NCI to expand current 
data collection and surveillance systems to monitor utilization 
and quality of other widely prescribed cancer screening tools.
    Breast Cancer Vaccines.--The Committee strongly urges the 
NCI to support research on and clinical development of 
prophylactic breast cancer vaccines.
    Clinical Trials Network.--The Committee is concerned by the 
findings of the recent Institute of Medicine [IOM] report 
regarding the NCI clinical trials network. The IOM concluded 
that the network is too bureaucratic, underfunded, and poorly 
coordinated. The Committee understands that the NCI requested 
the report and plans to consider seriously its recommendations. 
The Committee requests an update on the NCI's progress in 
implementing the recommendations in the fiscal year 2012 
congressional budget justification.
    Gastric Cancer.--The Committee remains concerned about the 
rise in deadly gastrointestinal cancers in young people, as 
highlighted in a recently published study by NCI scientists. 
The Committee strongly supports the NCI's efforts to address 
gastric cancer and is pleased to see the inclusion of gastric 
cancer in the Cancer Genome Atlas. The Committee recommends 
that NCI convene a workshop of experts in the field of gastric 
cancer to stimulate research and quickly analyze forthcoming 
data on this lethal cancer.
    Liver Cancer.--The Committee encourages a stronger focus on 
liver cancer and urges the funding of a series of Specialized 
Programs of Research Excellence [SPOREs] focused on this 
cancer. While SPOREs currently exist for other major cancers, 
none are focused on liver cancer.
    Lung Cancer.--The Committee continues to urge the NCI to 
support increased research for lung cancer diagnosis and 
treatment.
    Melanoma.--The Committee continues to encourage NCI to work 
with advocates, researchers, and industry to fund the areas of 
research--basic, translational, clinical, and prevention--
identified by the strategic research plan and to utilize all 
available mechanisms. The Committee is aware of recent 
successes in the therapy of molecularly classified subgroups of 
melanoma that are the result of translating basic research 
efforts on the genetic signature of melanomas, and is 
encouraged by the NCI's recent decision to support inclusion of 
melanoma in the Cancer Genome Atlas [TCGA]. The Committee urges 
the NCI to develop new models of alliances between industry, 
academia and foundations in the field of melanoma research to 
foster earlier validation of biomarker-driven therapies in the 
laboratory and clinical trials involving key therapeutic 
agents, regardless of whether they are within the NCI 
portfolio. Since initial data suggest that concomitant 
administration of two or more therapies will be required to 
cure the majority of melanomas, NCI is urged to participate in 
efforts to develop rational therapeutic drug combinations, 
including through the use of novel partnerships. The Committee 
also encourages the Developmental Therapeutics Program to 
incorporate a more relevant panel of melanoma cell lines based 
on molecular subtypes, many of which have been developed with 
NCI funding, to facilitate its goal of identifying novel 
chemical leads and biologic mechanisms relevant to the 
prevention and treatment of melanoma. Lastly, the Committee 
encourages the NCI to explore the feasibility of a screening 
program, with a focus on high-risk individuals. The Committee 
requests an update on these requests in the fiscal year 2012 
congressional budget justification.
    Nanoparticles.--The Committee encourages the NCI to 
accelerate the testing and development of nanoparticles for the 
improved treatment of cancer that are composed of nontoxic 
materials and remain at the nano-scale in biological fluids, 
resisting aggregation.
    Neuroblastoma.--The Committee continues to encourage NCI to 
expand genetic and clinical research on neuroblastoma and 
convene a state of the science conference on treatment options 
for high-risk and relapse patients.
    Pancreatic Cancer.--The Committee is disappointed with the 
lack of progress toward a pancreatic cancer-specific research 
initiative. The Committee again calls upon the NCI to establish 
a discrete pancreatic cancer research grant program; re-
institute a policy of ``exceptions'' funding for grant 
applications whose primary focus is pancreatic cancer; and 
include more experts in pancreatic cancer on scientific review 
panels. Further, the Committee notes that the NCI released the 
``Consensus Report of the National Cancer Institute Clinical 
Trials Planning Meeting on Pancreas Cancer Treatment'' 2 years 
after the meeting was held and that the report does not include 
an action plan. The Committee strongly encourages the NCI to 
develop and implement action steps for research on this 
disease.
    Social Media.--The Committee encourages the NCI to fund 
research on how social media can be used to promote health 
behaviors and social support.

               NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2010....................................  $3,095,349,000
Budget estimate, 2011...................................   3,187,516,000
Committee recommendation................................   3,182,524,000

    The Committee recommendation includes $3,182,524,000 for 
the National Heart, Lung, and Blood Institute [NHLBI]. The 
budget request for fiscal year 2011 is $3,187,516,000, and the 
comparable level for fiscal year 2010 is $3,095,349,000.
    Aortic Aneurysm and Dissection.--The Committee commends the 
NHLBI for its strong support of the Genetically Triggered 
Thoracic Aortic Aneurysms and Other Cardiovascular Conditions 
Registry (GenTac).
    Congenital Heart Disease.--The Committee commends the NHLBI 
for the development and implementation of the Bench to Bassinet 
program in an effort to provide multidisciplinary translational 
research for congenital heart defects across the life-span. The 
Committee urges the NHLBI to continue its work with patient 
advocacy organizations, other NIH Institutes, and the CDC to 
expand collaborative research initiatives and other related 
activities targeted to the diverse life-long needs of 
congenital heart defect survivors.
    Diamond-Blackfan Anemia [DBA].--The Committee understands 
that NHLBI's research initiatives regarding DBA continue to 
demonstrate the benefits of translational research and have led 
to important insights into the biology of blood disorders, 
birth defects, and cancer development and to a breakthrough in 
one of the first human disorders linked to a ribosomal protein 
defect. The Committee understands that, prior to this 
discovery, changes in the ribosomal protein gene expression 
were considered inconsequential but have now proven to be a 
fundamental unit of cellular function. The Committee commends 
the NHBLI for its attention to this important area of disease 
research and strongly encourages the Institute to continue 
efforts to make understanding the role of ribosomal proteins in 
DBA and related marrow failure diseases an investigative 
priority.
    Heart Disease.--The Committee strongly urges the NHLBI to 
aggressively expand and intensify its investment in basic, 
translational, and clinical heart research to capitalize on 
advances and burgeoning scientific opportunities. The Committee 
supports the allocation of increased resources for heart 
research to expand current studies; support promising and novel 
research; through all available mechanisms, as appropriate; and 
accelerate implementation of priorities highlighted in its 
Division of Cardiovascular Diseases Strategic Plan.
    Marfan Syndrome.--The Committee commends the NHLBI for its 
continued support of research related to Marfan syndrome, 
particularly in the area of pediatrics. The Committee 
encourages the Institute to facilitate support of research 
related to surgical outcomes for adult patients who undergo 
procedures to repair compromised aortas and valves.
    Pulmonary Hypertension [PH].--The Committee continues to 
support research in this area and commends the NHLBI for 
convening a working group on pulmonary hypertension to identify 
priority research topics. The Committee urges support for the 
working group's agenda and encourages the Institute to 
collaborate with the PH community to raise awareness of the 
disease among the general public and healthcare providers.
    Sarcoidosis.--The Committee is concerned that little 
progress has been made in understanding the cause of 
sarciodosis, which can cause chronic debilitating or life 
threatening heart, neurological, and internal organ disease. To 
date, there are no effective treatments options. The Committee 
strongly encourages the NHLBI to place a higher priority on 
sarcoidosis by intensifying its investments in basic research, 
clinical investigations and trials.
    Sleep Disorders.--The Committee is impressed by research 
demonstrating a clear association between sleep disruption and 
cardiovascular disease, diabetes, hypertension, and stroke, as 
well as workplace and traffic accidents. The Committee 
encourages increased research and education programs to 
decrease the impact of sleep problems on health and safety.
    Social Network Analysis.--The Committee commends the NHLBI 
for contributing to a recent trans-NIH initiative on social 
networks. Social network analysis can be used to study the 
transmission of viral infections, behaviors, attitudes, 
information, or the diffusion of medical practices within 
social networks.
    Sudden Cardiac Arrest [SCA].--The Committee is deeply 
concerned by the prevalance of and mortality rates associated 
with SCA and urges the NHLBI to make this condition a top 
research priority. In particular, the Committee strongly 
encourages the NHLBI to investigate the use of induced 
hypothermia therapy as both a life-saving treatment for SCA 
victims and one that is demonstrating promise in improving 
neurological outcomes for patients. In addition, the Committee 
encourages the NHLBI and the NINDS to enhance and coordinate 
data collection associated with SCA and hypothermia therapy in 
particular.

         NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2010....................................    $413,014,000
Budget estimate, 2011...................................     423,511,000
Committee recommendation................................     422,845,000

    The Committee recommendation includes $422,845,000 for the 
National Institute of Dental and Craniofacial Research [NIDCR]. 
The budget request for fiscal year 2011 is $423,511,000, and 
the comparable level for fiscal year 2010 is $413,014,000.
    Behavioral Research.--The Committee applauds the NIDCR's 
recognition of behavior as a critical factor in oral health, 
and it encourages research on the development of educational 
and behavioral oral health promotion interventions to improve 
maternal and infant oral health.
    Craniofacial Skeleton.--The Committee urges continued 
support for research on the effects on the craniofacial 
skeleton of systemic drugs prescribed for the treatment of bone 
diseases, including factors predisposing individuals to 
osteonecrosis of the jaw, as well as novel approaches to 
facilitate bone regeneration.
    Temporomandibular Disorders [TMJD].--The Committee 
appreciates the Institute's recent support for research on TMJD 
but notes that prospects for significant progress are hampered 
by the lack of a coherent body of knowledge on the etiology and 
pathogenesis of these conditions. Therefore, as it did last 
year, the Committee requests the NIDCR to take the lead in 
developing a comprehensive multidisciplinary 5-year TMJD 
research plan that articulates the strategies and goals 
necessary to resolve the issues that have plagued the TMJD 
field over the decades. The plan should include research to 
develop definitive diagnostic criteria; support an updated 
epidemiology, including a count of co-morbid conditions; 
examine genetic and other factors that increase risk for TMJD; 
and support endocrine, immune, and nervous system research on 
pain mechanisms and treatments. The plan's research goals 
should incorporate the appropriate mix of multidisciplinary, 
basic, clinical and translational science, recruitment 
strategies to recruit scientists from the many pertinent 
disciplines, and meaningful training programs to enlarge the 
pool of investigators and indicate what funding mechanisms 
should be employed. The Committee requests an update on this 
request in the fiscal year 2012 congressional budget 
justification.

    NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES

Appropriations, 2010....................................  $1,807,094,000
Budget estimate, 2011...................................   1,857,589,000
Committee recommendation................................   1,854,674,000

    The Committee recommendation includes $1,854,674,000 for 
the National Institute of Diabetes and Digestive and Kidney 
Diseases [NIDDK]. The budget request for fiscal year 2011 is 
$1,857,589,000, and the comparable level for fiscal year 2010 
is $1,807,094,000.
    Childhood Liver Disease Research and Education Network 
(ChiLDREN).--The Committee commends the NIDDK for funding 16 
ChiLDREN centers to study biliary atreisa and seven other rare 
pediatric liver diseases.
    Chronic Kidney Disease [CKD] and Asian/Pacific Islanders.--
The Committee notes that the incidence of CKD among the Asian/
Pacific Islander [API] population is higher than for most other 
groups. The Committee urges the NIDDK to focus research efforts 
on preventing chronic kidney disease among this population.
    Drug-induced Liver Injury and Acute Liver Failure.--The 
Committee supports the NIDDK's decisions to continue funding 
the Drug Induced Liver Injury Network for an additional 5 years 
and continue funding the adult and pediatric acute liver 
failure multicenter networks.
    Glomerular Disease Research.--The Committee is pleased that 
the NIDDK and the NCMHD are collaborating on a scientific 
conference on the MYH9 gene, which has been linked to the high 
prevalence of focal segmental glomerulosclerosis among 
AfricanAmericans, and it urges the NIDDK to collaborate with 
the NCMHD to support expanded research on this condition 
through the Nephrotic Syndrome Rare Disease Clinical Research 
Network.
    Inflammatory Bowel Disease [IBD].--The Committee encourages 
expanded support for research on IBD as identified in the NIH 
National Commission on Digestive Diseases report and the 
scientific community's Challenges in IBD Research agenda, 
particularly as they relate to pediatrics.
    Inflammatory Digestive Diseases in Children.--Some 
inflammatory digestive diseases begin in childhood and progress 
through life. Examples include inflammatory bowel disease, 
gluten sensitive enteropathy, autoimmune enteropathy, 
necrotizing enterocolitis with resultant intestinal failure, 
acute and chronic pancreatitis, autoimmune hepatitis, 
autoimmune cholangitis, and primary sclerosing cholangitis. As 
more effective interventions in the pediatric age group could 
reduce the burden of these illnesses in children and adults, 
the Committee urges the NIDDK to encourage more research 
leading to earlier diagnosis and treatment of these and other 
digestive diseases that are lifelong burdens.
    Interstitial Cystitis [IC].--The Committees supports the 
important work of the Multidisciplinary Approach to the Study 
of Chronic Pelvic Pain [MAPP] Research Network but encourages 
the NIDDK to continue to expand its portfolio specifically on 
IC research.
    Irritable Bowel Syndrome [IBS].--The Committee encourages 
the NIDDK to consider collaborating with the IBS patient and 
scientific community to host a state of the science conference 
focusing on recent breakthroughs in the etiology and 
epidemiology of IBS.
    National Commission on Digestive Disease.--The Committee 
requests a progress report on implementing recommendations in 
the Commission's final report issued in March 2009. This report 
should be included in the NIDDK's annual report and include the 
NIDDK digestive disease research funding history over the past 
3 years.
    Pediatric Kidney Disease.--Because many adult kidney 
diseases originate prenatally or during childhood, the 
Committee encourages the NIDDK to assign a higher priority to 
pediatric kidney disease research, especially congenital kidney 
abnormalities, pediatric glomerular disease, pediatric acute 
kidney injury, and pediatric chronic kidney disease. Due to the 
unique challenges of recruiting children into clinical trials, 
an emphasis on funding for both infrastructure and 
collaborative registries to enhance comparative multicenter 
pediatric prospective clinical/translational trials that will 
improve patient outcomes is strongly encouraged.
    Polycystic Kidney Disease [PKD].--The Committee applauds 
the NIDDK's commitment to the CRISP and HALT-PKD clinical 
studies, the four PKD Centers of Excellence, research grants 
supporting the development of PKD biomarkers, high-throughput 
screening assays, and additional PKD specific translational 
research. The Committee suggests that the NIDDK's strategic 
plan for PKD complement current public/private partnerships 
such as the FDA partnership designed to speed the development 
of PKD therapies to market and the establishment of PKD 
diagnostic and clinical treatment centers in collaboration with 
the NIH. To expand and solidify this integrated approach, the 
Committee urges the NIDDK to consider sponsoring an 
international PKD strategic planning meeting.
    Vitamin D and Chronic Kidney Disease.--The Committee 
encourages support for research on the relationship between 
vitamin D and morbidity and mortality in chronic kidney 
disease. Research is also needed on the value of anti-
resorptive therapies, the link between renal insufficiency and 
diabetic bone disease, the differences in calcification of 
blood vessels, the mechanisms of metastasis of renal cell 
carcinoma, and diseases that occurs in patients with end stage 
chronic renal disease on hemodialysis.

        NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2010....................................  $1,635,477,000
Budget estimate, 2011...................................   1,681,333,000
Committee recommendation................................   1,678,696,000

    The Committee recommendation includes $1,678,696,000 for 
the National Institute of Neurological Disorders and Stroke 
[NINDS]. The budget request for fiscal year 2011 is 
$1,681,333,000, and the comparable level for fiscal year 2010 
is $1,635,477,000.
    Charcot-Marie-Tooth [CMT].--The Committee commends the 
NINDS for its recent efforts to advance understanding and 
development of therapies for CMT and related neurodegenerative 
diseases. The Committee supports translational research that 
has the greatest potential to rapidly develop therapies for 
patients with CMT and other degenerative disorders. The 
Committee encourages the NINDS to develop innovative 
communications mechanisms to ensure that information on 
treatments can be shared in an accurate and timely manner with 
practitioners and patients.
    Dystonia.--The Committee commends NINDS and the Office of 
Rare Disease Research for supporting the Dystonia Rare Disease 
Clinical Research Coalition, part of the Rare Diseases Clinical 
Research Network.
    Epilepsy.--The Committee applauds the NINDS for recognizing 
epilepsy as a priority area and for developing new research 
opportunities that will accelerate the rate at which research 
will be conducted. Following on the heels of the Curing 
Epilepsy 2007 Conference that resulted in community-determined 
benchmarks designed to forward the progress of finding a cure 
for epilepsy, these new grant opportunities will provide 
avenues for cooperative programs in translational research and 
high-risk transformative research programs designed to yield 
new information about epilepsy. The Committee continues to be 
particularly interested in three areas of epilepsy research--
epileptogenesis, co-morbidities, and sudden unexplained death--
and encourages the NINDS to focus attention on existing and new 
grants and mechanisms to address these areas.
    Frontotemporal Dementia.--The Committee commends the NINDS 
and NIA for establishing a frontotemporal dementia [FTD] module 
of the Uniform Data Set [UDS], with data collected in a uniform 
manner across the Alzheimer's Disease Centers [ADCs] and 
maintained within the National Alzheimer's Coordinating Center 
database. The Committee encourages the two Institutes to 
establish a pilot program of FTD core centers within the 
existing ADCs to characterize and follow patients with FTD 
longitudinally in order to prepare for participation in drug 
trials.
    Spinal Cord, Brachial Plexus, and Peripheral Nerve 
Injuries.--The Committee encourages research support into the 
pathophysiology of spinal cord, brachial plexus, and peripheral 
nerve injuries in order to develop targeted therapies to 
improve neural regeneration and functional recovery.
    Stroke.--The Committee is concerned that the NIH continues 
to invests only 1 percent of its budget on stroke research, 
recognizing that funding and resources for this often deadly 
and disabling disease is not commensurate with current 
scientific opportunities, the number of Americans afflicted, 
the increasing prevalence of stroke in an aging population, and 
the economic toll it exacts on our Nation. In light of the 
exorbitant burden that stroke places on our society now and in 
the future, the Committee urges the NIH to aggressively expand 
and intensify its investment in basic, translational and 
clinical stroke research to capitalize on advances and 
burgeoning scientific opportunities.
    Stroke in Women.--Many studies have shown significant 
gender differences concerning stroke. For example, women often 
receive fewer diagnostic tests and intervention procedures; 
women have a much higher rate of death from brain aneurysms; 
and hormone replacement therapy and oral contraceptives 
increase risk of stroke. The Committee encourages the NINDS to 
give specific attention to gender-related differences in stroke 
risk, preventative measures, acute stroke management, post-
stroke recovery, long-term outcomes, and quality of care. Also 
of particular concern is the under-representation of women in 
many NIH-sponsored trials of stroke.
    Stroke Rehabilitation.--The Committee is pleased that the 
NINDS has convened an expert panel to discuss issues related to 
stroke treatment and recovery and how people reintegrate into 
their daily lives following a stroke. Given that stroke 
produces a substantial financial and emotional stress on the 
caregiver who is more often than not the female companion, 
wife, or daughter, the Committee encourages the NINDS to 
support studies that address the long-term consequences of 
stroke on the family and quality of life.

         NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2010....................................  $4,816,051,000
Budget estimate, 2011...................................   4,977,070,000
Committee recommendation................................   4,969,301,000

    The Committee recommendation includes $4,969,301,000 for 
the National Institute of Allergy and Infectious Diseases 
[NIAID]. The budget request for fiscal year 2011 is 
$4,977,070,000, and the comparable level for fiscal year 2010 
is $4,816,051,000. 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 2010 transfer amount was also 
$300,000,000.
    Antimicrobial Resistance.--The Committee strongly urges the 
NIAID to devote additional resources to developing new 
antibacterial drugs. Priority bacteria include Enterococcus 
faecium, Staphylococcus aureus, Klebsiella pneumoniae, 
Acinetobacter baumannii, Pseudomonas aeruginosa, and ESBL 
positive bacteria such as E. coli and Enterobacter species, 
which cause the majority of healthcare-associated infections. 
Rapid diagnostic tests that support antibacterial clinical 
trials and antibiotics' appropriate use are also needed.
    Chronic Hepatitis B.--The Committee understands that while 
there are now a number of medications approved for the 
treatment of hepatitis B, they are of limited therapeutic value 
since they mostly target the same virus functions. The 
Committee urges additional research on different courses of 
treatment as well as ways to support efforts to identify new 
cellular and antiviral targets and develop new strategies for 
intervention. The Committee also urges an increased focus on 
pregnant women and pediatric cases of hepatitis B.
    Eosinophil-associated Disorders.--The Committee urges the 
NIAID, in consultation with the NIDDK, NICHD, and NIMH, to 
convene a working group to develop a research agenda aimed at 
improving the diagnosis and treatment of eosinophil-associated 
diseases. The Committee requests an update on this effort in 
the fiscal year 2012 congressional budget justification. The 
Committee understands that a number of private sector 
organizations are interested in funding research in this area 
and encourages the NIAID to collaborate with these 
organizations as well as other NIH Institutes in supporting 
relevant research activities.
    Inflammatory Bowel Diseases [IBD].--The Committee 
encourages the NIAID to expand support for IBD research through 
its Immune Tolerance Network and Autoimmune Disease Prevention 
Centers in collaboration with the IBD community.
    Microbicides.--The recent results of the CAPRISA study in 
South Africa mark an important milestone for the field of HIV 
prevention. The Committee urges the NIH to continue to work 
with USAID, CDC, and other appropriate agencies to coordinate 
and increase investment in microbicides research and 
development, prioritizing support for ``next generation'' ARV-
based microbicides. The NIH is encouraged to support public-
private partnerships that have a robust ARV product pipeline.
    Neglected Tropical Diseases.--The Committee is pleased that 
the NIH has included global health as one of its research 
priorities. The Committee encourages NIH to continue and expand 
its investment in neglected tropical disease, diarrheal, and 
arbovirus research and coordinate that work with other 
Government agencies to maximize resources and ensure 
development of basic discoveries into useable solutions.
    Organ Donation.--The Committee recognizes the need for more 
intensive screening processes to prevent the transmission of 
viral, bacterial, and fungal infections from donors, and it 
urges additional research in this area in collaboration with 
the United Network for Organ Sharing.
    Tuberculosis [TB].--The Committee applauds the NIAID for 
its increased attention to the development of new TB 
diagnostics, drugs and vaccines, and it urges the Institute to 
continue to expand these efforts to halt the spread of TB, 
including drug-resistant TB.
    Vaccine Development for Hepatitis C.--The Committee urges a 
refocused effort on the development of a hepatitis C vaccine 
and requests an update in the fiscal year 2012 congressional 
budget justification.

             NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2010....................................  $2,050,665,000
Budget estimate, 2011...................................   2,125,090,000
Committee recommendation................................   2,121,783,000

    The Committee recommendation includes $2,121,783,000 for 
the National Institute of General Medical Sciences [NIGMS]. The 
budget request for fiscal year 2011 is $2,125,090,000, and the 
comparable level for fiscal year 2010 is $2,050,665,000.
    Behavioral Research Training.--The Committee applauds the 
Institute's leadership role in the OppNet initiative, which 
will support basic behavioral science throughout the NIH. The 
Committee encourages the NIGMS to support basic behavioral 
research to its fullest potential, and to incorporate basic 
behavioral training in its forthcoming training plan.

  EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN 
                              DEVELOPMENT

Appropriations, 2010....................................  $1,328,828,000
Budget estimate, 2011...................................   1,368,894,000
Committee recommendation................................   1,366,750,000

    The Committee recommendation includes $1,366,750,000 for 
the Eunice Kennedy Shriver National Institute of Child Health 
and Human Development [NICHD]. The budget request for fiscal 
year 2011 is $1,368,894,000, and the comparable level for 
fiscal year 2010 is $1,328,828,000.
    Adverse Pregnancy Outcomes.--The Committee is concerned 
that women with severe, early adverse pregnancy outcomes are at 
increased risk for long-term chronic health problems, including 
hypertension, stroke, diabetes, and obesity. The Committee 
urges the NICHD to undertake studies to identify women at risk 
for long-term morbidity and develop strategies to prevent long-
term adverse outcomes in these women.
    Behavioral Neuroscience.--The Committee is pleased that the 
NICHD supports a broad spectrum of behavioral neuroscience 
research, particularly as it relates to real-world problems. 
The Committee encourages further work on the effects of 
socioeconomic adversity on children's brain development.
    Chromosome Abnormalities.--The Committee again urges the 
NIH to convene a state of the science meeting on chromosome 
abnormalities involving multiple contiguous genes in order to 
create a plan to collect data regarding dosage-sensitive and 
dosage-insensitive genes and establish phenotyping and 
genotyping standards for data collection. The Committee also 
encourages the NIH to provide new funding to support 
independent investigators whose work can provide pilot data or 
insight into future directions for the study of chromosome 
abnormalities, particularly those involving chromosome 18.
    Contraceptive Research and Development.--The Committee 
encourages the NICHD to strengthen its support for 
contraceptive research and development for the prevention of 
unintended pregnancies and the efficacy and safety of hormonal 
contraceptives among overweight and obese women. The Committee 
additionally urges the Institute to identify opportunities and 
research priorities in contraceptive development, such as the 
need for nonhormonal contraception, postcoital contraception, 
and multipurpose technologies that would prevent both pregnancy 
and sexually transmitted infections.
    Demographic Research.--The NICHD's historic support for 
demographic research on the nonaged population has yielded 
landmark scientific findings, confirming how health and well 
being in the early years affects long-term health and 
socioeconomic outcomes. Many of these advances have derived 
from the Institute's investment in large-scale, longitudinal 
studies, such as the National Longitudinal Study of Adolescent 
Health and Child Development Supplement to the Panel Study of 
Income Dynamics, and inter-agency studies, including the 
National Survey of Family Growth and National Longitudinal 
Survey of Youth. The Committee expects the Institute to sustain 
its support for these important resources and reaffirm its 
commitment to supporting research on how maternal factors 
before and during pregnancy and early life events affect health 
and well being in later life.
    Fragile X Syndrome.--The Committee encourages the NIH to 
implement the NIH Research Plan on Fragile X Syndrome and 
Associated Disorders and continue to fund translational 
research that shows significant promise of a safe and effective 
treatment for Fragile X-associated Disorders [FXD].
    Intellectual and Developmental Disabilities Research 
Centers [IDDRCs].--The Committee continues to recognize the 
outstanding contributions of the IDDRCs toward understanding 
the causes for a wide range of developmental disabilities 
including autism, Fragile X syndrome, Down syndrome and other 
genetic and environmentally induced disorders. The Committee is 
particularly pleased with how the IDDRCs have collaborated with 
each other to leverage resources and scientific capital on such 
efforts as developing a pilot national registry of patient 
populations and training and supporting young scientists. These 
centers received administrative supplements through the 
American Recovery and Reinvestment Act of 2009 that were used 
to purchase equipment and develop enhanced scientific core 
services. However, the Committee urges the NICHD to provide 
additional resources to the IDDRC network to help bring about 
progress in expanding registries to include larger samples 
across different disorders, support and mentor new 
investigators, and develop opportunities for translational 
research efforts.
    Maternal Fetal Medicine Units Network.--The Committee 
continues to encourage the NICHD to support this network.
    Metabolic Disease and Bone Health.--The Committee urges 
more research in the emerging field of metabolic disease and 
bone health in children and adolescents, especially childhood 
obesity, anorexia nervosa and other eating disorders. Research 
is also needed on what the optimal vitamin D levels should be 
in children to achieve maximal bone health and the implications 
of chronic seasonal vitamin D deficiency to the growing 
skeleton. Development and testing of therapies and bone-
building drugs for pediatric patients are also a pressing 
clinical need.
    Pediatric Research Acceleration.--The Committee recognizes 
that the NIH and the NICHD in particular use a variety of 
mechanisms to support pediatric research, including condition-
specific centers, clinical trials networks, and the Clinical 
and Translational Science Awards. The Committee nevertheless 
remains concerned as to the overall level of support for 
pediatric biomedical research, particularly for initiatives 
that focus on the continuum from basic to translational 
research; that provide infrastructure support, particularly to 
early-career researchers; and that are connected through a 
networked approach that encourages resource sharing and 
collaboration. The Committee urges the NIH to support a 
networked pediatric research consortia model and requests an 
update on this request in the fiscal year 2012 congressional 
budget justification.
    Preterm Birth and Stillbirth.--The Committee urges the 
NICHD to expand its support of preterm birth related research 
by exploring the feasibility of establishing integrated 
transdisciplinary research centers as recommended by the 
Institute of Medicine and the Surgeon General's Conference on 
the Prevention of Preterm Birth. NICHD is also encouraged to 
take advantage of high-throughput technologies to understand 
the causes of preterm birth and stillbirth, and to support 
genomics, proteomics, and metabolomics studies focusing on 
prediction and prevention of preterm birth and stillbirth, as 
well as the use of existing biobanks.
    Psychosocial Stress in Children.--The NICHD is encouraged 
to develop a program of research to better understand the 
immediate and long-term effects of stress in children, in 
contexts including families of deployed military personnel, and 
experiences in natural disasters and war zones.
    Vulvodynia.--The Committee is encouraged by positive signs 
that the NICHD is devoting greater attention to this long-
neglected condition, especially with regard to stimulating 
interest in the research community and ensuring adequate 
representation of vulvodynia experts on peer-review panels. The 
Committee expects to be updated on progress in these areas. The 
Committee also notes that vulvodynia coexists with other 
persistent pain conditions, including interstitial cystitis, 
fibromyalgia, temporomandibular joint and muscles disorders, 
irritable bowel syndrome, endometriosis, headache and chronic 
fatigue syndrome. The Committee strongly urges the creation of 
a trans-NIH research initiative that will support studies aimed 
at identifying common etiological pathways among these 
disorders, with the goal of developing potential therapeutic 
targets.

                         NATIONAL EYE INSTITUTE

Appropriations, 2010....................................    $706,659,000
Budget estimate, 2011...................................     724,360,000
Committee recommendation................................     723,220,000

    The Committee recommendation includes $723,220,000 for the 
National Eye Institute [NEI]. The budget request for fiscal 
year 2011 is $724,360,000, and the comparable level for fiscal 
year 2010 is $706,659,000.
    Cataracts.--The Committee is encouraged by the NEI's 
collaboration with NASA in developing a new diagnostic 
technology that identifies those at risk for cataract 
development before it is clinically detectable.
    Improving Clinical Practice.--The Committee recognizes the 
NEI's leadership in conducting several comparative 
effectiveness clinical trials to improve ophthalmic care, 
including the Diabetic Retinopathy Clinical Research Network's 
comparison of drug therapies as an alternative to laser 
treatment for diabetic macular edema and proliferative diabetic 
retinopathy. The Committee is also encouraged by the use of new 
analytic techniques to evaluate published data from clinical 
trials for therapies for Primary Open Angle Glaucoma that 
enable researchers to compare the merits of multiple 
interventions without conducting additional clinical trials, 
which will also substantially impact clinical practice.
    Leber Congenital Amaurosis.--The Committee is encouraged by 
recent reports of initial success in treating Leber congenital 
amaurosis with gene therapy and is pleased that the NEI will 
evaluate gene transfer in younger patients with less severe 
disease. The Committee urges the Institute to pursue studies of 
this promising treatment on an expedited basis in other 
genetically inherited, retinal degenerative diseases. The 
Committee requests an update on such efforts in the fiscal year 
2012 congressional budget justification.
    Trachoma.--The Committee is pleased that a recent NEI 
clinical trial of a multi-dose treatment course of the 
antibiotic azithromycin in severely affected communities led to 
the eradication of trachoma, the leading cause of blindness in 
the developing world.
    Training Program.--The Committee is pleased that the NEI is 
committed to developing the next generation of vision 
researchers by expanding its institutional training grant 
program with a program in ocular statistical genetics to 
provide the vision research community with expertise in 
mathematics, modeling, and computation.

          NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2010....................................    $689,462,000
Budget estimate, 2011...................................     707,339,000
Committee recommendation................................     706,227,000

    The Committee recommendation includes $706,227,000 for the 
National Institute of Environmental Health Sciences [NIEHS]. 
The budget request for fiscal year 2011 is $707,339,000, and 
the comparable level for fiscal year 2010 is $689,462,000.
    Alternative Methods of Testing.--The Committee supports the 
implementation of the National Research Council's report 
``Toxicity Testing in the 21st Century: A Vision and a 
Strategy'' to create a new paradigm for risk assessment based 
on use of advanced molecular biological methods in lieu of 
animal toxicity tests. The Committee urges the NIH to play a 
leading role by funding relevant intramural and extramural 
research projects. Current activities at the NIESH, the NIH 
Chemical Genomics Center and the Environmental Protection 
Agency show considerable potential, and the NIH is strongly 
encouraged to explore additional opportunities to augment this 
effort.
    Endocrine Disruption.--The Committee urges the NIEHS to 
continue to increase its research in the effects of endocrine-
disrupting chemicals on women's health outcomes. The Committee 
requests an update on these efforts in the fiscal year 2012 
congressional budget justification.
    Genes and Environment Initiative.--The Committee continues 
to support NIEHS's leadership in this trans-Institute 
initiative.
    Sister Study and Breast Cancer.--The Committee requests an 
update on this important study in the fiscal year 2012 
congressional budget justification.
    Women's Health and the Environment.--The Committee urges 
the NIEHS to increase its research in several areas of special 
importance to women's health: exposures that may initiate or 
promote autoimmune diseases; exposures associated with risk of 
uterine fibroids; the effects of engineered nanomaterials in 
consumer products, especially cosmetics and personal care 
products; and environmental exposures that are associated with 
increased time to pregnancy.

                      NATIONAL INSTITUTE ON AGING

Appropriations, 2010....................................  $1,109,634,000
Budget estimate, 2011...................................   1,142,337,000
Committee recommendation................................   1,140,547,000

    The Committee recommendation includes $1,140,547,000 for 
the National Institute on Aging [NIA]. The budget request for 
fiscal year 2011 is $1,142,337,000, and the comparable level 
for fiscal year 2010 is $1,109,634,000.
    Age-related Bone Loss.--The Committee encourages research 
to better define the causes of frailty, age-related bone loss 
and fractures, and reduced physical performance, including 
identifying epigenetic changes, with the aim of translating 
basic and animal studies into novel therapeutic approaches. The 
prevention and treatment of other metabolic bone diseases, 
including osteogenesis imperfect, glucocorticoid-induced 
osteoporosis, and bone loss due to kidney disease, should also 
be priority research areas.
    Behavioral Economics.--The Committee is pleased with the 
NIA's focus on this emerging area of research, which is 
yielding insights into the neural and behavioral underpinnings 
of a variety of social and economic behaviors, and the 
Committee encourages additional work on this topic.
    Demographic and Economic Research.--The Committee urges the 
NIA to continue to invest in its demographic research 
portfolio, particularly large-scale longitudinal studies such 
as the Health and Retirement Study. The Committee also urges 
the NIA to continue working with other Federal agencies, 
including the Fogarty International Center, to support and 
expand its investment in national and international demographic 
research projects.
    Roybal Centers for Translational Research on Aging.--The 
Committee urges the NIA to continue supporting these important 
centers.

 NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES

Appropriations, 2010....................................    $538,773,000
Budget estimate, 2011...................................     555,715,000
Committee recommendation................................     554,846,000

    The Committee recommendation includes $554,846,000 for the 
National Institute of Arthritis and Musculoskeletal and Skin 
Diseases [NIAMS]. The budget request for fiscal year 2011 is 
$555,715,000, and the comparable level for fiscal year 2010 is 
$538,773,000.
    Bone Loss.--The Committee urges support for research into 
the pathophysiology of bone loss in diverse populations in 
order to develop targeted therapies to reduce fractures and 
improve bone density, bone quality and bone strength.
    Epidermolysis Bullosa [EB].--The Committee is aware that EB 
is a group of heritable skin-blistering conditions for which 
there is no cure. The Committee commends NIAMS for its support 
of EB research and encourages continued and enhanced efforts to 
address this painful and disabling condition.
    Marfan Syndrome.--The Committee commends NIAMS for its 
continued support of collaborative, multi-investigator research 
related to Marfan syndrome and encourages expanded support for 
research on the orthopedic manifestations of the disease.
    Outcomes Measurement.--The Committee notes with approval 
the success of the NIAMS-led PROMIS initiative, which aims to 
revolutionize the way patient-reported outcome tools are chosen 
and used in clinical research and practice.
    Scleroderma.--The Committee continues to prioritize 
research on scleroderma and commends the Institute for its work 
in this area. The Committee requests an update on the NIAMS 
scleroderma research portfolio as part of its fiscal year 2012 
congressional budget justification.
    Temporomandibular Joint Disorders [TMJDs].--As the 
temporomandibular joint is a joint in the body, the Committee 
continues to believe that its inclusion in the NIAMS portfolio 
is clearly warranted. NIAMS scientific expertise and funding 
would greatly accelerate the basic and clinical understanding 
of this joint, which is critical to such functions as speaking, 
breathing, eating, swallowing and making facial expressions. 
The Committee calls on NIAMS to collaborate with the NIDCR to 
develop multidisciplinary research teams involving 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 jaw joint pathology. 
NIAMS 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. The Committee requests a response from 
NIAMS, in addition to the response from NIDCR, in the fiscal 
year 2012 congressional budget justification.

    NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS

Appropriations, 2010....................................    $418,594,000
Budget estimate, 2011...................................     429,007,000
Committee recommendation................................     428,331,000

    The Committee recommendation includes $428,331,000 for the 
National Institute on Deafness and Other Communication 
Disorders [NIDCD]. The budget request for fiscal year 2011 is 
$429,007,000, and the comparable level for fiscal year 2010 is 
$418,594,000.
    Early Detection and Intervention.--The Committee urges 
continued support for research on early detection, diagnosis 
and intervention of children with hearing loss. The NIDCD is 
encouraged to fund studies that follow speech, language, voice, 
and auditory behavior outcomes for children identified early in 
life and for children using various hearing devices and 
interventions.
    Hair Cell Regeneration.--The Committee continues to place a 
high priority on research involving hair cell regeneration and 
stem cells.
    Hearing Aids and Cochlear Implants.--The Committee strongly 
encourages the NIDCD to support research to make hearing aids 
more accessible to the millions of Americans with mild to 
moderate hearing loss. It urges investigative collaborations 
into low-cost hearing aids between industry, scientists, 
clinicians and consumers so that more of the population who 
need hearing aids can obtain them at affordable costs. 
Regarding cochlear implants, the Committee recognizes the need 
to study the expansion of electrical speech processing in 
children and adults, and to conduct research into mechanisms of 
acoustic hearing loss in subjects using acoustic plus electric 
speech processing.
    Noise and Environmentally Induced Hearing Loss.--The 
Committee recognizes that while there is increasing 
susceptibility to noise and environmentally induced hearing 
loss as one ages, young individuals are also at risk. The 
Committee urges the NIDCD to study how to identify school-age 
children with sound-induced hearing loss and address its 
negative consequences on their academic achievements and social 
interactions. It understands the potentially deleterious 
effects of noise and environmental pollutants in water and air 
on the inner ear's hair cells, synapses and auditory nerve and 
encourages studies of protective agents. It recommends 
research, including proteomic studies, to identify, 
characterize and prevent effects of toxicants, including such 
chemicals as lead, mercury and carbon monoxide on hearing, 
especially during aging, and during prenatal and early 
postnatal development. The Committee also commends the NIDCD 
for its efforts to raise public awareness of the omnipresent 
threats to the auditory system posed by environmental noise.
    Otitis Media.--The Committee recognizes the threat to 
infants' and children's health and development from ear 
infection. The Committee therefore urges the NIDCD to 
accelerate its support to investigate the pathogenesis of ear 
infection and its consequences. Studies should include 
identification of genetic risk factors; new treatments for 
chronic and recurrent otitis media; new methods for delivery of 
drugs to the middle ear; and development of vaccines.
    Plasticity.--The Committee continues to support research on 
functional changes of synapses of the central auditory nervous 
system, including the cortex, following developmental hearing 
loss. It encourages research that builds on understanding of 
the dramatic dysfunction that occurs and explores experimental 
approaches to restoration of normal function of these synapses. 
Basic research of ways to use auditory training/learning tasks 
to restore perception in normal adult subjects and those with 
auditory or vestibular deficits is also recommended.
    Presbycusis.--The Committee urges the NIDCD to continue its 
support of physiological and neurological studies of the 
peripheral and central mechanisms of presbycusis.
    Tinnitus.--The Committee commends NIDCD for hosting a 
multi-agency collaborative workshop to support new and expanded 
research into tinnitus. The Committee recommends that the NIDCD 
expand its research into causal mechanisms underlying 
peripheral and central tinnitus and pursue research devoted to 
preventions, treatments and cures of this prevalent disorder, 
which is also the largest service-connected disability for 
returning military personnel.
    Vestibular Research.--The Committee continues to urge the 
NIDCD to conduct vestibular research in animal models and 
humans to improve the diagnosis, intervention strategies and 
treatment of vertigo and balance disorders, including studies 
to prevent the severe vertigo attacks and disequilibrium 
associated with Meniere's disease.

                 NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2010....................................    $145,578,000
Budget estimate, 2011...................................     150,198,000
Committee recommendation................................     149,963,000

    The Committee recommendation includes $149,963,000 for the 
National Institute of Nursing Research [NINR]. The budget 
request for fiscal year 2011 is $150,198,000, and the 
comparable level for fiscal year 2010 is $145,578,000.

           NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2010....................................    $462,098,000
Budget estimate, 2011...................................     474,649,000
Committee recommendation................................     473,904,000

    The Committee recommendation includes $473,904,000 for the 
National Institute on Alcohol Abuse and Alcoholism [NIAAA]. The 
budget request for fiscal year 2011 is $474,649,000, and the 
comparable level for fiscal year 2010 is $462,098,000.
    Collaboration With State Substance Abuse Agencies.--The 
Committee applauds the NIAAA for working with State substance 
abuse agencies and encourages collaborative initiatives to 
ensure that research findings are relevant and adaptable by 
publicly funded State substance abuse systems.
    Comorbidity. --The Committee recognizes that information 
from NIAAA's National Epidemiologic Survey of Alcohol Related 
Conditions and the National Longitudinal Alcohol Epidemiologic 
Survey has transformed our understanding of alcohol use 
disorders in the U.S. population at large. These unique 
resources have provided important information on the extent and 
nature of alcohol use disorders and their relationship to other 
substance use problems and co-occurring mental disorders.

                    NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2010....................................  $1,059,288,000
Budget estimate, 2011...................................   1,094,078,000
Committee recommendation................................   1,092,369,000

    The Committee recommendation includes $1,092,369,000 for 
the National Institute on Drug Abuse [NIDA]. The budget request 
for fiscal year 2011 is $1,094,078,000, and the comparable 
level for fiscal year 2010 is $1,059,288,000.
    Behavioral Genetics.--The Committee encourages NIDA's 
continued investment in behavioral genetics, especially in 
studies that combine genetic and behavioral approaches. The 
Committee particularly commends research on the relationships 
among behavior, genetics and nicotine addiction, and how they 
impact cognitive function.
    Blending Research and Practice.--The Committee is pleased 
with the continued success and progress of NIDA's National Drug 
Abuse Treatment Clinical Trials Network, enabling an expansion 
of treatment options for providers and patients, and applauds 
NIDA for its collaborative Blending Initiative with SAMHSA.
    Comparative Effectiveness Research.--The Committee 
encourages NIDA to continue its investment in comparative 
effectiveness research so that proven models of drug abuse 
prevention and treatment can be further refined.
    Engaging the Medical Community.--The Committee is pleased 
with NIDAMed, an initiative designed to reach out to 
physicians, physicians in training, and other healthcare 
professionals regarding substance abuse. The Committee also 
supports NIDA's ongoing efforts around the Centers of 
Excellence for Physician Information and its Screening, Brief 
Intervention, and Referral to Treatment initiative. The 
Committee urges the Institute to continue its focus on 
activities to provide physicians and other medical 
professionals with the tools and skills needed to incorporate 
NIDA-funded research findings into their clinical practices.
    HIV/AIDS and Criminal Justice Populations.--The Committee 
is concerned about drug abuse and HIV/AIDS in criminal justice 
populations, and it supports research efforts to empirically 
test the ``seek, test, and treat'' paradigm. NIDA should 
continue its initiative in this area, which will yield 
important linkages to appropriate health services and effective 
HIV prevention, intervention, and treatment in these 
populations.
    Medications Development.--The Committee encourages NIDA to 
continue to support research to develop new, effective 
medications that could, either by themselves or combined with 
validated behavioral therapies, help alleviate the personal and 
social impact of this complex disease.
    Military Personnel, Veterans, and Their Families.--The 
Committee understands that NIDA has joined with the VA and two 
other NIH Institutes to support research on substance abuse and 
associated problems among U.S. military personnel, veterans, 
and their families. Many returning military personnel need help 
confronting a variety of war-related problems including 
traumatic brain injury, post-traumatic stress disorder, 
depression, anxiety, sleep disturbances, and substance abuse, 
including tobacco, alcohol, and other drugs. Many of these 
problems are interconnected and contribute to individual health 
and family relationship crises, yet there has been little 
research on how to prevent and treat the unique characteristics 
of wartime-related substance abuse issues. The Committee 
commends NIDA for this crucial work and asks for an update in 
the fiscal year 2012 congressional budget justification.
    Pulmonary Hypertension.--The Committee commends NIDA for 
its interest in pulmonary hypertension related to 
methamphetamine abuse and requests an update in the fiscal year 
2012 congressional budget justification on efforts to initiate 
a large scale survey to access the frequency of pulmonary 
hypertension in methamphetamine users.
    Relapse Prevention.--The Committee applauds the NIDA for 
supporting emerging research on the use of cognitive-enhancing 
therapy to reduce drug abuse relapse. The Committee understands 
that this research is currently conducted with animal models, 
and it encourages the NIDA to support research that tests this 
model in clinical populations.
    Teens and Drug Abuse.--The Committee commends NIDA for its 
educational efforts to raise awareness among teens regarding 
the harmful health effects associated with drugs of abuse.
    Tobacco Addiction.--The Committee applauds the recent 
progress of NIDA-supported researchers toward identifying 
genetic factors that contribute to nicotine dependence and 
affect the efficacy of smoking cessation treatments, and it 
urges NIDA to continue developing much-needed evidence-based 
treatments, medications, and prevention strategies to combat 
nicotine addiction.

                  NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2010....................................  $1,489,569,000
Budget estimate, 2011...................................   1,540,345,000
Committee recommendation................................   1,537,942,000

    The Committee recommendation includes $1,537,942,000 for 
the National Institute of Mental Health [NIMH]. The budget 
request for fiscal year 2011 is $1,540,345,000, and the 
comparable level for fiscal year 2010 is $1,489,569,000.
    Behavioral Management Drugs for Children.--The Committee is 
aware that powerful psychotropic medications are being 
prescribed for children as young as 5 years old. The NIMH is 
encouraged to expand its research to better understand the 
effects these medications have on the development of children, 
as well to support research on treatment modalities that will 
lessen both providers' reliance and children's dependence on 
these medications for behavior management.
    Children's Mental Health.--Early diagnosis, prevention, and 
treatment is critical for the millions of families affected by 
autism, attention deficit hyperactivity disorder, anxiety 
disorders, depression, bipolar disorder, and eating disorders. 
The NIMH is encouraged to continue supporting clinical trials 
to demonstrate the evidence base for effective pharmacological 
and behavioral interventions and treatments for child and 
adolescent populations with these disorders.
    Dissemination of Research Results.--The Committee commends 
the NIMH for leading a multi-Institute research initiative to 
identify, develop, and refine effective methods for 
disseminating and implementing research-tested health behavior 
change interventions into public health and clinical practice 
settings.
    Immigrant Health.--The Committee recognizes that immigrants 
to the United States experience unique stresses, prejudice and 
poverty, and it urges the NIMH to direct research on the 
adaptation, development, health, and mental health needs of 
diverse immigrant populations.

                NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2010....................................    $515,799,000
Budget estimate, 2011...................................     533,959,000
Committee recommendation................................     533,127,000

    The Committee recommendation includes $533,127,000 for the 
National Human Genome Research Institute [NHGRI]. The budget 
request for fiscal year 2011 is $533,959,000, and the 
comparable level for fiscal year 2010 is $515,799,000.

      NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2010....................................    $316,405,000
Budget estimate, 2011...................................     325,925,000
Committee recommendation................................     325,415,000

    The Committee recommendation includes $325,415,000 for the 
National Institute of Biomedical Imaging and Bioengineering 
[NIBIB]. The budget request for fiscal year 2011 is 
$325,925,000, and the comparable level for fiscal year 2010 is 
$316,405,000.
    Bone Disease.--The Committee encourages research on bone 
diseases and disorders utilizing bone imaging. The Committee 
further encourages the Institute to use engineering strategies 
to replace and regenerate bone and soft tissue affected by 
trauma.

                 NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2010....................................  $1,268,329,000
Budget estimate, 2011...................................   1,308,741,000
Committee recommendation................................   1,306,695,000

    The Committee recommendation includes $1,306,695,000 for 
the National Center for Research Resources [NCRR]. The budget 
request for fiscal year 2011 is $1,308,741,000, and the 
comparable level for fiscal year 2010 is $1,268,329,000.
    Under the Committee's recommendation, a portion of the 
costs of the Clinical and Translational Science Awards [CTSAs] 
program will continue to shift to the NCRR from the Common 
Fund. The Committee recommendation includes a total of 
$500,403,000 for the CTSAs in fiscal year 2011, divided as 
follows: $477,700,000 from the NCRR, compared with $457,700,000 
in fiscal year 2010; and $22,703,000 from the Common Fund, down 
from $25,425,000 in fiscal year 2010. The fiscal year 2010 
total for CTSAs was $482,945,000.
    Chimpanzee Breeding.--The Committee is aware that the NCRR 
instituted a breeding moratorium on chimpanzees that it owns 
and supports in 1995, and that in 2007 it reaffirmed that 
moratorium by declaring, ``NCRR has determined that it does not 
have the financial resources to support the breeding of 
chimpanzees that are owned or supported by NCRR.'' 
Nevertheless, disturbing questions have been raised about 
whether this moratorium is being followed at the New Iberia 
Research Center [NIRC], which is supported by the NCRR and 
maintains a mix of chimpanzees that are federally owned and 
privately owned. Records provided by the NIRC to animal rights 
groups suggest that in the case of as many as 123 infant 
chimpanzees born at the NIRC since 2000, either the dam or the 
sire, or both, were federally owned. The Committee asks the 
NCRR to investigate this matter promptly, take all steps 
necessary to ensure that the NIRC is complying with the 
moratorium, and update the Committee on the results.
    Human Tissue Supply.--The Committee remains committed to 
matching the increased needs of NIH-funded researchers who rely 
upon human tissues and organs to study human diseases and 
search for cures. Therefore, the Committee encourages the NCRR 
to increase its core support for its nationwide human tissue 
and organ procurement network and urge other Institutes to 
expand their support as well.
    Primate Research.--The Committee continues to support the 
National Primate Research Centers [NPRCs], which provide the 
necessary facilities, animal models, animal care experts, and 
the translational research scientists for NIH-supported 
institutions to conduct nonhuman primate research that is 
essential to improving human health.
    Research Centers at Minority Institutions [RCMI].--The 
Committee continues to support the RCMI program and encourages 
the NCRR to strengthen participation from the minority health 
professions schools.

       NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE

Appropriations, 2010....................................    $128,772,000
Budget estimate, 2011...................................     132,004,000
Committee recommendation................................     131,796,000

    The Committee recommendation includes $131,796,000 for the 
National Center for Complementary and Alternative Medicine 
[NCCAM]. The budget request for fiscal year 2011 is 
$132,004,000, and the comparable level for fiscal year 2010 is 
$128,772,000.

      NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2010....................................    $211,474,000
Budget estimate, 2011...................................     219,046,000
Committee recommendation................................     218,705,000

    The Committee recommendation includes $218,705,000 for the 
National Institute on Minority Health and Health Disparities 
[NIMHD], which was elevated from center status this year by the 
Patient Protection and Affordable Care Act. The budget request 
for fiscal year 2011 is $219,046,000, and the comparable level 
for fiscal year 2010 is $211,474,000.
    The Committee is pleased with the Centers of Excellence 
program, which sponsors multidisciplinary and interdisciplinary 
research on debilitating diseases affecting health disparities 
populations. The Committee also recognizes the importance of 
the research endowment program, which promotes health 
disparities research capacity building, recruits diverse 
faculty, and enhances recruitment and retention of 
underrepresented students.
    Urban-based Network.--The Committee encourages the 
Institute to support a new network of urban-based academic 
institutions focused on, and with demonstrated commitment and 
capacity to, addressing recruitment and training needs of 
minority and urban underserved populations and reducing health 
disparities in these urban communities.

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

Appropriations, 2010....................................     $69,997,000
Budget estimate, 2011...................................      73,027,000
Committee recommendation................................      72,914,000

    The Committee recommendation includes $72,914,000 for the 
Fogarty International Center [FIC]. The budget request for 
fiscal year 2011 is $73,027,000, and the comparable level for 
fiscal year 2010 is $69,997,000.
    Global Health Research Training and Workforce Capacity.--
The Committee believes that the U.S. effort to improve health 
in the developing world can only succeed if other countries can 
contribute the necessary expertise and knowledge to fight 
malaria, neglected tropical diseases, and other infectious 
diseases that disproportionately impact the global poor. The 
FIC plays a strong role by supporting long-term research and 
training partnerships between U.S. research institutions and 
those in developing countries. The Committee supports the FIC's 
continued work in this area.

                      NATIONAL LIBRARY OF MEDICINE

Appropriations, 2010....................................    $350,557,000
Budget estimate, 2011...................................     364,802,000
Committee recommendation................................     364,254,000

    The Committee recommendation includes $364,254,000 for the 
National Library of Medicine [NLM]. The budget request for 
fiscal year 2011 is $364,802,000, and the comparable level for 
fiscal year 2010 is $350,557,000. An additional $8,200,000 is 
made available from program evaluation funds. Of the funds 
provided, $4,000,000 is for improvement of information systems, 
to remain available until expended.
    Access to Research Information.--The Committee applauds the 
NLM and the Nation's medical librarians for their continuing 
efforts to improve public access to biomedical information, and 
it encourages the NLM to continue to work with the network of 
medical libraries to ensure rapid access to valuable health 
information.
    Disaster Information Management.--The Committee encourages 
NLM's continued efforts to identify and implement best 
practices for providing information during disasters, develop 
innovative products and services to serve emergency responders 
and preparedness activities, and conduct research to support 
disaster health information management and recovery efforts. 
The Committee also encourages the NLM to make accessible the 
broad range of literature on disaster health, including an 
information portal for traumatic brain injury and post 
traumatic stress disorders.
    Funding Needs.--The Committee is concerned that NLM funding 
of extramural research and training programs has declined 
precipitously, to the point where research opportunities across 
the full range of biomedical informatics are being deferred, 
and the necessary cadre of trained informatics scientists and 
innovators is lacking. The Committee encourages the NLM to 
contract with the National Research Council of the National 
Academies of Science to provide: (1) an assessment of the 
extramural biomedical informatics training programs supported 
by the NLM, including funding trends and the career paths of 
graduates; (2) an assessment of both current and past 
biomedical informatics extramural research activities funded by 
the NLM; (3) an assessment of the funding available for 
extramural biomedical informatics research and education, 
including trends over time; (4) the identification of promising 
research opportunities that are not represented in the current 
NLM portfolio; and (5) an estimate of funding needed to support 
additional opportunities in biomedical informatics research and 
education programs, including recommendations on such funding 
goals as the field evolves further over the next decade.
    Public Access.--The Committee strongly supports the NIH's 
public access policy. As the last report on the policy's 
implementation was completed in July 2008, shortly after it 
became mandatory, the Committee requests a follow-up report by 
May 1, 2011. The report should address updated figures on 
participation rates by authors, collaborations with publishers, 
and efforts to ensure compliance by NIH-funded researchers. In 
a related matter, NLM international partners are now depositing 
their manuscripts in PubMed Central, enhancing the benefits of 
this database to U.S. researchers. The Committee believes the 
results of NIH-funded research should likewise be shared with 
these NLM partners, further accelerating the discovery process 
and advancing global public health.

                         OFFICE OF THE DIRECTOR

Appropriations, 2010....................................  $1,176,844,000
Budget estimate, 2011...................................   1,220,478,000
Committee recommendation................................   1,268,580,000

    The Committee recommendation includes $1,268,580,000 for 
the Office of the Director [OD]. The budget request for fiscal 
year 2011 is $1,220,478,000, and the comparable level for 
fiscal year 2010 is $1,176,844,000.
    Within this total, the Committee recommendation includes 
bill language appropriating $50,000,000 to create the Cures 
Acceleration Network, which was newly authorized in the Patient 
Protection and Affordable Care Act. The Committee believes this 
program offers exciting potential to help speed the translation 
and application of promising new treatments for diseases. CAN 
will be administered under the Office of the Director and is 
authorized to make grants to biotech companies, universities, 
and patient advocacy groups to target new discoveries that have 
shown potential at the laboratory level but have not advanced 
far enough to attract significant investments from the private 
sector. Specifically, CAN will focus on funding the development 
of ``high need cures,'' which are defined as drugs, biological 
products, or medical devices that the NIH Director determines 
to be a priority ``to diagnose, mitigate, prevent, or treat 
harm from any disease or condition, and for which the 
incentives of the commercial market are unlikely to result in 
its adequate or timely development.'' CAN is also intended to 
reduce the barriers between laboratory discoveries and clinical 
trials for new therapies and facilitate FDA review for the high 
need cures funded by CAN.
    Two types of awards are authorized-grant awards and 
partnership awards, the latter of which require a $1 to $3 
match. In both cases, the grants may be a maximum of 
$15,000,000 per project in the project's first fiscal year. Up 
to 20 percent of the appropriated funds may be used to obligate 
funds through ``other transactions,'' which are funding 
agreements or mechanisms that are not grants, contracts, or 
cooperative agreements, and are intended to provide additional 
flexibility akin to that of the Department of Defense's Defense 
Advanced Research Projects Agency [DARPA].
    The Committee hopes to fund CAN at higher levels in future 
years, but notes that there will be limited time in fiscal year 
2011 to award grants through this program, considering that a 
CAN Review Board must first be established.
    The Committee appreciates the information that the NIH 
provides each year on how each Institute and Center plans to 
use its appropriation by mechanism, both in the annual 
congressional budget justification and again in an update it 
provides by August 1 each year. The Committee understands that 
small changes in mechanism totals may occur between August 1 
and the end of the fiscal year as grants are awarded. 
Therefore, the Committee requests that the NIH begin providing 
the final mechanism totals for each fiscal year, in table form, 
by November 30.
    National Children's Study.--The Committee includes bill 
language providing $194,400,000 for continuation of the 
National Children's Study [NCS]. The Committee appreciates the 
improvements to the management and oversight of this study that 
have occurred in the past year. While the implementation of the 
main study has been delayed, the Committee believes this will 
allow more time to evaluate the project's scope and cost, and 
allow the NIH and Congress to make better-informed decisions 
about its future.

       OFFICE OF BEHAVIORAL AND SOCIAL SCIENCES RESEARCH [OBSSR]

    Basic Behavioral and Social Sciences.--The Committee is 
pleased that the Basic Behavioral Opportunity Network (OppNet) 
was launched in fiscal year 2010 with the support of 24 
Institutes and Centers and the NIH Director. The Committee has 
addressed basic behavioral science in many previous reports, 
and it applauds NIH's recognition that basic behavioral 
research is essential in efforts to improve the Nation's 
health. The Committee understands that OppNet represents a 
minimum of a 5-year, cross-NIH initiative designed to fill 
critical gaps in the NIH's basic behavioral research 
enterprise. The Committee requests an update on OppNet's 
progress in the fiscal year 2012 congressional budget 
justification.

                     OFFICE OF RARE DISEASES [ORD]

    Dystonia Consortium.--The Committee commends the ORDR for 
providing funding for 19 research consortia including the 
Dystonia Coalition, as part of the second phase of the Rare 
Diseases Clinical Research Network. The Committee requests an 
update on the Dystonia Coalition research activities in the 
fiscal year 2012 congressional budget justification.

              OFFICE OF RESEARCH ON WOMEN'S HEALTH [ORWH]

    The Committee commends the ORWH for convening a series of 
town hall meetings across the Nation to receive input from 
stakeholders regarding the strategic direction of women's 
health research over the next decade. The Committee encourages 
the ORWH to continue its dialogue with the scleroderma and 
pulmonary hypertension communities in this regard.
    Health Disparities Research in Women.--Women of racial and 
ethnic minorities face higher rates of diseases including 
obesity, cancer, diabetes, heart disease, and HIV/AIDS, when 
compared with white women. There is also a disproportionately 
higher rate of pre-term birth among African-American women that 
cannot be accounted for by known risk factors. The Committee 
encourages the ORWH to support research into the causes of 
health disparities and develop and evaluate interventions to 
address these causes. The Committee also understands that 
continued and expanded collection of data capturing racial and 
ethnic information is essential in understanding and reducing 
disparities.
    Stroke in Women.--The Committee encourages the ORWH to 
support research to determine the biologic basis, including 
studies of genetic susceptibility factors, as to why brain 
aneurysms are much more frequent in women compared to men, 
particularly at younger ages, and initiatives to advance the 
understanding of stroke care in women, including poststroke 
rehabilitation, and the identification of stroke treatment and 
rehabilitation.
    Vulvodynia.--The Committee notes the lack of resources 
allocated to the vulvodynia educational campaign in fiscal 
years 2009 and 2010, and it urges the Director to reinvigorate 
this initiative by allocating sufficient resources to expanding 
the scope of this important effort. Developed educational 
materials should be widely disseminated to Federal funded 
health centers and college health clinics, as well as to the 
public, patient and medical communities. In addition, the 
Committee requests that the ORWH support a vulvodynia 
conference to be held in fiscal year 2011.

                  MULTI-INSTITUTE RESEARCH INITIATIVES

    Amyotrophic Lateral Sclerosis [ALS].--The Committee urges 
the NIH to collaborate and develop partnerships with voluntary 
health associations and Government agencies, including the Food 
and Drug Administration, in implementing programs targeting 
those with ALS and other conditions with unmet medical needs. 
NIH's collaboration with FDA to fast track innovations that 
focus on translational and regulatory science is an example of 
the type of partnership that may speed the delivery of new 
treatments to people with ALS.
    Angiogenesis.--The Committee supports the ongoing research 
on angiogenesis to examine the ability to detect and treat 
diseases at early stages. The Committee strongly encourages the 
Director to coordinate with all relevant Institutes to study 
correlation of platelet proteomes to angiogenesis with the goal 
of developing a health marker.
    Autoimmune Diseases.--The Committee urges the Director to 
facilitate increased basic research on environmental triggers 
and biomarkers of autoimmune diseases in collaboration with the 
Directors of related research Institutes through the NIH 
Autoimmune Diseases Coordinating Committee. The Committee 
believes that basic research is needed to identify the 
mechanisms that drive the autoimmune response.
    Basic Cell Research.--The Committee believes that the 
funding of basic biomedical research is an important investment 
in the future health and well-being of our Nation. Ideas that 
may one day result in the development of cures and treatments 
for cancer and other diseases begin with basic research into 
the understanding of how cells work. The Committee believes 
that basic biomedical research should remain a key component of 
both the intramural and extramural research portfolio at the 
NIH.
    Career Development Awards.--The Committee recognizes the 
role of clinical researchers as a primary resource for 
advancement and innovation in biomedical science. In order to 
ensure and expand the pool of highly talented patient-oriented 
researchers, the Committee supports the preservation of K 
awards as a critical training mechanism.
    Chronic Fatigue.--The Committee is aware that in October 
2009, a group of researchers announced that it had performed 
blood tests on patients with Chronic Fatigue Syndrome [CFS] and 
found sufficient evidence of the presence of xenotropic murine 
leukemia virus-related virus [XMRV] to suggest a correlation 
between XMRV and CFS. While the work has not yet been 
replicated, the reported research warrants further discussion 
and investigation. The Committee is aware that NIH will host an 
international symposium on XMRV in September 2010 to address 
the pathogenesis and clinical and public health implications of 
the XMRV virus and to obtain input in developing a coordinated 
strategy for XMRV research. The Committee also is aware that 
the second State of the Knowledge Conference is being planned 
by the Trans-NIH Working Group on Chronic Fatigue Syndrome for 
2011 and is encouraged that this conference will likely make 
additional recommendations about future funding opportunities 
for XMRV and CFS research.
    Class B Animal Dealers.--The Committee noted with strong 
interest the April 2010 report issued by the NIH titled ``The 
Use of Random Source Class B Dealers in NIH-Supported 
Research.'' The report concludes that the best way to phase out 
the use of class B dealers as the providers for random-source 
dogs and cats in NIH-supported research is to supplement class 
A dealers so that they can provide these animals instead. The 
3- to 4-year timeline projected by the NIH to complete this 
transition is longer than the Committee would have preferred, 
especially considering that the NIH largely ignored this issue 
for years. However, the Committee is pleased that the NIH is on 
track to meet the early milestones of this timeline. The 
Committee expects this pace to continue and requests an update 
in the fiscal year 2012 congressional budget justification.
    Clinical and Translational Science Awards [CTSAs].--The 
Committee strongly supports the CTSA program, a nationwide 
network of research institutions that aims to increase the 
translation of basic science, speed the delivery of treatments 
and cures to the public, and foster the development of the next 
generation of diverse, highly trained clinical and 
translational science professionals. The Committee believes 
that greater involvement from all 27 Institutes and Centers 
[ICs] would help the program reach its full potential. 
Therefore, the Committee requests that the Director consider 
developing a formal, NIH-wide plan on how to align the CTSAs 
with the programmatic and funding priorities of the ICs.
    Communication of Research Findings.--The Committee is 
pleased that the NIH has continued to support NIH MedlinePlus 
magazine, which provides consumers and health professionals 
with easy-to-read health information based on the latest NIH-
supported research, and a new bilingual version of the 
magazine, NIH MedlinePlus Salud. While the bulk of the support 
for the magazine comes from the NLM, the Committee urges the 
Director to work with the Institutes and Centers to provide the 
resources necessary to increase the distribution of these 
important sources of consumer health information to reach all 
physician offices, federally qualified health centers, 
hospitals, libraries and free-standing health clinics.
    Diabetes.--The Committee recognizes that more research and 
education is needed on the disparate effects of diabetes on 
minority populations. Therefore, the Committee urges the NIH to 
expand, intensify, and support ongoing research and other 
activities with respect to pre-diabetes and diabetes in 
minority populations, including research to identify clinical, 
socioeconomic, geographical, cultural, and organizational 
factors that contribute to diabetes in such populations. 
Specifically, the Committee encourages NIH to research behavior 
and obesity; environmental factors that may contribute to the 
increase in type 2 diabetes in minorities; environmental 
triggers and genetic interactions that lead to the development 
of type 2 diabetes in minority newborns; genes that may 
predispose individuals to the onset of type 1 and type 2 
diabetes and its complications; methods and alternative 
therapies to control blood glucose; and diabetic and 
gestational diabetic pregnancies in minority mothers. The 
Committee also asks that the NIH, through the NIMHD and the 
National Diabetes Education Program, mentor health 
professionals to be more involved in weight counseling, obesity 
research and nutrition; provide for the participation of 
minority health professionals in diabetes-focused research 
programs; and encourage increased minority representation in 
diabetes-focused health fields.
    Down Syndrome.--The Committee is pleased that the NINDS is 
co-hosting a conference in December to further identify and 
explore the issues involved in the development of a national 
Down syndrome patient registry and one or more biobanks, and it 
encourages additional support for this effort. As increased 
Federal funding for translational research is important to 
fostering a better understanding of Down syndrome and exploring 
therapeutic treatments, the Director is encouraged to dedicate 
sufficient resources to the implementation of the 2007 NIH 
Research Plan for Down syndrome. Finally, the Committee 
continues to urge the NIH to establish workshops and mentoring 
programs to encourage young researchers and scientists to 
successfully pursue NIH grants for Down syndrome research.
    Fibromyalgia.--The Committee recognizes that fibromyalgia 
is a disorder that impacts the lives of millions of Americans 
and is deeply concerned regarding the lack of a sustained 
commitment to fibromyalgia-specific research at the NIH. While 
NIAMS has been the lead Institute for fibromyalgia, the NINDS 
should also play a key role because of substantial evidence 
implicating pathology within the central nervous system in the 
development and expression of fibromyalgia symptoms, including 
abnormal brain activity, abnormal concentrations of a variety 
of neurotransmitters in cerebrospinal fluid, dysautonomia and 
neuroendocrine dysfunction. The Committee urges both Institutes 
to stimulate interest in this field by supporting additional 
research through all available funding mechanisms and by 
convening a conference to open the door to new scientific 
findings. Areas of particular interest include neurotransmitter 
abnormalities and other neurological problems revealed by prior 
brain and cervical neck imaging studies, as well as further 
investigation of sleep disturbances and genetic factors.
    Lung Disease.--The Committee encourages the Director to 
work with the NHLBI, NIEHS, NIAID, and FIC to develop cross-
Institute initiatives on the causes, identification, treatment 
and prevention of lung disease.
    Lupus.--The Committee continues to support additional 
basic, clinical and translational research on lupus.
    Lyme Disease.--The Committee is encouraged that the NIH has 
signaled its intent to hold a scientific conference on Lyme and 
other tick-borne diseases in coordination with the NIAID. The 
Committee believes that the conference should represent the 
broad spectrum of scientific views on Lyme disease as well as 
individuals with Lyme disease.
    Lymphatic Research and Lymphatic Disease.--The Committee 
applauds the Trans NIH Coordinating Committee for Lymphatic 
Research for the success of recent NIH lymphatic-related 
symposia and for eliciting multidisciplinary extramural 
recommendations from a Lymphatic Research Working Group. The 
Committee is disappointed, however, that the NIH's June 2009 
report on lymphatic research did not fulfill the Committee's 
request ``to set 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.'' Therefore, the Committee again 
asks each of the Institutes and Centers [ICs] with an interest 
in lymphatic research (NHLBI, NCI, NIDDK, NICHD, NINR, NEI, 
NIAID, NIAMS, NIBIB, and ORD) to set forth explicit, 
prospective, actionable plans and implementation strategies for 
each Working Group recommendation for the years 2011-2014, 
including but not limited to: (a) the creation of centralized 
core facilities for experimental molecular and diagnostic 
lymphatic imaging; (b) the development and standardization of 
research reagents; (c) the generation of virtual networks to 
facilitate basic, translational, and clinical research; (d) the 
development of techniques for the quantitative and molecular 
imaging of lymphatic function, lymphatic malformations, and 
lymph nodes; (e) the creation of interdisciplinary programs to 
train new investigators in lymphatic research; (f) the support 
of patient registries and the creation of a lymphatic disease 
tissue bank; (g) the generation and characterization of animal 
models to foster and facilitate investigations in lymphatic 
biology; and (h) the identification of suitable panels of 
biomarkers for lymphatic disease. In addition, the Committee 
once again urges all relevant ICs to continue to expressly 
include lymphatic system research in related funding mechanism 
requests where a lymphatic research component is appropriate.
    Mitochondrial Disease and Dysfunction.--The Committee 
supports the effort to make greater progress in researching 
mitochondrial disease and dysfunction, and believes that the 
Director should therefore continue to prioritize research on 
functional variations in mitochondria under the Transformative 
Research grants program and other Common Fund activities. In 
light of the large number of NIH Institutes and Centers that 
have some involvement in mitochondrial-related research, the 
Committee urges the Director to enhance efforts to coordinate 
and promote such research.
    Neurodegeneration with Brain Iron Accumulation [NBIA].--The 
Committee urges the NINDS, NICHD, NEI and ORDR to put a higher 
priority on research involving NBIA, a group of rare disorders 
for which there is no treatment or cure.
    Neurofibromatosis [NF].--The Committee continues to place a 
high priority on NF and requests an update in the fiscal year 
2012 congressional budget justification on the research being 
supported by the multiple NIH Institutes with an interest in 
this disease.
    Neurogenic Bladder.--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 treatment and management 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.
    Overlapping Chronic Pain Disorders.--The Committee again 
notes the growing body of evidence demonstrating considerable 
overlap among chronic fatigue syndrome, endometriosis, 
fibromyalgia, headache, interstitial cystitis, irritable bowel 
syndrome, temporomandibular joint and muscle disorders, and 
vulvodynia. These poorly understood and neglected conditions 
impact millions of Americans and cost the Nation tens of 
billions of dollars each year. The Committee requested last 
year that the Director coordinate a trans-NIH research 
initiative, and the NIH responded that this work would be 
carried out by the Trans-NIH Working Group for Research of 
Chronic Fatigue Syndrome [CFSWG]. The Committee is not 
satisfied with that response, as the scope of the proposed 
initiative spans well beyond the purview of the CFSWG, and 
strongly urges the NIH to take a more comprehensive approach to 
these conditions. The Committee urges the NIH to promptly 
develop and coordinate, with all relevant ICs, a trans-
Institute research initiative to support studies aimed at 
identifying etiological pathways of these overlapping 
conditions with the goal of identifying potential therapeutic 
targets.
    Pain.--The Committee applauds the NIH for entering into 
negotiations with the Institute of Medicine to convene a 
``Conference on Pain'' to develop recommendations on how to 
significantly improve the state of pain research, assessment, 
diagnosis, treatment, and management, as authorized by the 
Patient Protection and Affordable Care Act [PPACA]. The 
Committee urges the NIH to assure that appropriate attention is 
given to chronic pain conditions that solely or 
disproportionately impact women, including chronic fatigue 
syndrome, endometriosis, fibromyalgia, interstitial cystitis, 
temporomandibular disorders, and vulvodynia. The Committee also 
urges the NIH to promptly appoint and convene a new Interagency 
Pain Research Coordinating Committee, as described in the 
PPACA. This committee will provide important visibility to 
existing efforts, help identify critical research gaps in this 
field, stimulate pain research collaboration with other 
Government agencies such as the Departments of Defense and 
Veterans Affairs, and provide an important avenue for 
extramural stakeholder involvement as the pain research agenda 
evolves.
    Palliative Care.--The Committee strongly urges the NIH to 
develop a trans-Institute strategy for increasing funded 
research in palliative care for persons living with chronic and 
advanced illness. Research is needed on: treatment of pain and 
common non-pain symptoms across all chronic disease categories, 
which should include cancer, heart, renal and liver failure, 
lung disease, Alzheimer's disease and related dementias; 
methods to improve communication about goals of care and 
treatment options between providers, patients, and caregivers; 
care models that maximize the likelihood that treatment 
delivered is consistent with patient wishes; and care models 
that improve coordination, transitions, caregiver support, and 
strengthen the likelihood of remaining at home.
    Psoriasis.--The Committee recognizes that additional 
genetics, immunology and clinical research focused on 
understanding the mechanisms of psoriasis and psoriatic 
arthritis are needed, and it encourages the NIAID and NIAMS to 
further study the genetic susceptibility of psoriasis; develop 
animal models of psoriasis; identify and examine immune cells 
and inflammatory processes involved in psoriasis; and elucidate 
psoriatic arthritis specific genes and other biomarkers. The 
Committee also recognizes the mounting evidence of co-
morbidities associated with psoriasis and the 50 percent higher 
risk of mortality for people with severe psoriasis. The 
Committee urges the NHLBI to consider these factors in its 
research, specifically that individuals with severe psoriasis 
have an increased risk of heart attack, independent of other 
major risk factors such as hypertension, diabetes and obesity, 
and that for people in their 40s and 50s with severe psoriasis, 
the risk of heart attack is more pronounced. The Committee also 
urges the NIDDK and NIMH to consider in its research that 
diabetes and psychiatric symptoms are more prevalent for 
patients with severe psoriasis than for those with mild 
disease.
    Regenerative Medicine.--The field of regenerative medicine 
represents a unique approach to treating diseases and disorders 
by enabling the body to repair, replace, restore, and 
regenerate damaged or diseased cells, tissues, and organs. The 
Committee believes that the NIH should carefully and 
deliberatively consider how best to organize and undertake 
research in this promising field, with input from experts in 
multiple disciplines. The Committee urges the Director to 
develop a plan that would: assess current research; identify 
research gaps including research methodologies; develop a 
mechanism to allow for the coordination of research between 
Institutes; consider the development of a separate study 
section; and in coordination with FDA, develop clinical trial 
methodologies and measures to assure the safety and efficacy of 
therapies, including data and sample registries. The Committee 
requests a response in the fiscal year 2012 congressional 
budget justification.
    Sex Differences.--The Committee urges the NIH to put a 
higher priority on understanding the basic biology of the 
impact of sex/gender in development, diagnosis, and treatment 
of disease. Topics should include the cellular and molecular 
basis of sex differences in the natural history of development 
of and treatment for disease; a clearer definition of the 
impact of the hormonal milieu on risk and progression of 
diseases in women; and an integrated approach to understanding 
how neurological/physiological factors impact development of 
disease in women. The Committee recommends that study sections 
should be better equipped to evaluate such proposals of sex 
differences in disease, as these typically are complex 
integrated physiological problems requiring a multidisciplinary 
approach. The Committee requests an update on these efforts in 
the fiscal year 2012 congressional budget justification.
    Spinal Muscular Atrophy [SMA].--The Committee is concerned 
that the declining NIH investment in developing treatments for 
SMA comes at a time when treatments are closest to the clinic 
and the community will benefit from NIH support most. When SMA 
was designated by NIH in late 2003 as the model disease for a 
therapeutics development program (the SMA Project), it was 
viewed as an unprecedented opportunity to find treatments for 
this devastating and relatively common childhood disease. The 
Committee strongly supported this NINDS-initiated program to 
enable the development of therapeutic candidates for the 
treatment of SMA. Since then, the Committee understands that 
research supported by private voluntary organizations and the 
NINDS SMA Project have led to multiple potential treatments for 
SMA that are advancing rapidly through the drug development 
pipeline, with the most promising drug candidates expected to 
reach the clinical trials stage within 12 months. To complete 
development of any of these potential new treatments, NIH 
support is needed to put into place the infrastructure for 
clinical trials. The Committee requests an update in the fiscal 
year 2012 congressional budget justification.
    Spinal Muscular Atrophy [SMA] Carrier Screening.--The 
Committee continues to support the development of a pan-ethnic 
carrier screening program for SMA. While the Committee is 
pleased that in October 2009 the NHGRI, NICHD, and NINDS 
collectively sponsored a meeting of representatives from 
government, academia, professional societies, advocacy groups, 
and industry to explore the scientific basis for SMA carrier 
screening, many challenges remain to implementing a 
comprehensive pan-ethnic carrier screening protocol for SMA. 
The Committee is particularly concerned that contradicting 
recommendations from professional societies and inconsistencies 
between various industry-published educational materials for 
SMA carrier screening are creating confusion among 
professionals and the public. The Committee strongly encourages 
the NHGRI, NICHD, and NINDS to collaborate with stakeholder 
groups to develop unified, specific, and consistent 
recommendations, guidelines, and educational materials for 
providers and patients.
    Tuberous Sclerosis Complex [TSC].--The Committee applauds 
the research funded to date by the NIH that has led to a better 
understanding of TSC and its multiple manifestations. The 
Committee encourages the Office of the Director to launch a 
new, multi-Institute approach focused on translational research 
that will lead to the identification of new drug targets and 
new treatments for individuals with TSC. In addition, since TSC 
is a gateway into understanding autism spectrum disorder, the 
Committee encourages NIH to support research in this area.

                        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 includes bill language permitting the OAR to 
use up to $8,000,000 for construction or renovation of National 
Primate Research Centers. This is the same as the fiscal year 
2010 level and the budget request.
    HIV/AIDS Behavioral Research.--The Committee urges the NIH 
to support behavioral research aimed at reducing the likelihood 
of HIV infection by determining risk factors in various 
populations as well as the ways in which interventions need to 
be tailored for specific populations at greatest risk of 
becoming infected.

                        BUILDINGS AND FACILITIES

Appropriations, 2010....................................     $99,985,000
Budget estimate, 2011...................................     125,581,000
Committee recommendation................................     125,420,000

    The Committee recommendation includes $125,420,000 for NIH 
buildings and facilities. The budget request for fiscal year 
2011 is $125,581,000, and the comparable level for fiscal year 
2010 is $99,985,000.

       Substance Abuse and Mental Health Services Administration

Appropriations, 2010....................................  $3,562,701,000
Budget estimate, 2011...................................   3,673,596,000
Committee recommendation................................   3,668,418,000

    The Committee recommends $3,668,418,000 for the Substance 
Abuse and Mental Health Services Administration [SAMHSA] for 
fiscal year 2011. The comparable fiscal year 2010 level is 
$3,562,701,000 and the administration request is 
$3,673,596,000. The recommendation includes $132,234,000 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. In addition, the 
Committee recommends that $40,000,000 be transferred to SAMHSA 
from the Prevention and Public Health Fund.
    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 has provided $159,362,000 for grants 
throughout SAMHSA that fund mental health and substance use 
treatment services targeted to homeless and at-risk families, 
youth and individuals. This funding includes $15,800,000, as 
requested by the administration, for a new inter-Departmental 
Homeless Initiative. In this initiative, mental health and 
substance abuse treatment funding from SAMHSA, together with 
Medicaid resources and housing vouchers from the Department of 
Housing and Urban Development, will be used to demonstrate 
effective approaches to providing permanent supportive housing 
for those who experience chronic, long-term homelessness. The 
Committee notes that research shows a wide range of positive 
benefits from permanent supportive housing programs, such as 
long-term housing stability and lower criminal justice costs, 
as well reductions in emergency room use, hospitalizations and 
other high-cost health services.

                   CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2010....................................  $1,004,869,000
Budget estimate, 2011...................................   1,027,552,000
Committee recommendation................................   1,041,677,000

    The Committee recommends $1,041,677,000 for mental health 
services. The comparable level for fiscal year 2010 is 
$1,004,869,000 and the administration request is 
$1,027,552,000. The recommendation includes $21,039,000 in 
transfers available under section 241 of the Public Health 
Service Act. In addition, the Committee recommends that 
$40,000,000 be transferred to the Center for Mental Health 
Services from the Prevention and Public Health fund. Included 
in the recommendation is funding for programs of regional and 
national significance, the community mental health services 
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 $386,309,000 for programs of 
regional and national significance. The comparable level for 
fiscal year 2010 is $361,352,000 and the administration request 
is $374,184,000. In addition, the Committee recommends that 
$40,000,000 be transferred to this activity from the Prevention 
and Public Health Fund. 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.
    Within the total provided for CMHS programs of regional and 
national significance, the Committee recommendation includes 
funding for the following activities:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                         Budget activity                               2010         Fiscal year      Committee
                                                                    comparable     2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
    Co-Occurring State Incentive Grant..........................           2,168           3,611           3,611
    Seclusion & Restraint.......................................           2,449           2,449           2,449
    Youth Violence Prevention...................................          94,333          94,502          94,502
    National Traumatic Stress Network...........................          40,800          40,800          44,800
    Children and Family Programs................................           9,194           9,194           9,194
    Performance Management and Coordination Activities..........           3,166           3,530           3,530
    Consumer and Family Network Grants..........................           6,236           6,436           6,436
    Mental Health System Transformation & Health Reform.........          29,106          30,924          26,924
        Transformation activities...............................          29,106          26,924          26,924
        Mental Health/Substance Abuse SBIRT.....................  ..............           4,000  ..............
    Project LAUNCH..............................................          25,000          27,000          29,000
    Depression Centers of Excellence............................  ..............  ..............          10,000
    Primary and Behavioral Health Care Integration..............          14,000          14,000          14,000
        Prevention and Public Health Fund (non-add).............          20,000  ..............          40,000
    Community Resilience and Recovery Initiative................           5,000           5,000           5,000
    Suicide Lifeline............................................           5,522           7,522           7,522
    Garrett Lee Smith--Youth Suicide State Grants...............          29,738          30,438          29,738
    Garrett Lee Smith--Youth Suicide Campus Grants..............           4,975           5,400           4,975
    American Indian/Native Suicide Prevention Initiative........           2,944           5,888           5,888
    Homelessness Prevention Programs............................          32,250          39,696          39,696
    Older Adult Programs........................................           4,814           4,814           4,814
    Minority AIDS...............................................           9,283           9,283           9,283
    Criminal and Juvenile Justice Programs......................           6,684           6,684           6,684

SCIENCE AND SERVICE:
    Garrett Lee Smith--Suicide Prevention Resource Center.......           4,957           4,957           4,957
    Information Dissemination and Training......................           9,001           8,528           8,528
    National Registry of Evidence-based Programs & Practices....             544             544             544
    SAMHSA Health Information Network...........................           2,673           2,644           2,644
    Consumer & Consumer Support Technical Assistance Centers....           1,927           1,927           1,927
    Minority Fellowship Program.................................           4,279           4,279           4,279
    Disaster Response...........................................           1,054           1,054           1,054
    Homelessness................................................           2,306           2,306           2,306
    HIV/AIDS Education..........................................             974             774             774
----------------------------------------------------------------------------------------------------------------

    Child Trauma.--The Committee continues its strong support 
for the National Child Traumatic Stress Network [NCTSN]. The 
recommendation includes $44,800,000 for the NCTSN in 
recognition of its contribution to the recovery of children and 
youth impacted by a wide range of trauma, including physical 
and sexual abuse, violence in families and communities, natural 
disasters and terrorism, life-threatening injury and illness, 
and refugee and war experience. The comparable level for fiscal 
year 2010 is $40,800,000. With the additional funding provided, 
the Committee encourages SAMHSA, in collaboration with the 
NCTSN, to broaden the national impact of this critical program 
while at the same time ensuring that the network's expertise 
and experience in the field of trauma-related disorders is 
maintained.
    The Committee recognizes the extraordinary value of the 
core data set developed by the National Center for Child 
Traumatic Stress [NCCTS], which identifies the impact of 
multiple traumas on the lives of children and the effectiveness 
of evidence-based treatment and services. Within the funding 
provided, the Committee again provides $1,000,000 to the NCCTS 
for the continued data analysis and reports related to the core 
data set.
    Clinical Training.--The Committee is aware that a new 
clinical accreditation program aims to ground practitioner 
training in empirically supported treatments to ensure that 
mental health and substance abuse treatment providers are 
scientifically equipped. The Committee is aware that SAMHSA is 
planning a conference on these issues, in collaboration with 
relevant professional organizations, and it encourages SAMHSA 
to continue this collaboration so that those seeking services 
are assured of receiving scientifically sound treatment.
    Depression.--The Committee notes that depression and 
bipolar disorder afflict 1 in 5 Americans and are the second 
most costly medical disorders in the United States, following 
only heart disease. The Committee recommendation includes 
$10,000,000 to implement the Establishing a Network of Health-
Advancing National Centers of Excellence for Depression, or 
ENHANCED, Act. This funding will support the establishment of a 
national network of depression centers of excellence to help 
translate academic treatment advances into clinical care. This 
network will help address the need for earlier clinical 
detection of depression and new strategies to prevent 
recurrences of depressive illnesses, as well as ways of 
reducing their length and severity.
    Minority Fellowship Program.--The Committee notes that 
minorities represent 30 percent of the population and are 
projected to increase to 40 percent by 2025. Yet only 23 
percent of recent doctorates in psychology, social work, and 
nursing were awarded to minorities. The Committee commends the 
Minority Fellowship Program for training an increasing number 
of culturally competent mental health professionals.
    Primary and Behavioral Healthcare Integration.--The 
Committee notes that people with serious mental illness [SMI] 
die, on average, 25 years earlier than people in the general 
population. Many of these deaths are caused by preventable 
conditions such as cardiovascular disease and diabetes. The 
Committee strongly believes that a crucial element to 
eliminating this disparity is building new practice models that 
integrate primary healthcare into community mental health 
settings. These community programs will provide people with SMI 
with better access to screening and care management, including 
wellness programs that encourage more physical activity, better 
nutrition, help with medications and smoking cessation 
programs.
    The Committee applauds the administration's goal of 
increasing the lifespan for people with severe mental illness 
by 10 years by 2018. Because the Committee believes aggressive 
action is necessary to meet this goal, the Committee has 
allocated funding for a major expansion of the Primary and 
Behavioral Health Care Integration grants at SAMHSA. The 
Committee provides $54,000,000 for this program, which includes 
$14,000,000 provided in discretionary appropriations and 
$40,000,000 in transfers from the Prevention and Public Health 
Fund. The comparable level for fiscal year 2010 is $34,000,000.
    Project LAUNCH.--The Committee reiterates its strong 
support for this program, which it created in fiscal year 2008 
to assist local communities with the integration of behavioral 
and mental health into primary care settings. The Committee, 
however, is disturbed that the administration proposes to split 
management of this program between CMHS and the Center for 
Substance Abuse Prevention [CSAP], as well as to fund a program 
evaluation focusing solely on substance abuse prevention. The 
Committee directs SAMHSA to manage this program exclusively at 
CMHS, as originally intended. The Committee also intends that 
activities funded by this program not duplicate activities 
funded by other programs, such as the new Home Visitation 
program created by the Patient Protection and Affordable Care 
Act.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Children's Hospital Boston, Boston, MA, for Expansion of        $200,000
 Mental Health Capacity in Massachusetts  Schools.......
Clifford W. Beers Guidance Clinic, Inc., New Haven, CT,          100,000
 to expand child and family trauma services.............
Family Service Agency of Marin County, San Rafael, CA,           250,000
 for suicide prevention and mental health serv-  ices...
Help Center-211, Bozeman, MT, for suicide intervention           100,000
 and outreach services..................................
Lindsey Wilson College, Columbia, KY, for professional           100,000
 development and mental health services for the
 Appalachia region......................................
Maniilaq Association, Kotzebue, AK, for suicide                  200,000
 prevention activities in Northwest Alaska..............
Oregon Partnership, Portland, OR, to provide suicide             200,000
 prevention services to soldiers and military families..
Pen Bay Healthcare, Rockport, ME, for mental health              100,000
 services...............................................
------------------------------------------------------------------------

              COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

    The Committee recommends $420,774,000 for the community 
mental health services block grant. This amount is the same as 
the comparable fiscal year 2010 level 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 on specified economic and demographic factors. 
Grant 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.

                   CHILDREN'S MENTAL HEALTH SERVICES

    The Committee recommends $126,214,000, the same as the 
administration request, for the children's mental health 
services program. The comparable fiscal year 2010 level for 
this program is $121,316,000. This program provides grants and 
technical assistance to support a network of community-based 
services for children and adolescents with serious emotional, 
behavioral, or mental disorders. Grantees must provide matching 
funds, and services must be coordinated with the educational, 
juvenile justice, child welfare, and primary healthcare 
systems.

     PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS [PATH]

    The Committee recommends $70,000,000, the same as the 
administration request, for the PATH Program. The comparable 
fiscal year 2010 level is $65,047,000. PATH provides outreach, 
mental health, case management, and other community support 
services to individuals with serious mental illness who are 
homeless or at risk of becoming homeless.
    The Committee recognizes that the PATH program makes a 
significant difference in the lives of homeless persons with 
mental illnesses. Multidisciplinary teams provide a continuum 
of services addressing mental illness, co-occurring substance 
abuse and medical issues. The Committee has provided additional 
funds to PATH in recognition that it is a key component in 
ongoing strategies to end chronic homelessness.

                        PROTECTION AND ADVOCACY

    The Committee recommends $38,380,000 for the protection and 
advocacy for individuals with mental illness [PAIMI] program. 
The comparable fiscal year 2010 funding level and the 
administration request were both $36,380,000. 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 in their own homes. Funds are allocated to States 
according to a formula based on population and relative per 
capita incomes. The Committee notes that the PAIMI program is 
playing an increasing role in correctional facilities due to 
the fact that people with mental illness frequently do not 
receive the community supports they need and often end up 
incarcerated. The Committee recommendation includes additional 
funding in recognition of the unmet need for protection and 
advocacy services for the mentally ill.

                  CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2010....................................  $2,253,051,000
Budget estimate, 2011...................................   2,287,273,000
Committee recommendation................................   2,272,123,000

    The Committee recommends $2,272,123,000 for substance abuse 
treatment programs. The comparable fiscal year 2010 level is 
$2,253,051,000 and the administration request is 
$2,287,273,000. The recommendation includes $87,796,000 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 $473,532,000 for programs of 
regional and national significance [PRNS]. The comparable 
fiscal year 2010 level is $454,460,000 and the administration 
request is $488,682,000. The recommendation includes $8,596,000 
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 as well as 
science to services activities which promote the identification 
of practices thought to have potential for broad service 
improvement.
    Within the total provided for CSAT programs of regional and 
national significance, the Committee recommendation includes 
funding for the following activities:

                                            [in thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                         Budget activity                               2010         Fiscal year      Committee
                                                                    comparable     2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
    Co-occurring State Incentive Grants.........................           4,263           4,113           4,113
    Opioid Treatment Programs/Regulatory Activities.............           8,903           8,903           8,903
    Screening, Brief Intervention, Referral, and Treatment                29,106          37,106          29,106
     [SBIRT]....................................................
        SBIRT...................................................          29,106          22,106          29,106
        Mental Health/Substance Abuse SBIRT.....................  ..............          15,000  ..............
    Targeted Capacity Expansion--General........................          28,989          28,481          28,481
    Pregnant & Postpartum Women.................................          16,000          17,350          17,350
    Strengthening Treatment Access and Retention................           1,775           1,775           1,775
    Recovery Community Services Program.........................           5,236           5,236           5,236
    Access to Recovery..........................................          98,954         108,854          98,954
    Children and Families.......................................          30,678          30,488          30,488
    Treatment Systems for Homeless..............................          42,750          47,360          47,360
    Minority AIDS...............................................          65,988          65,888          65,888
    Criminal Justice Activities.................................          67,635          84,191          84,191
    Services Accountability.....................................          20,647          20,816          20,816
    Prescription Drug Monitoring [NASPER].......................           2,000           2,000           4,000

SCIENCE AND SERVICE:
    Addiction Technology Transfer Centers.......................           9,081           9,081           9,081
    Minority Fellowship Program.................................             547             547             547
    Special Initiatives/Outreach................................           2,400           2,420           2,420
    Information Dissemination...................................           4,553           4,353           4,353
    National Registry of Evidence-Based Programs and Practices..             893             893             893
    SAMHSA Health Information Network...........................           4,255           3,782           3,782
    Program Coordination and Evaluation.........................           5,214           5,045           5,045
----------------------------------------------------------------------------------------------------------------

    Hepatitis Testing.--The Committee recognizes the high 
incidence of hepatitis and its often undocumented state, 
particularly among substance abusers. The Committee commends 
SAMHSA on its goal of providing HIV testing to 80 percent of 
all clients accessing the services of its HIV/AIDS grantees and 
recommends that SAMHSA consider a similar program for hepatitis 
testing. In addition, the Committee requests that SAMHSA assess 
the feasibility of a demonstration project to provide persons 
who use drugs with viral hepatitis prevention services 
including patient education and testing, as well as to support 
hepatitis education and training for substance abuse treatment 
providers.
    HIV Screening.--The Committee notes that mental disorders 
and substance use or dependence are common among people with 
HIV. However, HIV screening is not widely available in settings 
where mental health and substance use services are provided. 
The Committee encourages SAMHSA to explore opportunities to 
expand HIV screening throughout mental health and substance 
abuse treatment delivery systems, and to collaborate with the 
CDC to increase HIV/AIDS training opportunities for providers 
in these programs. The Committee requests a progress report on 
the implementation of its HIV screening efforts in the SAMHSA 
fiscal year 2012 budget justification.
    Screening, Brief Intervention, and Referral to Treatment 
[SBIRT].--The Committee does not provide the additional funds 
requested by the administration for expanding the SBIRT 
program. The Committee is very supportive of SBIRT, and notes 
that research shows that the program can result in significant 
reductions in alcohol use among problem drinkers when used in 
healthcare settings. However, the Committee is concerned that 
the administration proposes to expand the SBIRT program to 
include mental health disorders, as well as to non-medical 
settings such as social service centers. The Committee notes 
that insufficient evidence exists to suggest that SBIRT is 
effective in these settings, and urges SAMHSA to instead 
concentrate its efforts on promoting widespread adoption of the 
existing evidence-based SBIRT model.
    Substance Abuse Testing.--The Committee continues to 
support SAMHSA in its efforts to revise its drug testing 
policies and update its alternative testing matrix to reflect 
the advances in science and offer an alternative to testers 
including rapid, hair and oral fluid testing. The Committee 
requests a progress report on the status of these policy 
deliberations in its fiscal year 2012 budget justification.
    Treatment Drug Courts.--The Committee recommendation 
includes $84,191,000, the same as the administration request, 
for criminal justice activities. The comparable fiscal year 
2010 funding level is $67,635,000. The Committee has included 
funding at the administration's proposed level for the drug 
court, ex-offender re-entry, and adult criminal justice 
treatment programs. The Committee has provided increased 
funding for fiscal year 2011 in the recognition that, although 
the number of treatment drug courts has grown, the availability 
of treatment and recovery support services for individuals 
involved in the criminal justice system remains extremely 
limited. The Committee expects that SAMHSA shall ensure that 
applicants for any drug treatment court grant in SAMHSA's 
criminal justice portfolio continue to demonstrate extensive 
evidence of working directly and extensively with the 
corresponding State substance abuse agency in the planning, 
implementation, and evaluation of the grant.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
City/County Alcohol Drug Programs, Rapid City, SD, for          $200,000
 substance abuse and recovery programs..................
Luna County Healthy Start, Deming, NM, for drug abuse            400,000
 treatment services for women...........................
Rosebud Sioux Tribe, Rosebud, SD, for a drug and alcohol         150,000
 treatment program......................................
------------------------------------------------------------------------

Substance Abuse Prevention and Treatment Block Grant

    The Committee recommends $1,798,591,000 for the substance 
abuse prevention and treatment [SAPT] block grant. The amount 
is the same as the comparable level for fiscal year 2010 and 
the administration request. 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 a formula. State plans must be submitted and 
approved annually.
    The Committee is aware that an independent and 
comprehensive evaluation released in June 2009 found that the 
SAPT block grant ensures accountability through Federal-State 
communication, program monitoring, and data reporting. This 
data reporting includes information on the positive impact 
services have on jobs, housing and criminal justice activity. 
In particular, SAPT block grant outcomes data found that, at 
discharge, 74 percent of clients were abstinent from illegal 
drugs and 78 percent of clients were abstinent from alcohol.

                 CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2010....................................    $202,039,000
Budget estimate, 2011...................................     223,075,000
Committee recommendation................................     222,492,000

    The Committee recommends $222,492,000 for programs to 
prevent substance abuse. The comparable fiscal year 2010 level 
is $202,039,000 and the administration request is $223,075,000. 
The Center for Substance Abuse Prevention [CSAP] is the sole 
Federal organization with responsibility for improving 
accessibility and quality of substance abuse prevention 
services.

Programs of Regional and National Significance

    The Committee has provided $222,492,000 for programs of 
regional and national significance [PRNS]. 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.
    Within the total provided for CSAP programs of regional and 
national significance, the Committee recommendation includes 
funding for the following activities:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                         Budget activity                               2010         Fiscal year      Committee
                                                                    comparable     2011 request   recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
    Strategic Prevention Framework..............................         111,607         103,511         129,811
        State Incentive Grant...................................          99,941          69,682          79,682
        Partnerships for Success................................          11,666          33,829          50,129
    Mandatory Drug Testing......................................           5,206           5,206           5,206
    Minority AIDS...............................................          41,385          41,385          41,385
    Performance Management......................................           6,300           6,300           6,300

    Sober Truth on Preventing Underage Drinking [STOP Act]......           7,000           8,000          11,000
        National Adult-Oriented Media Public Service Campaign...           1,000           1,000           1,000
        Community-based Coalition Enhancement Grants............           5,000           6,000           9,000
        Intergovernmental Coordinating Committee on the                    1,000           1,000           1,000
         Prevention of Underage Drinking........................
    Steroid Use Education Campaign..............................  ..............  ..............           1,000
    Project LAUNCH..............................................  ..............           9,683  ..............
    Prevention Prepared Communities.............................  ..............          22,600  ..............

SCIENCE AND SERVICE:
    Fetal Alcohol Spectrum Disorder.............................           9,821           9,821           9,821
    Center for the Application of Prevention Technologies.......           8,511           8,511           8,511
    Science and Service Program Coordination....................           4,789           4,789           4,789
    National Registry of Evidence-based Programs and Practices..             650             650             650
    SAMHSA Health Information Network...........................           2,749           2,548           2,548
    Minority Fellowship Program.................................              71              71              71
----------------------------------------------------------------------------------------------------------------

    The Committee applauds the administration for proposing a 
significant funding increase for CSAP. The Committee is 
concerned, however, that the administration proposes to blend 
substance abuse and mental health funding throughout SAMHSA. 
The Committee recognizes that common risk and protective 
factors exist for both mental illness and substance abuse. 
However, the Committee notes that not every program will be 
effective at addressing both issues. Furthermore, the Committee 
recognizes that many substance abuse prevention programs are 
unique in focusing on the environmental strategies for 
preventing drug and alcohol abuse. According to the Task Force 
on Community Preventive Services at the Centers for Disease 
Control and Prevention [CDC], many of these strategies have 
been proven to be effective regarding preventing excessive 
alcohol use.
    The Committee is also concerned that the latest results 
from the Monitoring the Future survey, funded by the National 
Institute on Drug Abuse, shows that the perceptions of harm and 
social disapproval of drug use are declining among youth, and 
that youth substance use and abuse are beginning to rise. The 
Committee does not believe that this is the time to homogenize 
prevention efforts across centers within SAMHSA or to abandon 
universal prevention efforts to stop substance use before it 
starts. Given the paucity of resources for bona fide substance 
use and underage drinking prevention programs and strategies, 
the Committee instructs that money specifically appropriated to 
CSAP for substance use prevention purposes shall not be used or 
reallocated for other programs or initiatives within SAMHSA. In 
addition, the Committee is instructing SAMHSA to maintain a 
specific focus on environmental and population based strategies 
to reduce drug use and underage drinking due to the cost 
effectiveness of these approaches.
    HIV Screening.--Mental disorders and substance use or 
dependence are common among people with HIV. However, HIV 
screening is not widely available in settings where mental 
health and substance use services are provided. The Committee 
encourages SAMHSA to explore opportunities to expand HIV 
screening throughout mental health and substance abuse 
treatment delivery systems, and to collaborate with CDC to 
increase HIV/AIDS training opportunities for providers in these 
programs.
    Partnerships for Success.--The Committee provides 
$50,129,000, an increase of $38,463,000 for the Partnerships 
for Success program. The administration requested $33,829,000 
for this program. The Committee applauds CSAP for its 
Partnerships for Success program, which is designed to achieve 
quantifiable declines in substance use and abuse rates. The 
program, which evolved from the Strategic Prevention Framework 
State Incentive Grant [SIG], helps States partner with 
organized communities to determine need, leverage resources, 
set goals, and implement evidence-based approaches to substance 
abuse prevention. The initiative also includes a financial 
incentive to those grantees that meet or exceed performance 
outcomes. The Committee urges SAMHSA to use the additional 
funds provided to the SIG program to maximize the number of 
States and tribes eligible for a Partnerships for Success 
grant. The Committee also expects SAMHSA to ensure that States 
who receive Partnership for Success grants give current and 
former drug-free communities grantees priority status as 
subrecipient grantees when working with communities within 
their States.
    Performance Enhancing Drugs.--The Committee continues to be 
concerned about the use and abuse of steroids and other 
performance enhancing drugs by young people. The Committee 
recommendation includes $1,000,000 for SAMHSA, in collaboration 
with the Department of Education, to develop and carry out a 
cost-effective national education campaign focused on 
preventing the use of anabolic steroids and other performance 
enhancing drugs by young people. The Committee intends that 
this campaign should be school-based as well as community-
based, and should focus on both athletes and non-athletes.
    Prevention Prepared Communities.--The Committee 
recommendation does not provide funding for the 
administration's proposed Prevention Prepared Communities 
initiative. According to the proposed budget, this new program 
would use the Strategic Prevention Framework to implement 
evidence-based programs to promote the wellness of individuals 
aged 9 to 25. While the Committee commends the administration 
for its commitment to prevention, it believes the proposal 
would be redundant given the work of Partnerships for Success. 
As a result, the Committee is redirecting funds for this 
proposal to the Partnerships for Success program.
    Underage Drinking Prevention.--The Committee recommendation 
includes $9,000,000 for the Community-based Coalition 
Enhancement Grant program authorized under the Sober Truth on 
Preventing [STOP] Underage Drinking Act. The administration 
requested $6,000,000 for these grants. STOP Act grantees focus 
on implementing community-wide strategies which address the 
broader culture and context regarding underage drinking. The 
Committee provides additional funds above the administration 
request in the recognition that STOP Act grants are a cost-
effective means of investing Federal dollars in underage 
drinking prevention activities at the community level.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Hamakua Health Center, Honoka'a, HI, for a youth anti-          $200,000
 drug program...........................................
Waimanalo Community Health Center, Waimanalo, HI, for            200,000
 drug abuse prevention..................................
West Virginia Prevention Resource Center, Charleston,          1,000,000
 WV, for drug abuse prevention..........................
------------------------------------------------------------------------

                           PROGRAM MANAGEMENT

    The Committee recommends $132,126,000 for program 
management activities of the agency. The comparable level for 
fiscal year 2010 is $101,947,000 and the administration 
requested $135,696,000. The recommendation includes $23,399,000 
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 salaries, benefits, space, supplies, 
equipment, travel, and departmental overhead required to plan, 
supervise, and administer SAMHSA's programs.
    The Committee recommendation includes $19,000,000, the same 
as the administration request, for the increased costs 
associated with the agency's data systems and analytic studies. 
The recommendation will also support a new initiative, proposed 
by the administration, for the design and implementation of a 
community-level early warning system that will detect the 
emergence of new drug threats.

               Agency for Healthcare Research and Quality

Appropriations, 2010....................................    $397,053,000
Budget estimate, 2011...................................     610,912,000
Committee recommendation................................     397,053,000

    The Committee recommends $397,053,000 for the Agency for 
Healthcare Research and Quality [AHRQ]. This amount is the same 
as the comparable funding level for fiscal year 2010. The 
administration requested $610,912,000 for AHRQ. The Committee 
recommendation is funded entirely from transfers available 
under section 241 of the Public Health Service Act. In 
addition, the Committee recommends that $17,000,000 be 
transferred to AHRQ from the Prevention and Public Health Fund.
    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 
healthcare disparities, using information technology, and 
comparing the 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 
healthcare more affordable.

                  HEALTH COSTS, QUALITY, AND OUTCOMES

    The Committee provides $267,290,000 for research on health 
costs, quality and outcomes [HCQO]. The comparable funding 
level for fiscal year 2010 is $270,653,000 and the 
administration requested $478,899,000 for this activity. In 
addition, the Committee recommends that $17,000,000 be 
transferred to HCQO from the Prevention and Public Health Fund. 
The HCQO research activity is focused upon improving clinical 
practice, improving the healthcare system's capacity to deliver 
quality care, and tracking progress toward health goals through 
monitoring and evaluation.
    Within the total for HCQO, the Committee provides 
$35,000,000 for patient-centered outcomes research, also known 
as comparative effectiveness research [CER]. The administration 
requested $272,750,000 for this activity. The comparable 
funding level for fiscal year 2010 is $21,000,000. The 
Committee notes that the Patient Protection and Affordable Care 
Act [PPACA] created the Patient Centered Outcomes Research 
Institute as a new non-governmental entity to manage and 
prioritize this research. Since AHRQ will conduct much of the 
research funded by this Institute, the Committee did not 
provide the funding increase for CER requested by the 
President, as it did not want to duplicate this effort. The 
Committee recommendation includes sufficient resources for AHRQ 
to continue evidence generation and systematic reviews already 
underway. The funding provided will also allow AHRQ to sustain 
its research infrastructure until the new Institute is fully 
operational.
    The Committee is aware of the valuable work being done by 
the Centers for Education and Research in Therapeutics [CERTs], 
which produce scientific data on the safety and effectiveness 
of prescribed medications and medical devices. The research 
performed by these Centers, in such areas as the appropriate 
use of anti-psychotics and the safe and effective use of 
medications by older adults, plays an important role in 
improving healthcare quality by preventing adverse effects and 
improving clinical practice. Within the HCQO total, the 
Committee recommendation includes $13,463,000, the same as the 
comparable level for fiscal year 2010, to continue the work of 
the 14 CERTs and the coordinating center. The administration 
proposed to eliminate funding for the existing CERTs.
    The Committee recommendation for HCQO includes $10,000,000 
for quality measurement activities. This is a new activity 
authorized under section 3013 of the PPACA. These funds will be 
used to identify gaps in quality measurement and develop 
patient-centered measures to fill those gaps. The Committee 
notes that strong quality measures that fill in current gaps 
will help reduce geographic variations in care quality and 
health disparities, improve the delivery of healthcare 
services, eliminate waste and improve efficiency. In providing 
these funds, the Committee recognizes the need for a measures 
development process that is transparent, consensus-based, 
involves input from stakeholders and other relevant 
organizations, and includes strong conflict of interest 
policies.
    Building the Next Generation of Researchers.--The Committee 
encourages AHRQ to offer more pre- and post-doctoral training 
grants and fellowships for both clinician and non-clinician 
researchers. This investment in the next generation of 
researchers will help build capacity to respond to increasing 
demands for health services research and will ensure America 
stays competitive in the global research market.
    Chronic Pain Conditions in Women.--The Committee notes that 
up to 50 million American women suffer from one or more poorly 
understood and often overlooked chronic pain conditions. The 
Committee urges AHRQ to analyze the healthcare expenditures 
associated with chronic fatigue syndrome, endometriosis, 
fibromyalgia, interstitial cystitis, temporomandibular [TMJ] 
disorders, and vulvodynia. The analysis should quantify costs 
associated with the failure to promptly and adequately diagnose 
and treat these conditions, as well as those incurred by 
employers due to lost productivity, increased number of sick 
days and increased disability claims.
    Clinical Preventive Services Research.--The Committee has 
included $10,000,000 in transfers from the Prevention and 
Public Health Fund for clinical preventive services research at 
AHRQ. This research would allow the agency to address new 
research priorities as described in the Patient Protection and 
Affordable Care Act [PPACA], and as determined by the Secretary 
and the National Prevention and Health Promotion strategy. The 
Committee intends that these funds will be used to focus on the 
areas of health risk assessment, patient safety, health equity, 
and implementing clinical preventive services in primary care 
practice.
    Clinical Trial Recruitment.--The Committee recognizes that 
clinical trials play an important role in the development of 
biomedical research, in addition to providing treatment options 
to patients with understudied or rare conditions. The Committee 
encourages AHRQ to collaborate with voluntary health 
organizations to expand and improve patient registries, which 
will connect patients to resources for treatment and assist 
clinical researchers in recruitment.
    HIV Research Network.--The Committee recognizes the HIV 
Research Network [HIVRN] as a unique source for information on 
the cost and cost-effectiveness of HIV care in the United 
States and notes that HIVRN data and analyses are critical to 
implementing health reform and an effective National HIV/AIDS 
Strategy. Within the HCQO total, the Committee provides 
$1,413,000, the same as the comparable level for fiscal year 
2010, to the HIVRN to continue evaluating healthcare 
utilization and clinical outcomes in HIV-infected children, 
adolescents and adults. The administration did not request 
funding for this activity.
    Liver Disorders.--The Committee encourages AHRQ to develop 
a comprehensive agenda that would promote health services 
research and implementation science with regard to the broad 
spectrum of liver disorders.
    Lyme Disease.--The Committee continues to encourage AHRQ to 
create a comprehensive clearinghouse of peer-reviewed 
literature on tick-borne diseases. It should include literature 
on persistent infection organized for use by the scientific 
community, treating physicians, and the public. In the posting 
of treatment guidelines for Lyme disease, the Committee 
supports AHRQ's efforts to reflect the full spectrum of 
creditable science and diverse clinical viewpoints.
    Preterm Birth and Pregnancy-related Depression.--The 
Committee continues to be concerned with the rate of pre-term 
births in the United States. The Committee believes that AHRQ's 
comparative effectiveness research may lead to a better 
understanding of the range of interventions for preterm labor, 
such as different drugs, tocolytics, preventive tools, and the 
role of ultrasound care treatments and practices in the diverse 
patient populations in which they are used. Additionally, the 
Committee encourages AHRQ to support research evaluating the 
efficacy of perinatal/postpartum screening tools and whether 
they can impact the outcome of pregnancy and perinatal 
depression.
    Restoring Innovation and Competitiveness.--Investigator-
initiated research forms the backbone of AHRQ's ability to 
improve healthcare with creative and innovative approaches to 
ongoing and emerging healthcare issues. The Committee 
recommendation includes $40,360,000, the same as the comparable 
funding level for fiscal year 2010, for investigator-initiated 
research. This funding level will allow ARHQ to support new 
investigator-initiated research grants to advance discovery and 
the free marketplace of ideas. The Committee urges AHRQ to 
provide these opportunities through its Crosscutting Activities 
Related to Quality, Effectiveness and Efficiency Research 
portfolio, as well as other core programs, including the 
Effective Health Care program.
    U.S. Preventive Services Task Force [USPSTF].--The 
Committee provides $11,700,000 for the USPSTF. The 
recommendation includes $4,700,000 in evaluation transfers, 
consistent with the budget request, and $7,000,000 in transfers 
from the Prevention and Public Health Fund.

                   MEDICAL EXPENDITURES PANEL SURVEYS

    The Committee provides $59,300,000, the same as the 
administration request, for medical expenditures panel surveys 
[MEPS]. The comparable funding level for fiscal year 2010 is 
$58,800,000. MEPS collects detailed information annually from 
families regarding healthcare 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 $70,463,000 for program support. 
The comparable funding level for fiscal year 2010 is 
$67,600,000 and the administration requested $72,713,000. The 
Committee recommendation does not include $2,250,000 requested 
by the administration for 15 new staff to support the patient-
centered outcomes research portfolio. Since it did not provide 
the funding increase requested by the administration for this 
research, the Committee does not believe additional staffing is 
necessary.

               Centers for Medicare and Medicaid Services


                     GRANTS TO STATES FOR MEDICAID

Appropriations, 2010

                                                        $220,962,473,000

Budget estimate, 2011

                                                         173,143,799,000
Committee recommendation
                                                         173,143,799,000

    The Committee recommends $173,143,799,000 in mandatory 
funding for Grants to States for Medicaid. This is the same 
amount as the administration's request for fiscal year 2011. 
The fiscal year 2010 comparable level was $220,962,473,000. The 
fiscal year 2011 recommendation excludes $86,789,382,000 in 
fiscal year 2010 advance appropriations for fiscal year 2011. 
In addition, $86,445,289,000 is provided for the first quarter 
of fiscal year 2012, 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.

                  PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2010

                                                        $214,590,070,000

Budget estimate, 2011

                                                         229,664,000,000
Committee recommendation
                                                         229,664,000,000

    The Committee recommends $229,664,000,000 in mandatory 
funding for Payments to Healthcare Trust Funds. This is the 
same amount as the administration's request for fiscal year 
2011. The fiscal year 2010 comparable level was 
$214,590,070,000.
    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 provides $173,873,000,000 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 
$54,393,000,000 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 Committee recommendation does not include funding for 
hospital insurance for the uninsured, consistent with the 
budget request. The Committee also recommends $275,000,000 for 
the 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 also includes $382,000,000 to 
be transferred to the Supplementary Insurance Trust Fund as the 
general fund share of part D administrative expenses. The 
Committee recommendation includes $561,000,000 in 
reimbursements to the Health Care Fraud and Abuse Control 
[HCFAC] fund.

                           PROGRAM MANAGEMENT

Appropriations, 2010....................................  $3,470,242,000
Budget estimate, 2011...................................   3,601,147,000
Committee recommendation................................   3,574,527,000

    The Committee recommends $3,574,527,000 for CMS program 
management. The administration requested $3,601,147,000. The 
fiscal year 2010 comparable level was $3,470,242,000.

Research, Demonstrations, and Evaluations

    The Committee recommends $41,300,000 for research, 
demonstrations, and evaluation activities. The Committee 
includes sufficient funding to fulfill the President's request 
for: the Medicare Current Beneficiaries Survey; the Real Choice 
Systems Change grants; other activities; and continuations of 
the demonstrations begun in fiscal year 2010.
    CMS research and demonstration activities facilitate 
informed rational Medicare and Medicaid policy choices and 
decisionmaking. These studies and evaluations include projects 
that measure the impact of Medicare and Medicaid proposed 
policy changes, measure the impact of Medicare and Medicaid on 
healthcare costs, measure patient outcomes in a variety of 
treatment settings, and develop alternative strategies for 
reimbursement, coverage, and program management.
    Diabetes.--According to research conducted by AHRQ, the 
Medicare program has costs of up to $1,300,000,000 attributable 
to diabetes-related hospital costs that could potentially be 
avoided by proper disease management. Using insulin is one of 
the most effective ways to lower blood sugar levels and manage 
diabetes. The Committee encourages CMS to consider conducting 
research into the best delivery method for insulin therapy to 
reduce dosing errors and lower annual treatment costs.
    Graduate Nursing Education Pilot.--The Committee recognizes 
the value of advanced practice registered nurses [APRNs] for 
improving the accessibility, quality, and affordability of 
healthcare. Section 5509 of the Patient Protection and 
Affordable Care Act includes a demonstration project to test 
the establishment of a Medicare Graduate Nursing Education 
program. The Committee encourages CMS to begin the design of 
this initiative. In this design, the Committee encourages CMS 
to test a full geographically representative mix of small and 
large, rural and urban APRN educational programs utilizing 
different mixes of hospital and non-hospital community-based 
clinical training sites. In addition, the Committee encourages 
CMS to assure that reasonable costs for the demonstration take 
into account all types of clinical training regularly employed 
in and appropriate to the training of APRNs and are not reduced 
by a factor related to the proportion of hospital inpatient 
days that are Medicare inpatient days. The Committee requests a 
progress report in the fiscal year 2012 budget justification.
    Prosthetic Devices.--The Committee is aware of findings in 
peer reviewed literature that identify significant 
inconsistencies in the alignment of prosthetic devices through 
the fitting process. Improper alignment for persons with limb 
loss can result in trauma to the soft tissue, decreased 
balance, and co-morbidities ranging from inactivity to back 
pain and increased stress on the hip and knee joints. 
Consistent prosthesis alignment may produce costs savings to 
the Medicare program through reduced need for socket 
replacements. The Committee encourages the CMS and its 
Alphanumeric Working Group to consider utilizing a unique 
Healthcare Common Procedure Coding System number for 
technologies and services that produce consistent prosthesis 
alignment.
    Psychotropic Drugs and Children.--The Committee is aware of 
findings from recent research showing that poor children are 
more likely to be prescribed antipsychotic medications than 
their peers. In addition to possibly causing serious long-term 
health problems for the children, this pattern dramatically 
increases Medicaid costs. CMS is urged to support research into 
reasons for this disparity and to determine the cost of this 
practice to the Medicaid program. CMS also is urged to work 
with existing treatment programs to identify more effective 
methods for treating these children and reducing their 
dependence on drugs to manage behavior.
    The Committee includes $2,500,000 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 strongly supports efforts by CMS to transform 
and improve quality and efficiency under the Medicaid program, 
particularly including expansions to the Home and Community 
Based Service programs and the creation of health homes for 
eligible beneficiaries. The Committee urges CMS to ensure that 
the implementation of such initiatives involve providers in 
ensuring beneficiary access to necessary food and nutrition 
services integral to the proper management of chronic illness 
in a non-institutional setting.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                             Amount
------------------------------------------------------------------------
Iowa Prescription Drug Corporation, Urbandale, IA, for          $500,000
 programs to reduce the cost of prescription  drugs...
University of Mississippi, University, MS, for the               800,000
 Medication Use and Outcomes Research Group...........
------------------------------------------------------------------------

Medicare Operations

    The Committee recommends $2,335,862,000 for Medicare 
operations. The administration requested $2,356,604,000; the 
comparable funding level for fiscal year 2010 was 
$2,335,862,000.
    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 $9,120,000 for CMS 
Medicare contracting reform activities and includes bill 
language that extends the availability of those funds until 
September 30, 2012.
    The Committee recommendation includes $156,000,000 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, 2012.
    The Committee recommendation includes $363,200,000 for 
Medicare and You, an increase of $51,700,000 over fiscal year 
2010. This funding supports beneficiary materials, contact 
centers and support services.
    The Committee recommendation includes $68,000,000 for 
research remaining from the Medicare Improvement for Patients 
and Providers Act of 2008. Sufficient funding is included to 
meet the statutory deadline on the section 153 provisions on 
end-stage renal disease and begin work on section 131 
provisions on quality reporting for physicians and the section 
132 provision on e-prescribing.
    The Committee intends that all other activities be funded 
at the level requested in the fiscal year 2011 budget.

Health Care Data Improvement Initiative

    The Committee recommends $110,000,000 for the Health Care 
Data Improvement Initiative. This is the same amount as the 
level requested in the fiscal year 2011 budget. This activity 
was not funded in fiscal year 2010.

State Survey and Certification

    The Committee recommends $362,000,000 for Medicare State 
survey and certification activities. This is the same amount as 
the administration's request. The fiscal year 2010 funding 
level was $346,900,000.
    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.

High Risk Insurance Pools

    The Committee has not included funding for the High Risk 
Insurance Pools. The fiscal year 2010 level was $55,000,000. 
The administration did not request funds for this program. The 
Committee notes that the Patient Protection and Affordable Care 
Act provides $5,000,000,000 and a new structure for this 
purpose.

Federal Administration

    The Committee recommends $725,365,000 for Federal 
administration costs. This amount is the same as the budget 
request. The fiscal year 2010 funding level was $696,880,000.
    The Committee congratulates CMS for updating its coverage 
to include HIV testing for at-risk beneficiaries. The Committee 
urges CMS to update its outreach information to advise 
beneficiaries of this important new benefit.
    The Committee also requests that HRSA and CMS convene a 
working group to ensure that all phases of the 340B drug 
discount program are administered without redundancy or 
contradiction by the two agencies of jurisdiction.

                  HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2010....................................    $311,000,000
Budget estimate, 2011...................................     561,000,000
Committee recommendation................................     561,000,000

    The Committee recommends $561,000,000, to be transferred 
from the Medicare trust funds, for healthcare fraud and abuse 
control activities. This amount, in addition to the 
$1,172,683,000 in mandatory monies for these activities, will 
provide a total of $1,733,683,000 for healthcare fraud and 
abuse control activities in fiscal year 2011.
    The Committee intends the funds to be allocated as they 
were requested in the administration budget for fiscal year 
2011.
    Reducing fraud, waste, and abuse in Medicare and Medicaid 
continues to be a top priority of the Committee. The Committee 
is pleased by the progress being made by strike teams and is 
strongly supportive of the proposed Health Enforcement Action 
Teams Initiative. The Committee urges CMS to continue to focus 
on large-scale overpayments, off-label prescribing, and 
systemic pricing issues.

                Administration for Children and Families


  PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT 
                                PROGRAMS

Appropriations, 2010....................................  $3,788,449,000
Budget estimate, 2011...................................   2,482,814,000
Committee recommendation................................   2,482,814,000

    The Committee recommends $2,482,814,000 in fiscal year 2011 
mandatory funds for payments to States for child support 
enforcement and family support programs. This is in addition to 
the $1,100,000,000 appropriated last year as an advance 
appropriation for the first quarter of fiscal year 2011. The 
Committee recommendation is the same as the budget request 
under current law. The comparable fiscal year 2010 funding 
level is $3,788,449,000, which included costs from an enhanced 
Federal matching provision in the Recovery Act that expires on 
September 30, 2010. In addition, the Committee recommends 
$1,200,000,000, the same as the budget request, in advance 
funding for the first quarter of fiscal year 2012.
    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 noncustodial 
parents, determine paternity when necessary, and establish and 
enforce orders of support.

               LOW INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2010....................................  $5,099,223,000
Budget estimate, 2011...................................   3,300,000,000
Committee recommendation................................   3,300,000,000

    The Committee recommends $3,300,000,000, the same as the 
budget request, in discretionary funding for fiscal year 2011 
for the low income home energy assistance program [LIHEAP]. The 
comparable fiscal year 2010 funding level is $5,099,223,000.
    In addition to this discretionary funding, the budget 
request includes a legislative proposal for a trigger that 
would make additional mandatory funding available based on 
changes in energy prices and the number of households living in 
poverty. This trigger, if enacted, is estimated to make an 
additional $2,000,000,000 in mandatory LIHEAP funding available 
in fiscal year 2011, for a total program level of 
$5,300,000,000. The Committee recommendation assumes enactment 
of this proposal.
    LIHEAP provides home heating and cooling assistance to low-
income households, generally in the form of payments to energy 
vendors on behalf of the recipient. States have considerable 
flexibility in administering their programs, including 
determining benefit amounts and eligibility requirements within 
broad Federal guidelines. This appropriation supports State 
formula grants and the contingency fund.
    The Committee recommendation includes $2,709,672,000 for 
the State formula block grant. The comparable fiscal year 2010 
funding level is $4,509,672,000 and the budget request is 
$2,510,000,000. LIHEAP block grants are awarded to States, 
territories, Indian tribes, and tribal organizations, according 
to a statutory formula, based in part on each State's share of 
home energy expenditures by low-income households. The 
Committee includes similar bill language to that used since 
fiscal year 2009 adjusting the formula for distributing these 
funds to States and ensuring a comparable distribution of funds 
as in recent years.
    The Committee recommendation includes $590,328,000 for the 
contingency fund. The comparable fiscal year 2010 funding level 
is $589,551,000 and the budget request is $790,000,000. The 
Committee does not include bill language making the contingency 
fund available until expended, as proposed by the 
administration. The contingency fund may be used to provide 
additional assistance to one or more States adversely affected 
by extreme heat or cold, significant price increases, or other 
causes of energy-related emergencies.
    The Committee is concerned about a recent Government 
Accountability Office [GAO] investigation that found misuse of 
LIHEAP funds, including instances of State agencies providing 
assistance to individuals over the income eligibility limit and 
applicants using the information of deceased or otherwise 
ineligible individuals to increase their assistance payment. 
The Committee strongly encourages ACF to continue to evaluate 
internal controls and to work with State LIHEAP administrators, 
including exploring the use of existing verification tools, to 
prevent fraud and abuse within the program. The Committee 
directs HHS to provide a briefing to the Committees on 
Appropriations of the House of Representatives and the Senate 
within 30 days of enactment on controls currently in place to 
prevent misuse of LIHEAP funds; any additional steps that could 
be taken, legislative, regulatory or otherwise, to further 
improve program integrity; and any obstacles in the adoption of 
these additional steps.

                     REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2010....................................    $730,817,000
Budget estimate, 2011...................................     877,602,000
Committee recommendation................................     834,602,000

    The Committee recommends $834,602,000 for refugee and 
entrant assistance. The comparable fiscal year 2010 funding 
level is $730,817,000 and the fiscal year 2011 budget request 
is $877,602,000. The refugee and entrant assistance program is 
designed to assist refugees, asylees, Cuban and Haitian 
entrants, trafficking victims, and torture victims (summarized 
below as ``refugees'') to become employed and self-sufficient 
as quickly as possible. It also funds shelter and services for 
unaccompanied alien children who are in Federal custody 
awaiting adjudication of their immigration status.

Transitional and Medical Services

    The Committee recommendation includes $392,000,000 for 
transitional and medical assistance. The comparable fiscal year 
2010 funding level is $353,281,000 and the budget request is 
$417,000,000.
    Transitional and medical services provide grants to States 
and nonprofit organizations to provide up to 8 months of cash 
and medical assistance to incoming refugees as well as foster 
care services to unaccompanied minors. It also funds the 
voluntary agency matching grant program that provides grants to 
resettlement agencies to provide comprehensive services, 
including case management, job development, job placement, and 
interim housing and cash assistance, with the goal of refugees 
becoming self-sufficient within their first 4 months. Refugees 
enrolled in this program are not eligible for regular 
transitional and medical assistance. The Committee continues to 
support the voluntary agency matching grant program and 
encourages the Office of Refugee Resettlement [ORR] to explore 
the continued expansion of this program.
    The Committee does not include funding for a no-year 
contingency fund proposed by the administration. The Committee 
understands the uncertainty in developing these estimates but 
also notes that the budget request assumes refugees will 
receive cash and medical assistance for a full 8 months, and 
bill language provides for the extended availability of these 
funds for 2 years.

Victims of Trafficking

    The Committee recommendation includes $10,814,000 for 
victims of trafficking. The comparable fiscal year 2010 funding 
level is $9,814,000, the same as the fiscal year 2011 budget 
request. This program supports a national network for 
identifying, certifying, and providing comprehensive services 
to international victims of trafficking. The Committee notes 
that only an estimated 2 percent of international trafficking 
victims in the United States are identified each year and has 
provided additional funding to increase efforts to identify and 
provide services to trafficking victims.

Social Services

    The Committee recommendation includes $187,005,000 for 
social services. The comparable fiscal year 2010 funding level 
is $154,005,000 and the budget request is $179,005,000. These 
funds include formula and discretionary grants to States and 
nonprofit organizations to provide a variety of employment and 
support services to incoming refugees.
    The current economic conditions have continued to make it 
difficult for refugees to find and maintain employment. The 
Committee has included additional funding, above the budget 
request, to increase discretionary activities to help refugees 
address barriers to employment; connect to other Federal, 
State, and related support services; and, in the worst cases, 
prevent or resolve homelessness. Within the total for social 
services, the Committee recommendation includes not less than 
$15,000,000 for intensive case management activities to provide 
comprehensive services to refugees and not less than 
$10,000,000 for emergency housing assistance.
    The Committee recommendation also includes up to 
$18,000,000 for the refugee school impact program. This program 
provides grants to support school districts with significant 
populations of refugee children. The comparable fiscal year 
2010 funding level is $15,000,000. The Committee intends that 
the additional funding should be used to serve school districts 
impacted by Haitian children and families coming to the United 
States because of the earthquake on January 12, 2010. The 
Committee has included bill language specifying that these 
funds should be used to serve both Haitian national and United 
States citizens formerly living in Haiti and arriving in the 
United States between January 12, 2010 and May 31, 2010.

Preventive Health

    The Committee recommendation includes $4,748,000 for 
preventive health. This amount is the same as the comparable 
fiscal year 2010 funding level and the budget request. This 
program funds grants to coordinate and promote refugees' access 
to health screening, treatment, and follow-up services.

Targeted Assistance

    The Committee recommendation includes $48,590,000 for 
targeted assistance. This amount is the same as the comparable 
fiscal year 2010 funding level and the budget request. The 
targeted assistance program provides additional funds to States 
with an influx of refugee arrivals and a high concentration of 
refugees facing difficulties achieving self-sufficiency.

Unaccompanied Alien Children

    The Committee recommendation includes $179,357,000 for 
unaccompanied alien children. The comparable fiscal year 2010 
funding level is $149,291,000 and the budget request is 
$207,357,000. The unaccompanied alien children program provides 
shelter and related services to unaccompanied alien minors 
apprehended in the United States by the Department of Homeland 
Security [DHS] or other law enforcement agencies. Children are 
taken into ORR's care pending resolution of their claims for 
relief under U.S. immigration law or release to an adult family 
member or guardian.
    The Committee does not include additional funding to 
concentrate more shelter space within 250 miles of the border, 
as requested by the administration. The Committee supports the 
initiative to limit the travel time of unaccompanied alien 
children between DHS's and ORR's care. However, the Committee 
does not support the specific initiative to move 65 percent of 
beds within 250 miles of the border by 2012 without a 
comprehensive evaluation of the support services available to 
children in these areas compared to those in other shelter 
locations across the country, and an evaluation of the costs of 
such an initiative compared to savings from reducing 
transportation costs. The Committee notes that over 65 percent 
of beds are already located within 350 miles of the border. The 
Committee also notes that ORR is developing a request for a 
more general independent evaluation of the UAC program to 
determine if the program is operating consistent with child 
welfare best practices. The Committee encourages ORR to 
incorporate the findings from this evaluation in any future 
decisions regarding concentrating shelters closer to the 
border.
    The Committee recommendation fully funds all other shelter, 
medical, and support services costs included the budget 
request, including family reunification services, background 
checks, home studies, placement follow-up services, and pro 
bono legal services. The reduction below the budget request 
reflects the specific costs of moving additional beds within 
250 miles of the border.

Victims of Torture

    The Committee recommendation includes $12,088,000 for 
victims of torture. The comparable fiscal year 2010 funding 
level is $11,088,000, the same amount as the budget request. 
This program provides treatment, social, and legal services to 
victims of torture and training to healthcare providers on 
treating the physical and psychological effects of torture.

   PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2010....................................  $2,126,757,000
Budget estimate, 2011...................................   2,927,081,000
Committee recommendation................................   3,127,081,000

    The Committee recommends $3,127,081,000 for the child care 
and development block grant [CCDBG]. The budget request is 
$2,927,081,000 and the comparable fiscal year 2010 funding 
level is $2,126,757,000. The Recovery Act included an 
additional $2,000,000,000 for the CCDBG, available through 
fiscal year 2010. The CCDBG is a formula grant to States to 
provide low-income families with financial assistance to pay 
for child care. It also supports quality improvement activities 
to increase availability and access to quality child care.
    In addition to these discretionary funds, States receive 
mandatory funding through the child care entitlement to States 
program. The authorization for these mandatory funds expires at 
the end of fiscal year 2010. The budget request includes a 
proposal to increase this mandatory funding by $800,000,000, 
but it is unclear whether this increase will be included in the 
CCDBG reauthorization. Without such an increase, States would 
be forced to cut child care subsidies to the low-income 
families that depend on them to maintain employment because 
Recovery Act funding will no longer be available. The 
$200,000,000 increase recommended by the Committee would 
prevent such a cut and maintain the fiscal year 2010 program 
level which included Recovery Act funding.
    The Committee has included specific set-asides in bill 
language that provide targeted resources to specific policy 
priorities: $26,805,000 for resource and referral programs and 
school-aged child care activities; $9,910,000 for child care 
research and evaluation activities; and $398,994,000 for child 
care quality activities, including $146,328,000 specifically 
for infant care quality. These quality funds are provided in 
addition to the 4 percent quality set-aside established in the 
authorizing legislation. The Committee continues to provide 
these additional quality funds because of the considerable 
research showing the importance to child development and school 
readiness 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 for resource and referral 
activities includes $1,000,000 to continue support for a 
national toll-free hotline that provides consumer education 
materials and assists families in accessing local information 
on child care options.

                      SOCIAL SERVICES BLOCK GRANT

Appropriations, 2010....................................  $1,700,000,000
Budget estimate, 2011...................................   1,700,000,000
Committee recommendation................................   1,700,000,000

    The Committee recommends $1,700,000,000 in mandatory funds 
for fiscal year 2011 for the social services block grant 
[SSBG]. This amount is the same as the comparable fiscal year 
2010 funding level and the budget request. The SSBG is a 
flexible source of funding that allows States to provide a 
diverse array of services to low-income children and families, 
the disabled and the elderly.
    The Committee continues to regard the SSBG as a critical 
source of funding for services that protect children from 
neglect and abuse, including providing foster and respite care, 
as well as related services for children and families, persons 
with disabilities, and older adults. The Committee recognizes 
the importance of this program, especially in providing mental 
health and counseling services to underserved populations, and 
recommends continued usage and flexibility of these funds for 
such purposes.

                 CHILDREN AND FAMILY SERVICES PROGRAMS

Appropriations, 2010....................................  $9,313,180,000
Budget estimate, 2011...................................  10,312,070,000
Committee recommendation................................  10,359,727,000

    The Committee recommends $10,359,727,000 for fiscal year 
2011 for children and families services programs. The 
comparable funding level for fiscal year 2010 is $9,313,180,000 
and the budget request is $10,312,070,000. The recommendation 
includes an additional $5,762,000 in transfers available under 
section 241 of the Public Health Service Act.
    This appropriation supports a variety of programs for 
children, youth, and families; the developmentally disabled; 
Native Americans; victims of child abuse, neglect and domestic 
violence; and other vulnerable populations.

Head Start

    The Committee recommends $8,223,958,000, the same as the 
budget request, for Head Start. The comparable funding level 
for fiscal year 2010 is $7,233,680,000. The American Recovery 
and Reinvestment Act (Recovery Act) included $2,100,000,000 for 
Head Start, available through fiscal year 2010.
    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 recommendation allows Head Start to serve 
approximately 978,000 low-income children and maintain the 
increase in children served because of Recovery Act funding in 
fiscal years 2009 and 2010. The Committee has also included 
bill language to define Head Start slots funded with Recovery 
Act funds as part of the base grant amount for purposes of 
formula allocations and to allow additional funds to be used 
for quality improvement activities. The Improving Head Start 
for School Readiness Act of 2007 included several provisions to 
improve classroom and teacher quality, including credentialing 
requirements that become effective October 1, 2011. The 
Committee has included the full budget request to ensure 
grantees are able to provide quality, comprehensive early 
childhood services.
    At the same time, the Committee is concerned by a recent 
Government Accountability Office [GAO] undercover investigation 
at Head Start centers that revealed abuse of eligibility 
requirements, including grantees enrolling families slightly 
over the income eligibility limit or who are otherwise 
ineligible into the program. The Committee strongly urges the 
Office of Head Start [OHS] to continue to work with grantees to 
ensure they are aware of their legal obligations to verify the 
eligibility of each child served in Head Start programs, 
including the serious consequences of falsifying eligibility 
determinations, and to increase monitoring of Head Start 
grantees, with a particular focus on unannounced visits. The 
Committee notes that in conducting its investigation, GAO 
contacted over 550 centers and found only 44 with current 
openings. This illustrates the demand for the comprehensive 
early childhood services Head Start programs provide, but also 
the need to ensure these funds are properly used.
    The Committee notes that the Improving Head Start for 
School Readiness Act of 2007 allows Head Start grantees to 
apply with HHS to transition from part-day to full-day 
services, and from Head Start to Early Head Start slots. Only a 
fraction of eligible infants and toddlers are currently served 
by the Early Head Start program, and the Committee encourages 
OHS to work with grantees to ensure they are aware of these 
options, particularly those with current openings. The 
Committee also notes that OHS is promulgating regulations to 
implement provisions of the Improving Head Start for School 
Readiness Act of 2007 concerning the re-competition of Head 
Start grants, the first time grantees will undergo re-
competition, which will provide another check to ensure that 
grantees are properly and effectively managing their Head Start 
centers.

Consolidated Runaway and Homeless Youth Program

    The Committee recommends $104,734,000 for the consolidated 
runaway and homeless youth program. The comparable funding 
level for fiscal year 2010 is $97,734,000, the same as 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 
provides longer-term shelter and services for older youth. 
Funding also supports a national toll-free runaway and homeless 
youth crisis hotline that responds to between 100,000 and 
120,000 calls annually.
    Basic centers and transitional living programs provide 
services to help address the needs of some of the estimated 1.6 
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.
    The current economic climate has put increasing pressure on 
families which has in turn increased the number of runaway and 
homeless youth. The Committee has included additional funding 
for this program, and other runaway and homeless youth programs 
at ACF and the Department of Education, to address an increase 
in this vulnerable population.

Runaway Youth Prevention Program

    The Committee recommends $18,971,000 for the runaway youth 
prevention program. The comparable funding level for fiscal 
year 2010 is $17,971,000, the same as 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 $105,519,000 for child abuse 
programs. The comparable fiscal year 2010 funding level is 
$97,244,000 and the budget request is $107,244,000. The 
recommendation includes $26,535,000 for State grants, 
$37,295,000 for discretionary activities, and $41,689,000 for 
community-based child abuse prevention. These programs seek to 
improve and increase activities that identify, prevent, and 
treat child abuse and neglect through State grants, technical 
assistance, research, demonstration, and service improvement.
    Within the total for child abuse discretionary activities, 
the Committee recommendation includes $10,000,000, as requested 
by the administration, for a new competitive grant program to 
support States' implementation and increased use of evidenced-
based child maltreatment prevention programs and activities. 
This program will focus on families with very young children 
who are at the greatest risk of child maltreatment, and will 
include evidence-based prevention strategies to promote 
parental resilience, knowledge of parenting and child 
development, nurturing and attachment, concrete support, and 
social connections.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Addison County Parent Child Center, Middlebury, VT, for         $100,000
 childcare and parental education programs..............
County of Contra Costa, Martinez, CA, for an initiative          350,000
 for children and adolescents exposed to domestic
 violence...............................................
Dakota County, Hastings, MN, for a home visitation               300,000
 program for at-risk infants and toddlers and their
 families...............................................
Georgia State University, Atlanta, GA, for child abuse           100,000
 prevention education services..........................
Nez Perce Tribe, Lapwai, ID, for child abuse prevention.         100,000
South Carolina Department of Education, Columbia, SC,            100,000
 for child abuse prevention education services..........
Southern Nevada Health District, Las Vegas, NV, for a            400,000
 home visitation program for low-income first-time
 mothers................................................
------------------------------------------------------------------------

Abandoned Infants Assistance

    The Committee recommends $11,628,000 for abandoned infants 
assistance. This amount is the same as the comparable fiscal 
year 2010 funding level and the budget request. This program 
provides grants to public and private community and faith-based 
organizations to develop, implement, and operate demonstration 
projects that prevent the abandonment of infants and young 
children impacted by substance abuse and HIV. Funds may be used 
to provide respite care for families and caregivers, allow 
abandoned infants and children to reside with their natural 
families or in foster care, and carry out residential care 
programs for abandoned infants and children who are unable to 
reside with their families or be placed in foster care.

Child Welfare Services

    The Committee recommends $281,744,000, the same as the 
budget request, for child welfare services. The comparable 
fiscal year 2010 funding level is $281,691,000. This program 
helps State and tribal public welfare agencies improve their 
child welfare services with the goal of keeping families 
together. States and tribes provide a continuum of services 
that prevent child neglect, abuse, or exploitation; allow 
children to remain with their families, when appropriate; 
promote the safety and permanence of children in foster care 
and adoptive families; and provide training and professional 
development to the child welfare workforce.

Child Welfare Training

    The Committee recommends $27,207,000 for child welfare 
training. This amount is the same as the comparable fiscal year 
2010 funding level and the budget request. These discretionary 
grants are awarded to institutions of higher learning and other 
nonprofit organizations for demonstration projects that 
encourage experimental and promising types of child welfare 
services, as well as projects that improve education and 
training programs for child welfare service providers.
    Within this amount, the Committee recommendation includes 
$20,000,000, as requested by the administration, for the 
innovative approaches to foster care program. This continues 
funding for 5-year demonstration projects started in fiscal 
year 2010 to improve the outcomes of children and families in 
foster care, particularly those with long-term involvement.
    The Committee encourages the Administration for Children 
and Families to develop a federally supported, centralized Web 
site that includes materials and information relevant to the 
needs of foster youth who are aging out of the system. This 
website should provide detailed information about relevant 
Federal and State programs, child welfare advocacy agencies, 
and nonprofit and community organizations dedicated to serving 
foster youth.

Adoption Opportunities

    The Committee recommends $39,332,000, the same as the 
budget request, for adoption opportunities. The comparable 
fiscal year 2010 funding level is $26,379,000. The budget 
request eliminates the more narrowly focused adoption awareness 
program and redirects that funding to the adoption 
opportunities program. The Committee agrees with this 
consolidation. Its funding recommendation for the combined 
program is equal to the total of the two programs in fiscal 
year 2010.
    The adoption opportunities program funds grants that 
eliminate barriers to adoption and help find permanent homes 
for children who would benefit from adoption, particularly 
children with special needs. The adoption awareness program 
provides grants to train health center staff to inform pregnant 
women about adoption and to make referrals on request to 
adoption agencies. It also funds the planning, development, and 
operation of a national campaign to inform the public about the 
adoption of children with special needs. The adoption 
opportunities program has broad authority to fund these types 
of awareness activities, and will continue to fund them in the 
consolidated program.

Adoption Incentives

    The Committee recommends $42,000,000, the same as the 
budget request, for adoption incentives. The comparable fiscal 
year 2010 funding level is $39,500,000. This program provides 
incentive payments to States to encourage an increase in the 
number of adoptions of children from the foster care system, 
with an emphasis on children who are the hardest to place. The 
recommendation will fully fund adoption incentives earned by 
States under current law.

Adoption Awareness

    The Committee does not include funding for the Adoption 
Awareness program, as requested by the administration. The 
comparable fiscal year 2010 funding level is $12,953,000. The 
budget request eliminated this program and redirected funding 
to the Adoption Opportunities program. The Committee agrees 
with this consolidation.

Social Services Research

    The Committee recommends $9,738,000 for social services 
research, which includes $5,762,000 in transfers available 
under section 241 of the Public Health Service [PHS] Act. The 
comparable funding level for fiscal year 2010 is $19,610,000, 
which includes $5,762,000 in transfers available under section 
241 of the PHS Act. The budget request is $8,762,000, which 
also includes $5,762,000 in transfers available under the PHS 
Act. These funds support research and evaluation of cost-
effective programs that increase the stability and economic 
independence of American families, and contribute to the 
healthy development of children and youth.
    The Committee recommendation includes $3,000,000, as 
requested by the administration, for a rigorous early childhood 
and education evaluation. This 5-year evaluation will assess 
which features of early care and education programs most 
influence child outcomes, and how variations in such features 
interact with children, family, and community characteristics 
to produce results.
    The Committee continues to support research and evaluation 
of evidence-based programs that are intended to strengthen 
families experiencing economic hardships. These projects aim to 
mitigate the effects of poverty on the health and well-being of 
children.
    The Committee encourages ACF to work with the 
Administration on Aging and other HHS agencies to evaluate 
intergenerational approaches aimed at improving outcomes for 
vulnerable populations. The Committee is aware of effective 
neighborhood-based programs that utilize older volunteers to 
foster permanency and improved outcomes for at-risk youth.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Access to Healthcare Network, Reno, NV, for a helpline          $330,000
 to assist residents with healthcare and social services
Campus Kitchen, Washington, DC, for services to the              100,000
 homeless community in Atlantic City, NJ................
City of Mount Vernon, NY, for the Youth Development              150,000
 Action Plan............................................
City of Tracy, CA, for gang-outreach, intervention,              300,000
 prevention, and educational assistance programs........
Creative Visions, Des Moines, IA, for family                     200,000
 reunification and support services.....................
FAMILY, Inc., Council Bluffs, IA, for a home visitation          400,000
 program for young children and their families..........
Jewish Social Service Agency, Rockville, MD, for autism          450,000
 outreach, education, and case management services......
Lake County Community Foundation, Waukegan, IL, for              250,000
 expanding access to services...........................
North Ward Center, Inc., Newark, NJ, for comprehensive           500,000
 services for people with autism spectrum dis-  orders..
Northern Kentucky Community Action Commission,                   100,000
 Covington, KY, for child care program activities.......
Olive Crest Pacific Northwest, Bellevue, WA, for                 250,000
 services for foster children and children in unstable
 home situations........................................
Refuge Network, Cambridge, MN, for family violence and           150,000
 sexual assault prevention and intervention services....
Springfield Area Parent Child Center, North Springfield,         500,000
 VT, for services for teenage and expectant mo-  thers..
TLC for Children and Families, Olathe, KS, for youth             500,000
 transitional living programs...........................
United Way of Capital Area, Jackson, MS, for 2-1-1               408,000
 Mississippi............................................
United Ways of California, South Pasadena, CA, for               750,000
 expanding 2-1-1 services...............................
University of Medicine and Dentistry of New Jersey--The          300,000
 Autism Center at NJ Medical School, Newark, NJ, for
 identifying and treating children with autism spectrum
 disorders..............................................
University of Nevada, Las Vegas, Las Vegas, NV, for              500,000
 expanding access to services for people with autism
 spectrum disorders.....................................
YWCA of Greater Portland, Portland, OR, for services for         600,000
 victims of human trafficking...........................
------------------------------------------------------------------------

Developmental Disabilities

    The Committee recommends $189,605,000 for developmental 
disabilities programs. The comparable fiscal year 2010 funding 
level is $186,579,000 and the budget request is $186,605,000. 
These programs support community-based delivery of services 
that 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. These programs also 
assist people with all types of disabilities participate in 
political elections. Within the total for developmental 
disabilities programs, the Committee recommendation includes 
the amounts specified below.
    The Committee recommendation includes $76,066,000 for State 
and Territorial Councils. The comparable fiscal year 2010 
funding level is $75,066,000, the same amount as the budget 
request. These important entities work to develop, improve, and 
expand the system of services and supports for people with 
developmental disabilities. By engaging in activities such as 
training, public education, capacity-building and advocating 
for change in State policies, Councils on Developmental 
Disabilities support the inclusion and integration of 
individuals with developmental disabilities in all aspects of 
community life.
    The Committee recommendation includes $42,024,000 for 
protection and advocacy grants. The comparable fiscal year 2010 
funding level is $41,024,000, the same amount as the budget 
request. 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 recommendation includes $17,410,000 for 
disabled voter services. This is the same amount as the 
comparable fiscal year 2010 funding level and the budget 
request. The Committee recommendation includes $12,154,000 to 
promote disabled voter access and $5,256,000 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 recommendation includes $14,162,000, the same 
amount as the budget request, for projects of national 
significance to assist persons with developmental disabilities. 
The comparable fiscal year 2010 funding level is $14,136,000. 
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 
supports the establishment of a National Autism Resource Center 
and includes $2,000,000 for the continued support of these 
activities.
    The Committee recommendation includes $39,943,000 for the 
University Centers for Excellence in Developmental Disabilities 
[UCEDDs], a network of 67 university-based centers that provide 
interdisciplinary education, conduct research, and develop 
model services for children and adults with disabilities. The 
comparable fiscal year 2010 funding level is $38,943,000 the 
same amount as the budget request. 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 recommendation will support training initiatives 
for new and emerging needs, such as developing effective 
services for people with autism spectrum disorder, as well as 
partnerships with minority-serving institutions to focus 
research, training and services on minority populations with 
disabilities.

Native American Programs

    The Committee recommends $48,773,000 for Native American 
programs. This is the same as the comparable fiscal year 2010 
funding level and the fiscal year 2011 budget request. The 
Administration for Native Americans [ANA] assists tribal and 
village governments, Native Indian institutions and 
organizations to support and develop stable, diversified local 
economies. In promoting social and economic self-sufficiency, 
ANA provides financial assistance through direct grants for 
individual projects, training and technical assistance, and 
research and demonstration programs.
    Within the total, the Committee recommendation includes 
$12,000,000 for Native American language preservation 
activities, including no less than $4,000,000 for language 
immersion programs authorized by 803C(b)(7)(A)-(C) of the 
Native American Programs Act, as amended by the Esther Martinez 
Native American Language Preservation Act of 2006. The 
Committee encourages ANA to give priority to grantees with 
rigorous immersion programs.

Community Services

    The Committee recommends $791,669,000 for community 
services programs. The comparable fiscal year 2010 funding 
level is $772,551,000 and the fiscal year 2011 budget request 
is $760,025,000. Within the total for community services 
programs, the Committee recommendation includes the amounts 
specified below.
    The Committee recommendation includes $700,000,000 for the 
community services block grant [CSBG]. This amount is the same 
as the comparable fiscal year 2010 funding level and the fiscal 
year 2011 budget request. The CSBG is used to make formula 
grants to States and Indian tribes to provide a wide range of 
services and activities to alleviate causes of poverty in 
communities and to assist low-income individuals in becoming 
self-sufficient.
    The Committee recommendation includes $55,000,000 for the 
community economic development program. The budget request 
included $36,000,000 for this activity, the same as the 
comparable fiscal year 2010 funding level. This program 
provides grants to community development corporations to 
support employment and business development opportunities for 
low-income individuals. Within this total for community 
economic development, the Committee recommendation includes up 
to $20,000,000 for the Healthy Foods Financing Initiative 
[HFFI]. A recent study by the Department of Agriculture found 
that over 23 million Americans, including 6.5 million children, 
live in low-income areas without ready access to grocery 
stores. The HFFI is a joint initiative with the Department of 
Agriculture and Department of the Treasury to provide financial 
and technical assistance to community development financial 
institutions, nonprofit organizations, and businesses to expand 
access to healthy foods in these low-income and underserved 
areas.
    The Committee recommendation includes $10,000,000, the same 
as the comparable fiscal year 2010 funding level, for the rural 
community facilities program. The budget request did not 
include funding for this program. The rural community 
facilities program provides grants to nonprofit organizations 
to provide training and technical assistance to low-income 
rural communities in developing and managing safe and 
affordable water and wastewater treatment facilities.
    The Committee recommendation includes $2,644,000, the same 
as the comparable fiscal year 2010 funding level, for the job 
opportunities for low-income individuals program [JOLI]. The 
budget request did not include funding for this program. JOLI 
provides grants to nonprofit organizations to support 
employment and business opportunities for TANF recipients and 
other low-income individuals, focusing on micro-enterprise and 
self-employment.
    The Committee recommendation includes $24,025,000, the same 
as the budget request, for individual development accounts. The 
comparable fiscal year 2010 funding level is $23,907,000. This 
program funds activities to encourage and help low-income 
individuals and families accumulate savings for dedicated 
purposes, including buying a home, paying for college, or 
starting a business.

Domestic Violence Hotline

    The Committee recommends $4,500,000, the same as the budget 
request, for the national domestic violence hotline. The 
comparable fiscal year 2010 funding level is $3,209,000. 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. The hotline 
received approximately 270,000 calls in fiscal year 2009, up 14 
percent from fiscal year 2007, but an estimated 50,000 calls 
could not be answered because of increased demand. The 
additional funding will increase capacity as well as support an 
evaluation of hotline services.

Family Violence Prevention and Services

    The Committee recommends $140,000,000, the same as the 
budget request, for the family violence prevention and services 
program, which includes battered women's shelters. The 
comparable fiscal year 2010 funding level is $130,032,000. 
These funds support programs to prevent family violence and 
provide immediate shelter and related assistance for victims of 
domestic violence and their dependents.
    Within the total, the Committee recommendation includes 
$4,000,000, as requested by the administration, for a new 
discretionary grant program to improve services for children 
exposed to domestic violence. The remaining increase will be 
targeted to existing programs experiencing increased demand for 
emergency services, including services for children.

Mentoring Children of Prisoners

    The Committee recommends $49,314,000 for mentoring children 
of prisoners. This amount is the same as the comparable fiscal 
year 2010 funding level and the budget request. 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. This amount is the same as the comparable 
fiscal year 2010 funding level and the budget request. This 
program supports vouchers of up to $5,000 per year for 
postsecondary education and training for foster care youth up 
to 21 years of age. This program increases the likelihood that 
individuals who age out of the foster care system will be 
better prepared to live independently and contribute 
productively to society.

Disaster Human Services Case Management

    The Committee recommends $2,000,000 for the disaster human 
services case management program. This amount is the same as 
the comparable fiscal year 2010 funding level and the budget 
request. This program assists States in establishing the 
capacity to provide case management services in a timely manner 
in the event of a disaster. It ensures that States are able to 
meet social service needs during disasters by helping disaster 
victims prepare recovery plans, referring them to service 
providers and FEMA contacts in order to identify needed 
assistance, and providing ongoing support and tracking through 
the recovery process.

Faith-based Center

    The Committee recommends $1,376,000 for the operation of 
the Department's Center for Faith-Based and Community 
Initiatives. This amount is the same as the comparable fiscal 
year 2010 funding level and the budget request.

Program Administration

    The Committee recommends $222,308,000, the same as the 
budget request, for program administration. The comparable 
fiscal year 2010 funding level is $208,398,000.
    The Committee recommendation includes $1,500,000 to be 
transferred to the National Commission on Children and 
Disasters. The Commission submitted an interim report to 
Congress and the President in October 2009 on its 
recommendations to address the needs of children as they relate 
to preparation for, response to, and recovery from emergencies 
and disasters. The continued funding will allow the Commission 
to follow up on its recommendations and continue coordination 
efforts between Federal agencies; Federal, State, and local 
governments; and nongovernmental organizations.

                   PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2010....................................    $408,311,000
Budget estimate, 2011...................................     408,311,000
Committee recommendation................................     408,311,000

    The Committee recommends $408,311,000 for promoting safe 
and stable families. This amount is the same as the comparable 
fiscal year 2010 funding level and the budget request. The 
recommendation consists of $345,000,000 in mandatory funds 
authorized by the Social Security Act and $63,311,000 in 
discretionary appropriations.
    This program supports activities that can prevent the 
emergence of family crises which might require the temporary or 
permanent removal of a child from his or her own home. Grants 
allow States to operate coordinated programs of family 
preservation services, time-limited family reunification 
services, community-based family support services, and adoption 
promotion and support services.

                PAYMENTS FOR FOSTER CARE AND PERMANENCY

Appropriations, 2010....................................  $5,578,000,000
Budget estimate, 2011...................................   5,366,000,000
Committee recommendation................................   5,366,000,000

    The Committee recommends $5,366,000,000 in mandatory funds 
for payments for foster care and permanency, an appropriated 
entitlement that includes funding for the foster care, adoption 
assistance, guardianship assistance, and independent living 
programs. This is in addition to the $1,850,000,000 
appropriated last year as an advance appropriation for the 
first quarter of fiscal year 2011. The comparable funding level 
for fiscal year 2010 is $5,578,000,000. In addition, the 
Committee recommends $1,850,000,000, the same as the budget 
request, for an advance appropriation for the first quarter of 
fiscal year 2012. The Committee recommendation provides the 
full amount requested under current law and does not reflect 
the administration's proposal to extend enhanced Federal 
support under the Recovery Act that is set to expire on 
December 31, 2010.
    The foster care program, authorized under title IV-E of the 
Social Security Act, provides Federal reimbursement to States 
and tribes for maintenance payments to families and 
institutions caring for eligible foster children. Funds are 
matched at the Federal medical assistance percentage [FMAP] 
rate for each State. Funding is also provided for 
administrative costs for the management of the foster care 
program, as well as training costs for 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 Fostering Connections to Success and Increasing 
Adoptions Act of 2008 created a new IV-E guardianship 
assistance program. This program gives States and tribes an 
option under their IV-E foster care programs to provide 
assistance payments to relatives taking legal guardianship of 
eligible children who have been in foster care.
    The independent living program provides services to foster 
children under 18 and foster youth ages 18 to 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.

                        Administration on Aging


                        AGING SERVICES PROGRAMS

Appropriations, 2010....................................  $1,516,073,000
Budget estimate, 2011...................................   1,624,733,000
Committee recommendation................................   1,659,383,000

    The Committee recommends an appropriation of $1,659,383,000 
for the Administration on Aging [AoA]. The comparable fiscal 
year 2010 level is $1,516,073,000. The administration requested 
$1,624,733,000 for this agency. The AoA is charged with 
administering programs through the national aging network that 
promote the development of comprehensive, coordinated home and 
community-based care for seniors.
    The Committee recommendation includes a total of 
$104,582,000 for programs throughout AoA as part of the 
administration's Caregiver Initiative. An estimated 49 million 
Americans provide care for adult family members, friends or 
other loved ones. Caregivers help older Americans and the 
chronically ill with such tasks as preparing meals, helping 
with household chores and arranging medical care and 
transportation. Caregivers spend an average of 20 hours a week 
providing care while at the same time balancing work and other 
family responsibilities. This assistance allows recipients to 
stay out of institutional care, but it comes at a tremendous 
cost to caregivers' own health and emotional well-being. 
According to a report issued in February 2010 by the National 
Alliance for Caregiving, employees who care for older relatives 
are more likely to report poorer health than other employees 
and also greater rates of depression, diabetes, hypertension, 
and pulmonary disease. The additional funds provided to 
Supportive Services and Senior Centers, the Family Caregiver 
Support program, Native American caregivers and the Lifespan 
Respite Care program will relieve some of these pressures on 
caregivers, allowing them to better care for their loved ones 
while helping older Americans remain independent in their own 
homes and communities for as long as possible.

Supportive Services and Senior Centers

    The Committee recommends an appropriation of $416,348,000 
for supportive services and senior centers. This amount is the 
same as the administration request. The comparable funding 
level for fiscal year 2010 is $368,294,000. The supportive 
services program provides formula grants to States and 
territories to fund 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 that, in turn, make awards to local 
services providers.
    The Committee recommendation includes an increase of 
$48,054,000 as part of the administration's Caregiver 
Initiative. These funds will provide 1 million more hours of 
adult day care, as well as 1.3 million more hours of personal 
care assistance to seniors unable to perform daily activities. 
These vital services will relieve some of the pressures faced 
by caregivers who might otherwise have to provide more 
intensive assistance on their own to their loved ones.

Preventive Health Services

    The Committee recommends $21,026,000 for preventive health 
services. This amount is the same as the administration 
request. The comparable funding level for fiscal year 2010 is 
$21,023,000 for this activity. The preventive health services 
program funds activities that help seniors stay healthy and 
avoid chronic disease, thus reducing the need for more costly 
medical interventions. The Committee has included bill language 
that requires States to use these funds for evidence-based 
programs, such as enhanced fitness and wellness, depression 
screening, falls prevention, and chronic-disease self-
management programs. These evidence-based programs have been 
shown through randomized-controlled trials to be effective at 
helping older adults adopt healthy behaviors and lower their 
use of healthcare services.

Protection of Vulnerable Older Americans

    The Committee recommends $24,290,000 for grants to States 
for protection of vulnerable older Americans. The 
administration request is $23,290,000 and the comparable fiscal 
year 2010 funding level is $21,880,000. Within the Committee 
recommendation, $18,783,000 is for the ombudsman services 
program and $5,507,000 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 $202,220,000 for the national 
family caregiver support program. This amount is the same as 
the administration request. The comparable fiscal year 2010 
level is $154,197,000. 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 
include 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 additional funds provided are part of the Caregiver 
Initiative and will allow nearly 200,000 additional caregivers 
to be served and 3 million more hours of respite care to be 
provided.

Native American Caregiver Support Program

    The Committee recommendation includes $8,389,000 to carry 
out the Native American caregiver support program. This amount 
is the same as the administration request. The comparable 
fiscal year 2010 funding level is $6,388,000. The program 
assists tribes in providing multifaceted systems of support 
services for family caregivers and for grandparents or older 
individuals who are relative caregivers. The additional funds 
are provided as part of the administration's Caregiver 
Initiative. By providing additional counseling, outreach and 
respite care to caregivers, these funds will allow more Native 
American elders to remain in their homes and communities.

Congregate and Home-delivered Nutrition Services

    For congregate nutrition services, the Committee recommends 
an appropriation of $463,644,000. The administration requested 
$445,644,000 for this activity and the comparable fiscal year 
2010 level is $440,718,000. For home-delivered meals, the 
Committee recommends a funding level of $232,893,000. The 
administration requested $220,893,000 for this activity and the 
comparable fiscal year 2010 level is $217,644,000.
    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 meals, home-delivered meals and supportive 
services, they have flexibility to transfer funds between these 
programs.

Nutrition Services Incentives Program

    The Committee recommendation includes $161,015,000 for the 
nutrition services incentives program [NSIP]. This amount is 
the same as the administration request. The comparable funding 
level for fiscal year 2010 is $160,991,000. 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 $29,708,000 for grants to Native 
Americans. This amount is the same as the administration 
request. The comparable fiscal year 2010 level is $27,704,000. 
Under this program, awards are made to eligible organizations 
based on their share of Native Americans, Native Alaskans, and 
Native Hawaiians aged 60 and over. The additional funds are 
part of the Caregiver Initiative and will provide increased 
supportive services, nutrition services, information, and 
assistance to Native Americans.

Program Innovations

    The Committee recommends $14,699,000 for program 
innovations. The comparable fiscal year 2010 level is 
$19,020,000. The administration requested $13,049,000 for this 
activity. These funds support activities that 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.
    Within funding for Program Innovations, the Committee has 
provided $1,000,000 to continue support for a 24-hour call 
center that provides Alzheimer family caregivers with 
professional care consultation and crisis intervention.
    Civic Engagement.--The Committee is aware of new research 
suggesting that interventions designed to promote health and 
function in seniors through everyday activity may improve the 
brain's plasticity, or the ability to bounce back, in key 
regions that support executive function. The Committee urges 
AoA to continue its work in advancing the field of civic 
engagement for older Americans by partnering with organizations 
with proven experience in creating robust, innovative 
opportunities for baby boomers and other older Americans to 
serve their communities while helping them to maintain and 
improve their health.
    Older Adults and Mental Health.--The Committee notes that 
approximately 20 to 25 percent of older adults have a mental or 
behavioral health problem. Older white males (age 85 and over) 
currently have the highest rates of suicide of any group in the 
United States. The Committee acknowledges the importance of 
addressing the mental and behavioral health needs of older 
adults and encourages AoA to implement the Older Americans Act 
provisions related to mental and behavioral health. 
Specifically, the Committee urges AoA to designate an officer 
to administer the mental health services authorized under the 
act, work to improve the delivery of mental health screening 
and treatment services for older individuals, and increase 
public awareness and reduce the stigma associated with mental 
disorders in older individuals.
    Transportation.--The Committee is aware of the rapidly 
growing need for transportation services for older Americans. 
In order to expand resources to meet this need, the Committee 
encourages AoA to fund section 416 of the Older Americans Act. 
Such funding could support successful, entrepreneurial models 
of economically sustainable transportation that supplement 
publicly funded services by accessing private resources and 
voluntary local community support, and that do not rely on 
Federal or other public financial assistance after 5 years.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Cathedral Square Corporation, South Burlington, VT, for         $750,000
 the Seniors Aging Safely at Home pilot program.........
Jewish Family Services of Delaware, Wilmington, DE, for          150,000
 an aging-in-place initiative...........................
Jewish Federation of Las Vegas, Las Vegas, NV, for the           100,000
 Las Vegas Senior Lifeline Program......................
PACE Greater New Orleans, New Orleans, LA, for the               150,000
 expansion of senior services...........................
The Associated: Jewish Community Federation of                   200,000
 Baltimore, Baltimore, MD, to address safety and
 community engagement issues among seniors..............
Vermont Association of Area Agencies on Aging, Barre,            200,000
 VT, to expand nutrition assistance and related programs
Washoe County Senior Services, Carson City, NV, for the          100,000
 RSVP Home Companion Senior Respite Care Program........
------------------------------------------------------------------------

Aging Network Support Activities

    The Committee recommends $44,179,000 for aging network 
support activities. This amount is the same as the 
administration request. The comparable fiscal year 2010 level 
is $44,276,000. 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 has included new bill language limiting the 
funding provided to AoA for Aging and Disability Resource 
Centers [ADRCs]. The Committee notes that the Patient 
Protection and Affordable Care Act [PPACA] provided a mandatory 
appropriation of $10,000,000 to AoA in fiscal year 2011 for the 
ADRCs. In light of scarce discretionary resources, the 
Committee recommendation has reduced funding for ADRCs by the 
amount provided in the PPACA. The Committee believes that AoA 
should use the funds previously allocated to ADRCs to focus on 
other programs that will help seniors remain healthy and live 
independently in their own communities. Specifically the 
Committee directs AoA to prioritize evidence-based disease 
prevention activities, such as the chronic disease self-
management program [CDSMP]. The Committee notes that Recovery 
Act funding provided to AoA for the CDSMP will end this year, 
and encourages AoA to use fiscal year 2011 funding to continue 
this program, which has been proven to reduce the effects of 
chronic conditions, improve health status and reduce 
unnecessary healthcare use among seniors.

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. This amount 
is the same as the administration request. The comparable 
funding level for fiscal year 2010 is $11,462,000. This program 
provides competitively awarded matching grants to States to 
encourage program innovation and coordination of public and 
private services for individuals with Alzheimer's disease and 
their families. The Committee urges the AoA to continue this 
program's focus on expanding services to people in the early 
stages of dementia and providing chronic care management.

Lifespan Respite Care

    The Committee recommends $7,000,000 for the Lifespan 
Respite Care program. The administration requested $5,000,000 
for this activity and the comparable fiscal year 2010 level is 
$2,500,000. The Lifespan Respite Care program provides grants 
to States to expand respite care services to family caregivers, 
improve the local coordination of respite care resources, and 
improve access and quality of respite care services, thereby 
reducing family caregiver strain. The Committee has provided 
additional funds to the Lifespan Respite Care program as part 
of the administration's Caregiver Initiative. In carrying out 
the program, the Committee urges AoA to ensure that State 
agencies and ADRCs serve all age groups, chronic conditions and 
disability categories.

Program Administration

    The Committee recommends $22,508,000 for program 
administration. This amount is the same as the administration 
request. The comparable funding level for fiscal year 2010 is 
$19,976,000. These funds support salaries and related expenses 
for program management and oversight activities. The Committee 
has included bill language requested by the administration that 
allows AoA to continue program management activities for 
Recovery Act grants awarded in fiscal year 2010 under title 
XVII of the Public Health Service Act.

                        Office of the Secretary


                    GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2010....................................    $555,576,000
Budget estimate, 2011...................................     609,360,000
Committee recommendation................................     590,908,000

    The Committee recommends $590,908,000 for general 
departmental management [GDM]. The comparable fiscal year 2010 
funding level is $555,576,000. The administration requested 
$609,360,000 for this activity. The recommendation includes 
$69,211,000 in transfers available under section 241 of the 
Public Health Service Act. In addition, the Committee 
recommends that $30,000,000 be transferred to this account from 
the Prevention and Public Health Fund.
    This appropriation supports 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 [OPHS], 
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 U.S. Public Health Service Commissioned Corps, 
including the involvement of the Corps in departmental 
emergency preparedness and response activities.
    The Committee has included $13,513,000 for the 
transformation of the Commissioned Corps. This amount is the 
same as the administration request. The comparable fiscal year 
2010 funding level is $14,813,000. This activity provides for 
training and career development programs for Corps officers, as 
well as policies and systems that ensure the rapid response of 
the Corps in public health and medical emergencies.
    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 administration of the Interagency Autism 
Coordinating Committee. These funds are to be transferred to 
the National Institute of Mental Health.
    The Committee recommendation includes $10,000,000, the same 
as the administration request, for a Federal employee health 
and wellness initiative. This is a new activity for fiscal year 
2011. This initiative will be coordinated by the OPHS but the 
Committee has included bill language requested by the 
administration that allows a portion of funds to be transferred 
to other agencies in the Federal government. Funds will be used 
to operate model wellness programs at Federal worksites that 
will improve access to fitness opportunities and support 
nutritional food options in employee cafeterias. A rigorous 
evaluation will accompany this initiative to document its 
effectiveness on improving employee health.
    The Committee has included $800,000 for the National 
Academy of Sciences [NAS] to update its 2005 report titled 
``Assessment of the Scientific Information for the Radiation 
Exposure Screening and Education Program.'' The NAS should 
review new scientific data to determine whether the current 
Radiation Exposure Compensation Act [RECA] program should be 
expanded. More specifically, the study should include 
recommendations as to whether additional diseases or illnesses, 
classes of workers, and geographic areas should be compensated 
through RECA.
    Adolescent Health.--The Committee notes that adolescents 
have morbidity and mortality rates twice those of younger 
children. Many are vulnerable to poor health outcomes as a 
result of risk-taking behaviors and exposure to environmental 
risks. Despite their high rates of mental health conditions, 
sexually transmitted diseases, obesity, asthma, and other 
chronic conditions, adolescents are not receiving the care they 
need. The Committee strongly urges the Secretary, through the 
Office of Adolescent Health, to fund demonstrations of primary 
care models staffed by an interdisciplinary team of 
professionals who provide integrated preventive care, primary 
care, sexual health, and mental health services. These models 
should include care management and communication strategies for 
adolescents at significant risk of poor health outcomes, as 
well as opportunities for teen and parent involvement and 
linkages to community prevention efforts.
    Carrier Screening.--The Committee is concerned that the 
Secretary is not more fully engaged in the development of 
policies and recommendations relative to the efficacy and 
appropriateness of carrier screening for genetic disorders. Ad 
hoc policies developed by professional societies and industry 
have bred inconsistencies and confusion. The Committee is aware 
that the Advisory Committee on Heritable Disorders in Newborns 
and Children and the Secretary's Advisory Committee on 
Genetics, Health, and Society are exploring the creation of a 
joint workgroup to explore carrier screening protocols. The 
Committee urges the Secretary to facilitate the development of 
the joint workgroup and to encourage broad participation by 
stakeholder groups, including advocacy groups and health 
economists.
    Clinical Trial Operations.--The Committee recognizes the 
importance of providing strict policies and regulations that 
govern protections for human subjects that participate in 
federally funded clinical trials. At the same time, concerns 
have been raised that the various agencies that fund or provide 
oversight of clinical trials have instituted different 
regulations that are often inconsistent and unnecessarily 
burdensome, especially for multi-institutional trials. This has 
inhibited the initiation of new trials and access to promising 
treatments for patients. The Committee encourages the Secretary 
to bring together leading researchers with experience in the 
operation of clinical trials and representatives from NIH, FDA, 
CMS, and other agencies to determine if changes could be made 
to better harmonize existing policies and regulations on 
clinical trial operations.
    Healthcare Associated Infections.--The Committee notes that 
a recent study published in the Journal of the American Medical 
Association found that lapses in infection control among 
ambulatory surgical centers were common, with deficiencies 
relating to practices such as hand hygiene, injection and 
medication safety, and equipment reprocessing. These study 
results are disturbing since outpatient procedures now 
represent more than three-quarters of all operations performed. 
The Committee applauds the Secretary for expanding the 
Department's Action Plan to Prevent Healthcare-Associated 
Infections to include ambulatory surgical centers and 
encourages the Department to pay particular attention to 
injection safety.
    Hearing Loss.--The Committee is concerned about the effects 
of noise on hearing and notes that the number one cause of 
preventable hearing loss is loud noise. The Committee believes 
the public should be educated to lower the risk of hearing loss 
in later years and urges the Department to produce public 
service announcements on noise reduction.
    Hepatitis B and C.--The Committee is pleased that the 
Secretary has convened and established an inter-departmental 
task force to address the public health challenge of viral 
hepatitis. The Committee urges the task force to review and 
consider the Institute of Medicine report released in January 
2010 titled ``Hepatitis and Liver Cancer: A National Strategy 
for Prevention and Control of Hepatitis B and C,'' which 
documents the problem and highlights a course of action to 
address it. The Committee looks forward to an update on the 
task force's recommendations and actions.
    Lyme Disease.--The Committee encourages the Secretary to 
better coordinate the Department's Lyme disease activities. A 
Tick-borne Diseases Advisory Committee could achieve this goal 
by advising relevant Federal agencies on priorities related to 
Lyme and tick-borne diseases, minimizing overlap in efforts to 
address such diseases, promoting communication with 
constituency groups, and ensuring that a broad spectrum of 
scientific viewpoints is represented in public health policy 
decisions.
    The recommendation includes bill language providing funding 
for the following activities in the following amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Community Transportation Association of America,                $950,000
 Washington, DC, for technical assistance to human
 services transportation providers on ADA requirements..
------------------------------------------------------------------------

Teen Pregnancy Prevention

    The Committee recommendation includes $118,455,000 for the 
Teenage Pregnancy Prevention [TPP] program. The recommendation 
includes $8,455,000 in transfers available under section 241 of 
the Public Health Service Act. The administration requested 
$133,673,000 for this activity. The comparable funding level 
for fiscal year 2010 is $114,434,000. The Committee 
recommendation includes $4,000,000 for a Federal evaluation of 
the projects funded by this program.
    The Committee commends the Office of Adolescent Health 
[OAH] for successfully implementing this new program in a short 
amount of time and with very little staff and resources. In the 
report accompanying the Consolidated Appropriations Act of 
2010, the Committee stated its intention that the OAH be 
responsible for implementing and administering the Teen 
Pregnancy Prevention program. The Committee reiterates this 
intention. While the Committee expects the OAH to collaborate 
with and utilize the available expertise of other operating 
divisions within the Department while implementing this 
program, it directs the Secretary to ensure that the OAH 
maintains administrative and programmatic control over any 
funding announcement issued regarding the Teen Pregnancy 
Prevention program.

Adolescent Family Life

    The Committee provides $12,474,000 for the Adolescent 
Family Life [AFL] program. The administration requested 
$16,658,000, the same as the comparable fiscal year 2010 level. 
The AFL program evaluates integrated approaches to the delivery 
of comprehensive services to pregnant and parenting teens. The 
Committee recommendation includes funding to support 
continuations for existing care demonstration grants. The 
Committee notes that the Patient Protection and Affordable Care 
Act created the Support for Pregnant and Parenting Teens and 
Women program, and also provided this program with $25,000,000 
in mandatory funds for fiscal year 2011. The Committee believes 
this new program duplicates activities funded by the AFL 
program and, due to scarce discretionary resources, has not 
provided funding for new grant awards for this activity.

Minority Health

    The Committee recommends $58,180,000 for the Office of 
Minority Health. The comparable fiscal year 2010 funding level 
is $55,989,000 and the administration requested $57,980,000. 
The Office of Minority Health [OMH] focuses on strategies 
designed to decrease health disparities and to improve the 
health status of racial and ethnic minority populations in the 
United States. The OMH establishes goals and coordinates all 
departmental activity related to improving health outcomes for 
disadvantaged and minority individuals.
    The Committee includes $4,000,000, the same as the 
comparable fiscal year 2010 level, for programs focused on the 
improvement of geographic minority health and the reduction in 
health disparities for rural disadvantaged minority 
populations. The administration did not provide funding for 
this activity. Funds are available to: increase awareness of 
healthcare issues and effective interventions relevant to these 
populations; increase access to quality healthcare; increase 
access to quality healthcare personnel available to provide 
services to these populations; improve healthcare outcomes; and 
develop a model that can be replicated to address national 
policies and programs to improve the health of these rural 
disadvantaged minority communities. This model should include 
research, health services, education/awareness, and health 
information components, with priority given to existing 
programs with prior funding, that are located in areas with the 
most need, and that can provide recommendations on projects 
that benefit the health of minority and rural populations.
    The Committee recommendation includes $1,000,000 to 
continue the national health provider education program on 
lupus. The Committee remains very concerned about racial 
disparities in general and particularly 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 than among Caucasians. The 
Committee continues to support this critically important 
national education effort to engage health professionals and 
schools of health professions in working together to improve 
lupus diagnosis and treatment through education.
    Asian and Pacific Islanders.--The Committee notes that 
Asian and Pacific Islanders [API] have a high incidence of 
stomach and liver cancers compared to Caucasians. Overall, 
cancer data are limited for this population. In addition, the 
API population experiences a higher than average rate of 
chronic kidney disease, with 1 person in 7 afflicted with this 
disease, compared to a national average of 1 person in 9. Among 
API population groups, Filipinos have one of the highest rates 
of incidence per capita. The Committee urges the OMH to focus 
on the unique and pressing needs of this at-risk population.
    Hepatitis B.--The Committee is aware that hepatitis B and 
liver cancer, as caused by the hepatitis B virus, are the 
single greatest health disparities affecting the Asian and 
Pacific Islander populations in the United States. Asian 
Americans, Native Hawaiians, and other Pacific Islanders 
comprise more than one-half of the 2 million estimated 
hepatitis B carriers in the United States and consequently have 
the highest rate of liver cancer among all ethnic groups. The 
Committee urges the OMH to expand outreach and preventive 
hepatitis B programs specific to Asian and Pacific Islanders 
and other groups disproportionately affected by hepatitis B.
    The recommendation includes bill language providing funding 
for the following activities in the following amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
St. Francis Hospital Foundation, Wilmington, DE, for            $200,000
 outreach and preventive services to underserved
 populations............................................
------------------------------------------------------------------------

Office of Women's Health

    The Committee recommends $33,746,000 for the Office of 
Women's Health. This amount is the same as the comparable 
fiscal year 2010 level and the administration request. The 
Office of Women's Health [OWH] develops, stimulates, and 
coordinates women's health research, healthcare services, and 
public and health professional education and training across 
the Department. 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 commends the work of the OWH and its important 
leadership in advancing and coordinating a comprehensive 
women's health agenda throughout the Department.
    The Committee recommendation includes $3,375,000 to 
continue the violence against women's initiative. This 
initiative provides funding to public health programs that 
integrate domestic and sexual violence assessment and 
intervention into basic care, as well as encourages 
collaborations between healthcare providers, public health 
programs, and domestic and sexual violence programs.

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 $53,891,000. This amount is the same as 
the administration request. The comparable fiscal year 2010 
level is $53,880,000. These funds are available to key 
operating divisions of the Department with expertise in HIV/
AIDS services to assist minority communities with education, 
community linkages, and technical assistance.

Embryo Donation and Adoption

    The Committee provides $4,200,000 for the Department's 
embryo donation and adoption awareness activities. This amount 
is the same as the comparable fiscal year 2010 level and the 
administration request. The Committee again includes 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.

Acquisition Reform

    The Committee includes a new general provision proposed by 
the administration that transfers $7,000,000 to the Office of 
the Secretary for acquisition reform activities. The funding 
level is the same as the administration request. These funds 
will allow the Secretary to invest in the civilian acquisition 
workforce through improved training and technology. The 
Committee provides these funds with the expectation that this 
investment will improve contracting performance and lower costs 
in the long term.

                OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2010....................................     $71,147,000
Budget estimate, 2011...................................      77,798,000
Committee recommendation................................      77,798,000

    The Committee provides $77,798,000 for the Office of 
Medicare Hearings and Appeals [OMHA]. This is the same as the 
administration request. The comparable fiscal year 2010 level 
is $71,147,000.
    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. 
OMHA ensures that Medicare beneficiaries who are dissatisfied 
with the initial decisions about their benefits or eligibility 
can appeal and exercise their right to a hearing in front of an 
Administrative Law Judge. The Committee recommendation includes 
funding for OMHA to increase the number of administrative law 
judge teams so that it can address its increasing workload.

  OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY

Appropriations, 2010....................................     $61,336,000
Budget estimate, 2011...................................      78,334,000
Committee recommendation................................      78,334,000

    The Committee makes available $78,334,000 to the Office of 
the National Coordinator for Health Information Technology 
[ONC]. This amount is the same as the administration request. 
The comparable fiscal year 2010 funding level is $61,336,000. 
The Committee recommendation includes $19,011,000 in transfers 
available under section 241 of the Public Health Service Act.
    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. ONC 
was permanently established under the Health Information 
Technology for Economic and Clinical Health [HITECH] Act, which 
was intended to promote not only the adoption of health 
information technology, but its meaningful use. The Committee 
recommendation includes funding for ONC activities relating to 
the adoption of electronic health records, privacy and 
security, interoperability, and research and evaluation. The 
Committee recommendation also includes $4,000,000, as requested 
by the administration, to integrate substance abuse and mental 
health prevention and treatment into the health information 
technology framework of the larger primary care delivery 
system.

                      OFFICE OF INSPECTOR GENERAL

Appropriations, 2010....................................     $50,279,000
Budget estimate, 2011...................................      51,754,000
Committee recommendation................................      54,754,000

    The Committee recommends an appropriation of $54,754,000 
for the Office of Inspector General [OIG]. The comparable level 
for fiscal year 2010 is $50,279,000 and the administration 
requested $51,754,000 for this activity. In addition to 
discretionary funds provided in this act, the Health Insurance 
Portability and Accountability Act of 1996 provides a permanent 
appropriation of $177,205,000 for the Office of Inspector 
General.
    The Office of Inspector General conducts audits, 
investigations, and evaluations of the programs administered by 
the Department's operating and staff divisions, including the 
recipients of the Department'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 the Department's programs and operations.
    The Committee notes that recent GAO reports have 
highlighted the need for greater oversight of the Department's 
discretionary programs, including those that received increased 
funding as part of the Recovery Act. The Committee strongly 
believes that taxpayer resources must be used wisely, and 
applauds the Secretary for announcing a new Department-wide 
program integrity initiative to prevent waste and fraud. The 
Committee recommendation includes funding above the 
administration request so that the OIG can conduct additional 
investigations and audits of discretionary programs as part of 
this new initiative.

                        OFFICE FOR CIVIL RIGHTS

Appropriations, 2010....................................     $41,093,000
Budget estimate, 2011...................................      44,382,000
Committee recommendation................................      44,382,000

    The Committee recommends $44,382,000 for the Office for 
Civil Rights [OCR]. This amount is the same as the 
administration's request. The comparable funding level for 
fiscal year 2010 is $41,093,000. The Office for Civil Rights is 
responsible for enforcing civil rights-related statutes in 
healthcare 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. 
This office also has responsibility for implementing and 
enforcing privacy protections under the Health Information 
Technology for Economic and Clinical Health [HITECH] Act.

     RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS

Appropriations, 2010....................................    $474,557,000
Budget estimate, 2011...................................     517,536,000
Committee recommendation................................     517,536,000

    The Committee provides an estimated $517,536,000 for 
retirement pay and medical benefits for commissioned officers 
of the U.S. Public Health Service [PHS]. This amount is the 
same as the administration request. This account provides for 
retirement payments to PHS officers who are retired due to age, 
disability, or length of service; payments to survivors of 
deceased officers; and medical care to active duty and retired 
officers, as well as their dependents.

            PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2010....................................  $1,346,136,000
Budget estimate, 2011...................................   1,540,506,000
Committee recommendation................................   1,526,795,000

    The Committee recommends $1,526,795,000 for the Public 
Health and Social Services Emergency Fund. The administration 
requested $1,540,506,000 and the comparable fiscal year 2010 
level is $1,346,136,000. The Committee recommendation includes 
$1,196,795,000 in discretionary appropriations and $330,000,000 
in balances from Public Law 111-32, consistent with the 
administration request. 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]

    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 [ASPR]. 
The ASPR leads the Federal Government's activities regarding 
preventing, preparing for and responding to public health 
emergencies and disasters. The Committee recommendation 
includes $1,045,806,000 for activities administered by ASPR. 
The administration requested $1,053,734,000 and the comparable 
funding level for fiscal year 2010 is $891,037,000. These funds 
will support the Department's efforts to prepare for and 
respond to public health emergencies, including acts of 
terrorism.
            Hospital Preparedness
    The Committee's recommendation includes $426,000,000, the 
same as the budget request, for hospital preparedness 
activities. The comparable funding level for fiscal year 2010 
is $425,928,000. This program provides funding to States and 
localities to enhance hospital preparedness to respond to 
public health emergencies. It also funds a national program 
that helps health professionals volunteer in public health 
emergencies and disasters.
            Advanced Research and Development
    The Committee has included bill language, proposed by the 
administration, to transfer $476,194,000 from the Project 
BioShield Special Reserve Fund advance appropriation to fund 
advanced research and development. This is the same as the 
administration request. The fiscal year 2010 comparable amount 
is $340,066,000. The Committee has not included additional bill 
language requested by the administration allowing the 
Secretary, with 15 days notice to the Committee, to transfer 
additional amounts from Project BioShield to advanced research 
and development activities. The Committee notes that, in 
addition to the funds provided in this bill, the most recent 
obligation reports from the Department indicate that 
approximately $358,000,000 in prior-year unobligated balances 
remain available for advanced research and development 
activities. Due to the large amount of funds available to 
promote promising countermeasures, the Committee has not given 
the Secretary the authority to independently transfer BioShield 
balances. The Committee believes that additional transfers from 
Project BioShield should be made with the full consideration 
and prior approval of Congress, following sufficient 
justification from the administration.
    Advanced Adjuvants.--Advanced adjuvants have the potential 
to be dose-sparing and to increase the immunogenicity of 
influenza vaccine antigen in future pandemics. The Committee 
recognizes the need to develop these adjuvants with pandemic 
strains and demonstrate that potential now, before the next 
pandemic. The Committee encourages ASPR, along with NIH and the 
FDA, to facilitate the development of advanced adjuvants for 
influenza vaccine.
    Antibacterial Resistance.--The Committee notes that 
antibacterial resistance and the diminishing antibacterial 
pipeline are complex problems. Multi-pronged solutions are 
required to sufficiently limit the impact of antibacterial 
resistance on patients and the public and to spur the 
development of products to address antibacterial resistant 
infections. The Committee encourages ASPR and the National 
Institute for Allergy and Infectious Diseases to create a 
seamless approach to the research and development of new 
antibacterial drugs, particularly those designed to combat 
gram-negative infections, which will help the transition across 
the spectrum of enterprise from basic research to product 
development and procurement.
    Emergency Care.--The Committee recognizes the significant 
findings of the 2006 Institute of Medicine Report, titled 
``Hospital-Based Emergency Care: At the Breaking Point,'' which 
identified critical gaps in emergency medicine research. 
Therefore, the Committee urges the Secretary to submit a report 
on the funding information for the past 3 years with respect to 
emergency medicine research, including the specific HHS 
agencies involved.
    Manufacturing Surge Capacity.--The Committee is concerned 
that the response to the 2009 H1N1 influenza pandemic strained 
the manufacturing surge capacity for products that are required 
for surveillance, detection, and administration of vaccine. The 
Committee urges ASPR to review the existing manufacturing surge 
capacity for these products, as well as the adequacy of the 
Strategic National Stockpile's current inventory of these 
products. The Committee believes ASPR should continue to 
develop advance procedures and guidance with respect to 
relationships with private parties in emergency situations, 
including establishing advance contracting logistics and 
developing distribution channels for nonemergency products that 
would be used in emergency situations.
    Medical Countermeasures.--The Committee is aware of the 
important effort underway by the Secretary to improve the 
ability of the United States to respond in the event of a 
natural, unintentional or deliberate high-consequence public 
health emergency. The Committee looks forward to the 
administration's review of the issues and challenges facing the 
Public Health Emergency Medical Countermeasures Enterprise and 
expects a full report as soon as possible. The Committee 
requests that, following the medical countermeasures review, 
the Secretary provide to the Committee a report detailing the 
additional resources needed to ensure that the discovery, 
development, procurement, and administration of end-to-end 
medical countermeasures is adequate to protect the American 
people from chemical, biological, radiological, and nuclear 
threats.
    Next Generation Ventilators.--The Committee is aware of a 
request for proposals solicitation made by the Biomedical 
Advanced Research and Development Authority [BARDA] in ASPR to 
support advanced development of domestically manufactured next 
generation portable ventilators. The Committee supports this 
effort and requests that the ASPR provide to the Committee an 
update on this solicitation and its other activities in this 
area in its fiscal year 2012 budget justification.
    Universal Flu Vaccine.--The Committee is encouraged that a 
universal influenza vaccine, which could potentially provide 
protection from all flu strains for decades, may become a 
reality because of research performed by the National Institute 
of Allergy and Infectious Diseases [NIAID]. Due to the strain-
specific nature of current flu vaccine, the Committee 
recognizes that Federal funds could be saved every year and the 
public's health could be better protected if a universal 
influenza vaccine were available. The Committee encourages ASPR 
to work with NIAID to ensure that sufficient research is being 
done to develop and test a safe and effective influenza vaccine 
that protects against all strains of the virus.
            Facilities Project
    The Committee recommendation includes $10,000,000 to co-
locate the majority of ASPR staff in a new facility. This 
amount is the same as the administration request. This is a new 
activity which was not funded in fiscal year 2010.
            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--$12,847,000;
  --Preparedness and Emergency Operations--$38,059,000;
  --National Disaster Medical System--$56,540,000;
  --Medical Countermeasures Dispensing--$10,000,000;
  --Global Medicine, Science, and Public Health--$10,000,000; 
        and
  --Policy, Strategic Planning and Communications--$6,166,000.

Office of the Assistant Secretary for Administration

    The Committee recommendation includes $32,040,000 for 
information technology cybersecurity. The administration 
requested $37,040,000 and the comparable funding level for 
fiscal year 2010 is $27,040,000. These funds provide for 
continuous monitoring and security incident response 
coordination for the Department's computer systems and 
networks.

Office of Public Health and Science

    The Committee recommendation includes $12,694,000 for the 
medical reserve corps program, a national network of local 
volunteers that work to strengthen the public health 
infrastructure and preparedness capabilities of their 
communities. This amount is the same as the administration 
request. The comparable level for fiscal year 2010 is 
$12,581,000.

Office of the Secretary

    The Committee recommendation includes $436,255,000 for 
activities within the Office of the Secretary. The 
administration request is $437,038,000 and the comparable 
fiscal year 2010 level is $415,478,000. The recommendation 
includes $106,255,000 in discretionary appropriations and 
$330,000,000 in balances from Public Law 111-32, consistent 
with the administration request.
            Pandemic Influenza Preparedness
    The Committee provides $65,578,000 in annual funding for 
pandemic influenza preparedness activities. This amount is the 
same as the administration request. The Committee notes that, 
in addition to the discretionary funds provided in this bill, 
the Department plans to use an estimated $330,000,000 in 
balances from Public Law 111-32, the fiscal year 2009 emergency 
supplemental, for additional pandemic preparedness investments. 
The total program level provided for pandemic influenza 
preparedness activities in fiscal year 2011 is $395,578,000. 
The comparable funding level for fiscal year 2010 is 
$341,000,000. The funding provided will support pandemic 
preparedness activities including the expansion of 
international influenza vaccine production capacity, 
development of diagnostic assays, improved communications, and 
global planning efforts.
    The Committee notes that a critical public health challenge 
occurred last year when the 2009 novel H1N1 influenza pandemic 
swept across our country and throughout the world. With 
unprecedented speed, the Federal Government completed key steps 
in the H1N1 influenza vaccine development process. The speed of 
this vaccine development was possible due to the investments 
made by the Department, with funding provided by this 
Committee, over the past few years in advanced research and 
development and infrastructure building. The Committee is also 
aware that the Department has yet to use approximately 
$2,260,000,000 in unobligated funds from the fiscal year 2009 
emergency supplemental. The Committee requests that the 
Secretary prepare a report containing an evaluation of the 
lessons learned from the coordinated response to the H1N1 
pandemic, especially as it pertains to the vaccine development 
and delivery processes. This evaluation should include the 
specific steps the Department will take to use unobligated 
emergency supplemental funds to implement these lessons learned 
so that our nation is better prepared for future pandemics. 
This report to the Committee should be submitted by September 
30, 2010.
    The Committee is concerned that the CDC Morbidity and 
Mortality Weekly Report from April 2, 2010 found that less than 
35 percent of health workers received recommended annual 
influenza vaccinations. The Committee encourages the Office of 
the Secretary to work with CDC, CMS, and relevant Federal 
departments and agencies to develop strategies to increase 
influenza vaccination rates among healthcare workers.
    The Committee understands that the Food and Drug 
Administration has approved a process that could provide a 
cost-effective way to recover the active pharmaceutical 
ingredients in expiring courses of antivirals held in the 
Strategic National Stockpile and by States. The Committee urges 
the Secretary to explore this antiviral recovery process as a 
cost effective way to maintain their current state of 
preparedness to deal with an influenza pandemic.
            Parklawn Replacement
    The Committee has included $35,000,000 to support build-out 
costs for the Parklawn Building replacement and relocation 
expenses, as well as repositioning HHS within the Parklawn 
Building under a short-term lease extension. This amount is the 
same as the administration request. The comparable level for 
fiscal year 2010 is $69,585,000.
            Office of Security and Strategic Information
    The Committee has included $5,677,000 for the Office of 
Security and Strategic Information to secure and strengthen the 
Department's critical assets. The comparable level for fiscal 
year 2010 is $4,893,000 and the administration requested 
$6,460,000 for this activity.

                   PREVENTION AND PUBLIC HEALTH FUND

    The Prevention and Public Health Fund was created in 
section 4002 of the Patient Protection and Affordable Care Act 
[PPACA]. The fund provides $15,000,000,000 in mandatory funds 
over the next 10 years to supplement investments in public 
health and prevention.
    The Committee strongly believes that additional resources 
for prevention will improve people's health and reduce 
healthcare costs over the long term. Discretionary funding is 
needed for these purposes because many of the health promotion 
activities that reach the populations most in need take place 
outside the reimbursement system, through community- and State-
based initiatives.
    In recognition of the Committee's responsibility to 
determine funding levels for community-based prevention and 
public health programs, the PPACA specifically gives the 
Committee authority to transfer funds into Federal programs 
that support the goal of making America healthier.
    The PPACA provided $500,000,000 for the fund in fiscal year 
2010. In fiscal year 2011, the level for the fund is 
$750,000,000. The Committee includes bill language in section 
221 of this act that requires that funds be transferred within 
45 days of enactment of this act to the following accounts, for 
the following activities, and in the following amounts:


------------------------------------------------------------------------
           Account                      Activity              Amount
------------------------------------------------------------------------
Disease Control, Research,     Community Transformation     $220,000,000
 and Training.                  Grants authorized under
                                section 4201 of the
                                Patient Protection and
                                Affordable Care Act.
Disease Control, Research,     Racial and Ethnic              50,000,000
 and Training.                  Approaches to Community
                                Health.
Disease Control, Research,     Chronic Disease State         140,000,000
 and Training.                  grants.
Disease Control, Research,     Office of Smoking and          20,000,000
 and Training.                  Health for a
                                demonstration on tobacco
                                cessation.
Disease Control, Research,     Office of Smoking and          15,000,000
 and Training.                  Health for additional
                                resources for quitlines.
Disease Control, Research,     Office of Smoking and          55,000,000
 and Training.                  Health for a media cam-
                                paign.
Disease Control, Research,     Epidemiology and               50,000,000
 and Training.                  Laboratory Capacity
                                Grants.
Disease Control, Research,     Task Force on Community         7,000,000
 and Training.                  Preventive Services.
Disease Control, Research,     Prevention Research            10,000,000
 and Training.                  Centers.
Disease Control, Research,     Extramural grants for          20,000,000
 and Training.                  prevention and public
                                health research.
Disease Control, Research,     National Center for            34,000,000
 and Training.                  Health Statistics.
Disease Control, Research,     Scientific review of            5,000,000
 and Training.                  genetic samples from the
                                National Birth Defects
                                Prevention Study.
Disease Control, Research,     Extramural grants on            5,000,000
 and Training.                  disability and health
                                promo-  tion.
Disease Control, Research,     Education and outreach          2,000,000
 and Training.                  campaign regarding
                                preventive benefits
                                authorized under section
                                4004 of the Patient
                                Protection and
                                Affordable Care Act.
Disease Control, Research,     Community Health Worker        30,000,000
 and Training.                  demonstration authorized
                                in section 399V of the
                                Public Health Service
                                Act.
Substance Abuse and Mental     Primary and Behavioral         40,000,000
 Health Services.               Health Integration
                                grants.
Healthcare Costs, Quality and  U.S. Preventive Services        7,000,000
 Outcomes.                      Task Force.
Healthcare Costs, Quality and  Clinical preventive            10,000,000
 Outcomes.                      services research.
General Departmental           Tobacco prevention and         10,000,000
 Management.                    cessation activities.
General Departmental           Public health and              19,000,000
 Management.                    prevention coordination
                                and strategic planning,
                                including media
                                campaigns.
General Departmental           National Prevention,            1,000,000
 Management.                    Health Promotion and
                                Public Health Council.
------------------------------------------------------------------------

                           General Provisions

    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 of the House and Senate on the proposed use of funds 
(sec. 204).
    The Committee recommendation continues a provision 
authorizing the transfer of up to 2.5 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 modifies a provision which 
facilitates the expenditure of funds for international health 
activities (sec. 212).
    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. 213).
    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. 214).
    The Committee recommendation includes bill language 
allowing use of funds to continue operating the Council on 
Graduate Medical Education (sec. 215).
    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. 216).
    The Committee recommendation includes a provision that 
transfers funds from NIH to HRSA and AHRQ, to be used for 
National Research Service Awards (sec. 217).
    The Committee recommendation modifies a provision of the 
Public Health Service Act which allows the Secretary to 
allocate appropriated funds (sec. 218).
    The Committee recommendation modifies a provision of the 
Public Health Service Act which allows the Secretary to 
transfer appropriated funds (sec. 219).
    The Committee recommendation includes a provision providing 
for an additional $7,000,000 for General Departmental 
Management account and authorizes its transfer within the 
Department (sec. 220).
    The Committee recommendation includes a provision 
transferring mandatory funds section 4002 of the Patient 
Protection and Affordable Care Act to accounts with the 
Department for activities outlined under the heading 
``Prevention and Public Health Fund'' in this report (sec. 
221).

                               TITLE III

                        DEPARTMENT OF EDUCATION

                    Education for the Disadvantaged

Appropriations, 2010.................................... $15,914,666,000
Budget estimate, 2011...................................  15,883,434,000
Committee recommendation................................  16,726,579,000

    The Committee recommends an appropriation of 
$16,726,579,000 for education for the disadvantaged. The budget 
request is $15,883,434,000. The fiscal year 2010 appropriation 
is $15,914,666,000.
    The President's budget for fiscal year 2011 was based on 
the administration's proposal to reauthorize the Elementary and 
Secondary Education Act [ESEA]. While the authorizing 
committees have taken significant actions to reauthorize the 
act, legislation has not yet passed the Senate. As a result, 
the Committee bill is based on current law for programs 
authorized under the ESEA.
    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 2011-2012 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 meet challenging State academic standards.
    The Committee recommends $14,942,401,000 for this program. 
The budget request was $14,492,401,000, which was the same 
amount as the fiscal year 2010 appropriation. Title I grants 
are distributed through four formulas: basic, concentration, 
targeted, and education finance incentive grant [EFIG].
    For title I basic grants, including up to $4,000,000 
transferred to the Census Bureau for poverty updates, the 
Committee recommends an appropriation of $6,597,946,000. This 
amount is the same as the budget request and the fiscal year 
2010 appropriation.
    For concentration grants, the Committee recommends 
$1,365,031,000. This amount is the same as the budget request 
and the fiscal year 2010 level.
    For grants through the targeted formula, the Committee 
recommends $3,489,712,000. The budget request and the amount in 
the fiscal year 2010 appropriations bill are $3,264,712,000.
    Finally, for grants through the EFIG formula, the Committee 
recommends $3,489,712,000. The budget request and the amount in 
the fiscal year 2010 appropriations bill are $3,264,712,000.
    Of the funds available for title I grants to LEAs, up to 
$4,000,000 shall be available on October 1, 2010, not less than 
$3,145,801,000 will become available on July 1, 2011, and 
$10,841,176,000 will become available on October 1, 2011. The 
funds that become available on July 1, 2011, and October 1, 
2011, will remain available for obligation through September 
30, 2012.

Early Learning Challenge Fund

    The Committee recommendation includes $300,000,000 for a 
new Early Learning Challenge Fund, as authorized in section 308 
of this act. The budget request did not include funding for 
this activity. These funds are available for obligation from 
July 1, 2011 through September 30, 2012.
    There is robust evidence that high-quality early learning 
programs help children develop the cognitive, social, 
emotional, and language skills needed to succeed in school and 
later in life. Lasting effects are well documented and include 
improved academic achievement, reduced need for special 
education, increased employment and earnings, and reduced 
instances of crime and delinquency. Yet quality varies greatly 
across settings, within States, and across the Nation, and the 
most disadvantaged children are often left behind.
    The Early Learning Challenge Fund will provide competitive 
grants to States to develop and implement integrated systems of 
high-quality early learning programs. States should promote 
high standards of quality and focus on outcomes across early 
learning settings, including pre-kindergarten, child care, and 
Head Start programs, with the goal of increasing the number of 
disadvantaged children ages 0 to 5, including those who are 
low-income, homeless, developmentally delayed, or have limited 
English proficiency, in these programs.
    The Secretary of Education shall jointly develop policy for 
and administer these grants with the Secretary of Health and 
Human Services. The Committee directs the Departments of 
Education and HHS to provide a joint briefing to the Committees 
on Appropriations of the Senate and House of Representatives 
within 30 days of issuing the grant announcement for this 
program.

William F. Goodling Even Start Family Literacy Program

    The Committee recommends no funding for the Even Start 
program, as did the budget request. The fiscal year 2010 
appropriation is $66,454,000.
    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.
    The Committee notes that three national evaluations have 
found that this program did not effectively increase the 
literacy skills of children and parents participating in the 
program. The Committee strongly believes that investments in 
early learning are critical and that's why the bill includes 
$300,000,000 for the early learning challenge fund discussed 
previously, as well an increase of $990,000,000 for Head Start 
and $1,000,000,000 for the Child Care and Development block 
grant program.

School Improvement Grants

    The Committee recommendation includes $625,000,000 for the 
School Improvement Grants program. The budget request is 
$900,000,000 and the fiscal year 2010 appropriation is 
$545,633,000.
    The Committee continues language from the fiscal year 2010 
act that addresses several issues. First, it continues the 
expansion of the number of schools that may receive funds 
through the program. This language allows schools to be 
eligible if they are title I-eligible and have not made 
adequate yearly progress for at least 2 years or are in the 
State's lowest quintile of performance based on proficiency 
rates. Second, language also allows States to make subgrants of 
not more than $2,000,000 to each participating school.
    The Committee bill also includes language that specifies 
that each State that receives School Improvement Grants funds 
must spend 40 percent of its allocations on school improvement 
activities in middle and high schools, unless the State 
educational agency determines that all targeted middle and high 
schools can be served with a lesser amount. Preliminary 
indications suggest that many of the lowest-performing high 
schools will not be served under the current structure of the 
program. That is a problem because over one-half of the 
Nation's dropouts come from nearly 2,000 low-performing high 
schools, and nearly one-third of them aren't eligible for 
School Improvements under the current structure of the program.
    The Committee requests that the Department assist States in 
encouraging and supporting LEAs in their use of school 
improvement funds, including those made available through the 4 
percent set aside established in section 1003(a) of the ESEA, 
on those activities with evidence bases rated strong or 
moderate as defined in the regulations for the Investing in 
Innovation program. While the Committee acknowledges that the 
state of research on school improvement and school turnaround 
is not as strong as it needs to be, every effort should be made 
to utilize the knowledge base that does exist while additional 
research is conducted that will inform future activities. The 
Committee expects the Department to describe in the fiscal year 
2012 congressional budget justification specific actions taken 
or planned to address this request.

Striving Readers

    The Committee recommends $250,000,000 to continue the 
Striving Readers initiative. This amount is the same as the 
fiscal year 2010 appropriation. The budget proposes to 
consolidate this funding within a new Effective Teaching and 
Learning program under its reauthorization proposal.
    The Committee bill includes language that continues this 
program as it was established in the fiscal year 2010 
appropriations act. This comprehensive literacy program will 
advance literacy skills, including language development, 
reading and writing for all students, including English 
language learners and students with disabilities, from birth 
through grade 12.
    Of the total amount, up to $21,000,000 may be used to 
continue an adolescent literacy initiative and $10,000,000 will 
be distributed by formula to States to support a State literacy 
team. After funds are set aside for schools funded by the 
Bureau of Indian Affairs and for the outlying areas, up to 5 
percent of the remaining funds may be used for national 
activities, and the rest would be used for competitive grants 
to State educational agencies. States will be required to 
distribute not less than 95 percent of their funds as subgrants 
to LEAs or, in the case of early literacy, to LEAs or other 
entities providing early childhood care and education. State 
subgrants must first be prioritized to such agencies or other 
entities serving greater percentages or numbers of 
disadvantaged students and ensure that: at least 15 percent go 
to serve children from birth through age 5, 40 percent to serve 
students in kindergarten through grade 5, and 40 percent to 
serve students in middle and high school, through grade 12. 
States also must equitably distribute funds between middle and 
high schools.

Improving Literacy Through School Libraries

    The Committee recommends $19,145,000, the same amount as 
the fiscal year 2010 appropriation, for the Improving Literacy 
Through School Libraries program. The budget request 
consolidates this activity within its proposed Effective 
Teaching and Learning program under its reauthorization 
proposal.
    The Improving Literacy Through School Libraries program 
provides competitive awards to LEAs 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.

Migrant Education Program

    The Committee recommends $394,771,000 for the migrant 
education program. This amount is the same as the budget 
request and the fiscal year 2010 appropriation.
    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. 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 $50,427,000 for the title I 
neglected and delinquent program. This amount is the same as 
the budget request and the fiscal year 2010 appropriation.
    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. 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 
re-entry of youth offenders who are age 20 or younger and have 
received a secondary school diploma or its recognized 
equivalent.

Evaluation

    The Committee recommends $8,167,000 for evaluation of title 
I programs. The budget request and fiscal year 2010 
appropriation are $9,167,000.
    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.

High School Graduation Initiative

    The Committee recommends $100,000,000 for the High School 
Graduation Initiative under title I, part H of the ESEA. The 
fiscal year 2010 appropriation is $50,000,000. The budget 
request funds related activities through a broader College 
Pathways and Accelerated Learning program.
    The High School Graduation Initiative provides competitive 
grants to LEAs or State educational agencies to implement 
effective high school graduation and reentry strategies in 
schools and districts that serve students in grades 6 through 
12 and have annual school dropout rates that are above their 
State's average. Funds also are used for certain national 
activities, including evaluation, technical assistance, and 
dissemination of information on effective programs and best 
practices.
    The Committee recommends a doubling of this program for 
several reasons. Despite the important role that high schools 
play in providing students with the skills they need to be 
successful in postsecondary education and employment, the 
Committee notes that only 1 in 4 receive title I funds and the 
total amount they receive is merely 10 percent of title I 
funding. The Committee also recognizes that individuals who 
drop out of high school have a higher likelihood of 
unemployment and a shorter life expectancy. The economy suffers 
as well, with fewer skilled workers to compete in the global 
economy. The Committee expects that this investment will help 
address the need to improve the performance of our Nation's 
secondary schools and stem the tide of dropouts that could hold 
back their individual lives, as well as our economic future.

Special Programs for Migrant Students

    The Committee recommends $36,668,000 for Special Programs 
for Migrant Students. This amount is the same as the fiscal 
year 2010 appropriation and the budget request.
    The Higher Education Opportunity Act of 2008 reauthorized 
the High School Equivalency Program [HEP] and College 
Assistance Migrant Program [CAMP] within the Special Programs 
for Migrant Students, and added a new provision allowing the 
Department to reserve up to one-half of 1 percent of the funds 
appropriated between the two programs for outreach, technical 
assistance, and professional development activities. In 
addition, under the reauthorization, if the total amount 
appropriated is below $40,000,000, the remaining funds are to 
be distributed between the two programs in the same proportion 
as the amounts available for each program the previous year.
    HEP projects are 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 post-secondary institution or a job-training program, or join 
the military. Projects provide counseling, health services, 
stipends, and placement assistance.
    CAMP projects are 5-year grants to institutions of higher 
education and nonprofit organizations to provide tutoring, 
counseling, and financial assistance to migrant students during 
their first year of post-secondary education.

                               Impact Aid

Appropriations, 2010....................................  $1,276,183,000
Budget estimate, 2011...................................   1,276,183,000
Committee recommendation................................   1,296,183,000

    The Committee recommends $1,296,183,000 for impact aid. The 
budget request proposes $1,276,183,000, the same amount as the 
fiscal year 2010 appropriation, for this program.
    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 schools in the same school district.
    The Committee bill also includes language that would 
continue heavily impacted payments in 2010 and 2011 for local 
educational agencies that received such payments in 2009. The 
bill also includes new language related to the Department's 
policy on demolished housing that is scheduled to be replaced.
    Basic Support Payments.--The Committee recommends 
$1,153,000,000 for basic support payments. The fiscal year 2010 
level and the budget request are $1,138,000,000. Under this 
statutory formula, payments are made on behalf of all 
categories of federally connected children, with a priority 
placed on making payments first to heavily impacted school 
districts and providing any remaining funds for regular basic 
support payments.
    Payments for Children With Disabilities.--The Committee 
bill includes $50,602,000 for payments for children with 
disabilities. The fiscal year 2010 funding level and the budget 
request are $48,602,000 for this purpose. 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 amount as the fiscal year 2010 
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 $18,509,000 for the 
construction program. The budget request and fiscal year 2010 
appropriation are $17,509,000 for this program. Formula and 
competitive grants are authorized to be awarded to eligible 
LEAs for emergency repairs and modernization of school 
facilities.
    The fiscal year 2011 budget request proposes to make awards 
entirely under the competitive grant formula and requests that 
the funds be available for 2 years. The Committee 
recommendation includes bill language allowing these funds to 
be awarded entirely through a competitive process, as proposed 
in the budget request. Funds also are available for obligation 
through September 30, 2012. Last year's bill provided these 
funds entirely through formula allocations.
    Payments for Federal Property.--The Committee recommends 
$69,208,000 for payments for Federal property. The budget 
request and the fiscal year 2010 appropriation are $67,208,000 
for this program. These payments compensate LEAs in part for 
revenue lost due to the removal of Federal property from local 
tax rolls.

                      School Improvement Programs

Appropriations, 2010....................................  $5,228,444,000
Budget estimate, 2011...................................   3,120,094,000
Committee recommendation................................   5,388,173,000

    The Committee recommendation includes $5,388,173,000 for 
school improvement programs. The budget request is 
$3,120,094,000. The fiscal year 2010 appropriation is 
$5,228,444,000.
    The President's budget for fiscal year 2011 was based on 
the administration's proposal to reauthorize the Elementary and 
Secondary Education Act [ESEA]. While the authorizing 
committees have taken significant actions to reauthorize the 
act, legislation has not yet passed the Senate. As a result, 
programs in this account are based generally on current law, as 
authorized under the ESEA.

State Grants for Improving Teacher Quality

    The Committee recommends $2,954,673,000 for State grants 
for improving teacher quality. The fiscal year 2010 
appropriation is $2,947,749,000 for this program. The budget 
request proposes $2,500,000,000 for a new effective teacher and 
leaders State grants program within the Innovation and 
Improvement account.
    The appropriation for this program primarily supports 
activities associated with the 2011-2012 academic year. Of the 
funds provided, $7,000,000 will become available on October 1, 
2010, and remain available through September 30, 2011. Of the 
remainder, $1,266,232,000 will become available on July 1, 
2011, and $1,681,441,000 will become available on October 1, 
2011. These funds will remain available for obligation through 
September 30, 2012.
    States and LEAs may use 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.
    From the amount available on October 1, 2010, the 
Department may use up to $7,000,000 to continue its TEACH 
campaign. This initiative is designed to recruit the next 
generation of American teachers. While the Committee strongly 
supports this goal, it also notes that the National Research 
Council [NRC] report ``Preparing Teachers: Building Evidence 
for Sound Policy'' released earlier this year found there was 
much we still don't know about teacher preparation and its 
effectiveness. The report noted that improved understanding of 
the relationships between characteristics of teacher 
preparation and student learning, and the development of a 
comprehensive, coherent system for collecting data about 
teacher preparation are two overarching needs. The Committee 
believes the Department should utilize available resources to 
address both needs, while also continuing its efforts to 
attract the new teachers needed for America's classrooms. The 
Committee requests a report, not later than 30 days after 
enactment of this act, which describes the actions the 
Department is proposing, planning, and taking to address 
relevant conclusions and recommendations from the NRC report.
    The Committee also directs $5,000,000 to continue a 
national initiative to recruit, train, and support results-
oriented, highly motivated individuals to lead high-need 
schools with a focus on raising the achievement of all students 
and closing the achievement gap in these schools. These funds 
shall be awarded to the New Leaders for New Schools for the 
organization's efforts to develop and deliver training for 
aspiring principals and support for principals, and conduct 
research to create a knowledge base to inform the recruitment, 
selection, and training of principals for high-need schools.

Mathematics and Science Partnerships

    The Committee recommends $180,478,000, the same amount as 
the fiscal year 2010 level, for the mathematics and science 
partnerships program. The budget proposes $300,000,000 for a 
new Effective Teaching and Learning: Science, Technology, 
Engineering, Mathematics 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 $100,000,000, the same amount as 
the fiscal year 2010 appropriation, for educational technology 
State grants. The budget requests no funds for this program. 
Instead, the budget supports the integrated use of technology 
through the Effective Teaching and Learning for a Complete 
Education 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.
    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 
amount as the budget request and the fiscal year 2010 
appropriation, for supplemental education grants to the 
Republic of Marshall Islands [RMI] and the Federated States of 
Micronesia [FSM]. 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 to the Departments 
of Labor, Health and Human Services, and Education for such 
services.

21st Century Community Learning Centers

    The Committee recommends an appropriation of $1,266,166,000 
for the 21st Century Community Learning Centers program. The 
budget request and the fiscal year 2010 level are both 
$1,166,166,000 for this program.
    Funds are allocated to States by formula, which in turn, 
award at least 95 percent of their allocations to LEAs, 
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 ESEA or 
serve high percentages of students from low-income families.
    The Committee recognizes the value that additional time in 
school can offer to students, especially students in low-
performing schools who may need additional time to master 
academics as well as benefit from the engagement and learning 
of enrichment activities. In awarding grants to applicants that 
propose to expand learning time, the Committee intends that 
States consider applications proposing significant changes to 
the school calendar such as extended school days, Saturday 
classes and extended year approaches. It is the expectation of 
the Committee that in offering expanded learning time programs 
schools will ensure that students have more opportunity for 
academic learning, but are also offered additional enrichment 
activities. Enrichment activities, which are critical to a 
well-rounded education, include the arts and physical 
education.
    Therefore, the Committee bill includes new language 
authorizing the use of these funds for subgrants that 
significantly increase the number of hours in a regular school 
schedule and comprehensively redesign the school schedule for 
all students in the school. The purpose of this extended 
learning time shall be both for instruction in the core 
academic and other subjects and for enrichment activities, 
including the arts or physical activity. This use of funds is 
in addition to those authorized under the ESEA.

State Assessments and Enhanced Assessment Instruments

    The Committee recommends $450,000,000, the same amount as 
the budget request, for State assessments and enhanced 
assessment instruments. The fiscal year 2010 appropriation is 
$410,732,000 for this program.
    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 
2010 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 $50,000,000, the same as the budget 
request and the fiscal year 2010 appropriation.
    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 concurs with the budget request in 
recommending no funds for the Javits Gifted and Talented 
Students Education Program. The fiscal year 2010 appropriation 
is $7,463,000 for this purpose. Funds are used for awards to 
State and local educational agencies, institutions of higher 
education, and other public and private agencies for research, 
demonstration, and training activities designed to enhance the 
capability of elementary and secondary schools to meet the 
special educational needs of gifted and talented students.
    The Committee has included funding within the Institute of 
Education Sciences that may be used to support research and 
development in this area. The Committee also urges the 
Department to provide continued attention to the needs of 
gifted and talented students through existing authorities 
including the fund for the improvement of education.

Foreign Language Assistance

    The Committee recommends $26,928,000, the same amount as 
the fiscal year 2010 appropriation, for the foreign language 
assistance program. The budget request includes no funds for 
this program.
    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 allows up to $11,500,000 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-need languages. The amount set 
aside for this purpose in fiscal year 2010 is $9,729,000.
    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 his ability to 
waive the matching requirement for qualifying schools and to 
increase awareness of this accommodation among the affected 
school population.

Education for Homeless Children and Youth

    For carrying out education activities authorized by title 
VII, subtitle B of the Stewart B. McKinney Homeless Assistance 
Act, the Committee recommends $75,427,000. The budget request 
and fiscal year 2010 appropriation are $65,427,000 for this 
program.
    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.
    The Committee notes that the most recent data reported to 
the Department show that a total of 956,914 homeless students 
were reported enrolled in all LEAs in the 2008-2009 school 
year, a 20 percent increase from the 2007-2008 school year. The 
increases have occurred across the Nation, as 44 States 
reported increases in the total homeless children and youth 
enrolled in LEAs in the 2008-2009 school year. The Committee 
recommendation will help provide effective educational services 
to this population of students.

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 amount as the budget request and the fiscal year 2010 
appropriation.
    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 $35,315,000. The budget request is 
$34,315,000, the same amount as the fiscal year 2010 
appropriation. The Committee bill includes language requiring 
that at least $1,500,000 of the funds be used for a grant to 
the Department of Education of the State of Hawaii for 
construction and renovation of facilities at public schools 
serving a predominantly Native Hawaiian student body.
    The Committee bill also includes 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.
    The Committee bill also includes language stipulating that 
$500,000 shall be used under title VIII, part Z of the Higher 
Education Act for the Henry K. Giugni Memorial Archives at the 
University of Hawaii.

Alaska Native Educational Equity

    The Committee recommends $33,315,000, the same amount as 
the fiscal year 2010 level and the budget request, for the 
Alaska Native educational equity assistance program.
    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 $179,882,000 for rural education 
programs. The budget request includes $174,882,000, the same as 
the fiscal year 2010 appropriation, for this purpose.
    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 $61,313,000 for the comprehensive 
centers program. The budget request and the fiscal year 2010 
level are $56,313,000 for the comprehensive centers program.
    These funds provide 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 also currently 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.
    The centers are currently operating under the 6th year of 
what was expected to be 5-year grants for operation. The fiscal 
year 2011 appropriation is expected to support the awards for 
the first year of funding under a competition expected early 
next year. The centers can play an important role in supporting 
State and local school improvement efforts that have been 
enhanced through the significant amount of Federal funding that 
has been made available by this Committee in recent years. 
Therefore, the Committee expects to be notified promptly of the 
Department's specific plans for a competition for the centers.

                            Indian Education

Appropriations, 2010....................................    $127,282,000
Budget estimate, 2011...................................     127,282,000
Committee recommendation................................     129,282,000

    The Committee recommends $129,282,000 for Indian Education 
programs. The budget request and the fiscal year 2010 
appropriation are $127,282,000 for these programs.

Grants to Local Education Agencies

    For grants to local educational agencies, the Committee 
recommends $104,331,000, the same amount as the fiscal year 
2010 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 amount as 
the budget request and fiscal year 2010 appropriation, 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 $5,891,000 for national 
activities. The fiscal year 2010 funding level and the budget 
request are $3,891,000 for these activities.
    Funds will be used to expand efforts to improve research, 
evaluation, and data collection on the status and effectiveness 
of Indian education programs. Of the amount provided, 
$2,000,000 shall be used for grants to tribes for education 
administration and planning.

                       Innovation and Improvement

Appropriations, 2010....................................  $1,379,065,000
Budget estimate, 2011...................................   6,332,278,000
Committee recommendation................................   2,224,843,000

    The Committee recommendation includes $2,224,843,000 for 
programs within the innovation and improvement account. The 
budget request is $6,332,278,000 for related activities. The 
fiscal year 2010 appropriation is $1,379,065,000 for programs 
in this account.
    The President's budget for fiscal year 2011 is based on the 
administration's proposal to reauthorize the Elementary and 
Secondary Education Act. While the authorizing committees have 
taken significant actions to reauthorize the act, legislation 
has not yet passed the Senate. As a result, programs in this 
account are based generally on current law, as authorized under 
the Elementary and Secondary Education Act.

Race to the Top

    The Committee recommends $675,000,000 for the Race to the 
Top program. The budget request includes $1,350,000,000 for 
this purpose. No funds were included in the fiscal year 2010 
bill for this activity. These funds are available for 
obligation on July 1, 2011 and will remain available through 
September 30, 2012.
    Race to the Top was established in the American Recovery 
and Reinvestment Act. It has incentivized reforms that are 
designed to reduce achievement gaps, significantly improve 
student achievement, graduation rates and college enrollments, 
and encourage the broad replication of effective practices. 
With funds provided in this appropriations bill, the Department 
may make competitive awards to State and/or local education 
agencies based on their commitment to and plan for innovation 
and reform that will improve student achievement.
    The Committee notes this competitive program has achieved 
enormous success in spurring States to change their practices 
for the purposes of closing the achievement gap and making 
other needed improvements. Tennessee and Delaware have been 
awarded funds already, and 36 States applied for phase 2 grants 
that will be awarded over the next 2 months. Grants funded by 
the fiscal year 2011 bill may be awarded to local school 
districts as well as States. While the amount provided in this 
bill is less than the administration's request of 
$1,350,000,000, the Committee believes this funding level will 
sustain the education reform momentum created by the Recovery 
Act.

Investing in Innovation

    The Committee recommends $250,000,000 for the Investing in 
Innovation program. The budget request is $500,000,000 for this 
purpose. No funds were included in the fiscal year 2010 bill 
for this activity.
    Investing in Innovation was established in the American 
Recovery and Reinvestment Act. The program has provided a 
source for replicating education programs that meet the highest 
level of evidence; expanding those with significant levels of 
evidence; and supporting promising practices for which there is 
some level of research. The Committee supports this three-tier 
evidentiary model and believes that this feature of the program 
should continue to guide future funding opportunities and 
decisions.

Effective Teachers and Leaders

    The Committee recommends no funding for the effective 
teachers and leaders State grant program. The budget request 
includes $2,500,000,000 for this new program based on the 
administration's reauthorization proposal.
    The Committee has provided $2,954,673,000 for State grants 
for improving teacher quality within the School Improvement 
programs account. These funds may be used for similar purposes 
as those proposed under this new program.

Effective Teachers and Leaders Innovation Fund

    The Committee recommends no funding for the effective 
teachers and leaders innovation fund. The budget request 
includes $950,000,000 for this new program based on the 
administration's reauthorization proposal.
    The Committee has provided $400,000,000 for the Teacher 
Incentive Fund and additional funds for other current law 
programs that may be used for similar purposes as those 
proposed under this new program.

Teacher and Leader Pathways

    The Committee recommends no funding for the teacher and 
leader pathways program. The budget request includes 
$405,000,000 for this new program based on the administration's 
reauthorization proposal.
    The Committee has provided resources under current law 
programs that may be used for similar purposes as those 
proposed under this new program.

Expanding Educational Options

    The Committee recommends no funding for the expanding 
educational options program. The budget request includes 
$490,000,000 for this new program based on the administration's 
reauthorization proposal.
    The Committee has provided resources under current law 
programs that may be used for similar purposes as those 
proposed under this new program.

Troops-to-Teachers

    The Committee recommends no appropriation, as proposed in 
the budget request, to support the Defense Department's Troops-
to-Teachers program. The fiscal year 2010 appropriation is 
$14,389,000 for this purpose.
    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 
fiscal year 2010 appropriation, for the Transition to Teaching 
program. The budget request proposes excellent instructional 
teams programs that could support activities carried out under 
this 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 $25,646,000, the same amount as 
the fiscal year 2010 bill, for the National Writing Project. 
The budget request does not include any funds for this purpose.
    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 $118,952,000 for the teaching of 
traditional American history program. This is the same amount 
as the fiscal year 2010 level. The budget request proposes an 
effective teaching and learning for a well rounded education 
program that could support activities carried out under this 
program.
    The teaching of traditional American history 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. The Committee believes 
that the Department should use these funds to help grantees 
reach those teachers most in need of services supported by 
these grant funds.

School Leadership

    The Committee recommends $41,220,000 for the school 
leadership program. The fiscal year 2010 level is $29,220,000 
for this program. The budget request proposes a teacher and 
leader pathways program that could support activities funded 
through 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.
    The Committee bill includes language directing the 
Secretary to establish priorities for these funds for those 
eligible entities that propose programs to prepare school 
leaders to turn around low-performing schools and to those 
entities that would prepare leaders for service in rural 
schools. The Committee intends that the Secretary shall give 
priority to applicants that propose to focus on providing 
principals and other school leaders with the skills and 
knowledge needed to turn around low-performing schools. The 
Committee expects that those applicants will offer a process to 
place such trained school leaders in low-performing schools and 
that low-performing schools should include those schools 
eligible for funds under section 1003(g) of ESEA that have been 
identified by States and districts as being in the bottom 5 
percent of schools statewide or have otherwise demonstrated 
persistent low performance.

Advanced Credentialing

    The Committee recommends $10,649,000 for the advanced 
credentialing program. This is the same amount as the fiscal 
year 2010 appropriation for this program. The budget request 
includes no funds for this purpose.
    The Committee includes bill language directing all of the 
funding for this program to the National Board for Professional 
Teaching Standards. 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.

Teach for America

    The Committee recommends $22,000,000 for Teach for America 
[TFA], a nonprofit organization that recruits outstanding 
recent college graduates who commit to teach for 2 years in 
underserved communities. The budget request includes no funds 
for this program. Teach for America received $18,000,000 
through the fiscal year 2010 bill.
    In 2008, the Higher Education Opportunity Act amended the 
Higher Education Act of 1965 to include authority for the Teach 
for America program. The purpose of the program is to enable 
TFA to implement and expand its program for recruiting, 
selecting, training, and supporting new teachers. With these 
funds, the grantee is required to: (1) provide highly qualified 
teachers to serve in high-need local educational agencies in 
urban and rural communities; (2) pay the costs of recruiting, 
selecting, training, and supporting new teachers; and (3) serve 
a substantial number and percentage of underserved students.

Charter Schools

    The Committee recommends a total of $256,031,000 for the 
support of charter schools. This amount is the same as the 
fiscal year 2010 appropriation. The budget request proposes no 
dedicated funding for the charter schools program, instead 
providing support for such activities through a broader 
expanding educational options program.
    The Committee allocates the recommended funding as follows: 
not less than $223,000,000 for charter school grants, up to 
$23,031,000 for the State facilities, and credit enhancement 
for charter schools facilities programs, and up to $10,000,000 
for national activities designed to support local, State, and 
national efforts to increase the number of high-quality charter 
schools.
    The Charter Schools grants program supports the planning, 
development, and initial implementation of charter schools. 
State educational agencies [SEA] 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.
    The Committee continues language from the fiscal year 2010 
bill that allows the Secretary to reserve up to $55,000,000 of 
the charter school grant funds to make multiple awards to 
charter management organizations and other entities for the 
replication and expansion of successful charter school models.

Voluntary Public School Choice

    The Committee recommends $25,819,000, the same amount as 
the fiscal year 2010 appropriation, for the voluntary public 
school choice program. The budget request proposes no funds for 
this 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 $100,000,000, the same amount as 
the fiscal year 2010 appropriation, for the magnet schools 
assistance program. The budget request includes $110,000,000 
for this purpose.
    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 $178,987,000 
for the Fund for the Improvement of Education [FIE]. The fiscal 
year 2010 appropriation is $261,570,000, and the budget request 
is $27,278,000 for this purpose.
    Within programs of national significance, the Committee 
includes $1,250,000 to continue the educational facilities 
clearinghouse that provides information on planning, designing, 
financing, building, maintaining, and operating safe, healthy, 
high-performance educational facilities, including early 
learning centers. The Committee also provides $6,000,000 for 
Reach Out and Read, a literacy program; $4,000,000 for 
Communities in Schools, a dropout prevention program; and 
additional funding for data quality and evaluation initiatives 
and peer review.
    The Committee also includes $7,601,000 for other activities 
that the Secretary may use at his discretion. The budget 
request includes $19,750,000 for special studies, conferences, 
and grant awards that the Secretary may use at his discretion. 
The Committee encourages the Secretary to consider using these 
funds for continued support of financial literacy activities.
    Within the total amount for FIE, the Committee 
recommendation also includes funding for several separately 
authorized programs.
    The Committee recommends $24,803,000, the same amount as 
the fiscal year 2010 appropriation, 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 
budget request proposes no funds for RIF.
    The Committee concurs with the budget proposal in providing 
no funds for the Ready to Teach program. Ready to Teach 
encompasses funding for competitive awards to 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, the same amount as the 
fiscal year 2010 appropriation, for the Education through 
Cultural and Historical Organizations [ECHO] Act of 2001. The 
budget request proposes no funds for this program. 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 $42,000,000 for arts in 
education. The budget request includes no funds for this 
purpose. The fiscal year 2010 appropriation is $40,000,000 for 
authorized activities. The recommendation includes $10,060,000 
for VSA, an international nonprofit organization that supports 
the involvement of persons with disabilities in arts programs, 
and $7,000,000 for the John F. Kennedy Center for the 
Performing Arts. Remaining funds are provided for professional 
development, model arts programs and evaluation activities.
    From such funds remaining for the arts in education 
program, the Committee urges the Department to support the 
evaluation and national public dissemination of information 
regarding model programs and professional development projects 
funded through the Arts in Education section, including 
dissemination of information regarding the results of projects 
which received awards in fiscal years 2001 and 2002, and 
subsequent years. The Committee expects such information to be 
available and disseminated not later than 30 days after 
enactment of this act and to include, where available, 
information regarding project outcomes, training methods, and 
the self-evaluation results of funded model arts programs and 
professional development programs. The Committee urges the 
Department to focus first on dissemination activities related 
to funded programs before using these resources for other 
purposes.
    The Committee recommends $39,254,000, the same amount as 
the fiscal year 2010 appropriation, for parental information 
and resource centers. The budget request includes no funds for 
this purpose. Centers 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 $2,278,000, the same amount as the 
budget request, for the women's educational equity program. The 
fiscal year 2010 appropriation is $2,423,000. This program 
supports projects that assist in the local implementation of 
gender equity policies and practices.
    The Committee concurs with the budget request in 
recommending no funds for activities authorized by the 
Excellence in Economic Education Act. The fiscal year 2010 
appropriation includes $1,447,000 for this purpose. Funds 
support a grant to a nonprofit educational organization to 
promote economic and financial literacy among kindergarten 
through 12th grade students.
    The Committee bill includes no funds to continue the mental 
health integration in schools program. The fiscal year 2010 
appropriation is $5,913,000 for this program. The budget 
proposes no funds for this purpose. This program supports 
grants to or contracts with State educational agencies, local 
educational agencies or Indian tribes to increase student 
access to mental healthcare by linking schools with their local 
mental health systems. The Committee bill includes additional 
resources within safe and drug free national activities to 
address student mental health issues.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                             Amount
------------------------------------------------------------------------
3-D School, Petal, MS, for a model dyslexia                     $200,000
 intervention program.................................
Appalachian State University, Boone, NC, for college             200,000
 preparation and access programs for high school
 students.............................................
Avant-Garde Learning Foundation, Anchorage, AK, to               100,000
 improve educational outcomes for children in low-
 performing school districts..........................
Baltimore City Public Schools, Baltimore City, MD, for         1,000,000
 support of alternative education programs for
 academically challenged students, which may include
 equipment and technology.............................
Big Brothers Big Sisters, Anchorage, AK, for youth               100,000
 mentoring programs for underserved, at-risk
 populations in Alaska................................
Big Thought, Dallas, TX, for afterschool programs.....           110,000
Boys & Girls Club of Greater Milwaukee, Milwaukee, WI,           300,000
 for support of early literacy and related programming
Catamount Arts, St. Johnsbury, VT, for support of arts           200,000
 education............................................
Chaddock, Quincy, IL, for support of special education           200,000
 activities...........................................
Challenger Learning Center, Bangor, ME, for science              250,000
 technology engineering and mathematics pro-  grams...
Chicago Public Schools, Chicago, IL, for a youth                 500,000
 violence prevention initiative.......................
Chicago School of Professional Psychology, Chicago,              300,000
 IL, for support of afterschool programming...........
Churchill County School District, Fallon, NV, for STEM            25,000
 Curriculum and technology Improvements...............
City University of New York-York College, Jamaica, NY,           150,000
 for support of science and aerospace-based education,
 which may include acquisition of technology..........
Clark County School District, Las Vegas, NV, for                 750,000
 support of a school for highly gifted students.......
Clark County School District, Las Vegas, NV, for                 300,000
 support of the Family Leadership Initiative..........
Cleveland Metropolitan School District, Cleveland, OH,           150,000
 for science education programs, including the
 purchase of equipment................................
Cleveland Metropolitan School District, Cleveland, OH,           100,000
 to improve math, science, technology, and language
 skills through music education.......................
Communities In Schools of Spokane County, Spokane, WA,           150,000
 for support of mentoring programs....................
Connect Arkansas, Little Rock, AR, to purchase and               200,000
 equip mobile broadband labs..........................
Cook Inlet Tribal Council, Anchorage, AK, to increase            250,000
 literacy and math skills of Alaskan students.........
Cristo Rey, Chicago, IL, for educational programming,            250,000
 which may include evaluation activities..............
Cuyahoga County Office of Early Childhood/Invest in              100,000
 Children, Cleveland, OH, for an early childhood
 education initiative, including scholarships.........
Delta Arts Alliance, Inc., Drew, MS, for arts                    150,000
 education programs...................................
Delta State University, Cleveland, MS, for a training            300,000
 program for early childhood educators................
Delta State University, Cleveland, MS, for science and           300,000
 environmental education and outreach activities......
Des Moines Independent Community School District, Des            750,000
 Moines, IA, to increase access to and quality of
 early childhood education programs...................
Drueding Center, Philadelphia, PA, to support                    100,000
 educational programs, including staff, technology
 upgrades, and the purchase of equipment..............
Eastern Maine Development Corporation, Bangor, ME, for           225,000
 youth career pathway programs........................
Eden Housing, Hayward, CA, for support of an after               450,000
 school program.......................................
Educare Central Maine, Waterville, ME, to support                250,000
 early childhood education activities, including the
 purchase of equipment................................
Educating Young Minds, Los Angeles, CA, for                      175,000
 educational programming, which may include the
 acquisition of technology............................
Education Alliance of Washoe County, Reno, NV, for               150,000
 support of an afterschool tutoring program...........
El Centro de la Raza, Seattle, WA, for support of                100,000
 counseling, tutoring, and educational programming....
Elev8 New Mexico, New Mexico Community Foundation,               200,000
 Albuquerque, NM, for support of extended day learning
 programs in New Mexico...............................
ENLACE New Mexico, Albuquerque, NM, for support of               150,000
 academic engagement and completion programs in New
 Mexico...............................................
Everybody Wins! USA, Boston, MA, for child literacy              500,000
 programs across the country..........................
Falcon School District 49, Falcon, CO, to support a              100,000
 science, technology, engineering, and math education
 program..............................................
Friends of E Prep Schools, Cleveland, OH, for                    150,000
 technology including the purchase of equipment.......
Give Every Child A Chance, Manteca, CA, for the                  300,000
 expansion of the Give Every Child A Chance program...
Glenwood School for Boys and Girls, St. Charles, IL,             200,000
 for training and development costs associated with
 the Life Stabilization project, which may include
 software and technology..............................
Heartland Foundation, St. Joseph, MO, to support youth           450,000
 empowerment programs, including the purchase of
 equipment............................................
History Colorado, Denver, CO, for support of the                 100,000
 Student to Citizen Initiative........................
Humboldt County School District, Winnemucca, NV, for             150,000
 support of technology-based instruction..............
Indiana State University, Terre Haute, IN, for                   100,000
 curriculum development and teacher training..........
Inner-City Arts, Los Angeles, CA, for the core arts              300,000
 and language project for at-risk youth...............
Iowa Department of Education, Des Moines, IA, to               6,000,000
 continue the Harkin Grant program....................
Iowa State Education Association, Des Moines, IA, for            300,000
 professional development for teachers on 21st century
 skills...............................................
Jazz at Lincoln Center, New York, NY, for music                  400,000
 education programs...................................
Jobs for Ohio's Graduates, Inc., Columbus, OH, for               150,000
 dropout prevention programs for at-risk youth........
Junior Achievement of Delaware, Inc., Wilmington, DE,             50,000
 for computer-based programming and related science,
 technology, and engineering education activities.....
Kauai Economic Development Board, Lihue, HI, for                 700,000
 science, technology, engineering, and math educa-
 tion.................................................
Lander County School District, Battle Mountain, NV,              150,000
 for acquisition of technology and equipment..........
Lincoln County School District, Panaca, NV, for                   50,000
 support of afterschool programming...................
Lower Brule Sioux Tribe, Lower Brule, SD, for support            100,000
 of afterschool programming, which may include the
 acquisition of equipment.............................
Lyon County School District, Yerington, NV, for                  150,000
 support of early education services..................
Madison Metropolitan School District, Madison, WI, for           500,000
 educational programming..............................
Marketplace of Ideas/Marketplace for Kids, Inc.,                 200,000
 Bismarck, ND, for entrepreneurship education.........
Maryland Bio Foundation, Rockville, MD, for support of           800,000
 science, technology, engineering, and mathematics
 education through a mobile laboratory outreach
 program, which may include purchase of equipment.....
Maui Economic Development Board, Kihei, HI, for                  800,000
 engaging girls and historically underrepresented
 students in science, technology, engineering, and
 math education.......................................
Mentoring Partnership of Southwestern PA, Pittsburgh,            100,000
 PA, for support of mentoring programs, which may
 include equipment and technology acquisitions........
Meskwaki Nation, The--Sac & Fox Tribe of the                     400,000
 Mississippi in Iowa, Tama, IA, for a culturally based
 education curriculum.................................
Mid-Iowa Community Action, Inc., Marshalltown, IA, for           100,000
 literacy activities for pre-school aged children.....
Mississippi Band of Choctaw Indians, Choctaw, MS, for            100,000
 academic support, tutoring, mentoring, and
 afterschool programs.................................
Mississippi Building Blocks, Ridgeland, MS, for a                500,000
 state-wide early childhood education program.........
Mississippi Council on Economic Education, Jackson,              500,000
 MS, for teacher training for economics, financial
 literacy and entrepreneurial education...............
Mississippi Historical Society, Jackson, MS, to                  100,000
 develop educational materials for history instruction
Mississippi Museum of Natural Science Foundation,                200,000
 Jackson, MS, for science education exhibits and
 outreach programs....................................
Mississippi State University, Mississippi State, MS,             850,000
 for a dropout prevention program, including the
 purchase of equipment................................
Mississippi State University, Mississippi State, MS,             500,000
 for an early childhood teacher education program,
 including the purchase of equipment and materials....
Mississippi University for Women, Columbus, MS, for              250,000
 development of at-risk youth programs................
Mississippi University for Women, Columbus, MS, for              200,000
 science and math programs for K-12 students..........
Montana Digital Academy, Missoula, MT, for support of            100,000
 online learning activities...........................
National Center for Parents as Teachers, St. Louis,              850,000
 MO, to support home visitation programs, including
 the purchase of equipment............................
NC STEM Community Collaborative, Ft. Bragg Region,               150,000
 Research Triangle Park, NC, for science, technology,
 engineering, and math programs, including the
 purchase of equipment................................
Nevada Department of Education, Carson City, NV, for a         2,000,000
 demonstration of public school facilities repair and
 construction, which may include subgrants............
Nevada Parents Empowering Parents, Las Vegas, NV, to             125,000
 provide educational workshops to parents of students
 with disabilities....................................
Nye County School District, Pahrump, NV, to support              350,000
 instructional/intervention specialists and the
 purchase of instructional materials..................
Oakland Unified School District, Oakland, CA, for the            300,000
 Oakland Truancy Intervention and Educational Support
 Program..............................................
Operation Shoestring, Jackson, MS, for afterschool and           100,000
 summer community outreach and education programs.....
Orchestra Iowa, Cedar Rapids, IA, to support a music             300,000
 education program....................................
Pacific Islands Center for Educational Development,              400,000
 Pago Pago, American Samoa, for program development...
Parents for Public Schools of Jackson, Inc., Jackson,            250,000
 MS, for professional development, development of
 materials, and programs to increase student
 achievement and graduation rates in low performing
 schools..............................................
Polynesian Voyaging Society, Honolulu, HI, for                   300,000
 educational programs.................................
Project HOME, Philadelphia, PA, for afterschool                  100,000
 programs.............................................
Providence Community Library, Providence, RI, for                250,000
 support of the Out-of-School Learning Opportunities
 program..............................................
Public Education Foundation, Las Vegas, NV, for                  100,000
 support of a clearinghouse for classroom supplies and
 materials............................................
Saint Mary's College, Notre Dame, IN, for tutoring and           100,000
 mentoring programs for at-risk youth.................
San Francisco Redevelopment Agency, San Francisco, CA,           250,000
 for a college preparatory program, in partnership
 with College Track...................................
Save the Children, Washington, DC, for a rural                   100,000
 literacy program in Mississippi......................
Save the Children, Westport, CT, for support of the              200,000
 Louisiana Early Child Development program............
SEED Foundation, Washington, DC, for the SEED School             250,000
 of Louisiana Exploratory project.....................
Seton Hall University, South Orange, NJ, for an urban            350,000
 school improvement program...........................
Southeastern Louisiana University, Hammond, LA, to               100,000
 increase the number of certified teachers and support
 other activities designed to improve student
 achievement..........................................
Southwest Washington Workforce Development Council,              100,000
 Vancouver, WA, for support of professional
 development in science and mathematics education.....
Syracuse University, Syracuse, NY, for support of                500,000
 afterschool programming..............................
Technology Assessment for Basic Skills, Inc., Des              2,000,000
 Moines, IA, for continuation and expansion of the
 SKILLS Iowa program..................................
The Tibetan Community of New York and New Jersey,                100,000
 Inc., New York, NY, for the Tibetan Community Center
 Youth Education and Empowerment Program..............
Thrive By Five Washington, Seattle, WA, for support of           300,000
 early childhood education programming................
Uintah School District, Vernal, UT, for academic                 106,000
 achievement and credit recovery programs, including
 the purchase of equipment............................
University of Mississippi, University, MS, for teacher           300,000
 training for elementary mathematics education........
University of Southern Mississippi, Hattiesburg, MS,             400,000
 for teacher training in the science, technology,
 engineering, math, language, and creative arts fields
Utah State Office of Education, Salt Lake City, UT,              300,000
 for teacher development programs.....................
Utah Symphony, Salt Lake City, UT, for music education           106,000
 programs.............................................
Washoe County School District, Reno, NV, for support             500,000
 of educational activities............................
World Science Festival, New York, NY, for science and            200,000
 environmental education and outreach activities......
Young Writers Project, Inc., Winooski, VT, for support           175,000
 educational programming and teaching training........
------------------------------------------------------------------------

Teacher Incentive Fund

    The Committee recommendation includes $400,000,000, the 
same amount as the fiscal year 2010 appropriation, for the 
Teacher Incentive Fund [TIF] program. The budget proposal 
supports the program through a broader teacher and leader 
innovation fund based on the administration's reauthorization 
proposal.
    The goals of TIF are to improve student achievement by 
increasing teacher and principal effectiveness; reform 
compensation systems to reward gains in student achievement; 
increase the number of effective teachers teaching low-income, 
minority, and disadvantaged students, and students in hard-to-
staff subjects; and create sustainable performance-based 
compensation systems.
    The Committee urges the Department to award grants for 
short-term planning for the development of performance-based 
compensation systems as well as for implementation. Recognizing 
that such systems should be aligned with other educational 
improvement efforts, in awarding grants the Committee urges the 
Department to give priority to those applications that 
demonstrate a link between proposed projects and the 
instructional strategy or other key reforms undertaken by the 
relevant schools or LEAs.

Ready-to-Learn Television

    The Committee recommendation includes $29,050,000 for the 
Ready-to-Learn Television program. The budget request includes 
no funds for this program. The fiscal year 2010 appropriation 
is $27,300,000.
    The Ready to Learn program was created by Congress in 1992 
to use the power and reach of public television to help prepare 
children, especially disadvantaged children, to enter and 
succeed in school. The Elementary and Secondary Education Act 
requires that all programming and digital content created under 
Ready to Learn be specifically designed for nationwide 
distribution over public television stations' digital 
broadcasting channels and the Internet. The act also requires 
funds to be made available to public telecommunications 
entities to ensure that these programs, and related educational 
materials, are disseminated and distributed to the widest 
possible audience and are made accessible to all Americans.
    The Committee intends for funds to be used in accordance 
with the Ready to Learn statute and believes recipients of 
these funds should have a demonstrated track record in 
educational television production for preschool and/or 
elementary school students.

Close Up Fellowships

    The Committee recommendation includes $1,942,000, the same 
as the fiscal year 2010 appropriation, for Close Up 
Fellowships. The budget request does 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 $45,840,000, the same amount as 
the fiscal year 2010 appropriation, for AP programs. The budget 
request does not include any funds for this purpose.
    These funds support two programs, the Advanced Placement 
Test Fee program and the Advanced Placement Incentive [API] 
program, the purpose of both of which is to aid State and local 
efforts to increase access to AP and International 
Baccalaureate [IB] classes and tests for low-income students. 
Under the test fee program, the Department makes awards to 
State educational agencies to enable them to cover part or all 
of the cost of test fees of low-income students who are 
enrolled in an AP or IB class and plan to take an AP or IB 
test. Under the API program, the Department makes 3-year 
competitive awards to State educational agencies, LEAs, or 
national nonprofit educational entities to expand access for 
low-income individuals to AP programs through activities 
including teacher training, development of pre-Advanced 
Placement courses, coordination and articulation between grade 
levels to prepare students for academic achievement in AP or IB 
courses, books and supplies, and participation in online AP or 
IB courses.
    Under statute, the Department must give priority to funding 
the test fee program. Approximately $20,000,000 will be needed 
to fund that program; the remaining funds will support 
continuations for API grants.

                 Safe Schools and Citizenship Education

Appropriations, 2010....................................    $403,053,000
Budget estimate, 2011...................................     620,000,000
Committee recommendation................................     426,053,000

    The Committee recommends a total of $426,053,000 for 
activities to promote safe schools, healthy students, and 
citizenship education. The fiscal year 2010 appropriation is 
$403,053,000 for such activities. The budget request includes 
$620,000,000 for similar purposes.
    The President's budget for fiscal year 2011 is based on the 
administration's proposal to reauthorize the Elementary and 
Secondary Education Act. While the authorizing committees have 
taken significant actions to reauthorize the act, legislation 
has not yet passed the Senate. As a result, programs in this 
account are based generally on current law, as authorized under 
the Elementary and Secondary Education Act.

Promise Neighborhoods

    The Committee recommends $20,000,000 for the Promise 
Neighborhoods program. The budget request includes $210,000,000 
for this purpose. The fiscal year 2010 appropriation is 
$10,000,000 for Promise Neighborhoods.
    Competitive grants will be awarded to nonprofit, community-
based organizations for the development of comprehensive 
neighborhood programs designed to combat the effects of poverty 
and improve educational and life outcomes for children and 
youth, from birth through college. Each Promise Neighborhood 
grantee will serve a high-poverty urban neighborhood or rural 
community.
    Two types of awards will be made under this program, 1-year 
planning grants and implementation grants. Funds for planning 
grants are used by communities to develop a plan for providing 
a continuum of services and supports for the children and youth 
in a particular neighborhood. Implementation grants are awarded 
to organizations with feasible plans for achieving the goals of 
the program. Awards from the fiscal year 2010 appropriation 
have not yet been made and the Committee intends to re-examine 
the need for additional funds upon reviewing the plans of the 
winners of the current grant competition.

Successful, Safe, and Healthy Students

    The Committee recommends no funds for this program, which 
is based on the administration's reauthorization proposal. The 
Committee has allocated funds for related current law programs, 
as described under the individual headings in this account.
    Under this proposed program, the Department would award 
grants to State educational agencies, title I-eligible LEAs, 
and their partners for programs designed to improve the school 
culture and climate; improve students' physical health and 
well-being; and improve students' mental health and well-being.

Safe and Drug-free National Activities

    The Committee recommendation includes $196,341,000 for the 
national activities portion of the Safe and Drug-Free Schools 
and Communities program. The fiscal year 2010 appropriation is 
$191,341,000 for this purpose. The budget request proposes to 
fund related activities within the proposed successful, safe 
and healthy students program.
    The Committee has a particular interest in funding for the 
coordination and integration of mental health services within 
these comprehensive approaches. Therefore, the Committee 
requests that the Department report to the Committees on 
Appropriations of the Senate and House of Representatives, not 
later than 30 days after enactment of this act, on how 
resources available within this account will be used to address 
this interest.
    The Committee recommends no funds 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. Project SERV funds are available 
until expended. The budget request includes $5,000,000 for this 
purpose. No funds were appropriated for Project SERV in fiscal 
year 2010. The Committee believes that no additional funds are 
required in fiscal year 2011, given the amount of unobligated 
funds that have been carried over from previous years.
    The Committee recommendation includes $830,000, the same 
amount as the fiscal year 2010 appropriation, for a program to 
identify, and provide recognition of, promising and model 
alcohol and drug abuse prevention and education programs in 
higher education. The budget request proposes to fund related 
activities within its new successful, safe and healthy students 
program.
    The Committee recommendation also includes funds for school 
emergency preparedness, Safe Schools/Healthy Students, 
postsecondary education drug and violence prevention, and other 
activities.

Alcohol Abuse Reduction

    The Committee recommends $32,712,000, the same amount as 
the fiscal year 2010 appropriation, for grants to LEAs to 
develop and implement programs to reduce underage drinking in 
secondary schools. Instead of requesting funds for this 
program, the budget proposes a successful, safe and healthy 
students program which could support related activities.

Elementary and Secondary School Counseling

    The Committee recommends $57,000,000 to establish or expand 
counseling programs in elementary and secondary schools. The 
fiscal year 2010 funding level is $55,000,000. As currently 
authorized, at least $40,000,000 must be used to support 
elementary school counseling programs.

Carol M. White Physical Education for Progress Program

    The Committee recommendation includes $80,000,000 to help 
LEAs and community-based organizations initiate, expand and 
improve physical education programs for students in grades K-
12. The fiscal year 2010 appropriation is $79,000,000 for this 
purpose. The budget request proposes a successful, safe and 
healthy students program that could support related activities. 
This funding will help schools and communities improve their 
structured physical education programs for students and help 
children develop healthy lifestyles to combat the national 
epidemic of obesity.

Civic Education

    The Committee recommends $40,000,000 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 fiscal year 2010 appropriation is $35,000,000 
for this purpose. The budget request proposes to eliminate this 
program and instead provide competitive awards for history, 
civics, and government grants within the Fund for the 
Improvement of Education.
    The Committee recommends $20,617,000 for the We the People 
programs, including $2,957,000 to continue the comprehensive 
program to improve public knowledge, understanding, and support 
of American democratic institutions, which is a cooperative 
project among the Center for Civic Education, the Center on 
Congress at Indiana University, and the Trust for 
Representative Democracy at the National Conference of State 
Legislatures. The bill also includes $13,383,000 for the 
Cooperative Education Exchange program.
    The Committee bill also recommends $6,000,000 and necessary 
bill language for establishing a grant competition and related 
activities for nonprofit organizations with demonstrated 
effectiveness for the development and implementation of civic 
learning programs. National, State, or local nonprofits and 
educational institutions, individually or in partnership, shall 
be eligible to receive awards under this competition. The 
Committee intends for these funds to support programs that 
address relevant State and national educational standards; 
provide free or low-cost curriculum; and provide cost-effective 
models for teacher professional development. The Secretary 
shall establish a priority for applications that demonstrate 
innovation, scaleability, program accountability, and a focus 
on underserved populations, including those in urban and rural 
areas. The Committee also intends for a portion of the funds to 
be available for independent research and evaluation to help 
assess the effects of civic education programs on students' 
development of the knowledge, skills, and traits of character 
essential for the preservation and improvement of 
constitutional democracy. The Committee requests a briefing on 
how the Department intends to implement this directive not 
later than 30 days prior to the announcement of the 
availability of funds for this initiative.

                      English Language Acquisition

Appropriations, 2010....................................    $750,000,000
Budget estimate, 2011...................................     800,000,000
Committee recommendation................................     800,000,000

    The Committee recommends an appropriation of $800,000,000, 
the same amount as the budget request, for English language 
acquisition. The fiscal year 2010 appropriation is $750,000,000 
for this program.
    The President's budget for fiscal year 2011 is based on the 
administration's proposal to reauthorize the Elementary and 
Secondary Education Act. While the authorizing committees have 
taken significant actions to reauthorize the act, legislation 
has not yet passed the Senate. As a result, programs in this 
account are based generally on current law, as authorized under 
the Elementary and Secondary Education Act.
    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 Committee includes bill 
language requiring 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. National activities funds shall be available for 2 
years.
    The Committee bill includes language that allows the 
Secretary to use the annual 3-year estimates provided by the 
Census Bureau in order to determine the State allocations. The 
fiscal year 2010 appropriations language requires the Secretary 
to use a 3-year average of the most recent data available from 
the American Community Survey for calculating allocations to 
all States under the English Language Acquisition State Grants 
program. Under the authorizing statute, the Department would 
use 1-year estimates, which are not as reliable and produce 
more volatility in the allocations from year to year. The 
Committee directs the Department to consult with the 
authorizing and appropriations committees of the Senate and 
House of Representatives prior to any announcement of 
allocations made for this program from the 2011 appropriation.

                           Special Education

Appropriations, 2010.................................... $12,587,035,000
Budget estimate, 2011...................................  12,846,190,000
Committee recommendation................................  13,035,490,000

    The Committee recommends $13,035,490,000 for special 
education programs authorized by the Individuals with 
Disabilities Education Act [IDEA] and the Special Olympics 
Sport and Empowerment Act of 2004. The fiscal year 2010 funding 
level is $12,587,035,000. The budget request includes 
$12,846,190,000 for such programs and proposed legislation.

Grants to States

    The Committee recommends $11,925,211,000 for special 
education grants to States, as authorized under section 611 of 
part B of the IDEA. The budget request proposes $11,755,211,000 
under this authority. The fiscal year 2010 level is 
$11,505,211,000 for this program.
    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 2011-2012 academic year. Of the 
funds available for this program, $3,332,828,000 will become 
available on July 1, 2011, and $8,592,383,000 will become 
available on October 1, 2011. These funds will remain available 
for obligation until September 30, 2012.
    The budget request proposes 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 change in the 
appropriation for grants to States. This provision also would 
prevent a decrease in the amount to be transferred in case the 
funding for this program decreases or does not change. The 
Committee bill includes the requested language.

Preschool Grants

    The Committee recommends $374,099,000, the same amount as 
the budget request and fiscal year 2010 level, for preschool 
grants. 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 IDEA.

Grants for Infants and Families

    The Committee recommends $459,427,000 for the grants for 
infants and families program under part C of the IDEA. The 
fiscal year 2010 funding level and the budget request are 
$439,427,000 for this program. Part C of the IDEA authorizes 
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 $49,223,000 for the State 
personnel development program. The fiscal year 2010 funding 
level and the budget request are $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 $49,549,000, the same amount as 
the fiscal year 2010 funding level and the budget request, for 
technical assistance and dissemination. 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 continues to support activities that address 
the need for high-quality, evidence-based technical assistance 
activities that improve the services to and outcomes for 
students with disabilities.

Personnel Preparation

    The Committee recommends $90,653,000, the same amount as 
the fiscal year 2010 funding level and the budget request, for 
the personnel preparation 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 $30,028,000 for parent information 
centers. The comparable fiscal year 2010 funding level and the 
budget request are $28,028,000 for the centers. 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 believes that the additional funds should be 
used to support the work of all centers, balanced by the 
importance of targeting additional resources to centers that 
are serving areas with growing populations. The Committee 
further believes that there should be more transparency with 
regard to the allocation formula being used to allocate these 
funds and requests the annual congressional budget 
justification include a description of the Department's 
methodology for allocating funds available for this program.

Technology and Media Services

    The Committee recommends $47,300,000 for technology and 
media services. The comparable fiscal year 2010 funding level 
is $43,973,000 for this purpose, while the budget request 
proposes $41,223,000 for authorized 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 $13,250,000 for 
Recording for the Blind and Dyslexic, Inc. These funds support 
the continued development, production, and circulation of 
accessible educational materials.
    The Committee recommendation also includes $737,000 for the 
Reading Rockets program, administered by the Greater Washington 
Education Television Association.

Mentoring for Individuals With Intellectual Disabilities

    The Committee recommendation defers action on the request 
for $10,000,000 to support this proposed program. The budget 
proposes support for grants or contracts to expand the Best 
Buddies organization, as well as support activities to increase 
the participation of people with intellectual disabilities in 
social relationships and other aspects of community life, 
including education and employment. Legislation is pending in 
Congress that would authorize similar activities.

Special Olympics

    The Committee recommendation includes $10,000,000, the same 
amount as the budget request, for Special Olympics education 
activities. The fiscal year 2010 funding level is $8,095,000 
for authorized activities. 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 continues to allow funds to be used to 
support Special Olympics National and World Games, authorized 
in the fiscal year 2010 appropriations act and proposed in the 
budget request.

            Rehabilitation Services and Disability Research

Appropriations, 2010....................................  $3,506,861,000
Budget estimate, 2011...................................   3,565,326,000
Committee recommendation................................   3,542,510,000

    The Committee recommends $3,542,510,000 for rehabilitation 
services and disability research. The fiscal year 2010 funding 
level is $3,506,861,000. The budget request includes 
$3,565,326,000 for programs in this account.

Vocational Rehabilitation State Grants

    The Committee recommends $3,084,696,000, the same as the 
comparable fiscal year 2010 level, for vocational 
rehabilitation grants to States. The Committee recommends the 
full amount authorized by the Rehabilitation Act of 1973 for 
this mandatory funding stream. The fiscal year 2011 budget 
request is $3,141,529,000 and assumes several program 
consolidations and eliminations as part of a proposal to 
reauthorize the Workforce Investment Act [WIA]. Since Congress 
has not yet acted on a WIA reauthorization, the Committee 
recommendation follows current law.
    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 with the exception of 
construction costs for the development of a facility for 
community rehabilitation programs, for which States must 
provide a 50 percent match.
    The Rehabilitation Act requires that not less than 1 
percent and not more than 1.5 percent of the appropriation in 
fiscal year 2011 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.

Workforce Innovation Funds

    The Committee provides $27,000,000 to create a workforce 
innovation fund. The budget request provides $30,000,000 for 
this initiative. This program will test innovative strategies 
or replicate proven practices that support systemic reform of 
the workforce investment system and substantially improve 
employment and education outcomes for people with disabilities.
    To support alignment at the Federal level, the Committee 
expects the Secretary to make such awards in cooperation with 
the Secretary of Labor. Priority should be given to applicants 
that demonstrate significant alignment across education, 
workforce development, and supportive services at the State, 
regional, or local level, and that support economic development 
goals and improved employment and education outcomes for 
participants with disabilities, including those with the most 
significant disabilities. Awards should prioritize applicants 
that demonstrate comprehensive strategic planning and 
coordination at the State, regional, or local level and 
continuation of promising practices and infrastructure 
developed through disability program navigator programs. The 
Committee directs that the Department provide a briefing to the 
Committee not less than 30 days prior to the release of a 
solicitation of grant applications for this program.

Client Assistance State Grants

    The Committee recommends $14,288,000 for the client 
assistance State grants program. The comparable fiscal year 
2010 funding amount and the budget request are $12,288,000.
    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, the same as the 
comparable fiscal year 2010 level, for training rehabilitation 
personnel. The budget request provides $33,251,000.
    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 recommends $13,151,000 for this program. The 
comparable fiscal year 2010 funding level is $11,601,000. The 
budget request eliminates funding for this program as part of 
the administration's proposed program consolidations.
    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. The Committee expects the 
Rehabilitation Services Administration to coordinate with the 
Office of Special Education Programs in carrying out this 
activity.
    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
American Academy of Orthotists and Prosthetists,                $500,000
 Washington, DC, to improve the quality of applied
 orthotic and prosthetic research and to help meet the
 demand for provider services...........................
ARC of Madison County, Huntsville, AL, for a disability          100,000
 program initiative, which may include equipment........
Holy Angels Residential Facility, Caddo Parish, LA, for          100,000
 vocational training for developmental disabled
 individuals............................................
Spurwink Services, Portland, ME, for education programs          400,000
 for students with autism...............................
Statewide Independent Living Council, Anchorage, AK, to          400,000
 expand independent living programs for rural and remote
 areas..................................................
Utah State Office of Rehabilitation, Salt Lake City, UT,         150,000
 for assistive technology equipment.....................
------------------------------------------------------------------------

Migrant and Seasonal Farmworkers

    The Committee recommends $2,239,000, the same as the 
comparable fiscal year 2010 amount, for migrant and seasonal 
farmworkers. The budget request proposes consolidation of this 
program into the State Grants program.
    This program provides grants for comprehensive 
rehabilitation services to migrant and seasonal farm workers 
with disabilities and their families. The size of the grants is 
limited to 90 percent of the costs of the projects. 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. This amount is the same as the comparable fiscal year 
2010 funding level and the budget request.
    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 $19,101,000 for protection and 
advocacy of individual rights. The comparable fiscal year 2010 
funding level and the budget request provide $18,101,000 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, the same as the 
comparable fiscal year 2010 amount, for projects with industry. 
The budget request does not include funding for this program.
    The projects with industry [PWI] program promotes greater 
participation of business and industry in the rehabilitation 
process. It provides training and experience in realistic work 
settings to prepare individuals with disabilities for 
employment in the competitive job market. Post-employment 
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, the same as the 
comparable fiscal year 2010 amount, for the supported 
employment State grant program. The budget request does not 
include 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.

Supported Employment Extended Services for Youth

    The budget request includes $25,000,000 for this new 
program as part of its proposed WIA reauthorization. The 
Committee does not include any funds for this program which the 
administration proposes as part of their plans for 
reauthorizing the Rehabilitation Act.

Grants for Independent Living

    The budget request includes $110,000,000 for this new 
program as part of its proposed WIA reauthorization. The 
Committee does not include any funds for this program which the 
administration proposes as part of their plans for 
reauthorizing the Rehabilitation Act.

Independent Living State Grants

    The Committee recommends $23,450,000, the same as the 
comparable fiscal year 2010 amount, for independent living 
State grants. The budget request does not include funding for 
this program.
    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 $83,656,000 for independent living 
centers. The comparable fiscal year 2010 amount is $80,266,000. 
The budget request does not include funding for this program.
    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 $34,151,000 for independent living 
services to other blind individuals. This is the same level as 
the comparable fiscal year 2010 amount and budget request.
    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 concurs in the budget request to eliminate 
funding for this program. The comparable fiscal year 2010 
funding level is $852,000. These activities are designed to 
improve the operation of the Vocational Rehabilitation State 
Grants program and the provision of services to individuals 
with disabilities. Funds are awarded through grants and 
contracts to provide technical assistance and support 
activities that increase program effectiveness and improve 
accountability.

Evaluation

    The Committee concurs in the budget request to eliminate 
funding for this program. The comparable fiscal year 2010 
funding level is $1,217,000. Funds for this program are used to 
evaluate the impact and efficacy of programs authorized under 
the Rehabilitation Act of 1973.

Helen Keller National Center

    The Committee recommends $9,181,000 for the Helen Keller 
National Center for Deaf-Blind Youth and Adults. This is the 
same amount as the comparable fiscal year 2010 funding level 
and the budget request.
    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 
1,000 organizations.

National Institute on Disability and Rehabilitation Research

    The Committee recommends $111,919,000, the same as the 
budget request, for the National Institute on Disability and 
Rehabilitation Research [NIDRR]. The comparable fiscal year 
2010 funding level is $109,241,000.
    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 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 strongly supports the mission of NIDRR, which 
includes research in the interrelated domains of health and 
function, employment, and participation and community living. 
NIDRR's resources should focus on each of these statutory 
research priorities to ensure the advancement of economic and 
social self-sufficiency and full community inclusion and 
participation. Future Rehabilitation Research Training Centers' 
priorities should advance knowledge of effective strategies to 
reduce the impact of poverty, promote affordable housing and 
independent living with improved access to long-term supports, 
and facilitate greater individual choice and control of 
individualized plans under the Rehabilitation and Social 
Security Laws.
    The Committee believes the Interagency Committee on 
Disability Research, currently led by NIDRR, needs to more 
effectively carry out its mission, including coordinating 
research and assessing research gaps as well as meeting 
required reporting requirements in a timely manner. Therefore, 
the Committee urges the administration, through the Interagency 
Committee on Disability Research [ICDR], to facilitate the 
development and implementation of a comprehensive Government-
wide long-term strategic plan for disability and rehabilitation 
research by the spring of 2011. The strategic plan should 
reflect the active involvement of disability senior policy 
advisors, program directors and other staff from NIDRR and the 
Department of Health and Human Services, in partnership with 
stakeholders conducting disability and rehabilitation research. 
The plan should be submitted to the Committee by April 1, 2011. 
The Committee further requests that the annual report prepared 
by ICDR should include an accounting of the progress made in 
implementing the long-term strategic plan.
    The Committee notes that the Americans with Disabilities 
Act Amendments Act of 2008 and related regulations will require 
sustained training and technical resources from the disability 
and business technical assistance center program. The Committee 
believes the additional funds it provides will help meet the 
information and training needs related to the legislation.

Assistive Technology

    The Committee recommends $30,960,000 for assistive 
technology. This amount is the same as the comparable fiscal 
year 2010 funding level and the budget request.
    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 develop 
comprehensive, consumer-responsive statewide programs that 
increase access to, and the availability of, assistive 
technology devices and services.
    The Committee recommendation includes $25,660,000 for State 
grant activities authorized under section 4 the Rehabilitation 
Act of 1973, $4,300,000 for protection and advocacy systems 
authorized by section 5, and $1,000,000 for technical 
assistance activities authorized under section 6.

           Special Institutions for Persons With Disabilities


                 AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2010....................................     $24,600,000
Budget estimate, 2011...................................      24,600,000
Committee recommendation................................      24,600,000

    The Committee recommends $24,600,000 to help support the 
American Printing House for the Blind [APH]. This amount is the 
same as the comparable fiscal year 2010 funding level and the 
budget request.
    The APH provides educational materials to students who are 
legally blind and enrolled in programs below the college level. 
The Federal subsidy provides approximately 70 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 APH the 
responsibility of establishing and maintaining a National 
Instructional Materials Access Center.

               NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2010....................................     $68,437,000
Budget estimate, 2011...................................      64,677,000
Committee recommendation................................      64,677,000

    The Committee recommends $64,677,000, the same as the 
budget request, for the National Technical Institute for the 
Deaf [NTID]. The comparable fiscal year 2010 funding level is 
$68,437,000. Within the Committee recommendation, $1,640,000 is 
available for improvements to the campus infrastructure of the 
NTID.
    The Institute, located on the campus of the Rochester 
Institute of Technology in Rochester, New York, was created by 
Congress in 1965 to provide a residential facility for 
postsecondary technical training and education for persons who 
are deaf. The 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, 2010....................................    $123,000,000
Budget estimate, 2011...................................     118,000,000
Committee recommendation................................     128,000,000

    The Committee recommends $128,000,000 for Gallaudet 
University. The comparable fiscal year 2010 funding level is 
$123,000,000 and the budget request includes $118,000,000 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 Committee bill includes $10,000,000 for construction-
related activities at Gallaudet University. The administration 
did not request funds for this purpose.

                 Career, Technical, and Adult Education

Appropriations, 2010....................................  $2,016,447,000
Budget estimate, 2011...................................   1,942,707,000
Committee recommendation................................   1,942,541,000

    The Committee recommends a total of $1,942,541,000 for 
career, technical, and adult education. The comparable funding 
level in fiscal year 2010 is $2,016,447,000 and the budget 
request provides $1,942,707,000 for this program. The 
recommendation consists of $1,271,694,000 for career and 
technical education, $653,661,000 for adult education and 
$17,186,000 for other activities.

Career and Technical Education

    The Committee recommends $1,271,694,000, the same as the 
comparable fiscal year 2010 level, for career and technical 
education. The fiscal year 2011 request provides 
$1,271,860,000.
    State Grants.--The Committee recommends $1,160,911,000, the 
same as the comparable fiscal year 2010 level, for Career and 
Technical Education [CTE] State grants. The fiscal year 2011 
request level is $1,264,000,000 and includes a consolidation of 
funding for the Tech Prep State Grants program into CTE State 
Grants. The Committee recommendation is based on current law.
    Funds provided under the State grant program assist States, 
localities, and outlying areas 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 additional 
to services received by these groups under other provisions of 
the Perkins Act.
    Of the funds available for this program, $369,911,000 will 
become available on July 1, 2011, and $791,000,000 will become 
available on October 1, 2011. These funds will remain available 
for obligation until September 30, 2012.
    Tech-prep Education State Grants.--The Committee recommends 
$102,923,000, the same as the comparable fiscal year 2010 
level, for this program. The fiscal year 2011 request 
consolidates funding for this program into CTE State Grants. 
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. This 
is the same amount as the comparable fiscal year 2010 funding 
level and the budget request.
    Funds will be used to support the national research center 
on career and technical education, as well as activities 
designed to improve the quality of performance data States 
collect and report to the Department.

Adult Education

    The Committee recommends $653,661,000, the same as the 
request, for adult education. The comparable fiscal year 2010 
funding level is $639,567,000.
    Adult Education State Programs.--For adult education State 
programs, the Committee recommends $612,315,000, the same as 
the requested level. The comparable fiscal year 2010 funding 
level is $628,221,000. These funds are used by States for 
programs to enable 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 fiscal year 2010 appropriation for this program 
included $45,906,000 to distribute to States that did not 
receive their full allocations in fiscal years 2003 through 
2008 due to an administrative error. Not counting that amount, 
the Committee recommendation is $30,000,000 above the base 
fiscal year 2010 level.
    The Committee recommendation continues the English literacy 
and civics education State grants set-aside within the adult 
education State grants appropriation. Within the total, 
$75,000,000 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. This 
set-aside was proposed in the budget request.
    National Leadership Activities.--The Committee recommends 
$41,346,000, the same amount as the budget request, for 
national leadership activities. The comparable funding level 
for fiscal year 2010 is $11,346,000.
    As requested by the administration, the Committee 
recommends designating a portion of the appropriations for 
adult education to create a workforce innovation fund to make 
competitive awards for workforce innovation activities under 
the program's national leadership activities authority. These 
activities are intended to test innovative strategies or 
replicate proven practices including strategies or practices 
that support systemic reform of the workforce investment system 
to substantially improve education and employment outcomes for 
participants. The Committee recommendation includes bill 
language designating $30,000,000, the same as the request 
level, for this new fund.
    To support alignment at the Federal level, the Committee 
expects the Secretary to make such awards in cooperation with 
the Secretary of Labor. Priority should be given to applicants 
that demonstrate significant alignment across education, 
workforce development, and supportive services at the State, 
regional, or local level, and that support economic development 
goals and improved education and employment outcomes for 
participants. Awards should also prioritize applicants that 
demonstrate comprehensive strategic planning and coordination 
at the State, regional, or local level. The Committee directs 
that the Department provide a briefing to the Committee not 
less than 30 days prior to the release of a solicitation of 
grant applications for this program.
    Under national leadership activities, 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. The Committee strongly encourages the Department to 
identify and disseminate successful strategies and best 
practices that will assist community-based organizations that 
utilize adult literacy volunteers to support the Department's 
career pathways initiatives. This further encourages the 
Department to implement strategies to increase participation by 
community-based organizations that utilize trained volunteers 
in State and national training and technical assistance 
programs. The Committee requests a report on the success of 
those strategies by April 1, 2012.

Smaller Learning Communities

    The Committee concurs in the budget request to eliminate 
funding for this program. The administration proposed 
consolidating Smaller Learning Communities and four other 
programs into a new Expanding Educational Options program as 
part of its plan to reauthorize the ESEA. The comparable fiscal 
year 2010 level is $88,000,000.
    This program supports planning and implementation grants 
for redesigning large high schools into smaller learning 
communities. The Committee recognizes the need to invest in and 
reform secondary schools, particularly the lowest-performing 
high schools in the Nation. That's why the Committee bill 
includes a doubling, to $100,000,000, of the funding for the 
high school graduation initiative and requires that 40 percent 
of the $625,000,000 available for school improvement grants be 
used to help turn around low-performing high schools and their 
feeder middle schools.

State Grants for Workplace and Community Transition Training for 
        Incarcerated Individuals

    The Committee recommends $17,186,000 for education and 
training for incarcerated individuals. This amount is the same 
as the comparable fiscal year 2010 amount and the budget 
request. This program provides grants to State correctional 
education agencies to assist and encourage incarcerated 
individuals 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 
State correctional education 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 $3,000 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, an incarcerated individual 
must be no more than 35 years of age and eligible to be 
released or paroled from prison within 7 years. An individual 
may receive support for a period not to exceed 7 years, of 
which 2 years may be devoted to study in remedial or graduate 
education.

                      Student Financial Assistance

Appropriations, 2010.................................... $19,296,809,000
Budget estimate, 2011...................................  19,389,957,000
Committee recommendation................................  19,453,809,000

    The Committee recommends an appropriation of 
$19,453,809,000 for programs under the student financial 
assistance account. The fiscal year 2010 comparable amount is 
$19,296,809,000. The budget request provides $19,389,957,000 
for this purpose, but most of these funds were part of the 
administration's proposal to make Pell Grants a mandatory 
program. Congress, through the Health Care and Education 
Reconciliation Act of 2010, continued the mix of discretionary 
and mandatory funding that existed prior to the enactment of 
that legislation.

Federal Pell Grant Program

    For Pell Grant awards in the 2011-2012 academic year, the 
Committee recommends $17,652,000,000 to fund the maximum 
discretionary Pell Grant award level of $4,860. This is the 
same discretionary award level as fiscal year 2010. Additional 
mandatory funding provided in the Health Care and Education 
Reconciliation Act of 2010 would support a total maximum award 
of $5,550, the same level as the current academic year. The 
President's budget proposal for a mandatory Pell Grant program 
supports a maximum award level of $5,710.
    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.
    This fiscal year 2011 appropriation for the Pell Grant 
program, combined with resources in other legislation being 
considered in Congress, will fully support the discretionary 
base resources needed for this important program. Accordingly, 
the bill includes language specifying that new budget authority 
scored against this act will equal the $17,652,000,000 
appropriation provided by the Committee.

Federal Supplemental Educational Opportunity Grants

    The Committee recommends $757,465,000 for Federal 
supplemental educational opportunity grants [SEOG]. This is the 
same amount as the fiscal year 2010 level and the budget 
request. 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. This is the same amount as the comparable 
fiscal year 2010 level and the budget request.
    This program provides grants to about 3,400 institutions to 
help an estimated 770,000 undergraduate, graduate, and 
professional students meet the costs of postsecondary education 
through part-time employment. Work-study jobs must pay at least 
the Federal minimum wage and institutions must provide at least 
25 percent of student earnings. Institutions also must use at 
least 7 percent of their grants for community service jobs.
    The Committee expects the Department to provide the same 
funding from the Federal Work-Study Program appropriation in 
fiscal year 2011 as in the prior year for the Work Colleges 
program authorized under section 448 of the Higher Education 
Act.

Federal Perkins Loans

    The Federal Perkins loan program supports student loan 
revolving funds built up with capital contributions to nearly 
1,700 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 post-secondary education.
    The Committee recommends no funds for the Perkins Loans 
program, as is the case in fiscal year 2010. The administration 
has proposed to restructure the Perkins Loan program as a 
mandatory credit program, with nearly $6,000,000,000 a year in 
new loan volum--six times the current Perkins volume. Congress 
has not acted on that proposal.

Leveraging Educational Assistance Partnership Program [LEAP]

    For the LEAP program, the Committee recommends $63,852,000, 
the same amount as the comparable fiscal year 2010 level. The 
administration proposes eliminating 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.

                       Student Aid Administration

Appropriations, 2010....................................    $870,402,000
Budget estimate, 2011...................................   1,170,231,000
Committee recommendation................................   1,048,078,000

    The Committee recommends $1,048,078,000 for the Student Aid 
Administration account. The comparable fiscal year 2010 level 
is $870,402,000. The budget request includes $1,170,231,000. 
These funds are available until expended.
    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.
    The Health Care and Education Reconciliation Act of 2010 
terminates the authority under the Higher Education Act of 1965 
to make loans under the Federal Family Education Loan Program 
as of June 2010. Beginning July 1, 2010, 100 percent of student 
loans will be made through the William D. Ford Direct Loan [DL] 
Program. DL program loans will be serviced by private for-
profit and not-for-profit servicers under contract with the 
Department.
    The Committee recommendation includes $661,852,000 for 
administrative costs and $386,226,000 for loan servicing 
activities. The Committee recommendation for these two 
activities represents a $177,676,000 increase over the fiscal 
year 2010 level. The Committee recommendation reflects the 
increased application, origination, and servicing costs 
associated with the legislative changes. These increases are 
necessary to manage the higher loan volume, ensure the 
operational integrity of Federal Student Aid systems and 
provide high-quality service to student and parent borrowers. 
The budget request provides $673,404,000 for administrative 
costs and $496,827,000 for servicing. The Committee is able to 
recommend a lower level of funding than the request due in part 
to funds made available through the Student Aid and Fiscal 
Responsibility Act for administrative costs of servicing 
contracts with not-for-profit loan servicers.

                            Higher Education

Appropriations, 2010....................................  $2,255,665,000
Budget estimate, 2011...................................   2,094,825,000
Committee recommendation................................   2,243,895,000

    The Committee recommends an appropriation of $2,243,895,000 
for higher education programs. The fiscal year 2010 level is 
$2,255,665,000 and the fiscal year 2011 requested level is 
$2,094,825,000 for programs in this account.

Aid for Institutional Development

    The Committee recommends $616,336,000 for Aid for 
Institutional Development. The comparable fiscal year 2010 
level is $603,194,000 and the fiscal year 2011 requested level 
is $632,827,000.
    Strengthening Institutions.--The Committee bill recommends 
$88,200,000, the same as the budget request, for this program. 
The comparable fiscal year 2010 funding level is $84,000,000. 
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 parts A or B.
    Hispanic-serving Institutions.--The Committee recommends 
$123,300,000, the same as the request level, for competitive 
grants to institutions at which Hispanic students make up at 
least 25 percent of enrollment. The comparable fiscal year 2010 
funding level is $117,429,000. 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.
    Strengthening Historically Black Colleges and Universities 
[HBCUs].--The Committee recommends $266,586,000, the same as 
the comparable fiscal year 2010 level, for the part B 
strengthening HBCUs program. The budget request is $279,915,000 
for part B grants. The 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. In addition to the Committee-recommended 
level, this program received $85,000,000 of mandatory funding 
in each fiscal year from 2010 to 2019 through the Student Aid 
and Fiscal Responsibility Act [SAFRA].
    Strengthening Historically Black Graduate Institutions 
[HBGIs].--The Committee recommends $64,496,000, the same as the 
requested level, for the part B, section 326 program. The 
section 326 program provides 5-year grants to strengthen HBGIs. 
Grants may be used for any part B purpose and to establish an 
endowment. The comparable fiscal year 2010 funding level is 
$61,425,000.
    Strengthening Predominately Black Institutions [PBIs].--The 
Committee recommends $10,801,000, the same as the comparable 
fiscal year 2010 level, for this part A program. The fiscal 
year 2011 budget request is $11,341,000. This section 318 
program provides 5-year grants to PBIs to plan and implement 
programs to enhance the institutions' capacity to serve more 
low- and middle-income Black American students. Funding is 
allocated among PBIs based on the number of Pell Grant 
recipients enrolled, the number of graduates, and the 
percentage of graduate who are attending a baccalaureate 
degree-granting institution or a graduate or professional 
school in degree programs in which Black American students are 
underrepresented. In addition to the Committee-recommended 
level, this program received $15,000,000 of mandatory funding 
in each fiscal year from 2010 to 2019 through the SAFRA Act.
    Strengthening Asian American and Native American Pacific 
Islander-serving Institutions [AANAPISIs].--The Committee 
recommends $3,600,000, the same as the comparable fiscal year 
2010 level, for this part A program. The budget request level 
is $3,780,000. This section 320 program provides competitive 
grants to AANAPISIs that have an enrollment of undergraduate 
students that is at least 10 percent Asian American or Native 
American Pacific Islander students. Grants may be used to 
improve their capacity to serve Asian American and Native 
American Pacific Islander students and low-income individuals. 
In addition to the Committee recommended level, this program 
received $5,000,000 of mandatory funding in each fiscal year 
from 2010 to 2019 through the SAFRA Act.
    Strengthening Alaska Native and Native Hawaiian-serving 
Institutions.--The Committee recommends $15,084,000, the same 
as the comparable fiscal year 2010 level, for this program. The 
budget request level is $15,838,000. In addition to the 
Committee-recommended level, this program received $15,000,000 
of mandatory funding in each fiscal year from 2010 to 2019 
through SAFRA.
    The purpose of this program is to improve and expand the 
capacity of institutions serving Alaska Native and Native 
Hawaiian students and low-income individuals. Funds may be used 
to plan, develop, and implement activities that encourage: 
faculty and curriculum development; better fund administrative 
management; renovation and improvement of educational 
facilities; enhanced student services; and the purchase of 
library and other educational materials.
    Strengthening Native American Nontribal-serving 
Institutions.--The Committee recommends $3,600,000, the same as 
the comparable fiscal year 2010 level, for this program. The 
fiscal year 2011 budget request is $3,780,000. In addition to 
the Committee-recommended level, this program received 
$5,000,000 of mandatory funding in each fiscal year from 2010 
to 2019 through SAFRA.
    Strengthening Tribally Controlled Colleges and 
Universities.--The Committee recommends $30,169,000, the same 
as the comparable fiscal year 2010 level, for this program. The 
fiscal year 2011 budget request is $31,677,000. Tribal colleges 
and universities rely on a portion of the funds provided to 
address developmental needs, including faculty development, 
curriculum, and student services. In addition to the Committee-
recommended level, this program received $30,000,000 of 
mandatory funding in each fiscal year from 2010 to 2019 through 
SAFRA.
    Funds provided for this program are to be used to support 
the formula distribution of development grants. However, the 
Committee expects that up to 30 percent of appropriated funds, 
as authorized in section 316 of the Higher Education Act [HEA], 
shall be available for competitive grants for renovation and 
construction of facilities to continue to address urgently 
needed facilities repair and expansion. The Committee requests 
that a report on the competitive process be provided in the 
fiscal year 2012 congressional budget justification.

International Education and Foreign Language Studies

    The bill includes a total of $127,881,000 for international 
education and foreign language programs. The comparable fiscal 
year 2010 funding level and the budget request are $125,881,000 
for this program.
    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 U.S. 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 $110,360,000 
for domestic program activities related to international 
education and foreign language studies, including international 
business education, under title VI of the HEA. This amount is 
the same as the fiscal year 2010 level and the request. 
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.
    The Committee funding level includes $2,000,000 to be made 
available under section 604(b) of the HEA to expand access to 
study abroad, with the goals of increasing study abroad 
opportunities among underserved student populations and 
expanding study abroad to nontraditional destinations, 
particularly in developing countries. Awards under this new 
program will be made available on a competitive basis to 
institutions of higher education individually or as part of a 
consortium and consistent with the recommendations of the 
Commission on the Abraham Lincoln Study Abroad Fellowship 
Program.
    Overseas Programs.--The bill includes $15,576,000 for 
overseas programs authorized under the Mutual Educational and 
Cultural Exchange Act of 1961, popularly known as the 
Fulbright-Hays Act. The comparable fiscal year 2010 funding 
level and budget request are $15,576,000. Under these overseas 
programs, grants are provided for group, faculty, or doctoral 
dissertation research abroad as well as 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 
provides $1,945,000 for the Institute for International Public 
Policy. This amount is the same as the comparable fiscal year 
2010 funding level and the budget 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 $105,597,000 for the Fund for the 
Improvement of Postsecondary Education [FIPSE]. The comparable 
fiscal year 2010 funding level is $159,403,000 and the budget 
request is $64,036,000. 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.
    Within the funds provided, the Committee has included 
sufficient funds to create a consortium of institutions of 
higher learning that offer interdisciplinary programs that 
focus on poverty. This activity was authorized in the recent 
reauthorization of the HEA.
    Erma Byrd Scholarships.--The Committee recommendation does 
not include fiscal year 2011 funds for this program, as 
sufficient carryover funds exist to make continuation awards 
and new grants in fiscal year 2011.
    The Committee does not include funding for the College 
Textbook Rental Pilot Initiative, funded at $10,000,000 in 
fiscal year 2010, or for the Centers of Excellence for Veteran 
Student Success, funded at $6,000,000 in fiscal year 2010.
    Training for Realtime Writers.--Within the total for FIPSE, 
the Committee recommendation includes $1,000,000 for the 
Training for Realtime Writers program authorized by section 872 
of the Higher Education Act. The budget request did not provide 
funding for this program. This program provides grants to 
institutions of higher education to establish programs to train 
realtime writers. Eligible activities include curriculum 
development, student recruitment, distance learning, mentoring, 
and scholarships. The program places a priority on encouraging 
individuals with disabilities to pursue careers in realtime 
writing. More than 30 million Americans are considered deaf or 
hard of hearing, and many require captioning services to 
participate in mainstream activities and gain access to 
emergency broadcasts. Federal law requires that all television 
broadcasts be closed captioned, yet the Committee has been 
informed that a shortage of trained captioners is creating a 
barrier to full-quality captioning of realtime television 
programming such as news, weather and emergency messaging.
    Off-campus Community Service Program.--Within the total for 
FIPSE, the Committee recommendation includes $750,000, the same 
amount as the fiscal year 2010 level, for the off-campus 
community service program authorized under section 447 of the 
Higher Education Act. The budget request does not include funds 
for this purpose.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Alcorn State University, Alcorn State, MS, for                  $250,000
 curriculum development and the purchase of equipment
 related to graduate technical programs.................
Arkansas Baptist College, Little Rock, AR, for the               150,000
 Center for Entrepreneurship............................
Armstrong Atlantic State University Cyber Security               200,000
 Research Foundation, Savannah, GA, for the Cyber
 Intelligence and Counter Terrorism Program, including
 the purchase of equipment..............................
Baylor University, Waco, TX, for technology upgrades at          200,000
 the Baylor Research and Innovation Collaborative,
 including the purchase of equipment....................
Black Hills State University, Spearfish, SD, for                 450,000
 equipment to enhance education programs................
California Community Colleges Chancellor's Office,               500,000
 Sacramento, CA, to expand a program providing academic
 support to veterans....................................
California State University, Bakersfield, Bakersfield,           150,000
 CA, for support of the nursing program.................
California State University, Long Beach, CA, for staff           350,000
 resources for the Metro Academies Initiative...........
California State University, Sacramento, Sacramento, CA,         150,000
 for the Veterans Education Transitional Supports
 program................................................
Castleton State College, Castleton, VT, to expand the            300,000
 Principal Training and School Leadership Program.......
Cazenovia College, Cazenovia, NY, for curriculum                 200,000
 development and job training...........................
Central Maine Community College, Auburn, ME, for job             285,000
 training programs for healthcare providers.............
Central Washington University, Ellensburg, WA, to launch       1,000,000
 the state's first bachelor's degree program in clean
 energy.................................................
Cincinnati State Technical and Community College,                150,000
 Cincinnati, OH, for GED and transition to college
 programs and job placement.............................
Coe College, Cedar Rapids, IA, for the Digital Media             300,000
 Technology Project.....................................
College of Idaho, Caldwell, ID, for technology upgrades          100,000
 and the purchase of equipment..........................
College of Southern Nevada, Las Vegas, NV, for the               400,000
 expansion of online courses............................
College Success Foundation, Washington, DC, for                  500,000
 mentoring and scholarships.............................
Commonwealth Medical College, Scranton, PA, for the              250,000
 Community Quality Initiative curriculum development
 program................................................
Community College of Allegheny County, Pittsburgh, PA,           100,000
 to support basic education and GED programs............
Community College of Rhode Island, Warwick, RI, for the          500,000
 development of a biotech program, including equipment..
Connecticut State University System, Hartford, CT, to            500,000
 expand Latin American and Caribbean studies............
Dakota Wesleyan University, Mitchell, SD, for health             150,000
 care training programs.................................
Deaf West, North Hollywood, CA, for educational                  250,000
 programming............................................
Delaware Technical and Community College, Dover, DE, for         150,000
 distance learning technology...........................
Delta College, University Center, MI, for chemical               250,000
 process and lithium battery Lab Equipment..............
Dickinson State University, Dickinson, ND, for its               300,000
 Theodore Roosevelt Center..............................
Drake University Law School, Des Moines, IA, to create           300,000
 the Drake Institute for Legislation and Agriculture
 Policy.................................................
Eastern Washington University, Spokane, WA, to educate,          300,000
 conduct research, and disseminate vital information on
 regional water issues..................................
Edward M. Kennedy Institute for the United States                500,000
 Senate, Boston, MA, for educational program
 development, including an endowment....................
Fort Lewis College, Durango, CO, to develop and                  250,000
 administer the Tribal Nation Building program to
 provide internships and social service programs........
Francis Marion University, Florence, SC, for early               150,000
 childhood education initiatives........................
Future Generations, Franklin, WV, to develop a higher          1,000,000
 education degree in the field of substance abuse
 prevention.............................................
Grambling State University, Grambling, LA, for the               100,000
 Project Lifelines program for vocational or higher
 education training.....................................
Grand Rapids Community College, Grand Rapids, MI, for            100,000
 the purchase of equipment and development of education
 programs in alternative/renewable energy...............
Hawaii Community College, Hilo, HI, to promote Native            400,000
 Hawaiian and other secondary education pro-  grams.....
Hazard Community and Technical College, Hazard, KY, for          100,000
 science technology engineering and math education
 programs...............................................
Huntingdon College, Montgomery, AL, for purchase of              100,000
 equipment and technology upgrades to support distance
 learning initiatives...................................
Illinois State University--Normal, Normal, IL, for               400,000
 minority student recruitment and retention.............
Imperial Valley Community College District, Imperial,            200,000
 CA, for an English Language Immersion program..........
Iowa Valley Community College District, Iowa Falls, IA,          300,000
 for a training program in agricultural and renewable
 energy technology, including the purchase of equipment.
Jackson Community College/Bay de Noc College/Lake                100,000
 Michigan College, Jackson, MI, to develop and implement
 assessment tools and curriculum to serve low skilled
 adults.................................................
Jackson State University, Jackson, MS, for teacher               500,000
 training to improve literacy and mathematics instruc-
 tion...................................................
Johnson State College, Johnson, VT, to expand the                200,000
 teacher preparation program............................
Junior College District of Newton and McDonald Counties,         500,000
 Missouri, Neosho, MO, for the purchase of equipment to
 support allied health education........................
Junior College District of Sedalia, Missouri, Sedalia,           500,000
 MO, for curriculum development and the purchase of
 equipment related to advanced energy systems...........
Kauai Community College, Lihue, HI, for planning and             200,000
 implementation of a 4-year degree program..............
Keene State College, Keene, NH, for curriculum                   150,000
 development and educational equipment for the Monadnock
 Biodiesel Collaborative................................
Lake Area Technical Institute, Watertown, SD, for                200,000
 educational equipment related to first responder train-
  ing...................................................
Lake Erie College of Osteopathic Medicine, Erie, PA, to          100,000
 training dental students in patient centered care......
Leeward Community College, Pearl City, HI, to provide            400,000
 college preparatory education for Filipino students....
Macomb Community College, Warren, MI, to develop                 250,000
 assessment and curriculum materials to make displaced
 workers college ready..................................
Manhattan Area Technical College, Manhattan, KS, for             450,000
 curriculum development and technology upgrades,
 including the purchase of equipment....................
Maryland Association of Community Colleges, Annapolis,         1,250,000
 MD, for the purchase of equipment to develop science
 and engineering labs...................................
Medaille College, Buffalo, NY, for equipment related to          150,000
 science education......................................
Methodist University, Fayetteville, NC, for curriculum           150,000
 development and education equipment related to first
 responder training.....................................
Middle Tennessee State University, Murfreesboro, TN, for       1,500,000
 science technology engineering and math education,
 including the purchase of equipment....................
Midway College, Inc., Midway, KY, for education                  100,000
 equipment related to nursing and health sciences.......
Minot State University, Minot, ND, for salaries and              450,000
 operating expense for the Center for Community Research
 and Service............................................
Mississippi State University, Mississippi State, MS, for         100,000
 technology upgrades and the purchase of equipment to
 support the Delta Council Papers Project...............
Mott Community College, Flint, MI, for the purchase of           250,000
 renewable energy equipment and curriculum development
 for the Institute for Renewable and Sustainable Energy.
Nevada State College, Henderson, NV, for curriculum              200,000
 development and for the purchase of technology.........
New College Institute, Martinsville, VA, for curriculum          100,000
 development for the development of bachelor's degree
 programs in Renewable Energy, Advanced Manufacturing,
 Technology Integration, and Entrepreneurship...........
New Hampshire Institute of Politics at Saint Anselm            2,650,000
 College, Manchester, NH, for education programs,
 technology upgrades and purchase of equipment..........
New School - Institute for Urban Education, New York,            725,000
 NY, for an educational mentoring and outreach program
 for low-income, at-risk students.......................
Niagara County Community College, Sanborn, NY, for               100,000
 educational equipment..................................
North Arkansas College, Harrison, AR, for the purchase           100,000
 of equipment and IT upgrades...........................
North Iowa Area Community College, Mason City, IA, to            200,000
 make state-of-the-art training, technology, and
 equipment available for health professionals...........
Northeast Community College, Norfolk, NE, for the                500,000
 purchase of equipment for a renewable energy pro-  gram
Northeast Iowa Community College, Calmar, IA, For Dairy          300,000
 Science Technology program.............................
Northeastern State University, Tahlequah, OK, for                100,000
 professional development, including the purchase of
 equipment..............................................
Northern Illinois University, DeKalb, IL, to create a            200,000
 pilot study abroad program.............................
Northern Kentucky University, Highland Heights, KY, for        2,000,000
 the purchase of equipment and technology...............
Northern Maine Community College, Presque Isle, ME, for          200,000
 equipment related to wind power technology programs....
Northwest Arkansas Community College, Bentonville, AR,           300,000
 for the purchase of distance learning equip-  ment.....
Northwest Indian College, Bellingham, WA, to expand              150,000
 financial literacy education opportunities.............
Ohio Dominican University, Columbus, OH, for science             150,000
 programs, including the purchase of equipment..........
Oklahoma State University, Stillwater, OK, to develop a          100,000
 veteran entrepreneurial training program...............
Orange County Community College, Middletown, NY, for             500,000
 support of the Science, Engineering & Technology
 Center, which may include equipment and wiring.........
Pennsylvania Commission for Community Colleges,                  100,000
 Harrisburg, PA, to design, create, and implement open-
 source educational materials...........................
Pittsburg State University, Pittsburg, KS, to expand             400,000
 education programs.....................................
Providence College, Providence, RI, for technology               300,000
 improvements related to education......................
Redlands Community College, El Reno, OK, for nursing             100,000
 education and training including the purchase of
 equipment..............................................
Richland Community College, Decatur, IL, for the                 150,000
 purchase of modern human patient simulators............
Roger Williams University, Bristol, RI, for college              400,000
 access and school-to-work programs.....................
Saint Joseph College, West Hartford, CT, for personnel,          500,000
 equipment and technology at the new Institute for
 Autism and Behavioral Studies..........................
Saint Michael's College, Colchester, VT, for curriculum          250,000
 development and academic programming at the Center for
 Intercultural and Global Learning......................
San Juan College, Farmington, NM, for the creation of            150,000
 online and certificate programs to expand the Renewable
 Energy Program.........................................
Security on Campus, Inc., King of Prussia, PA, to                100,000
 support peer education programs........................
Simpson College, Indianola, IA, for the John C. Culver           400,000
 Public Policy Center...................................
South Arkansas Community College, El Dorado, AR, for the         200,000
 purchase of equipment for the Process Technology
 Operator Program.......................................
Southern Maine Community College, South Portland, ME, to         625,000
 development a heavy equipment and transportation
 program, including the purchase of equipment...........
SUNY Upstate Medical University, Syracuse, NY, for               200,000
 curriculum development.................................
Texas State Technical College, Georgetown, TX, for the           110,000
 purchase of equipment and technology...................
Texas Wesleyan University, Ft. Worth, TX, to develop a           110,000
 distance education initiative, including the purchase
 of equipment...........................................
Three Rivers Community College, Poplar Bluff, MO, for            250,000
 the purchase of equipment..............................
Towson University, Towson, MD, for equipment and program         150,000
 development for the Center for Adults with Autism......
Trident Technical College, North Charleston, SC, for             100,000
 curriculum development and education equipment for an
 aeronautical training program..........................
Truckee Meadows Community College, Reno, NV, to support          200,000
 the Success First program..............................
Turtle Mountain Community College, Belcourt, ND, for             200,000
 education technology equipment.........................
University of Arizona, Tucson, AZ, for the Integrative           600,000
 Medicine in Residency program..........................
University of Cincinnati, Cincinnati, OH, for the                350,000
 Diversity and Access Initiative........................
University of Colorado at Colorado Springs, Colorado             100,000
 Springs, CO, for the Southern Colorado Higher Education
 Consortium Veterans Educational Assistance Program.....
University of Connecticut School of Law, Hartford, CT,           250,000
 for a Human Rights and International Law fellowship
 program................................................
University of Hawaii School of Law, Honolulu, HI, for            350,000
 the health policy center...............................
University of Iowa, Iowa City, IA, for the National              275,000
 Institute for Twice-Exceptionality.....................
University of Maine at Fort Kent, Fort Kent, ME, for             600,000
 curriculum development for nursing education programs..
University of Mississippi, University, MS, to support            250,000
 interdisciplinary research and education related to
 public policy and economic education...................
University of Northern Colorado, Greeley, CO, for The            100,000
 Education Innovation Institute.........................
University of Northern Iowa, Cedar Falls, IA, to support         550,000
 the Center for Disability Studies in Literacy, Language
 and Learning...........................................
University of South Dakota, Vermillion, SD, to identify          400,000
 and address the educational needs of veterans with
 disabilities...........................................
University of Southern Maine, Portland, ME, for                  500,000
 curriculum development, including the purchase of
 equipment..............................................
University of Southern Mississippi, Hattiesburg, MS, for         250,000
 professional and curriculum development, and distance
 learning at the Gulf Coast Campuses....................
University of Vermont, Burlington, VT, to modernize the          475,000
 College of Nursing curriculum..........................
University of Wisconsin-Stevens Point, Stevens Point,            400,000
 WI, to support non-traditional and veteran students
 with disabilities in higher education and career
 development............................................
Urban College of Boston, Boston, MA, to support higher           500,000
 education program serving low-income and minority
 students...............................................
Utah State University, Logan, UT, to develop a land-             106,000
 grant education and research network...................
Valley City State University, Valley City, ND, for the           350,000
 Great Plains STEM Education Center.....................
Western Nebraska Community College, Scottsbluff, NE, for         500,000
 the Western Nebraska Wind Energy Training Center.......
Western Technical College, La Crosse, WI, to establish a         150,000
 veteran's center on campus.............................
Westminster College, Salt Lake City, UT, to purchase             150,000
 equipment to support nursing and health science
 education..............................................
------------------------------------------------------------------------

Model Comprehensive Transition and Postsecondary Programs for Students 
        with Intellectual Disabilities

    The Committee recommendation includes $13,000,000 for the 
Comprehensive Transition and Postsecondary Education Model 
Demonstration Grants as authorized by section 769 of the Higher 
Education Act. The comparable funding level for fiscal year 
2010 is $11,000,000, the same as the budget request.
    These funds are used to award competitive grants to 
postsecondary institutions to establish model programs to help 
students with intellectual disabilities transition to and 
complete college. The programs will focus on academic 
enrichment; socialization; independent living; and integrated 
work experiences and career skills that lead to gainful 
employment for individuals with intellectual disabilities.

Legal Assistance Loan Repayment Program

    The Committee recommends $5,000,000 for the Legal 
Assistance Loan Repayment Program, as authorized by section 
428L of the Higher Education Act, which authorizes student loan 
repayment assistance for civil legal assistance lawyers. This 
amount is the same as the comparable fiscal year 2010 funding 
level. The budget request proposes to eliminate this program. 
The Legal Assistance Loan Repayment Program addresses the 
serious problem facing legal services across the country in 
recruitment and retention of qualified attorneys who provide 
invaluable legal assistance to our Nation's neediest citizens, 
including the elderly, persons with disabilities, persons 
impacted by natural disaster victims, and victims of domestic 
violence.

Minority Science and Engineering Improvement

    The Committee recommends $9,503,000 for the Minority 
Science and Engineering Improvement program [MSEIP]. This 
amount is the same as the comparable fiscal year 2010 funding 
level and the budget 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 $8,162,000 for tribally controlled 
postsecondary vocational institutions. This amount is the same 
as the comparable fiscal year 2010 funding level and the budget 
request. 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 $868,089,000 for Federal TRIO 
Programs. The comparable fiscal year 2010 funding level and 
budget request are $853,089,000.
    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 pursue and complete 
a postsecondary 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 doctoral programs.
    The Committee recognizes that supportive services aimed at 
increasing retention and graduation of low-income students in 
college are an important complement to student financial aid, 
particularly the Pell Grant program. Many such retention 
services are supported by the Federal TRIO Program's Student 
Support Services effort. The Committee intends that the funds 
provided will maintain the number of Student Support Services 
programs.

Gaining Early Awareness and Readiness for Undergraduate Programs [GEAR 
        UP]

    The Committee recommends $323,212,000 for GEAR UP. This 
amount is the same as the comparable fiscal year 2010 funding 
level and the budget request. Under this program, funds are 
used by States and partnerships of colleges, middle and high 
schools, and community organizations to assist cohorts or 
students in 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 $42,000,000 for the Byrd Honors 
scholarship program. This amount is the same as the comparable 
fiscal year 2010 funding level. The budget did not request 
funds for this program. The Byrd Honors scholarship program is 
designed to promote student excellence and achievement and 
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 2011, and 
continue support for the 2008, 2009, and 2010 cohorts of 
students in their fourth, third and second years of study, 
respectively.

Javits Fellowships

    The Committee recommends $9,687,000 for the Javits 
Fellowships program. This amount is the same as the comparable 
fiscal year 2010 funding level and the budget request. 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 request 
that stipulates that funds provided in the fiscal year 2011 
appropriation support fellowships for the 2012-2013 academic 
year.

Graduate Assistance in Areas of National Need

    The Committee recommends $31,030,000 for graduate 
assistance in areas of national need. This amount is the same 
as the comparable fiscal year 2010 funding level and the budget 
request. This program awards competitive grants to graduate 
academic departments and programs for fellowship support in 
areas of national need as determined by the Secretary. 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 be 
seeking the highest degree in their fields.

Teacher Quality Partnership Program

    The Committee recommends $58,000,000 for the teacher 
quality partnership program. The comparable fiscal year 2010 
funding level is $43,000,000. The budget request would 
eliminate this program and consolidate it into a proposed new 
Teacher and Leader Pathways authority as part of the 
administration's plan for reauthorizing the ESEA. This program 
helps improve the quality of teachers working in high-need 
schools and early childhood education programs by creating 
model teacher preparation and residency programs.

Child Care Access Means Parents in Schools

    The Committee recommends an appropriation of $16,034,000 
for the Child Care Access Means Parents in School [CCAMPIS] 
program. This amount is the same as the comparable fiscal year 
2010 funding level and the budget request. CCAMPIS supports the 
efforts of a growing number of nontraditional 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.

Demonstration Projects To Ensure Quality Higher Education for Students 
        With Disabilities

    The Committee recommends $6,755,000 for this program. This 
amount is the same as the comparable fiscal year 2010 funding 
level and the budget request. 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 concurs in the budget request to eliminate 
funding for the Underground Railroad Program as Federal support 
for this program was not meant to be permanent. Federal funding 
was intended to seed private support by using a public private 
partnership to create an endowment. The Federal Government has 
been funding this program since fiscal year 1999. The 
comparable fiscal year 2010 level is $1,945,000. Grants are 
provided to research, display, interpret, and collect artifacts 
related 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 to collect data 
associated with the Government Performance and Results Act 
[GPRA] and to evaluate programs authorized by the HEA. This 
amount is the same as the comparable fiscal year 2010 funding 
level and the budget request.

B.J. Stupak Olympic Scholarships

    The Committee concurs in the budget request to eliminate 
funding for this program as the program is duplicative of 
efforts of other Federal, State and local initiatives that 
increase college access. The comparable fiscal year 2010 level 
is $977,000. The program provides financial assistance to 
Olympic-aspiring student athletes.

Thurgood Marshall Legal Educational Opportunity Program

    The Committee recommendation includes $3,000,000 for the 
Thurgood Marshall Legal Educational Opportunity Program. This 
amount is the same as the comparable fiscal year 2010 funding 
level and the budget request. 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 HEA stipulates that the 
Secretary make an award to or contract with the Council on 
Legal Education Opportunity to carry out authorized activities. 
The bill includes language to authorize the competitive 
awarding of these grants, as requested by the administration.

BA Degrees in STEM and Critical Foreign Languages

    The Committee concurs in the budget request to eliminate 
funding for this program. The comparable fiscal year 2010 level 
is $1,092,000. 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. This program duplicates the 
efforts of other initiatives such as the Department of 
Education's Teacher Quality Partnerships grants and the 
National Science Foundation's Transforming Undergraduate 
Education in STEM.

MA Degrees in STEM and Critical Foreign Languages

    The Committee concurs in the budget request to eliminate 
funding for this program. The comparable fiscal year 2010 level 
is $1,092,000. 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. This program 
duplicates the efforts of other initiatives such as the 
Department of Education's Teacher Quality Partnerships.

                           Howard University

Appropriations, 2010....................................    $234,977,000
Budget estimate, 2011...................................     234,977,000
Committee recommendation................................     234,977,000

    The Committee recommends an appropriation of $234,977,000 
for Howard University. This is the same amount as the 
comparable fiscal year 2010 funding level and the budget 
request. 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. Federal funds from 
this account support approximately 48 percent of the 
university's projected educational and general expenditures, 
excluding the hospital. The Committee recommends, within the 
funds provided, not less than $3,600,000 for the endowment 
program.
    Howard University Hospital.--Within the funds provided, the 
Committee recommends $28,946,000 for the Howard University 
Hospital. This is the same amount as the fiscal year 2010 
funding level and the budget request. The hospital provides 
inpatient and outpatient care, as well as training in the 
health professions. It also 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, 2010....................................        $461,000
Budget estimate, 2011...................................         461,000
Committee recommendation................................         461,000

    Federal Administration.--The Committee bill includes 
$461,000 for Federal administration of the College Housing and 
Academic Facilities Loans [CHAFL] program. This is the same 
amount as the comparable fiscal year 2010 level and the budget 
request. These funds will be used to reimburse the Department 
for expenses incurred in managing the existing CHAFL loan 
portfolio during fiscal year 2011. 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 
                                Account

Appropriations, 2010....................................     $20,582,000
Budget estimate, 2011...................................      20,582,000
Committee recommendation................................      20,582,000

    The Committee recommends $20,582,000 for the Historically 
Black College and University [HBCU] Capital Financing Program. 
This is the same amount as the comparable fiscal year 2010 
level and the budget request for this activity.
    The budget proposes $20,228,000 to pay for the subsidy 
costs of up to $279,393,000 in guaranteed loan authority under 
this program. 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, 2010....................................    $659,006,000
Budget estimate, 2011...................................     738,756,000
Committee recommendation................................     722,756,000

    The Committee recommends $722,756,000 for the Institute of 
Education Sciences [IES]. The comparable fiscal year 2010 
funding level is $659,006,000. The budget request includes 
$738,756,000 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 $240,696,000 for education 
research, development and national dissemination activities. 
The comparable fiscal year 2010 amount is $200,196,000 and the 
budget request includes $260,696,000 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 notes that the National Research Council 
report ``Preparing Teachers: Building Evidence for Sound 
Policy'' released earlier this year found there was much we 
still don't know about teacher preparation and its 
effectiveness. The report noted that improved understanding of 
the relationships between characteristics of teacher 
preparation and student learning, and the development of a 
comprehensive, coherent system for collecting data about 
teacher preparation are two overarching needs. The Committee 
believes IES should utilize available resources to help address 
the knowledge that the report identified. The Committee 
requests a letter report, not later than 30 days after 
enactment of this act, which describes the funding 
opportunities IES is proposing, planning and taking to address 
relevant conclusions and recommendations from the NRC report.
    The Committee believes additional steps need to be taken to 
promote information dissemination and provide assistance for 
States, districts and schools to use in applying evidence for 
what works in education. The What Works Clearinghouse was 
designed to be such a source. However, the Committee has noted 
concerns previously about the extent to which it was achieving 
this mission. Most recently, in a report requested by the 
Committee, the Government Accountability Office [GAO] noted 
that only 34 percent of school districts have accessed the WWC 
Web site and only 11 percent of school districts visited the 
Web site at least seven times per year. The GAO report included 
recommendations related to improving the timeliness of WWC 
reports and gauging product usefulness and relevance for WWC 
target audiences. The Committee looks forward to IES 
implementing the recommended changes and requests an update on 
planned and implemented actions.
    In addition to the WWC, the Department and IES support 
other technical assistance and research-related resources to 
assist States, districts, and schools. These include the 
regional educational laboratories discussed later in the IES 
account as well as the Doing What Works resource administered 
by the Office of Planning, Evaluation and Policy Development. 
The Committee believes the Department and IES should expand 
their efforts to provide the support that States and school 
districts need to use funding in ways that are supported by 
scientifically based research. The Committee requests that the 
Department describe in its fiscal year 2012 budget 
justification the specific actions that it has taken or will 
take to address this issue.
    The Committee encourages the IES to use available resources 
to continue support for research and development activities 
related to gifted and talented education. Previously, the 
Department used funds available from other sources to support a 
National Research Center on the Gifted and Talented.

                               STATISTICS

    The Committee recommends $118,021,000 for data gathering 
and statistical analysis activities of the National Center for 
Education Statistics [NCES]. The comparable fiscal year 2010 
funding level is $108,521,000 and the budget request includes 
$117,021,000 for these activities.
    The NCES collects, analyzes, and reports statistics on 
education in the United States. Activities are carried out 
directly and through grants and contracts. The Center collects 
data on educational institutions at all levels, longitudinal 
data on student progress, and data relevant to public policy. 
The NCES also provides technical assistance to State and local 
education agencies and postsecondary institutions.
    The Committee recommendation includes sufficient resources 
for NCES to update the report, Condition of America's Public 
School Facilities: 1999.

                   REGIONAL EDUCATIONAL LABORATORIES

    The Committee recommends $72,650,000 to continue support 
for the regional educational laboratories. The comparable 
fiscal year 2010 funding level is $70,650,000 for this 
activity. The budget request includes $69,650,000 and necessary 
bill language required to continue, for an additional year, the 
contracts of the current laboratories. 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 continue to be 
consistent with the standards for scientifically based research 
prescribed in the Education Sciences Reform Act of 2002. The 
Committee notes that the current contracts of the laboratories 
requires them to coordinate with other federally funded 
education technical assistance providers to coordinate the 
provision of services, including school improvement activities 
that are responsive to State and local needs. The Committee 
encourages the regional laboratories and comprehensive centers 
to strengthen their relationship, particularly in providing 
products and services that 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 $71,085,000, the same amount as 
the fiscal year 2010 funding level and budget request, for 
research and innovation in special education. 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 $11,460,000, the same amount as 
the fiscal year 2010 funding level and the budget request, for 
special education studies and evaluations.
    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 $65,000,000, the same 
amount as the budget request, for statewide data systems. The 
fiscal year 2010 level is $58,250,000 for these systems.
    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 data for 
students of all ages. These systems may incorporate workforce 
and postsecondary education information. Funds are available 
for obligation for 2 fiscal years.
    The Committee bill allows $10,000,000 to be used for 
statewide data coordinators, and other technical assistance 
activities to improve States' capability to use, report and 
maintain high-quality data in their systems. The bill also 
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.

                               ASSESSMENT

    The Committee recommends $143,844,000, the same as the 
request, for assessment. The comparable fiscal year 2010 
funding level is $138,844,000.
    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. 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], 
the same amount as the comparable fiscal year 2010 and request 
levels. The NAGB is responsible for formulating policy for 
NAEP.

                        Departmental Management


                         PROGRAM ADMINISTRATION

Appropriations, 2010....................................    $456,200,000
Budget estimate, 2011...................................     492,488,000
Committee recommendation................................     492,488,000

    The Committee recommends $492,488,000, the same amount as 
the budget request, for program administration. The comparable 
fiscal year 2010 funding level is $456,200,000 for this 
purpose. This amount includes $2,696,100, the same amount as 
the budget request, available under section 306 of this act to 
increase the Department's acquisition workforce capacity and 
capabilities.
    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 Committee recommendation includes $19,275,000, the same 
amount as the budget request, for building modernization 
activities for the Department of Education. These activities 
include renovations of the Mary E. Switzer building and other 
buildings, consolidation of staff from other locations, and 
improvements to the Department's headquarters. These funds are 
available until expended, as proposed in the budget request.
    The Committee recommendation is $2,696,100 pursuant to 
section 306 of this act. These funds will supplement the 
Department's acquisition workforce activities.

                        OFFICE FOR CIVIL RIGHTS

Appropriations, 2010....................................    $103,024,000
Budget estimate, 2011...................................     105,700,000
Committee recommendation................................     105,700,000

    The Committee recommends $105,700,000, the same amount as 
the budget request, for the Office for Civil Rights [OCR]. The 
comparable fiscal year 2010 amount is $103,024,000 for the OCR.
    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, 2010....................................     $60,053,000
Budget estimate, 2011...................................      65,238,000
Committee recommendation................................      65,238,000

    The Committee recommends $65,238,000, the same amount as 
the budget request, for the Office of the Inspector General. 
The fiscal year 2010 amount is $60,053,000 for the office.
    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 continues a provision that allows the 
outlying areas to consolidate funds under title V of the 
Elementary and Secondary Education Act (sec. 305).
    The Committee bill includes a provision providing 
$2,696,100 for acquisition workforce activities. These funds 
may be transferred to any other account in the Department, 
subject to notification of the Committees on Appropriations of 
the Senate and House of Representatives (sec. 306).
    The Committee bill contains a provision to transfer the 
Health Education Assistance Loan [HEAL] program to the 
Department of Education from the Department of Health and Human 
Services. The Department of Education will assume 
responsibility for the program and the authority to administer, 
service, collect, and enforce the program as well as the 
functions, assets, and liabilities of the Secretary of Health 
and Human Services will be permanently transferred to the 
Secretary of Education (sec. 307).
    The Committee bill includes language establishing an Early 
Learning Challenge Fund (sec. 308).
    The Committee bill changes the name of the Office of 
Vocational and Adult Education to the Office of Career, 
Technical, and Adult Education (sec. 309).

                                TITLE IV

                            RELATED AGENCIES

 Committee for Purchase From People Who Are Blind or Severely Disabled

                         SALARIES AND EXPENSES

Appropriations, 2010....................................      $5,396,000
Budget estimate, 2011...................................       5,771,000
Committee recommendation................................       5,771,000

    The Committee recommends $5,771,000 for fiscal year 2011 
for the Committee for Purchase from People Who Are Blind or 
Severely Disabled. This amount is the same as the fiscal year 
2011 budget request. The fiscal year 2010 comparable level is 
$5,396,000.
    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, 2010....................................  $1,149,721,000
Budget estimate, 2011...................................   1,415,586,000
Committee recommendation................................   1,365,586,000

    The Committee recommends $1,365,586,000 for the Corporation 
for National and Community Service in fiscal year 2011. The 
administration request for fiscal year 2011 was $1,415,586,000. 
The fiscal year 2010 comparable level was $1,149,721,000.
    The Committee recommendation is sufficient to increase the 
number of AmeriCorps members from 87,000 in fiscal year 2010 to 
more than 97,000 in fiscal year 2011.
    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 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.
    The Corporation administers programs authorized under the 
Domestic Volunteer Service Act, the National and Community 
Service Trust Act and the SERVE America Act.

                                 VISTA

    The Committee recommends $111,000,000 for the Volunteers in 
Service to America [VISTA] Program. The comparable funding 
level for fiscal year 2010 was $99,074,000. The budget request 
for fiscal year 2011 was $98,000,000.
    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.
    The Committee strongly supports VISTA's anti-poverty 
mission, particularly in the midst of an economic recession. In 
addition, the Committee views it as a great asset that VISTA 
volunteers can serve in small, nonprofit organizations with 
little to no capacity to manage a Federal grant. For that 
reason, the Committee urges the Corporation to make VISTA part 
of the growth plan for national service.
    The Committee remains concerned that the current training 
program for VISTA volunteers requires too much travel and does 
not adequately correlate to the actual tasks that VISTA members 
are required to complete in their service. The Committee urges 
the Corporation to consider State-based training and devoting a 
higher percentage of training time to core skill development.

                    NATIONAL SENIOR VOLUNTEER CORPS

    The Committee recommends $229,100,000 for the National 
Senior Volunteer Corps programs. The comparable level in fiscal 
year 2010 was $220,900,000. The fiscal year 2011 budget request 
was $221,100,000.
    The Committee has included the following activities in the 
following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                       Fiscal year--
                                                           ------------------------------------     Committee
                         Programs                                             2011 President's   recommendation
                                                             2010 comparable       request
----------------------------------------------------------------------------------------------------------------
Retired Senior Volunteer Program..........................            63,000            63,000            64,000
Foster Grandparent........................................           110,996           111,100           115,600
Senior Companion..........................................            46,904            47,000            49,500
----------------------------------------------------------------------------------------------------------------

    The Committee has included sufficient funding to increase 
the stipend for Foster Grandparents and Senior Companion 
members by 10 cents, for a total of $2.75 per hour. The 
Committee is grateful for the service provided by these elderly 
individuals.
    The maximum total dollars that may be used in fiscal year 
2011 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 
2010.

                           AMERICORPS GRANTS

    The Committee recommends $440,000,000 for AmeriCorps grants 
in fiscal year 2011. The fiscal year 2010 level was 
$372,547,000 and the budget request for fiscal year 2011 was 
$488,033,000.
    The Committee notes that, despite a 37 percent increase in 
funding in fiscal year 2010, some States experienced a 
reduction in their participation in the AmeriCorps grant 
program. The Committee is concerned that small organizations 
and organizations in rural areas of the country are less able 
to compete with well-known national organizations. The 
Committee has not reinstated the cap on national direct grants; 
however, the Committee requests a report within 90 days of 
enactment of this act on the steps the Corporation is taking to 
ensure that small organizations and entities in rural America 
have equal opportunities for funding.
    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 both by program (e.g., 
VISTA, NCCC, State, and national) and by level of service 
(e.g., full time, part time, quarter time). In addition, the 
justification should include a 5-year detail on the number of 
members serving in each State, excluding NCCC.
    The Committee is pleased with the participation of the 
Corporation in the Let's Move! campaign and encourages the 
Corporation to expand its efforts around childhood nutrition 
and hunger. In particular, the Committee urges the Corporation 
to give priority to applications that support increasing 
healthy food choices in anti-hunger programs, assisting local 
farm-to-school initiatives, and increasing access to food 
assistance programs. The Committee is aware that the recent 
economic downturn has dramatically increased the number of 
Americans seeking out food assistance programs, and hopes that 
AmeriCorps members can increase the capacity of local 
organizations to meet this pressing national need.

                       DISABILITY PLACEMENT FUNDS

    The Committee recommendation includes $6,000,000 for 
Disability Placement funds. The comparable fiscal year 2010 
level was $5,000,000 and the budget request for fiscal year 
2011 was $6,000,000.
    Grant funds are for the placement of, reasonable 
accommodation of, and auxiliary services for members and 
potential members with disabilities serving in AmeriCorps 
programs.
    The Committee is deeply concerned by the high rate of 
unemployment among people with disabilities and believes that 
the programs of the Corporation are well-suited to help people 
with disabilities gain important job skills without 
jeopardizing their medical benefits. In addition, the service 
of AmeriCorps members with disabilities helps to educate 
potential employers about reasonable accommodation options, 
which may lead to reduced stigma and discrimination. The 
Committee encourages the Corporation to help grantees 
incorporate people with disabilities in AmeriCorps projects 
whenever possible.
    In addition, the Committee is sensitive to the increased 
costs involved in running an AmeriCorps program in which a 
significant proportion of the members have disabilities. The 
Committee urges the Corporation to consider ways to provide 
additional support to programs in which 25 percent or more of 
the members have disabilities, either through the disability 
grants, the CEO's waiver authority or other cooperative 
agreements.

          INNOVATION, DEMONSTRATION, AND ASSISTANCE ACTIVITIES

    The Committee has included $84,509,000 for Innovation, 
Demonstration, and Assistance Activities. The comparable fiscal 
year 2010 level was $60,500,000 and the budget request for 
fiscal year 2011 was $77,000,000.
    Within the funds provided for the Innovation account, the 
Committee has included $60,000,000 for the Social Innovation 
fund authorized under section 1807 of the SERVE America Act. 
The Committee recommendation also includes $10,000,000 for the 
nonprofit capacity-building program authorized under section 
1809 of the SERVE America Act.
    In addition, $10,000,000 is included for the Volunteer 
Generation Fund authorized under section 198P of the SERVE 
America Act. The Committee has not included bill language 
requested by the administration to waive the statutorily 
required allocation of these funds.
    The Committee recommendation also includes $1,000,000 for 
the highly successful MLK Day of Service and $1,000,000 for the 
Serve America Fellowships.

                               EVALUATION

    The Committee recommendation includes $8,000,000 for 
evaluation activities. The comparable fiscal year 2010 level 
was $6,000,000 and the budget request for fiscal year 2011 was 
$8,000,000.

                   NATIONAL CIVILIAN COMMUNITY CORPS

    The Committee recommendation includes $35,593,000 for the 
National Civilian Community Corps. The comparable fiscal year 
2010 level was $29,000,000 and the budget request for fiscal 
year 2011 was $34,593,000.
    The National Civilian Community Corps is a full-time, team-
based residential program for men and women ages 18 to 24. 
Members are assigned to 1 of 5 campuses for a 10-month service 
commitment.

                        LEARN AND SERVE AMERICA

    The Committee has included $40,198,000 for Learn and Serve 
America. The fiscal year 2010 comparable level was $39,500,000 
and the budget request for fiscal year 2011 was $40,198,000.
    Learn and Serve America provides direct and indirect 
support to K-12 schools, community groups and higher education 
institutions to facilitate service-learning projects.
    The Committee has included sufficient funding to continue 
the Summer of Service activities within the Learn and Serve 
program.

                 STATE COMMISSION ADMINISTRATION GRANTS

    The Committee has included $18,000,000 for State Commission 
Administration grants. This is the same amount as the budget 
request for fiscal year 2011. The comparable fiscal year 2010 
level was $17,000,000.

                   TRAINING AND TECHNICAL ASSISTANCE

    The Committee recommendation includes $11,000,000 for 
Training and Technical Assistance. The budget request for 
fiscal year 2011 was $13,000,000. The comparable fiscal year 
2010 level was $7,500,000.

                         NATIONAL SERVICE TRUST

    The Committee recommends an appropriation of $271,186,000 
for the National Service Trust. The comparable level for fiscal 
year 2010 was $197,000,000. The administration request for 
fiscal year 2011 was $293,662,000.
    The Committee notes that the funding level recommended is 
sufficient to support more than 97,000 members in fiscal year 
2011, an increase of more than 10,000 members from fiscal year 
2010.

                         SALARIES AND EXPENSES

    The Committee recommends an appropriation of $103,000,000 
for the Corporation's salaries and expenses. The budget request 
for fiscal year 2011 was $109,000,000. The comparable level for 
fiscal year 2010 was $88,000,000. The Committee directs 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 $9,000,000 for 
the Office of Inspector General [OIG]. The comparable level for 
fiscal year 2010 was $7,700,000 and the administration request 
for fiscal year 2011 was $9,000,000.
    The goals of the OIG are to increase organizational 
efficiency and effectiveness and to prevent fraud, waste, and 
abuse.

                       ADMINISTRATIVE PROVISIONS

    The Committee has included three administrative provisions: 
language requiring the Corporation to make any significant 
changes to program requirements or policy through rule-making 
(sec. 401), language requiring that donations supplement and 
not supplant operations (sec. 402) and language aligning 
requirements regarding the use of Education Awards at GI Bill-
eligible institutions (sec. 403).

                  Corporation for Public Broadcasting

Appropriations, 2011....................................    $430,000,000
Appropriations, 2012....................................     445,000,000
Budget estimate, 2013...................................     460,000,000
Committee recommendation................................     460,000,000

    The Committee recommends $460,000,000, the same as the 
budget request, for the Corporation for Public Broadcasting 
[CPB] as an advance appropriation for fiscal year 2013. The 
comparable funding level provided as an advance appropriation 
for fiscal year 2012 was $445,000,000.
    The majority of these funds go directly to local public 
television and radio stations. Funds also support the creation 
of content for radio, television, and other platforms; system 
support activities that benefit the entire public broadcasting 
community; and the administration of the CPB. The CPB will have 
$430,000,000 available for these activities in fiscal year 
2011. The advance appropriation made available in fiscal year 
2010 was $420,000,000.
    In addition, the Committee recommends $36,000,000 be made 
available in fiscal year 2011 for the conversion to digital 
broadcasting. This is the same as the fiscal year 2010 funding 
level and the fiscal year 2011 budget request.
    The Committee recommendation does not include funding for 
fiscal stabilization grants, as proposed by the administration. 
The comparable fiscal year 2010 funding level is $25,000,000.
    The Committee recommendation also does not include funding 
for interconnection grants, as proposed by the administration. 
The comparable fiscal year 2010 funding level is $25,000,000, 
which represented the third and final installment of the radio 
interconnection system replacement project.

               Federal Mediation and Conciliation Service


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $46,652,000
Budget estimate, 2011...................................      48,025,000
Committee recommendation................................      48,025,000

    The Committee recommends $48,025,000, the same as the 
fiscal year 2011 budget request, for the Federal Mediation and 
Conciliation Service [FMCS]. The comparable fiscal year 2010 
funding level is $46,652,000.
    The FMCS was established by Congress in 1947 to provide 
mediation, conciliation, and arbitration services to labor and 
management. FMCS is authorized to provide dispute resolution 
consultation and training to all Federal agencies.
    Within the total, the Committee recommendation includes 
$750,000 to remain available through September 30, 2012, for 
labor-managements partnership grants, as requested by the 
administration. These grants support innovative approaches to 
collaborative labor-management relationships to resolve 
potential problems, explore ways to improve productivity, and 
avert serious work stoppages.

            Federal Mine Safety and Health Review Commission


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $10,358,000
Budget estimate, 2011...................................      13,105,000
Committee recommendation................................      15,755,000

    The Committee recommends $15,755,000 for fiscal year 2011 
for the Federal Mine Safety and Health Review Commission. The 
comparable funding level for fiscal year 2010 is $10,358,000 
and the budget request is $13,105,000.
    The Commission provides administrative trial and appellate 
review of legal disputes under the Federal Mine Safety and 
Health Act of 1977. Most cases involve civil penalties proposes 
by the Department of Labor's Mine Safety and Health 
Administration. The Commission's Administrative Law Judges 
[ALJs] decide cases at the trial level and the five-member 
Commission provides review of the ALJ decisions.
    The Committee provides additional funding for the 
Commission to reduce the backlog of cases in the Office of 
Administrative Law Judges. The rate of contested MSHA citations 
has more than quadrupled since the passage of the MINER Act of 
2006, resulting in a more than fourfold increase in the number 
of new cases at the Commission from an average of 2,300 in 
fiscal years 2000 to 2005 to over 9,200 in fiscal year 2009. 
The corresponding backlog has increased from 1,300 at the 
beginning of fiscal year 2005 to over 14,000 at the beginning 
of fiscal year 2010. The Committee is concerned that mine 
operators with poor safety and health records could avoid 
heightened enforcement actions because of this backlog. It now 
takes an average of over 400 days to dispose of a case, up from 
120 days in fiscal year 2005. This could provide a dangerous 
incentive for mine operators with a pattern of serious and 
substantial safety violations to contest violations simply to 
delay enforcement. The delayed review of these cases at the 
Commission can hinder the establishment of a pattern of 
violations, undermining mine safety efforts, and putting miners 
at risk.
    If the Commission were funded at the level of the budget 
request, the number of backlogged cases would continue to grow 
through fiscal year 2011. The Committee recommendation would 
enable the Commission to begin reducing the backlog in fiscal 
year 2011 by hiring additional judges and support staff and 
continuing the transition to an electronic case management 
system. The Committee directs the Commission to brief the 
Committees on Appropriations of the House of Representatives 
and the Senate within 90 days of enactment on a detailed plan 
to eliminate the backlog, including an evaluation of ideal case 
processing times and pending levels and the resources needed to 
achieve these levels within a reasonable time period.
    The Committee further expects the Department of Labor and 
the Commission to continue to implement activities that will 
reduce incentives for mine operators to challenge cases and 
improve the efficiency by which challenges are heard. The 
Committee requests that the Department of Labor and the 
Commission submit such a plan not later than 30 days after 
enactment of this act, and provide quarterly progress reports 
thereafter on the status of activities identified in the plan, 
including an explanation for any activity that is not completed 
within the timeframe identified in the operating plan.

                Institute of Museum and Library Services


       OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION

Appropriations, 2010....................................    $282,251,000
Budget estimate, 2011...................................     265,869,000
Committee recommendation................................     270,619,000

    The Committee recommends $270,619,000 for fiscal year 2011 
for the Institute of Museum and Library Services. The 
comparable funding level for fiscal year 2010 is $282,251,000 
and the budget request is $265,869,000.
    Within the total for IMLS, the Committee recommendation 
includes the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                                                    Fiscal year
                                                                    Fiscal year     Fiscal year   2011 Committee
                         Budget activity                               2010         2011 budget
                                                                    comparable        request     recommendation
----------------------------------------------------------------------------------------------------------------
Library Services Technology Act:
    Grants to States............................................         172,561         172,561         172,561
    Native American Library Services............................           4,000           4,000           4,100
    National Leadership: Libraries..............................          12,437          14,000          13,900
    Laura Bush 21st Century Librarian...........................          24,525          22,962          22,962
Museum Services Act:
    Museums for America.........................................          19,176          19,176          19,176
    Museum Assessment Program...................................             460             460             460
    21st Century Museum Professionals...........................           1,280           2,280           2,230
    Conservation Project Support................................           3,052           3,052           3,052
    Conservation Assessment Program.............................             803             803             803
    Native American/Hawaiian Museum Services....................             975             975           1,025
    National Leadership: Museums................................           7,981           6,981           6,981
African American History & Culture Act:
    Museum Grants for African American History & Culture........           1,485           1,485           1,485
Administration..................................................          15,053          15,053          15,053
Policy, Research, Program Evaluation, and Statistics............           2,081           2,081           2,081
----------------------------------------------------------------------------------------------------------------

    The Committee recommendation includes bill language 
providing funding for the following activities in the following 
amounts:

------------------------------------------------------------------------
                                                             Amount
------------------------------------------------------------------------
Bishop Museum, Honolulu, HI, for conservation and               $800,000
 other projects, including arts education for youth
 and the study and preservation of the history of
 Kalaupapa............................................
City of Cedar Rapids, IA, Cedar Rapids, IA, for                  300,000
 automating the circulation system at the Cedar Rapids
 Library..............................................
City of Hagerstown, Hagerstown, MD, for educational              100,000
 programming and displaying the Doleman collection....
Delta State University, Cleveland, MS, for library               100,000
 technology upgrades, including the purchase of
 equipment............................................
Dubuque Historical Society, Dubuque, IA, for exhibits            400,000
 relating to the Mississippi River....................
Greenville Public Library, Smithfield, RI, for library           300,000
 technology and programs..............................
Mississippi Children's Museum, Jackson, MS, for                  400,000
 exhibits and educational programming.................
Mississippi Gulf Coast Community College, Perkinston,            100,000
 MS, for collecting, cataloging, and archiving of
 newspaper and digital media..........................
Ohr-O'Keefe Museum of Art, Biloxi, MS, for design and            250,000
 exhibits.............................................
Oxford Lafayette County Heritage Foundation, Oxford,             100,000
 MS, for exhibits and design..........................
Science Center of Iowa, Des Moines, IA, for                      400,000
 educational exhibits.................................
South Dakota School of Mines and Technology, Rapid               100,000
 City, SD, for preservation activities and storage....
Southern Utah University, Cedar City, UT, for                    400,000
 exhibits, installations and equipment................
Tennessee-Tombigbee Waterway Transportation Museum,              100,000
 Columbus, MS, for exhibit design and digitization of
 documents............................................
University of Mississippi, University, MS, for                   150,000
 documentation, preservation, restoration, and
 programming related to the American Music Archives...
University of Mississippi, University, MS, for museum            150,000
 education and outreach programs......................
Walter Anderson Museum of Art, Ocean Springs, MS, for            150,000
 archive and digitization of collections..............
World Food Prize, Des Moines, IA, for exhibits at the            450,000
 Dr. Norman E. Borlaug Hall of Laureates Museum.......
------------------------------------------------------------------------

                  Medicare Payment Advisory Commission


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $11,800,000
Budget estimate, 2011...................................      13,100,000
Committee recommendation................................      12,700,000

    The Committee recommends $12,700,000 for fiscal year 2011 
for the Medicare Payment Advisory Commission [MedPAC]. The 
comparable funding level for fiscal year 2010 is $11,800,000 
and the budget request is $13,100,000.
    MedPAC was established by Congress as part of the Balanced 
Budget Act of 1997 (Public Law 105-933) to provide independent 
policy and technical advice on issues affecting the Medicare 
program. The budget request included $400,000 for anticipated 
provisions in the healthcare reform legislation that were not 
included in the enacted Patient Protection and Affordable Care 
Act and these funds are therefore not included in the Committee 
recommendation.

                     National Council on Disability


                         SALARIES AND EXPENSES

Appropriations, 2010....................................      $3,271,000
Budget estimate, 2011...................................       3,337,000
Committee recommendation................................       3,337,000

    The Committee recommends $3,337,000, the same as the fiscal 
year 2011 budget request, for the National Council on 
Disability. The comparable fiscal year 2010 funding level is 
$3,271,000.
    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 re-enter the Nation's workforce and to live 
independently.

               National Health Care Workforce Commission


                         SALARIES AND EXPENSES

Appropriations, 2010....................................................
Budget estimate, 2011...................................................
Committee recommendation................................      $3,000,000

    The Committee recommendation includes $3,000,000 for a new 
National Health Care Workforce Commission, as authorized by 
section 5101 of the Patient Protection and Affordable Care Act. 
The budget request did not include funding for this commission.
    This commission will serve as a resource to Congress, the 
President, and State and local entities in evaluating 
healthcare workforce needs, including assessing education and 
training activities to determine to what extent the demand for 
health workers is being met and identifying barriers to 
improved coordination at the Federal, State, and local levels 
and recommending changes to address those barriers.

                     National Labor Relations Board


                         SALARIES AND EXPENSES

Appropriations, 2010....................................    $283,400,000
Budget estimate, 2011...................................     287,100,000
Committee recommendation................................     287,100,000

    The Committee recommends $287,100,000, the same as the 
fiscal year 2011 budget request, for the National Labor 
Relations Board [NLRB]. The comparable fiscal year 2010 funding 
level is $283,400,000.
    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


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $13,463,000
Budget estimate, 2011...................................      13,772,000
Committee recommendation................................      13,772,000

    The Committee recommends $13,772,000, the same as the 
fiscal year 2011 budget request, for the National Mediation 
Board [NMB]. The comparable fiscal year 2010 funding level is 
$13,463,000.
    The NMB protects interstate commerce as it mediates labor-
management relations in the railroad and airline industries 
under the Railway Labor Act. It mediates collective bargaining 
disputes, determines the choice of employee bargaining 
representatives through elections, and administers arbitration 
of employee grievances.

            Occupational Safety and Health Review Commission


                         SALARIES AND EXPENSES

Appropriations, 2010....................................     $11,712,000
Budget estimate, 2011...................................      12,051,000
Committee recommendation................................      12,051,000

    The Committee recommends $12,051,000, the same as the 
fiscal year 2011 budget request, for the Occupational Safety 
and Health Review Commission. The comparable fiscal year 2010 
funding level is $11,712,000.
    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, 2010....................................     $64,000,000
Budget estimate, 2011...................................      57,000,000
Committee recommendation................................      57,000,000

    The Committee recommends $57,000,000, the same as the 
fiscal year 2011 budget request, for the Dual Benefits Payments 
Account. Of these funds, an estimated $3,000,000 is from income 
taxes on vested dual benefits. The comparable fiscal year 2010 
funding level is $64,000,000.
    This appropriation provides for vested dual benefit 
payments to beneficiaries covered under both the railroad 
retirement and Social Security systems. 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, 2010....................................        $150,000
Budget estimate, 2011...................................         150,000
Committee recommendation................................         150,000

    The Committee recommends $150,000 for fiscal year 2011 for 
interest earned on nonnegotiated checks. This is the same as 
the comparable fiscal year 2010 funding level and the fiscal 
year 2011 budget request.

                      LIMITATION ON ADMINISTRATION

Appropriations, 2010....................................    $109,073,000
Budget estimate, 2011...................................     110,573,000
Committee recommendation................................     110,573,000

    The Committee recommends $110,573,000, the same as the 
fiscal year 2011 budget request, for the administration of 
railroad retirement/survivor and unemployment/sickness benefit 
programs. The comparable fiscal year 2010 funding level is 
$109,073,000.
    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.

           LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010....................................      $8,186,000
Budget estimate, 2011...................................       8,936,000
Committee recommendation................................       8,936,000

    The Committee recommends $8,936,000, the same as the fiscal 
year 2011 budget request, for the Office of the Inspector 
General. The comparable fiscal year 2010 funding is $8,186,000.

                     Social Security Administration


                PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2010....................................     $20,404,000
Budget estimate, 2011...................................      21,404,000
Committee recommendation................................      21,404,000

    The Committee recommends $21,404,000, the same as the 
fiscal year 2011 budget request, in mandatory funds for 
payments to Social Security trust funds. The comparable fiscal 
year 2010 funding level is $20,404,000. 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 PROGRAM

Appropriations, 2010.................................... $34,742,000,000
Budget estimate, 2011...................................  40,513,000,000
Committee recommendation................................  40,513,000,000

    The Committee recommends an appropriation of 
$40,513,000,000, the same as the fiscal year 2011 budget 
request, for the supplemental security income [SSI] program. 
This is in addition to the $16,000,000,000 appropriated last 
year as an advance for the first quarter of fiscal year 2011. 
The fiscal year 2010 funding level is $34,742,000,000. The 
Committee also recommends an advance appropriation of 
$13,400,000,000 for the first quarter of fiscal year 2012 to 
ensure uninterrupted benefits payments. The program level 
supported by the Committee recommendation is $56,513,000,000, 
the same amount proposed in the budget request. The comparable 
fiscal year 2010 program level is $50,142,000,000. The majority 
of the increase is due to the timing of monthly benefit 
payments that will result in 13 monthly benefit payments in 
fiscal year 2011, compared to the normal 12 in fiscal year 
2010. Except for resources needed for program administration, 
this appropriation represents mandatory funding.
    The SSI program guarantees a minimum level of income to 
financially needy individuals who are aged, blind, or disabled. 
In fiscal year 2011, the SSI program will provide an average 
benefit payment of just over $500 to almost 8 million such 
individuals allowing them to meet basic needs. In addition to 
benefit payments, these funds support beneficiary services 
including vocational rehabilitation and return-to-work 
activities; research and demonstration projects; and costs to 
administer the program.

Beneficiary Services

    The Committee recommends $60,000,000, the same as the 
budget request, in mandatory funds for beneficiary services. 
The comparable fiscal year 2010 funding level is $49,000,000. 
These funds reimburse Vocational Rehabilitation [VR] agencies 
for successfully rehabilitating disabled SSI recipients by 
helping them achieve and sustain productive, self-supporting, 
work activity. Funds also support the Ticket to Work program 
that provides SSI recipients with a ticket to offer employment 
networks [EN], including VR agencies, in exchange for 
employment and support services. Instead of reimbursing ENs for 
specific services, the Ticket to Work program pays ENs based on 
recipients achieving certain milestones and outcomes.

Research and Demonstration Projects

    The Committee recommendation includes $43,000,000, the same 
as the budget request, in mandatory funds for research and 
demonstration projects conducted under sections 1110, 1115, and 
1144 of the Social Security Act. The comparable fiscal year 
2010 funding level is $49,000,000. Because of the availability 
of unobligated balances, these funds will support a fiscal year 
2011 program level of $71,900,000 compared to $54,300,000 in 
fiscal year 2010.
    These funds support a variety of research and demonstration 
projects designed to improve the disability process; promote 
self-sufficiency and assist individuals in returning to work; 
encourage savings and retirement planning through financial 
literacy; and generally provide analytical and data resources 
for use in preparing and reviewing policy proposals.

Administration

    The Committee recommendation includes $3,775,000,000, the 
same as the budget request, for SSI administrative expenses. 
The comparable fiscal year 2010 funding level is 
$3,442,000,000. This appropriation funds the SSI program's 
share of administrative expenses incurred through the 
Limitation on Administrative Expenses account and includes 
$545,000,000 in program integrity funding.

                 LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2010.................................... $11,446,500,000
Budget estimate, 2011...................................  12,378,863,000
Committee recommendation................................  12,378,863,280

    The Committee recommends $12,378,863,280, the same as the 
fiscal year 2011 budget request, for the Social Security 
Administration's limitation on administrative expenses [LAE]. 
The comparable fiscal year 2010 funding level is 
$11,446,500,000. The Recovery Act includes an additional 
$500,000,000 for SSA's limitation on administrative expenses 
available through fiscal year 2010.
    This account provides resources for SSA to administer the 
old age and survivors insurance [OASI], the disability 
insurance [DI], and the supplemental security income programs 
[SSI], and to support the Center for Medicare and Medicaid 
Services in administering its programs. Funds also support 
automation and information technology investments. The LAE 
account is funded by the Social Security and Medicare trust 
funds for their share of administrative expenses, the general 
fund for the SSI program's share of administrative expenses, 
and applicable user fees.
    The increase in funding over fiscal year 2011 will allow 
SSA to continue to work toward eliminating the hearings backlog 
by the end of fiscal year 2013 while processing an 
unprecedented level of disability claims resulting from the 
economic downturn. With these funds, SSA will be able to 
process over 3.3 million initial disability claims and almost 
800,000 disability hearings in fiscal year 2011, up from 2.6 
million and 560,000, respectively, in fiscal year 2008. 
Additional funds also support increased program integrity 
efforts.
    The Committee recommendation also includes a rescission of 
$250,000,000 from unobligated balances of prior-year LAE 
appropriated funds. SSA has authority to carry over these 
unobligated balances to invest in information technology 
infrastructure and software. The Committee supports these 
investments and the use of these funds for this purpose but 
notes a significant buildup of unobligated balances that are 
not expected to be used in fiscal year 2011.

Program Integrity

    Within the total for LAE, the Committee recommendation 
includes not less than $796,000,000, the same amount as the 
budget request, for program integrity activities, including 
conducting continuing disability reviews and redeterminations 
of SSI eligibility. The comparable fiscal year 2010 funding 
level is $758,000,000. Within this amount, up to $10,000,000 
may be used to complete implementation of a financial asset 
verification initiative.

Social Security Advisory Board

    Within the total for LAE, the Committee recommendation 
includes not less than $2,300,000 for the Social Security 
Advisory Board for fiscal year 2011. This amount is the same as 
the budget request and the comparable fiscal year 2010 funding 
level.

User Fees

    Within the total for LAE, the Committee recommendation 
includes $186,000,000 for administrative activities funded from 
user fees. Of this amount, $185,000,000 is derived from fees 
paid to SSA by States that request SSA to administer State SSI 
supplementary payments and $1,000,000 is generated from a fee 
payment process for nonattorney representatives of claimants.

Acquisition Workforce

    Within the total for LAE, the Committee recommendation also 
includes $1,863,280, as requested by the administration, to 
increase SSA's acquisition workforce capacity and capabilities. 
This funding is provided in section 521 within title V, general 
provisions.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010....................................    $102,682,000
Budget estimate, 2011...................................     106,122,000
Committee recommendation................................     106,122,000

    The Committee recommends $106,122,000, the same as the 
fiscal year 2011 budget request, for the Office of the 
Inspector General. The comparable fiscal year 2010 funding 
level is $102,682,000. The recommendation includes a general 
fund appropriation of $30,000,000 together with an obligation 
limitation of $76,122,000 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 without the 
approval of appropriate local officials (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); prohibit the use of funds to promulgate regulations 
regarding the individual health identifier (sec. 511); limit 
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); prohibit 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); prohibit 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); maintain a 
procedure for reprogramming of funds (sec. 516); prohibit 
candidates for scientific advisory committees from having to 
disclose their political activities (sec. 517); require 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 noncompetitive basis (sec. 518); prohibit the use of funds 
for first-class travel (sec. 519); prohibit 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. 520); and provide 
$1,863,280 to the Social Security Administration to increase 
its acquisition workforce capacity and capabilities (sec. 521).

  COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE STANDING RULES OF THE 
                                 SENATE

    Paragraph 7 of rule XVI requires that Committee reports 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 recommends funding for the following programs 
and activities which currently lack authorization: No Child 
Left Behind Act; Special Olympics Sport and Empowerment Act of 
2004; Early Learning Challenge Fund; Workforce Investment Act; 
Homeless Veterans Reintegration Program; Universal Newborn 
Hearing Screening; Organ Transplantation; Family Planning; 
Rural Health programs; Nurse Reinvestment Act; Public Health 
Improvement Act; Healthy Start; Telehealth; Health Professions 
Education Partnership Act; Children's Health Act; Women's 
Health Research and Prevention Amendments of 1998; Birth 
Defects Prevention, Preventive Health Amendments of 1993; 
Substance Abuse and Mental Health Services programs, except for 
Depression Centers of Excellence and grants for Primary and 
Behavioral Healthcare Integration; Low Income Home Energy 
Assistance Program; Refugee and Entrant Assistance programs; 
Child Abuse Prevention; Adoption Opportunities; Child Care and 
Development Block Grant; Family violence programs; 
Developmental Disabilities programs; Voting Access for 
Individuals with Disabilities; Native American Programs; 
Community Services Block Grant; Rural Facilities; Individual 
Development Accounts; Community Economic Development; 
Alzheimer's Disease Demonstration Grants; Adolescent Family 
Life; Office of Disease Prevention and Health Promotion; 
Rehabilitation Services and Disability Research, except 
sections 4, 5, and 6 of the Assistive Technology Program; 
Institute of Education Sciences; Corporation for Public 
Broadcasting; Museum and Library Services Act programs; 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 July 29, 2010, 
theCommittee ordered reported an original bill (S. 3686) making 
appropriations for the Departments of Labor, Health and Human 
Services, and Education, and related agencies for the fiscal 
year ending September 30, 2011, and for other purposes, subject 
to amendment and subject to the Committee spending guidance; 
and authorized the chairman of the committee or the chairman of 
the subcommittee to offer the text of the Senate-reported bill 
as a committee amendment in the nature of a substitute to the 
House companion measure, by a recorded vote of 18-12, a quorum 
being present. The vote was as follows:
        Yeas                          Nays
Chairman Inouye                     Mr. Cochran
Mr. Leahy                           Mr. Bond
Mr. Harkin                          Mr. McConnell
Ms. Mikulski                        Mr. Shelby
Mr. Kohl                            Mr. Gregg
Mrs. Murray                         Mr. Bennett
Mr. Dorgan                          Mrs. Hutchison
Mrs. Feinstein                      Mr. Brownback
Mr. Durbin                          Mr. Alexander
Mr. Johnson                         Ms. Collins
Ms. Landrieu                        Mr. Voinovich
Mr. Reed                            Ms. Murkowski
Mr. Lautenberg
Mr. Nelson
Mr. Pryor
Mr. Tester
Mr. Specter
Mr. Brown

 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 20--EDUCATION


               Chapter 44--Career and TechnicalEducation


 Subchapter I--Career and Technical Education Assistance to the States


                    PART A--ALLOTMENT AND ALLOCATION

Sec. 2324. National activities

(a) Program performance information

           *       *       *       *       *       *       *

(b) Miscellaneous provisions

    (1) Collection of information at reasonable cost

            The Secretary shall take such action as may be 
        necessary to secure at reasonable cost the information 
        required by this subchapter. To ensure reasonable cost, 
        the Secretary, in consultation with the National Center 
        for Education Statistics, the [Office of Vocational and 
        Adult Education] Office of Career, Technical, and Adult 
        Education, and an entity assisted under section 2328 of 
        this title (if applicable), shall determine the 
        methodology to be used and the frequency with which 
        information is to be collected.

           *       *       *       *       *       *       *


                  Chapter 48--Department of Education


             Subchapter II--Establishment of the Department


Sec. 3412. Principal officers

(a) Deputy Secretary of Education

           *       *       *       *       *       *       *

(b) Assistant Secretaries and General Counsel

    (1) * * *
            (A) * * *
                    (B) an [Assistant Secretary for 
                Postsecondary Education] Assistant Secretary 
                for Career, Technical, and Adult Education;

           *       *       *       *       *       *       *

(h) Coordination of literacy related functions by [Assistant 
            Secretary for Vocational and Adult Education] 
            Assistant Secretary for Career, Technical, and 
            Adult Education

    The [Assistant Secretary for Vocational and Adult 
Education] Assistant Secretary for Career, Technical, and Adult 
Education, in addition to performing such functions as the 
Secretary may prescribe, shall have responsibility for 
coordination of all literacy related programs and policy 
initiatives in the Department. The [Assistant Secretary for 
Vocational and Adult Education] Assistant Secretary for Career, 
Technical, and Adult Education shall assist in coordinating the 
related activities and programs of other Federal departments 
and agencies.

           *       *       *       *       *       *       *


Sec. 3416. [Office of Vocational and Adult Education] Office of Career, 
                    Technical, and Adult Education

    There shall be in the Department an [Office of Vocational 
and Adult Education] Office of Career, Technical, and Adult 
Education, to be administered by the [Assistant Secretary for 
Vocational and Adult Education] Assistant Secretary for Career, 
Technical, and Adult Education appointed under section 3412(b) 
of this title. The Assistant Secretary shall administer such 
functions affecting [vocational and adult education] career, 
technical, and adult education as the Secretary shall delegate, 
and shall serve as principal adviser to the Secretary on 
matters affecting [vocational and adult education] career, 
technical, and adult education. The Secretary, through the 
Assistant Secretary, shall also provide a unified approach to 
rural education and rural family education through the 
coordination of programs within the Department and shall work 
with the Federal Interagency Committee on Education to 
coordinate related activities and programs of other Federal 
departments and agencies.
                                ------                                


                            TITLE 29--LABOR


                    Chapter 12--Department of Labor


Sec. 563. Working capital fund; establishment; availability; 
                    capitalization; reimbursement

    There is established a working capital fund, to be 
available without fiscal year limitation, for expenses 
necessary for the maintenance and operation of (1) a central 
reproduction service; (2) a central visual exhibit service; (3) 
a central supply service for supplies and equipment for which 
adequate stocks may be maintained to meet in whole or in part 
the requirements of the Department; (4) a central tabulating 
service; (5) telephone, mail and messenger services; (6) a 
central accounting and payroll service; and (7) a central 
laborers' service: Provided, That any stocks of supplies and 
equipment on hand or on order shall be used to capitalize such 
fund: Provided further, That such fund shall be reimbursed in 
advance from funds available to bureaus, offices,and agencies 
for which such centralized services are performed at rates 
which will return in full all expenses of operation, 
includingreserves for accrued annual leave and depreciation of 
equipment: [Provided further, That within the Working Capital 
Fund, there is established an Investment in Reinvention Fund 
(IRF), which shall be available to invest in projects of the 
Department designed to produce measurable improvements in 
agency efficiency and significant taxpayer savings. 
Notwithstanding any other provision of law, the Secretary of 
Labor may retain retain up to $3,900,000 of the unobligated 
balances in the Department's annual Salaries and Expenses 
accounts as of September 30, 1995, and transfer those amounts 
to the IRF to provide the initial capital for the IRF, to 
remain available until expended, to make loans to agencies of 
the Department for projects designed to enhance productivity 
and generate cost savings. Such loans shall be repaid to the 
IRF no later than September 30 of the fiscal year following the 
fiscal year in which the project is completed. Such repayments 
shall be deposited in the IRF, to be available without further 
appropriation action]: Provided further, That the Secretary of 
Labor may transfer annually an amount not to exceed $3,000,000 
from unobligated balances in the Department's salaries and 
expenses accounts, to the unobligated balance of the Working 
Capital Fund, to be merged withsuch Fund and used for the 
acquisition of capital equipment and the improvement of 
financial management, information technology andother support 
systems, and to remain available until expended: Provided 
further, That the unobligated balance of the Fund shall not 
exceed $20,000,000..\1\
---------------------------------------------------------------------------
    \1\So in original.
---------------------------------------------------------------------------
                                ------                                


       DEPARTMENT OF EDUCATION ORGANIZATION ACT, PUBLIC LAW 96-88

    Section 1. This Act may be cited as the Department of 
Education Organization Act.

               TITLE II--ESTABLISHMENT OF THE DEPARTMENT

Sec. 201. Establishment.
[Sec. 206. Office of Vocational and Adult Education.]
Sec. 206. Office of Career, Technical, and Adult Education.

                        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
                                                             guidance\1\      bill      guidance\1\      bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with Committee spending
 guidance to its subcommittees for 2011: Subcommittee on
 Labor, Health and Human Services, Education, and related
 agencies:
    Mandatory.............................................            NA      563,862            NA   \2\561,798
    Discretionary.........................................       169,626   \3\169,626            NA   \2\206,564
Projection of outlays associated with the recommendation:
    2011..................................................  ............  ...........  ............    \4\63,541
    2012..................................................  ............  ...........  ............       74,052
    2013..................................................  ............  ...........  ............       15,972
    2014..................................................  ............  ...........  ............        3,670
    2015 and future years.................................  ............  ...........  ............          622
Financial assistance to State and local governments for               NA      326,539            NA      294,233
 2011.....................................................
----------------------------------------------------------------------------------------------------------------
\1\There to no section 302(a) allocation to the Committee for fiscal year 2011.
\2\Includes outlays from prior-year budget authority.
\3\This amount does not include $5.51 billion that is assumed by the Budget Committees, but is not provided in
  the bill.
\4\Excludes outlays from prior-year budget authority.

NA: Not applicable.

         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 Web site 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
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
              Agency                                Account                                                 Project                                     Funding           Requesting member
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education..........  Elementary & Secondary Education           3-D School, Petal, MS, for a model dyslexia intervention program...          $200,000  Cochran, Wicker
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Appalachian State University, Boone, NC, for college preparation             $200,000  Burr, Hagan
                                    (includes FIE).                            and access programs for high school students.
Department of Education..........  Elementary & Secondary Education           Avant-Garde Learning Foundation, Anchorage, AK, to improve                   $100,000  Murkowski
                                    (includes FIE).                            educational outcomes for children in low-performing school
                                                                               districts.
Department of Education..........  Elementary & Secondary Education           Baltimore City Public Schools, Baltimore City, MD, for support of          $1,000,000  Mikulski, Cardin
                                    (includes FIE).                            alternative education programs for academically challenged
                                                                               students, which may include equipment and technology.
Department of Education..........  Elementary & Secondary Education           Big Brothers Big Sisters, Anchorage, AK, for youth mentoring                 $100,000  Murkowski
                                    (includes FIE).                            programs for underserved, at-risk populations in Alaska.
Department of Education..........  Elementary & Secondary Education           Big Thought, Dallas, TX, for afterschool programs..................          $110,000  Cornyn
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, for support           $300,000  Kohl
                                    (includes FIE).                            of early literacy and related programming.
Department of Education..........  Elementary & Secondary Education           Catamount Arts, St. Johnsbury, VT, for support of arts education...          $200,000  Leahy
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Chaddock, Quincy, IL, for support of special education activities..          $200,000  Durbin
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Challenger Learning Center, Bangor, ME, for science, technology,             $250,000  Collins, Snowe
                                    (includes FIE).                            engineering, and mathematics programs.
Department of Education..........  Elementary & Secondary Education           Chicago Public Schools, Chicago, IL, for a youth violence                    $500,000  Durbin
                                    (includes FIE).                            prevention initiative.
Department of Education..........  Elementary & Secondary Education           Chicago School of Professional Psychology, Chicago, IL, for support          $300,000  Durbin
                                    (includes FIE).                            of afterschool programming.
Department of Education..........  Elementary & Secondary Education           Churchill County School District, Fallon, NV, for STEM Curriculum             $25,000  Reid
                                    (includes FIE).                            and technology Improvements.
Department of Education..........  Elementary & Secondary Education           City University of New York-York College, Jamaica, NY, for support           $150,000  Gillibrand
                                    (includes FIE).                            of science and aerospace-based education, which may include
                                                                               acquisition of technology.
Department of Education..........  Elementary & Secondary Education           Clark County School District, Las Vegas, NV, for support of a                $750,000  Reid
                                    (includes FIE).                            school for highly gifted students.
Department of Education..........  Elementary & Secondary Education           Clark County School District, Las Vegas, NV, for support of the              $300,000  Reid
                                    (includes FIE).                            Family Leadership Initiative.
Department of Education..........  Elementary & Secondary Education           Cleveland Metropolitan School District, Cleveland, OH, for science           $150,000  Voinovich, Sherrod Brown
                                    (includes FIE).                            education programs, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           Cleveland Metropolitan School District, Cleveland, OH, to improve            $100,000  Voinovich, Sherrod Brown
                                    (includes FIE).                            math, science, technology, and language skills through music
                                                                               education.
Department of Education..........  Elementary & Secondary Education           Communities In Schools of Spokane County, Spokane, WA, for support           $150,000  Murray
                                    (includes FIE).                            of mentoring programs.
Department of Education..........  Elementary & Secondary Education           Connect Arkansas, Little Rock, AR, to purchase and equip mobile              $200,000  Lincoln, Pryor
                                    (includes FIE).                            broadband labs.
Department of Education..........  Elementary & Secondary Education           Cook Inlet Tribal Council, Anchorage, AK, to increase literacy and           $250,000  Murkowski
                                    (includes FIE).                            math skills of Alaskan students.
Department of Education..........  Elementary & Secondary Education           Cristo Rey, Chicago, IL, for educational programming, which may              $250,000  Durbin, Burris
                                    (includes FIE).                            include evaluation activities.
Department of Education..........  Elementary & Secondary Education           Cuyahoga County Office of Early Childhood/Invest in Children,                $100,000  Voinovich, Sherrod Brown
                                    (includes FIE).                            Cleveland, OH, for an early childhood education initiative,
                                                                               including scholarships.
Department of Education..........  Elementary & Secondary Education           Delta Arts Alliance, Inc., Drew, MS, for arts education programs...          $150,000  Cochran, Wicker
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Delta State University, Cleveland, MS, for a training program for            $300,000  Cochran, Wicker
                                    (includes FIE).                            early childhood educators.
Department of Education..........  Elementary & Secondary Education           Delta State University, Cleveland, MS, for science and                       $300,000  Cochran, Wicker
                                    (includes FIE).                            environmental education and outreach activities.
Department of Education..........  Elementary & Secondary Education           Des Moines Independent Community School District, Des Moines, IA,            $750,000  Harkin
                                    (includes FIE).                            to increase access to and quality of early childhood education
                                                                               programs.
Department of Education..........  Elementary & Secondary Education           Drueding Center, Philadelphia, PA, to support educational programs,          $100,000  Specter
                                    (includes FIE).                            including staff, technology upgrades, and the purchase of
                                                                               equipment.
Department of Education..........  Elementary & Secondary Education           Eastern Maine Development Corporation, Bangor, ME, for youth career          $225,000  Collins, Snowe
                                    (includes FIE).                            pathway programs.
Department of Education..........  Elementary & Secondary Education           Eden Housing, Hayward, CA, for support of an after school program..          $450,000  Boxer
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Educare Central Maine, Waterville, ME, to support early childhood            $250,000  Collins
                                    (includes FIE).                            education activities, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           Educating Young Minds, Los Angeles, CA, for educational                      $175,000  Feinstein
                                    (includes FIE).                            programming, which may include the acquisition of technology.
Department of Education..........  Elementary & Secondary Education           Education Alliance of Washoe County, Reno, NV, for support of an             $150,000  Reid
                                    (includes FIE).                            afterschool tutoring program.
Department of Education..........  Elementary & Secondary Education           El Centro de la Raza, Seattle, WA, for support of counseling,                $100,000  Murray
                                    (includes FIE).                            tutoring, and educational programming.
Department of Education..........  Elementary & Secondary Education           Elev8 New Mexico, New Mexico Community Foundation, Albuquerque, NM,          $200,000  Bingaman, Tom Udall
                                    (includes FIE).                            for support of extended day learning programs in New Mexico.
Department of Education..........  Elementary & Secondary Education           ENLACE New Mexico, Albuquerque, NM, for support of academic                  $150,000  Bingaman, Tom Udall
                                    (includes FIE).                            engagement and completion programs in New Mexico.
Department of Education..........  Elementary & Secondary Education           Everybody Wins! USA, Boston, MA, for child literacy programs across          $500,000  Harkin
                                    (includes FIE).                            the country.
Department of Education..........  Elementary & Secondary Education           Falcon School District 49, Falcon, CO, to support a science,                 $100,000  Bennet, Mark Udall
                                    (includes FIE).                            technology, engineering, and math education program.
Department of Education..........  Elementary & Secondary Education           Friends of E Prep Schools, Cleveland, OH, for technology including           $150,000  Voinovich
                                    (includes FIE).                            the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           Give Every Child A Chance, Manteca, CA, for the expansion of the             $300,000  Boxer
                                    (includes FIE).                            Give Every Child A Chance program.
Department of Education..........  Elementary & Secondary Education           Glenwood School for Boys and Girls, St. Charles, IL, for training            $200,000  Durbin
                                    (includes FIE).                            and development costs associated with the Life Stabilization
                                                                               project, which may include software and technology.
Department of Education..........  Elementary & Secondary Education           Heartland Foundation, St. Joseph, MO, to support youth empowerment           $450,000  Bond
                                    (includes FIE).                            programs, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           History Colorado, Denver, CO, for support of the Student to Citizen          $100,000  Bennet
                                    (includes FIE).                            Initiative.
Department of Education..........  Elementary & Secondary Education           Humboldt County School District, Winnemucca, NV, for support of              $150,000  Reid
                                    (includes FIE).                            technology-based instruction.
Department of Education..........  Elementary & Secondary Education           Indiana State University, Terre Haute, IN, for curriculum                    $100,000  Lugar
                                    (includes FIE).                            development and teacher training.
Department of Education..........  Elementary & Secondary Education           Inner-City Arts, Los Angeles, CA, for the core arts and language             $300,000  Boxer
                                    (includes FIE).                            project for at-risk youth.
Department of Education..........  Elementary & Secondary Education           Iowa Department of Education, Des Moines, IA, to continue the              $6,000,000  Harkin
                                    (includes FIE).                            Harkin Grant program.
Department of Education..........  Elementary & Secondary Education           Iowa State Education Association, Des Moines, IA, for professional           $300,000  Harkin
                                    (includes FIE).                            development for teachers on 21st century skills.
Department of Education..........  Elementary & Secondary Education           Jazz at Lincoln Center, New York, NY, for music education programs.          $400,000  Harkin, Schumer
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Jobs for Ohio's Graduates, Inc., Columbus, OH, for dropout                   $150,000  Voinovich
                                    (includes FIE).                            prevention programs for at-risk youth.
Department of Education..........  Elementary & Secondary Education           Junior Achievement of Delaware, Inc., Wilmington, DE, for computer-           $50,000  Kaufman, Carper
                                    (includes FIE).                            based programming and related science, technology, and engineering
                                                                               education activities.
Department of Education..........  Elementary & Secondary Education           Kauai Economic Development Board, Lihue, HI, for science,                    $700,000  Inouye, Akaka
                                    (includes FIE).                            technology, engineering, and math education.
Department of Education..........  Elementary & Secondary Education           Lander County School District, Battle Mountain, NV, for acquisition          $150,000  Reid
                                    (includes FIE).                            of technology and equipment.
Department of Education..........  Elementary & Secondary Education           Lincoln County School District, Panaca, NV, for support of                    $50,000  Reid
                                    (includes FIE).                            afterschool programming.
Department of Education..........  Elementary & Secondary Education           Lower Brule Sioux Tribe, Lower Brule, SD, for support of                     $100,000  Johnson
                                    (includes FIE).                            afterschool programming, which may include the acquisition of
                                                                               equipment.
Department of Education..........  Elementary & Secondary Education           Lyon County School District, Yerington, NV, for support of early             $150,000  Reid
                                    (includes FIE).                            education services.
Department of Education..........  Elementary & Secondary Education           Madison Metropolitan School District, Madison, WI, for educational           $500,000  Kohl
                                    (includes FIE).                            programming.
Department of Education..........  Elementary & Secondary Education           Marketplace of Ideas/Marketplace for Kids, Inc., Bismarck, ND, for           $200,000  Dorgan, Conrad
                                    (includes FIE).                            entrepreneurship education.
Department of Education..........  Elementary & Secondary Education           Maryland Bio Foundation, Rockville, MD, for support of science,              $800,000  Mikulski
                                    (includes FIE).                            technology, engineering, and mathematics education through a
                                                                               mobile laboratory outreach program, which may include purchase of
                                                                               equipment.
Department of Education..........  Elementary & Secondary Education           Maui Economic Development Board, Kihei, HI, for engaging girls and           $800,000  Inouye, Akaka
                                    (includes FIE).                            historically underrepresented students in science, technology,
                                                                               engineering, and math education.
Department of Education..........  Elementary & Secondary Education           Mentoring Partnership of Southwestern PA, Pittsburgh, PA, for                $100,000  Specter
                                    (includes FIE).                            support of mentoring programs, which may include equipment and
                                                                               technology acquisitions.
Department of Education..........  Elementary & Secondary Education           Meskwaki Nation, The Sac & Fox Tribe of the Mississippi in Iowa,             $400,000  Harkin
                                    (includes FIE).                            Tama, IA, for a culturally based education curriculum.
Department of Education..........  Elementary & Secondary Education           Mid-Iowa Community Action, Inc., Marshalltown, IA, for literacy              $100,000  Harkin
                                    (includes FIE).                            activities for pre-school aged children.
Department of Education..........  Elementary & Secondary Education           Mississippi Band of Choctaw Indians, Choctaw, MS, for academic               $100,000  Cochran, Wicker
                                    (includes FIE).                            support, tutoring, mentoring, and afterschool programs.
Department of Education..........  Elementary & Secondary Education           Mississippi Building Blocks, Ridgeland, MS, for a state-wide early           $500,000  Cochran, Wicker
                                    (includes FIE).                            childhood education program.
Department of Education..........  Elementary & Secondary Education           Mississippi Council on Economic Education, Jackson, MS, for teacher          $500,000  Cochran, Wicker
                                    (includes FIE).                            training for economics, financial literacy and entrepreneurial
                                                                               education.
Department of Education..........  Elementary & Secondary Education           Mississippi Historical Society, Jackson, MS, to develop educational          $100,000  Cochran, Wicker
                                    (includes FIE).                            materials for history instruction.
Department of Education..........  Elementary & Secondary Education           Mississippi Museum of Natural Science Foundation, Jackson, MS, for           $200,000  Cochran, Wicker
                                    (includes FIE).                            science education exhibits and outreach programs.
Department of Education..........  Elementary & Secondary Education           Mississippi State University, Mississippi State, MS, for a dropout           $850,000  Wicker
                                    (includes FIE).                            prevention program, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           Mississippi State University, Mississippi State, MS, for an early            $500,000  Cochran, Wicker
                                    (includes FIE).                            childhood teacher education program, including the purchase of
                                                                               equipment and materials.
Department of Education..........  Elementary & Secondary Education           Mississippi University for Women, Columbus, MS, for development of           $250,000  Cochran, Wicker
                                    (includes FIE).                            at-risk youth programs.
Department of Education..........  Elementary & Secondary Education           Mississippi University for Women, Columbus, MS, for science and              $200,000  Cochran, Wicker
                                    (includes FIE).                            math programs for K-12 students.
Department of Education..........  Elementary & Secondary Education           Montana Digital Academy, Missoula, MT, for support of online                 $100,000  Baucus, Tester
                                    (includes FIE).                            learning activities.
Department of Education..........  Elementary & Secondary Education           National Center for Parents as Teachers, St. Louis, MO, to support           $850,000  Bond
                                    (includes FIE).                            home visitation programs, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           NC STEM Community Collaborative, Fort Bragg Region, Research                 $150,000  Burr, Hagan
                                    (includes FIE).                            Triangle Park, NC, for science, technology, engineering, and math
                                                                               programs, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           Nevada Department of Education, Carson City, NV, for a                     $2,000,000  Reid
                                    (includes FIE).                            demonstration of public school facilities repair and construction,
                                                                               which may include subgrants.
Department of Education..........  Elementary & Secondary Education           Nevada Parents Empowering Parents, Las Vegas, NV, to provide                 $125,000  Reid
                                    (includes FIE).                            educational workshops to parents of students with disabilities.
Department of Education..........  Elementary & Secondary Education           Nye County School District, Pahrump, NV, to support instructional/           $350,000  Reid
                                    (includes FIE).                            intervention specialists and the purchase of instructional
                                                                               materials.
Department of Education..........  Elementary & Secondary Education           Oakland Unified School District, Oakland, CA, for the Oakland                $300,000  Boxer
                                    (includes FIE).                            Truancy Intervention and Educational Support Program.
Department of Education..........  Elementary & Secondary Education           Operation Shoestring, Jackson, MS, for afterschool and summer                $100,000  Cochran, Wicker
                                    (includes FIE).                            community outreach and education programs.
Department of Education..........  Elementary & Secondary Education           Orchestra Iowa, Cedar Rapids, IA, to support a music education               $300,000  Harkin
                                    (includes FIE).                            program.
Department of Education..........  Elementary & Secondary Education           Pacific Islands Center for Educational Development, Pago Pago,               $400,000  Inouye, Akaka
                                    (includes FIE).                            American Samoa, for program development.
Department of Education..........  Elementary & Secondary Education           Parents for Public Schools of Jackson, Inc., Jackson, MS, for                $250,000  Cochran, Wicker
                                    (includes FIE).                            professional development, development of materials, and programs
                                                                               to increase student achievement and graduation rates in low
                                                                               performing schools.
Department of Education..........  Elementary & Secondary Education           Polynesian Voyaging Society, Honolulu, HI, for educational programs          $300,000  Inouye, Akaka
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Project HOME, Philadelphia, PA, for afterschool programs...........          $100,000  Specter
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Providence Community Library, Providence, RI, for support of the             $250,000  Reed, Whitehouse
                                    (includes FIE).                            Out-of-School Learning Opportunities program.
Department of Education..........  Elementary & Secondary Education           Public Education Foundation, Las Vegas, NV, for support of a                 $100,000  Reid
                                    (includes FIE).                            clearinghouse for classroom supplies and materials.
Department of Education..........  Elementary & Secondary Education           Saint Mary's College, Notre Dame, IN, for tutoring and mentoring             $100,000  Lugar
                                    (includes FIE).                            programs for at-risk youth.
Department of Education..........  Elementary & Secondary Education           San Francisco Redevelopment Agency, San Francisco, CA, for a                 $250,000  Feinstein
                                    (includes FIE).                            college preparatory program, in partnership with College Track.
Department of Education..........  Elementary & Secondary Education           Save the Children, Washington, DC, for a rural literacy program in           $100,000  Cochran, Wicker
                                    (includes FIE).                            Mississippi.
Department of Education..........  Elementary & Secondary Education           Save the Children, Westport, CT, for support of the Louisiana Early          $200,000  Landrieu
                                    (includes FIE).                            Child Development program.
Department of Education..........  Elementary & Secondary Education           SEED Foundation, Washington, DC, for the SEED School of Louisiana            $250,000  Landrieu
                                    (includes FIE).                            Exploratory project.
Department of Education..........  Elementary & Secondary Education           Seton Hall University, South Orange, NJ, for an urban school                 $350,000  Lautenberg, Menendez
                                    (includes FIE).                            improvement program.
Department of Education..........  Elementary & Secondary Education           Southeastern Louisiana University, Hammond, LA, to increase the              $100,000  Landrieu
                                    (includes FIE).                            number of certified teachers and support other activities designed
                                                                               to improve student achievement.
Department of Education..........  Elementary & Secondary Education           Southwest Washington Workforce Development Council, Vancouver, WA,           $100,000  Murray
                                    (includes FIE).                            for support of professional development in science and mathematics
                                                                               education.
Department of Education..........  Elementary & Secondary Education           Syracuse University, Syracuse, NY, for support of afterschool                $500,000  Gillibrand, Schumer
                                    (includes FIE).                            programming.
Department of Education..........  Elementary & Secondary Education           Technology Assessment for Basic Skills, Inc., Des Moines, IA, for          $2,000,000  Harkin
                                    (includes FIE).                            continuation and expansion of the SKILLS Iowa program.
Department of Education..........  Elementary & Secondary Education           The Tibetan Community of New York and New Jersey, Inc., New York,            $100,000  Schumer
                                    (includes FIE).                            NY, for the Tibetan Community Center Youth Education and
                                                                               Empowerment Program.
Department of Education..........  Elementary & Secondary Education           Thrive By Five Washington, Seattle, WA, for support of early                 $300,000  Murray
                                    (includes FIE).                            childhood education programming.
Department of Education..........  Elementary & Secondary Education           Uintah School District, Vernal, UT, for academic achievement and             $106,000  Hatch
                                    (includes FIE).                            credit recovery programs, including the purchase of equipment.
Department of Education..........  Elementary & Secondary Education           University of Mississippi, University, MS, for teacher training for          $300,000  Cochran, Wicker
                                    (includes FIE).                            elementary mathematics education.
Department of Education..........  Elementary & Secondary Education           University of Southern Mississippi, Hattiesburg, MS, for teacher             $400,000  Cochran, Wicker
                                    (includes FIE).                            training in the science, technology, engineering, math, language,
                                                                               and creative arts fields.
Department of Education..........  Elementary & Secondary Education           Utah State Office of Education, Salt Lake City, UT, for teacher              $300,000  Bennett
                                    (includes FIE).                            development programs.
Department of Education..........  Elementary & Secondary Education           Utah Symphony, Salt Lake City, UT, for music education programs....          $106,000  Hatch
                                    (includes FIE).
Department of Education..........  Elementary & Secondary Education           Washoe County School District, Reno, NV, for support of educational          $500,000  Reid
                                    (includes FIE).                            activities.
Institute of Museum & Library      Museums & Libraries......................  World Science Festival, New York, NY, for science and environmental          $200,000  Cochran
 Services.                                                                     education and outreach activities.
Department of Education..........  Elementary & Secondary Education           Young Writers Project, Inc., Winooski, VT, for support educational           $175,000  Leahy
                                    (includes FIE).                            programming and teaching training.
Department of Education..........  Higher Education (includes FIPSE)........  Alcorn State University, Alcorn State, MS, for curriculum                    $250,000  Cochran, Wicker
                                                                               development and the purchase of equipment related to graduate
                                                                               technical programs.
Department of Education..........  Higher Education (includes FIPSE)........  Arkansas Baptist College, Little Rock, AR, for the Center for                $150,000  Lincoln, Pryor
                                                                               Entrepreneurship.
Department of Education..........  Higher Education (includes FIPSE)........  Armstrong Atlantic State University Cyber Security Research                  $200,000  Isakson, Chambliss
                                                                               Foundation, Savannah, GA, for the Cyber Intelligence and Counter
                                                                               Terrorism Program, including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Baylor University, Waco, TX, for technology upgrades at the Baylor           $200,000  Hutchison
                                                                               Research and Innovation Collaborative, including the purchase of
                                                                               equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Black Hills State University, Spearfish, SD, for equipment to                $450,000  Johnson
                                                                               enhance education programs.
Department of Education..........  Higher Education (includes FIPSE)........  California Community Colleges Chancellor's Office, Sacramento, CA,           $500,000  Feinstein
                                                                               to expand a program providing academic support to veterans.
Department of Education..........  Higher Education (includes FIPSE)........  California State University, Bakersfield, CA, for support of the             $150,000  Boxer
                                                                               nursing program.
Department of Education..........  Higher Education (includes FIPSE)........  California State University, Long Beach, CA, for staff resources             $350,000  Boxer
                                                                               for the Metro Academies Initiative.
Department of Education..........  Higher Education (includes FIPSE)........  California State University, Sacramento, CA, for the Veterans                $150,000  Boxer
                                                                               Education Transitional Supports program.
Department of Education..........  Higher Education (includes FIPSE)........  Castleton State College, Castleton, VT, to expand the Principal              $300,000  Leahy
                                                                               Training and School Leadership Program.
Department of Education..........  Higher Education (includes FIPSE)........  Cazenovia College, Cazenovia, NY, for curriculum development and             $200,000  Schumer
                                                                               job training.
Department of Education..........  Higher Education (includes FIPSE)........  Central Maine Community College, Auburn, ME, for job training                $285,000  Collins, Snowe
                                                                               programs for healthcare providers.
Department of Education..........  Higher Education (includes FIPSE)........  Central Washington University, Ellensburg, WA, to launch the               $1,000,000  Murray, Cantwell
                                                                               state's first bachelor's degree program in clean energy.
Department of Education..........  Higher Education (includes FIPSE)........  Cincinnati State Technical and Community College, Cincinnati, OH,            $150,000  Voinovich
                                                                               for GED and transition to college programs and job placement.
Department of Education..........  Higher Education (includes FIPSE)........  Coe College, Cedar Rapids, IA, for the Digital Media Technology              $300,000  Harkin, Grassley
                                                                               Project.
Department of Education..........  Higher Education (includes FIPSE)........  College of Idaho, Caldwell, ID, for technology upgrades and the              $100,000  Crapo, Risch
                                                                               purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  College of Southern Nevada, Las Vegas, NV, for the expansion of              $400,000  Reid
                                                                               online courses.
Department of Education..........  Higher Education (includes FIPSE)........  College Success Foundation, Washington, DC, for mentoring and                $500,000  Harkin
                                                                               scholarships.
Department of Education..........  Higher Education (includes FIPSE)........  Commonwealth Medical College, Scranton, PA, for the Community                $250,000  Casey, Specter
                                                                               Quality Initiative curriculum development program.
Department of Education..........  Higher Education (includes FIPSE)........  Community College of Allegheny County, Pittsburgh, PA, to support            $100,000  Specter
                                                                               basic education and GED programs.
Department of Education..........  Higher Education (includes FIPSE)........  Community College of Rhode Island, Warwick, RI, for the development          $500,000  Reed
                                                                               of a biotech program, including equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Connecticut State University System, Hartford, CT, to expand Latin           $500,000  Dodd
                                                                               American and Caribbean studies.
Department of Education..........  Higher Education (includes FIPSE)........  Dakota Wesleyan University, Mitchell, SD, for healthcare training            $150,000  Johnson
                                                                               programs.
Department of Education..........  Higher Education (includes FIPSE)........  Deaf West, North Hollywood, CA, for educational programming........          $250,000  Harkin
Department of Education..........  Higher Education (includes FIPSE)........  Delaware Technical and Community College, Dover, DE, for distance            $150,000  Carper, Kaufman
                                                                               learning technology.
Department of Education..........  Higher Education (includes FIPSE)........  Delta College, University Center, MI, for chemical process and               $250,000  Levin, Stabenow
                                                                               lithium battery Lab Equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Dickinson State University, Dickinson, ND, for its Theodore                  $300,000  Dorgan, Conrad
                                                                               Roosevelt Center.
Department of Education..........  Higher Education (includes FIPSE)........  Drake University Law School, Des Moines, IA, to create the Drake             $300,000  Harkin
                                                                               Institute for Legislation and Agriculture Policy.
Department of Education..........  Higher Education (includes FIPSE)........  Eastern Washington University, Spokane, WA, to educate, conduct              $300,000  Murray, Cantwell
                                                                               research, and disseminate vital information on regional water
                                                                               issues.
Department of Education..........  Higher Education (includes FIPSE)........  Edward M. Kennedy Institute for the United States Senate, Boston,            $500,000  Kerry
                                                                               MA, for educational program development, including an endowment.
Department of Education..........  Higher Education (includes FIPSE)........  Fort Lewis College, Durango, CO, to develop and administer the               $250,000  Mark Udall, Bennet
                                                                               Tribal Nation Building program to provide internships and social
                                                                               service programs.
Department of Education..........  Higher Education (includes FIPSE)........  Francis Marion University, Florence, SC, for early childhood                 $150,000  Graham
                                                                               education initiatives.
Department of Education..........  Higher Education (includes FIPSE)........  Future Generations, Franklin, WV, to develop a higher education            $1,000,000  Rockefeller
                                                                               degree in the field of substance abuse prevention.
Department of Education..........  Higher Education (includes FIPSE)........  Grambling State University, Grambling, LA, for the Project                   $100,000  Landrieu
                                                                               Lifelines program for vocational or higher education training.
Department of Education..........  Higher Education (includes FIPSE)........  Grand Rapids Community College, Grand Rapids, MI, for the purchase           $100,000  Stabenow, Levin
                                                                               of equipment and development of education programs in alternative/
                                                                               renewable energy.
Department of Education..........  Higher Education (includes FIPSE)........  Hawaii Community College, Hilo, HI, to promote Native Hawaiian and           $400,000  Inouye, Akaka
                                                                               other secondary education programs.
Department of Education..........  Higher Education (includes FIPSE)........  Hazard Community and Technical College, Hazard, KY, for science,             $100,000  Bunning
                                                                               technology, engineering, and math education programs.
Department of Education..........  Higher Education (includes FIPSE)........  Huntingdon College, Montgomery, AL, for purchase of equipment and            $100,000  Sessions
                                                                               technology upgrades to support distance learning initiatives.
Department of Education..........  Higher Education (includes FIPSE)........  Illinois State University--Normal, Normal, IL, for minority student          $400,000  Durbin
                                                                               recruitment and retention.
Department of Education..........  Higher Education (includes FIPSE)........  Imperial Valley Community College District, Imperial, CA, for an             $200,000  Boxer
                                                                               English Language Immersion program.
Department of Education..........  Higher Education (includes FIPSE)........  Iowa Valley Community College District, Iowa Falls, IA, for a                $300,000  Harkin
                                                                               training program in agricultural and renewable energy technology,
                                                                               including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Jackson Community College/Bay de Noc College/Lake Michigan College,          $100,000  Levin, Stabenow
                                                                               Jackson, MI, to develop and implement assessment tools and
                                                                               curriculum to serve low-skilled adults.
Department of Education..........  Higher Education (includes FIPSE)........  Jackson State University, Jackson, MS, for teacher training to               $500,000  Cochran, Wicker
                                                                               improve literacy and mathematics instruction.
Department of Education..........  Higher Education (includes FIPSE)........  Johnson State College, Johnson, VT, to expand the teacher                    $200,000  Leahy
                                                                               preparation program.
Department of Education..........  Higher Education (includes FIPSE)........  Junior College District of Newton and McDonald Counties, Missouri,           $500,000  Bond
                                                                               Neosho, MO, for the purchase of equipment to support allied health
                                                                               education.
Department of Education..........  Higher Education (includes FIPSE)........  Junior College District of Sedalia, Missouri, Sedalia, MO, for               $500,000  Bond
                                                                               curriculum development and the purchase of equipment related to
                                                                               advanced energy systems.
Department of Education..........  Higher Education (includes FIPSE)........  Kauai Community College, Lihue, HI, for planning and implementation          $200,000  Inouye, Akaka
                                                                               of a 4-year degree program.
Department of Education..........  Higher Education (includes FIPSE)........  Keene State College, Keene, NH, for curriculum development and               $150,000  Shaheen
                                                                               educational equipment for the Monadnock Biodiesel Collaborative.
Department of Education..........  Higher Education (includes FIPSE)........  Lake Area Technical Institute, Watertown, SD, for educational                $200,000  Johnson, Thune
                                                                               equipment related to first responder training.
Department of Education..........  Higher Education (includes FIPSE)........  Lake Erie College of Osteopathic Medicine, Erie, PA, to training             $100,000  Specter, Casey
                                                                               dental students in patient centered care.
Department of Education..........  Higher Education (includes FIPSE)........  Leeward Community College, Pearl City, HI, to provide college                $400,000  Inouye, Akaka
                                                                               preparatory education for Filipino students.
Department of Education..........  Higher Education (includes FIPSE)........  Macomb Community College, Warren, MI, to develop assessment and              $250,000  Stabenow, Levin
                                                                               curriculum materials to make displaced workers college ready.
Department of Education..........  Higher Education (includes FIPSE)........  Manhattan Area Technical College, Manhattan, KS, for curriculum              $450,000  Brownback
                                                                               development and technology upgrades, including the purchase of
                                                                               equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Maryland Association of Community Colleges, Annapolis, MD, for the         $1,250,000  Mikulski
                                                                               purchase of equipment to develop science and engineering labs.
Department of Education..........  Higher Education (includes FIPSE)........  Medaille College, Buffalo, NY, for equipment related to science              $150,000  Schumer
                                                                               educa-  tion.
Department of Education..........  Higher Education (includes FIPSE)........  Methodist University, Fayetteville, NC, for curriculum development           $150,000  Burr
                                                                               and education equipment related to first responder training.
Department of Education..........  Higher Education (includes FIPSE)........  Middle Tennessee State University, Murfreesboro, TN, for science,          $1,500,000  Alexander
                                                                               technology, engineering, and math education, including the
                                                                               purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Midway College, Inc., Midway, KY, for education equipment related            $100,000  Bunning
                                                                               to nursing and health sciences.
Department of Education..........  Higher Education (includes FIPSE)........  Minot State University, Minot, ND, for salaries and operating                $450,000  Dorgan, Conrad
                                                                               expense for the Center for Community Research and Service.
Department of Education..........  Higher Education (includes FIPSE)........  Mississippi State University, Mississippi State, MS, for technology          $100,000  Cochran, Wicker
                                                                               upgrades and the purchase of equipment to support the Delta
                                                                               Council Papers Project.
Department of Education..........  Higher Education (includes FIPSE)........  Mott Community College, Flint, MI, for the purchase of renewable             $250,000  Levin, Stabenow
                                                                               energy equipment and curriculum development for the Institute for
                                                                               Renewable and Sustainable Energy.
Department of Education..........  Higher Education (includes FIPSE)........  Nevada State College, Henderson, NV, for curriculum development and          $200,000  Reid
                                                                               for the purchase of technology.
Department of Education..........  Higher Education (includes FIPSE)........  New College Institute, Martinsville, VA, for curriculum development          $100,000  Webb, Warner
                                                                               for the development of bachelor's degree programs in Renewable
                                                                               Energy, Advanced Manufacturing, Technology Integration, and
                                                                               Entrepreneurship.
Department of Education..........  Higher Education (includes FIPSE)........  New Hampshire Institute of Politics at Saint Anselm College,               $2,650,000  Gregg
                                                                               Manchester, NH, for education programs, technology upgrades and
                                                                               purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  New School--Institute for Urban Education, New York, NY, for an              $725,000  Gillibrand
                                                                               educational mentoring and outreach program for low-income, at-risk
                                                                               students.
Department of Education..........  Higher Education (includes FIPSE)........  Niagara County Community College, Sanborn, NY, for educational               $100,000  Schumer
                                                                               equipment.
Department of Education..........  Higher Education (includes FIPSE)........  North Arkansas College, Harrison, AR, for the purchase of equipment          $100,000  Lincoln, Pryor
                                                                               and IT upgrades.
Department of Education..........  Higher Education (includes FIPSE)........  North Iowa Area Community College, Mason City, IA, to make state-of-         $200,000  Grassley, Harkin
                                                                               the-art training, technology, and equipment available for health
                                                                               professionals.
Department of Education..........  Higher Education (includes FIPSE)........  Northeast Community College, Norfolk, NE, for the purchase of                $500,000  Ben Nelson
                                                                               equipment for a renewable energy program.
Department of Education..........  Higher Education (includes FIPSE)........  Northeast Iowa Community College, Calmar, IA, For Dairy Science              $300,000  Harkin, Grassley
                                                                               Technology program.
Department of Education..........  Higher Education (includes FIPSE)........  Northeastern State University, Tahlequah, OK, for professional               $100,000  Inhofe
                                                                               development, including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Northern Illinois University, DeKalb, IL, to create a pilot study            $200,000  Durbin
                                                                               abroad program.
Department of Education..........  Higher Education (includes FIPSE)........  Northern Kentucky University, Highland Heights, KY, for the                $2,000,000  McConnell
                                                                               purchase of equipment and technology.
Department of Education..........  Higher Education (includes FIPSE)........  Northern Maine Community College, Presque Isle, ME, for equipment            $200,000  Snowe
                                                                               related to wind power technology programs.
Department of Education..........  Higher Education (includes FIPSE)........  Northwest Arkansas Community College, Bentonville, AR, for the               $300,000  Lincoln, Pryor
                                                                               purchase of distance learning equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Northwest Indian College, Bellingham, WA, to expand financial                $150,000  Murray, Cantwell
                                                                               literacy education opportunities.
Department of Education..........  Higher Education (includes FIPSE)........  Ohio Dominican University, Columbus, OH, for science programs,               $150,000  Voinovich
                                                                               including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Oklahoma State University, Stillwater, OK, to develop a veteran              $100,000  Inhofe
                                                                               entrepreneurial training program.
Department of Education..........  Higher Education (includes FIPSE)........  Orange County Community College, Middletown, NY, for support of the          $500,000  Gillibrand
                                                                               Science, Engineering & Technology Center, which may include
                                                                               equipment and wiring.
Department of Education..........  Higher Education (includes FIPSE)........  Pennsylvania Commission for Community Colleges, Harrisburg, PA, to           $100,000  Specter
                                                                               design, create, and implement open source educational materials.
Department of Education..........  Higher Education (includes FIPSE)........  Pittsburg State University, Pittsburg, KS, to expand education               $400,000  Brownback
                                                                               programs.
Department of Education..........  Higher Education (includes FIPSE)........  Providence College, Providence, RI, for technology improvements              $300,000  Reed, Whitehouse
                                                                               related to education.
Department of Education..........  Higher Education (includes FIPSE)........  Redlands Community College, El Reno, OK, for nursing education and           $100,000  Inhofe
                                                                               training including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Richland Community College, Decatur, IL, for the purchase of modern          $150,000  Durbin
                                                                               human patient simulators.
Department of Education..........  Higher Education (includes FIPSE)........  Roger Williams University, Bristol, RI, for college access and               $400,000  Reed
                                                                               school-to-work programs.
Department of Education..........  Higher Education (includes FIPSE)........  Saint Joseph College, West Hartford, CT, for personnel, equipment            $500,000  Dodd, Lieberman
                                                                               and technology at the new Institute for Autism and Behavioral
                                                                               Studies.
Department of Education..........  Higher Education (includes FIPSE)........  Saint Michael's College, Colchester, VT, for curriculum development          $250,000  Leahy
                                                                               and academic programming at the Center for Intercultural and
                                                                               Global Learning.
Department of Education..........  Higher Education (includes FIPSE)........  San Juan College, Farmington, NM, for the creation of online and             $150,000  Tom Udall, Bingaman
                                                                               certificate programs to expand the Renewable Energy Program.
Department of Education..........  Higher Education (includes FIPSE)........  Security on Campus, Inc., King of Prussia, PA, to support peer               $100,000  Specter
                                                                               education programs.
Department of Education..........  Higher Education (includes FIPSE)........  Simpson College, Indianola, IA, for the John C. Culver Public                $400,000  Harkin
                                                                               Policy Cen-  ter.
Department of Education..........  Higher Education (includes FIPSE)........  South Arkansas Community College, El Dorado, AR, for the purchase            $200,000  Lincoln, Pryor
                                                                               of equipment for the Process Technology Operator Program.
Department of Education..........  Higher Education (includes FIPSE)........  Southern Maine Community College, South Portland, ME, to                     $625,000  Collins, Snowe
                                                                               development a heavy equipment and transportation program,
                                                                               including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  SUNY Upstate Medical University, Syracuse, NY, for curriculum                $200,000  Schumer
                                                                               development.
Department of Education..........  Higher Education (includes FIPSE)........  Texas State Technical College, Georgetown, TX, for the purchase of           $110,000  Cornyn
                                                                               equipment and technology.
Department of Education..........  Higher Education (includes FIPSE)........  Texas Wesleyan University, Fort Worth, TX, to develop a distance             $110,000  Cornyn
                                                                               education initiative, including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Three Rivers Community College, Poplar Bluff, MO, for the purchase           $250,000  Bond
                                                                               of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  Towson University, Towson, MD, for equipment and program                     $150,000  Cardin
                                                                               development for the Center for Adults with Autism.
Department of Education..........  Higher Education (includes FIPSE)........  Trident Technical College, North Charleston, SC, for curriculum              $100,000  Graham
                                                                               development and education equipment for an aeronautical training
                                                                               program.
Department of Education..........  Higher Education (includes FIPSE)........  Truckee Meadows Community College, Reno, NV, to support the Success          $200,000  Reid
                                                                               First program.
Department of Education..........  Higher Education (includes FIPSE)........  Turtle Mountain Community College, Belcourt, ND, for education               $200,000  Dorgan, Conrad
                                                                               technology equipment.
Department of Education..........  Higher Education (includes FIPSE)........  University of Arizona, Tucson, AZ, for the Integrative Medicine in           $600,000  Harkin
                                                                               Residency program.
Department of Education..........  Higher Education (includes FIPSE)........  University of Cincinnati, Cincinnati, OH, for the Diversity and              $350,000  Sherrod Brown
                                                                               Access Initiative.
Department of Education..........  Higher Education (includes FIPSE)........  University of Colorado at Colorado Springs, Colorado Springs, CO,            $100,000  Mark Udall, Bennet
                                                                               for the Southern Colorado Higher Education Consortium Veterans
                                                                               Educational Assistance Program.
Department of Education..........  Higher Education (includes FIPSE)........  University of Connecticut School of Law, Hartford, CT, for a Human           $250,000  Dodd
                                                                               Rights and International Law fellowship program.
Department of Education..........  Higher Education (includes FIPSE)........  University of Hawaii School of Law, Honolulu, HI, for the health             $350,000  Inouye, Akaka
                                                                               policy center.
Department of Education..........  Higher Education (includes FIPSE)........  University of Iowa, Iowa City, IA, for the National Institute for            $275,000  Grassley, Harkin
                                                                               Twice-Exceptionality.
Department of Education..........  Higher Education (includes FIPSE)........  University of Maine at Fort Kent, Fort Kent, ME, for curriculum              $600,000  Collins
                                                                               development for nursing education programs.
Department of Education..........  Higher Education (includes FIPSE)........  University of Mississippi, University, MS, to support                        $250,000  Cochran, Wicker
                                                                               interdisciplinary research and education related to public policy
                                                                               and economic education.
Department of Education..........  Higher Education (includes FIPSE)........  University of Northern Colorado, Greeley, CO, for The Education              $100,000  Bennet
                                                                               Innovation Institute.
Department of Education..........  Higher Education (includes FIPSE)........  University of Northern Iowa, Cedar Falls, IA, to support the Center          $550,000  Harkin, Grassley
                                                                               for Disability Studies in Literacy, Language and Learning.
Department of Education..........  Higher Education (includes FIPSE)........  University of South Dakota, Vermillion, SD, to identify and address          $400,000  Johnson, Thune
                                                                               the educational needs of veterans with disabilities.
Department of Education..........  Higher Education (includes FIPSE)........  University of Southern Maine, Portland, ME, for curriculum                   $500,000  Collins, Snowe
                                                                               development, including the purchase of equipment.
Department of Education..........  Higher Education (includes FIPSE)........  University of Southern Mississippi, Hattiesburg, MS, for                     $250,000  Cochran, Wicker
                                                                               professional and curriculum development, and distance learning at
                                                                               the Gulf Coast Campuses.
Department of Education..........  Higher Education (includes FIPSE)........  University of Vermont, Burlington, VT, to modernize the College of           $475,000  Leahy
                                                                               Nursing curriculum.
Department of Education..........  Higher Education (includes FIPSE)........  University of Wisconsin-Stevens Point, Stevens Point, WI, to                 $400,000  Kohl
                                                                               support non-traditional and veteran students with disabilities in
                                                                               higher education and career development.
Department of Education..........  Higher Education (includes FIPSE)........  Urban College of Boston, Boston, MA, to support higher education             $500,000  Kerry
                                                                               program serving low-income and minority students.
Department of Education..........  Higher Education (includes FIPSE)........  Utah State University, Logan, UT, to develop a land-grant education          $106,000  Hatch, Bennett
                                                                               and research network.
Department of Education..........  Higher Education (includes FIPSE)........  Valley City State University, Valley City, ND, for the Great Plains          $350,000  Dorgan, Conrad
                                                                               STEM Education Center.
Department of Education..........  Higher Education (includes FIPSE)........  Western Nebraska Community College, Scottsbluff, NE, for the                 $500,000  Ben Nelson
                                                                               Western Nebraska Wind Energy Training Center.
Department of Education..........  Higher Education (includes FIPSE)........  Western Technical College, La Crosse, WI, to establish a veteran's           $150,000  Kohl
                                                                               center on campus.
Department of Education..........  Higher Education (includes FIPSE)........  Westminster College, Salt Lake City, UT, to purchase equipment to            $150,000  Bennett
                                                                               support nursing and health science education.
Department of Education..........  Rehabilitation Services & Disability       American Academy of Orthotists and Prosthetists, Washington, DC, to          $500,000  Harkin
                                    Research.                                  improve the quality of applied orthotic and prosthetic research
                                                                               and to help meet the demand for provider services.
Department of Education..........  Rehabilitation Services & Disability       ARC of Madison County, Huntsville, AL, for a disability program              $100,000  Sessions
                                    Research.                                  initiative, which may include equipment.
Department of Education..........  Rehabilitation Services & Disability       Holy Angels Residential Facility, Caddo Parish, LA, for vocational           $100,000  Landrieu
                                    Research.                                  training for developmental disabled individuals.
Department of Education..........  Rehabilitation Services & Disability       Spurwink Services, Portland, ME, for education programs for                  $400,000  Collins, Snowe
                                    Research.                                  students with autism.
Department of Education..........  Rehabilitation Services & Disability       Statewide Independent Living Council, Anchorage, AK, to expand               $400,000  Murkowski
                                    Research.                                  independent living programs for rural and remote areas.
Department of Education..........  Rehabilitation Services & Disability       Utah State Office of Rehabilitation, Salt Lake City, UT, for                 $150,000  Bennett
                                    Research.                                  assistive technology equipment.
Department of Health & Human       Administration for Children and Families   Addison County Parent Child Center, Middlebury, VT, for childcare            $100,000  Sanders
 Services.                          (ACF)--Child Abuse Prevention.             and parental education programs.
Department of Health & Human       Administration for Children and Families   County of Contra Costa, Martinez, CA, for an initiative for                  $350,000  Boxer
 Services.                          (ACF)--Child Abuse Prevention.             children and adolescents exposed to domestic violence.
Department of Health & Human       Administration for Children and Families   Dakota County, Hastings, MN, for a home visitation program for at-           $300,000  Franken, Klobuchar
 Services.                          (ACF)--Child Abuse Prevention.             risk infants and toddlers and their families.
Department of Health & Human       Administration for Children and Families   Georgia State University, Atlanta, GA, for child abuse prevention            $100,000  Chambliss
 Services.                          (ACF)--Child Abuse Prevention.             education services.
Department of Health & Human       Administration for Children and Families   Nez Perce Tribe, Lapwai, ID, for child abuse prevention............          $100,000  Crapo, Risch
 Services.                          (ACF)--Child Abuse Prevention.
Department of Health & Human       Administration for Children and Families   South Carolina Department of Education, Columbia, SC, for child              $100,000  Graham
 Services.                          (ACF)--Child Abuse Prevention.             abuse prevention education services.
Department of Health & Human       Administration for Children and Families   Southern Nevada Health District, Las Vegas, NV, for a home                   $400,000  Reid
 Services.                          (ACF)--Child Abuse Prevention.             visitation program for low-income first-time mothers.
Department of Health & Human       Administration for Children and Families   Access to Healthcare Network, Reno, NV, for a helpline to assist             $330,000  Reid
 Services.                          (ACF)--Social Services.                    residents with healthcare and social services.
Department of Health & Human       Administration for Children and Families   Campus Kitchen, Washington, DC, for services to the homeless                 $100,000  Lautenberg, Menendez
 Services.                          (ACF)--Social Services.                    community in Atlantic City, NJ.
Department of Health & Human       Administration for Children and Families   City of Mount Vernon, NY, for the Youth Development Action Plan....          $150,000  Gillibrand
 Services.                          (ACF)--Social Services.
Department of Health & Human       Administration for Children and Families   City of Tracy, CA, for gang-outreach, intervention, prevention, and          $300,000  Boxer
 Services.                          (ACF)--Social Services.                    educational assistance programs.
Department of Health & Human       Administration for Children and Families   Creative Visions, Des Moines, IA, for family reunification and               $200,000  Harkin
 Services.                          (ACF)--Social Services.                    support services.
Department of Health & Human       Administration for Children and Families   FAMILY, Inc., Council Bluffs, IA, for a home visitation program for          $400,000  Harkin, Grassley
 Services.                          (ACF)--Social Services.                    young children and their families.
Department of Health & Human       Administration for Children and Families   Jewish Social Service Agency, Rockville, MD, for autism outreach,            $450,000  Mikulski, Cardin
 Services.                          (ACF)--Social Services.                    education, and case management services.
Department of Health & Human       Administration for Children and Families   Lake County Community Foundation, Waukegan, IL, for expanding                $250,000  Durbin
 Services.                          (ACF)--Social Services.                    access to services.
Department of Health & Human       Administration for Children and Families   North Ward Center, Inc., Newark, NJ, for comprehensive services for          $500,000  Menendez
 Services.                          (ACF)--Social Services.                    people with autism spectrum disorders.
Department of Health & Human       Administration for Children and Families   Northern Kentucky Community Action Commission, Covington, KY, for            $100,000  Bunning
 Services.                          (ACF)--Social Services.                    child care program activities.
Department of Health & Human       Administration for Children and Families   Olive Crest Pacific Northwest, Bellevue, WA, for services for                $250,000  Murray
 Services.                          (ACF)--Social Services.                    foster children and children in unstable home situations.
Department of Health & Human       Administration for Children and Families   Refuge Network, Cambridge, MN, for family violence and sexual                $150,000  Franken
 Services.                          (ACF)--Social Services.                    assault prevention and intervention services.
Department of Health & Human       Administration for Children and Families   Springfield Area Parent Child Center, North Springfield, VT, for             $500,000  Leahy
 Services.                          (ACF)--Social Services.                    services for teenage and expectant mothers.
Department of Health & Human       Administration for Children and Families   TLC for Children and Families, Olathe, KS, for youth transitional            $500,000  Brownback
 Services.                          (ACF)--Social Services.                    living programs.
Department of Health & Human       Administration for Children and Families   United Way of Capital Area, Jackson, MS, for 2-1-1 Mississippi.....          $408,000  Cochran, Wicker
 Services.                          (ACF)--Social Services.
Department of Health & Human       Administration for Children and Families   United Way of California, South Pasadena, CA, for expanding 2-1-1            $750,000  Feinstein, Boxer
 Services.                          (ACF)--Social Services.                    services.
Department of Health & Human       Administration for Children and Families   University of Medicine and Dentistry of New Jersey--The Autism               $300,000  Lautenberg, Menendez
 Services.                          (ACF)--Social Services.                    Center at NJ Medical School, Newark, NJ, for identifying and
                                                                               treating children with autism spectrum disorders.
Department of Health & Human       Administration for Children and Families   University of Nevada--Las Vegas, Las Vegas, NV, for expanding                $500,000  Reid
 Services.                          (ACF)--Social Services.                    access to services for people with autism spectrum disorders.
Department of Health & Human       Administration for Children and Families   YWCA of Greater Portland, Portland, OR, for services for victims of          $600,000  Wyden, Merkley
 Services.                          (ACF)--Social Services.                    human trafficking.
Department of Health & Human       Administration on Aging (AOA)............  Cathedral Square Corporation, South Burlington, VT, for the Seniors          $750,000  Leahy, Sanders
 Services.                                                                     Aging Safely at Home pilot program.
Department of Health & Human       Administration on Aging (AOA)............  Jewish Family Services of Delaware, Wilmington, DE, for an aging-in-         $150,000  Kaufman, Carper
 Services.                                                                     place initiative.
Department of Health & Human       Administration on Aging (AOA)............  Jewish Federation of Las Vegas, Las Vegas, NV, for the Las Vegas             $100,000  Reid
 Services.                                                                     Senior Lifeline Program.
Department of Health & Human       Administration on Aging (AOA)............  PACE Greater New Orleans, New Orleans, LA, for the expansion of              $150,000  Vitter, Landrieu
 Services.                                                                     senior services.
Department of Health & Human       Administration on Aging (AOA)............  The Associated: Jewish Community Federation of Baltimore,                    $200,000  Mikulski
 Services.                                                                     Baltimore, MD, to address safety and community engagement issues
                                                                               among seniors.
Department of Health & Human       Administration on Aging (AOA)............  Vermont Association of Area Agencies on Aging, Barre, VT, to expand          $200,000  Sanders
 Services.                                                                     nutrition assistance and related programs.
Department of Health & Human       Administration on Aging (AOA)............  Washoe County Senior Services, Carson City, NV, for the RSVP Home            $100,000  Reid
 Services.                                                                     Companion Senior Respite Care Program.
Department of Health & Human       Centers for Disease Control and            Chicago Public Schools, Chicago, IL, for nutrition and health                $150,000  Durbin
 Services.                          Prevention (CDC).                          education programs, including equipment.
Department of Health & Human       Centers for Disease Control and            City of Fort Wayne, IN, for outreach, screening and education for            $100,000  Lugar
 Services.                          Prevention (CDC).                          Burmese refugees.
Department of Health & Human       Centers for Disease Control and            East Carolina University, Greenville, NC, for a health disparities           $300,000  Burr
 Services.                          Prevention (CDC).                          behavioral and chronic disease management initiative.
Department of Health & Human       Centers for Disease Control and            Fibrous Dysplasia Foundation, Washington, DC, for the development            $200,000  Kerry
 Services.                          Prevention (CDC).                          of a patient network.
Department of Health & Human       Centers for Disease Control and            Fletcher Allen Health Care, Burlington, VT, to expand the Center             $100,000  Leahy
 Services.                          Prevention (CDC).                          for Nutrition and Healthy Food Systems.
Department of Health & Human       Centers for Disease Control and            Hawaii Primary Care Association, Honolulu, HI, to continue a                 $200,000  Inouye, Akaka
 Services.                          Prevention (CDC).                          program on childhood asthma.
Department of Health & Human       Centers for Disease Control and            John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ, to               $750,000  Lautenberg, Menendez
 Services.                          Prevention (CDC).                          establish an outreach and education program to combat childhood
                                                                               obesity.
Department of Health & Human       Centers for Disease Control and            Lower Brule Sioux Tribe, Lower Brule, SD, for health education and           $100,000  Johnson
 Services.                          Prevention (CDC).                          promotion programs.
Department of Health & Human       Centers for Disease Control and            Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, for cancer          $200,000  Vitter
 Services.                          Prevention (CDC).                          outreach initiatives.
Department of Health & Human       Centers for Disease Control and            National Council of La Raza, Washington, DC, for the Institute of          $1,000,000  Bingaman
 Services.                          Prevention (CDC).                          Hispanic Health.
Department of Health & Human       Centers for Disease Control and            PE4life Foundation, Kansas City, MO, for expansion and assessment            $300,000  Harkin
 Services.                          Prevention (CDC).                          of PE4life programs across Iowa.
Department of Health & Human       Centers for Disease Control and            Shelburne Farms, Shelburne, VT, to expand Farm-to-School activities          $250,000  Leahy
 Services.                          Prevention (CDC).
Department of Health & Human       Centers for Disease Control and            Silent Spring Institute, Newton, MA, for studies of the impact of            $200,000  Kerry
 Services.                          Prevention (CDC).                          environmental pollutants on breast cancer and women's health.
Department of Health & Human       Centers for Disease Control and            South Dakota State University, Brookings, SD, for research on                $200,000  Johnson
 Services.                          Prevention (CDC).                          health promotion.
Department of Health & Human       Centers for Disease Control and            University of Georgia, Athens, GA, for obesity intervention and              $100,000  Chambliss
 Services.                          Prevention (CDC).                          prevention.
Department of Health & Human       Centers for Disease Control and            University of Hawaii at Hilo, Hilo, HI, for occupational safety and          $100,000  Inouye, Akaka
 Services.                          Prevention (CDC).                          health research.
Department of Health & Human       Centers for Disease Control and            University of Northern Iowa, Cedar Falls, IA, for a health literacy          $300,000  Grassley, Harkin
 Services.                          Prevention (CDC).                          pro-  gram.
Department of Health & Human       Centers for Disease Control and            Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school-based             $150,000  Harkin
 Services.                          Prevention (CDC).                          injury prevention program.
Department of Health & Human       Centers for Medicare and Medicaid          Iowa Prescription Drug Corporation, Urbandale, IA, for programs to           $500,000  Harkin
 Services.                          Services (CMS)--Research & Demonstration.  reduce the cost of prescription drugs.
Department of Health & Human       Centers for Medicare and Medicaid          University of Mississippi, University, MS, for the Medication Use            $800,000  Cochran, Wicker
 Services.                          Services (CMS)--Research & Demonstration.  and Outcomes Research Group.
Department of Health & Human       Health Resources and Services              Aberdeen Area Tribal Chairmen's Health Board, Rapid City, SD, for            $450,000  Thune, Johnson
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment to improve prenatal care.
                                    and Services.
Department of Health & Human       Health Resources and Services              Alameda County Medical Center, Oakland, CA, for facilities and               $775,000  Feinstein
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Alaska Medicare Clinic, Anchorage, AK, for facilities and equipment          $500,000  Murkowski
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Alaska Native Tribal Health Consortium, Anchorage, AK, for                 $1,000,000  Murkowski, Begich
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Alaska Native Tribal Health Consortium, Anchorage, AK, for the oral          $250,000  Murkowski, Begich
 Services.                          Administration (HRSA)--Health Facilities   health disparities project.
                                    and Services.
Department of Health & Human       Health Resources and Services              Alexian Brothers Hospital Network, Arlington Heights, IL, for                $375,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Anchorage Neighborhood Health Center, Anchorage, AK, for facilities          $500,000  Murkowski
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Anchorage Project Access, Anchorage, AK, for outreach, care                  $200,000  Begich
 Services.                          Administration (HRSA)--Health Facilities   coordination, and support of oral healthcare.
                                    and Services.
Department of Health & Human       Health Resources and Services              Apple Tree Dental, Minneapolis, MN, for facilities and equipment             $150,000  Franken, Klobuchar
 Services.                          Administration (HRSA)--Health Facilities   related to oral healthcare.
                                    and Services.
Department of Health & Human       Health Resources and Services              Archbold Medical Center, Thomasville, GA, for facilities and                 $150,000  Chambliss
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Arkansas Methodist Hospital Corporation, Paragould, AR, for                  $500,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Assiniboine and Sioux Tribes of the Fort Peck Reservation, Poplar,           $200,000  Tester, Baucus
 Services.                          Administration (HRSA)--Health Facilities   MT, for facilities and equipment related to dialysis.
                                    and Services.
Department of Health & Human       Health Resources and Services              Association for Utah Community Health, Salt Lake City, UT, to                $106,000  Hatch, Bennett
 Services.                          Administration (HRSA)--Health Facilities   implement an electronic medical record system.
                                    and Services.
Department of Health & Human       Health Resources and Services              Barbara Ann Karmanos Cancer Institute, Detroit, MI, for facilities           $250,000  Levin, Stabenow
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Barnabas Uplift, Waverly, IA, for a healthcare job training program          $300,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Baton Rouge Children's Health Project, Baton Rouge, Louisiana, for           $200,000  Vitter
 Services.                          Administration (HRSA)--Health Facilities   the purchase of mobile mental health units.
                                    and Services.
Department of Health & Human       Health Resources and Services              Baxter Regional Medical Center, Mountain Home, AR, for facilities            $450,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Baylor Health Care System and City of Dallas, TX, for facilities             $110,000  Cornyn
 Services.                          Administration (HRSA)--Health Facilities   and equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Bear Lake Memorial Hospital, Montpelier, ID, for facilities and              $150,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Beebe Medical Center, Lewes, DE, for facilities and equipment                $150,000  Carper, Kaufman
 Services.                          Administration (HRSA)--Health Facilities   related to nurse training.
                                    and Services.
Department of Health & Human       Health Resources and Services              BioOhio, Columbus, OH, for a national vaccine manufacturing and              $100,000  Voinovich, Sherrod Brown
 Services.                          Administration (HRSA)--Health Facilities   logistics center study.
                                    and Services.
Department of Health & Human       Health Resources and Services              Bi-State Primary Care Association, Montpelier, VT, for education              $40,000  Sanders
 Services.                          Administration (HRSA)--Health Facilities   and outreach.
                                    and Services.
Department of Health & Human       Health Resources and Services              Bi-State Primary Care Association, Montpelier, VT, for equipment             $110,000  Sanders
 Services.                          Administration (HRSA)--Health Facilities   and support of a dental clinic.
                                    and Services.
Department of Health & Human       Health Resources and Services              Bozeman Deaconess Hospital, Bozeman, MT, for facilities and                  $250,000  Baucus, Tester
 Services.                          Administration (HRSA)--Health Facilities   equipment, including electronic health records.
                                    and Services.
Department of Health & Human       Health Resources and Services              Briar Cliff University, Sioux City, IA, for health training                  $100,000  Harkin, Grassley
 Services.                          Administration (HRSA)--Health Facilities   equipment and online instruction.
                                    and Services.
Department of Health & Human       Health Resources and Services              Broadlawns Medical Center, Des Moines, IA, for facilities and                $500,000  Harkin, Grassley
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Brookhaven Memorial Hospital Medical Center, Patchogue, NY, to               $100,000  Schumer
 Services.                          Administration (HRSA)--Health Facilities   establish the Brookhaven Breast Cancer Coalition.
                                    and Services.
Department of Health & Human       Health Resources and Services              Cassia Regional Medical Center, Burley, ID, for facilities and               $150,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Center for Asbestos Related Disease, Libby, MT, for facilities and           $300,000  Baucus, Tester
 Services.                          Administration (HRSA)--Health Facilities   equipment, including information technology.
                                    and Services.
Department of Health & Human       Health Resources and Services              Center for Enhanced Diabetic Eye Care, Pikesville, MD, for programs          $100,000  Wyden, Merkley
 Services.                          Administration (HRSA)--Health Facilities   related to diabetic retinopathy, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Central Arkansas Radiation Therapy Institute, Little Rock, AR, for           $500,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Central Maine Medical Center College of Nursing and Health                   $200,000  Snowe, Collins
 Services.                          Administration (HRSA)--Health Facilities   Professions, Lewiston, ME, for facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Central Maine Medical Center, Lewiston, ME, for health professions           $225,000  Collins, Snowe
 Services.                          Administration (HRSA)--Health Facilities   training, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Chestnut Health Systems, Bloomington, IL, for facilities and                 $350,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Medical Center--Dallas, TX, for facilities and equipment          $300,000  Hutchison, Cornyn
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Memorial Hermann Hospital, Houston, TX, for facilities            $200,000  Hutchison
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Aid and Family Services, Paramus, NJ, for facilities and          $200,000  Lautenberg, Menendez
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Hospital of Wisconsin and Health System, Milwaukee, WI,           $700,000  Kohl
 Services.                          Administration (HRSA)--Health Facilities   for facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Hospital, Aurora, CO, for information technology                  $150,000  Bennet
 Services.                          Administration (HRSA)--Health Facilities   upgrades.
                                    and Services.
Department of Health & Human       Health Resources and Services              Children's Mercy Hospital, Kansas City, MO, for facilities and               $500,000  Bond
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Chippewa Valley Free Clinic, Eau Claire, WI, for facilities and              $500,000  Kohl
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              CHRISTUS St. Frances Cabrini, Alexandria, LA, for electronic health          $200,000  Landrieu, Vitter
 Services.                          Administration (HRSA)--Health Facilities   record implementation.
                                    and Services.
Department of Health & Human       Health Resources and Services              Chronic Disease Fund, Plano, TX, to expand chronic disease program.          $500,000  Brownback
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Clarian Health, Indianapolis, IN, for outreach and education                 $100,000  Lugar
 Services.                          Administration (HRSA)--Health Facilities   services for diabetes.
                                    and Services.
Department of Health & Human       Health Resources and Services              Cleveland State University, Cleveland, OH, for facilities and                $100,000  Voinovich, Sherrod Brown
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Coastal Carolina University, Conway, SC, for facilities and                  $200,000  Graham
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Coastal Family Health Center, Astoria, OR, for facilities and                $100,000  Merkley, Wyden
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Columbus Regional Hospital, Columbus, IN, for facilities and                 $100,000  Lugar
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Dental, Portland, ME, for dental health services,                  $450,000  Collins, Snowe
 Services.                          Administration (HRSA)--Health Facilities   including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Foundation of Southwest Kansas, Dodge City, KS, for                $150,000  Brownback, Roberts
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Access Project, Inc., Mansfield, OH, for                    $250,000  Sherrod Brown
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Center of Fort Dodge, IA, for facilities and                $100,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Center, Inc., Middletown, CT, for a residency               $150,000  Dodd, Lieberman
 Services.                          Administration (HRSA)--Health Facilities   training program for nurse practitioners.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Centers of Arkansas, North Little Rock, AR, for             $250,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Centers of Southeastern Iowa, Burlington, IA, for           $100,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health Centers of Southern Iowa, Leon, IA, for facilities          $250,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Community Health, Chicago, IL, for facilities and equipment........          $150,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Comprehensive Community Action Inc., Cranston, RI, for health                $500,000  Reed, Whitehouse
 Services.                          Administration (HRSA)--Health Facilities   center facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Concordia University School of Pharmacy, Mequon, WI, for facilities          $500,000  Kohl
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Connecticut Children's Medical Center, Hartford, CT, for facilities          $500,000  Dodd, Lieberman
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Coos County Family Health Services, Berlin, NH, for facilities and           $150,000  Shaheen
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Copper River Native Association, Copper Center, AK, for facilities           $500,000  Murkowski
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Council Bluffs Community Health Center, Council Bluffs, IA, for              $350,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              County of Riverside, Moreno Valley, CA, for facilities and                 $1,000,000  Feinstein, Boxer
 Services.                          Administration (HRSA)--Health Facilities   equipment related to trauma care.
                                    and Services.
Department of Health & Human       Health Resources and Services              Crouse Hospital, Syracuse, NY, for facilities and equipment........          $150,000  Schumer
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Cure for the Kids Foundation, Las Vegas, NV, for facilities and              $500,000  Reid
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Dakota Wesleyan University, Mitchell, SD, for health training                $200,000  Johnson
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Dallas County Community College District, Dallas, TX, for a health           $250,000  Hutchison
 Services.                          Administration (HRSA)--Health Facilities   careers resource center.
                                    and Services.
Department of Health & Human       Health Resources and Services              Dartmouth Hitchcock Medical Center, Lebanon, NH, for facilities and          $400,000  Gregg
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Dean McGee Eye Institute, Oklahoma City, OK, for facilities and              $150,000  Inhofe
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Delta State University, Cleveland, MS, for facilities and equipment        $1,300,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Denver Hospice, Denver, CO, for facilities and equipment...........          $150,000  Bennet
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Dillard University, New Orleans, LA, for facilities and equipment            $250,000  Landrieu, Vitter
 Services.                          Administration (HRSA)--Health Facilities   at the Gentille Center for Health Disparities and Disease
                                    and Services.                              Prevention.
Department of Health & Human       Health Resources and Services              Drew Memorial Hospital, Monticello, AR, for facilities and                   $500,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              East Carolina University, Greenville, NC, for facilities and                 $500,000  Burr
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              East Carroll Parish Hospital, Lake Providence, LA, for facilities            $600,000  Landrieu
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              East Orange General Hospital, East Orange, NJ, for facilities and            $200,000  Lautenberg, Menendez
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Easter Seals Joliet Region, Inc., Joliet, IL, for facilities and             $200,000  Durbin, Burris
 Services.                          Administration (HRSA)--Health Facilities   equipment related to autism.
                                    and Services.
Department of Health & Human       Health Resources and Services              Eastern Maine Healthcare System, Brewer, ME, for a hospice and               $385,000  Collins, Snowe
 Services.                          Administration (HRSA)--Health Facilities   palliative care initiative.
                                    and Services.
Department of Health & Human       Health Resources and Services              Eastern Shore Rural Health System, Inc., Nassawadox, VA, for                 $150,000  Webb, Warner
 Services.                          Administration (HRSA)--Health Facilities   equipment related to oral healthcare.
                                    and Services.
Department of Health & Human       Health Resources and Services              Egyptian Public & Mental Health Department, Eldorado, IL, for                $275,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment at a rural health clinic.
                                    and Services.
Department of Health & Human       Health Resources and Services              Flathead Valley Community College, Kalispell, MT, for health                 $100,000  Baucus, Tester
 Services.                          Administration (HRSA)--Health Facilities   professions training, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Floyd Medical Center, Rome, GA, for facilities and equipment.......          $100,000  Chambliss
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Free Clinics of Iowa, Des Moines, IA, for coordination of care.....          $350,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Garfield Memorial Hospital, Panguitch, UT, for facilities and                $106,000  Hatch
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Gillette Children's Specialty Healthcare, St. Paul, MN, for                  $100,000  Klobuchar, Franken
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Global to Local Health Initiative, Seattle, WA, for a health                 $400,000  Murray, Cantwell
 Services.                          Administration (HRSA)--Health Facilities   disparities program, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Good Samaritan Health Clinic of Cullman, Inc., Cullman, AL, to               $100,000  Sessions
 Services.                          Administration (HRSA)--Health Facilities   implement an electronic medical records system.
                                    and Services.
Department of Health & Human       Health Resources and Services              Goodall Hospital, Sanford, ME, for facilities and equipment........          $300,000  Collins
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Grays Harbor Community Hospital, Aberdeen, WA, for facilities and            $750,000  Murray, Cantwell
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Greater Sioux Community Health Center, Sioux Center, IA, for                 $600,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   facilities, equipment, supplies, and outreach.
                                    and Services.
Department of Health & Human       Health Resources and Services              Habersham Medical Center, Demorest, GA, for facilities and                   $100,000  Chambliss
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Harms Memorial Hospital District, American Falls, ID, for                    $100,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Harris County Hospital District, Houston, TX, for facilities and             $250,000  Hutchison
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Hawkeye Community College, Waterloo, IA, for health education                $400,000  Harkin, Grassley
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Health Work Force Institute, Seattle, WA, for programs to identify           $300,000  Murray
 Services.                          Administration (HRSA)--Health Facilities   and address workforce needs.
                                    and Services.
Department of Health & Human       Health Resources and Services              Healthy Howard Health Plan, Inc., Columbia, MD, for outreach,                $500,000  Mikulski, Cardin
 Services.                          Administration (HRSA)--Health Facilities   support and care coordination.
                                    and Services.
Department of Health & Human       Health Resources and Services              Hidalgo Medical Services, Lordsburg, NM, for facilities and                  $250,000  Tom Udall, Bingaman
 Services.                          Administration (HRSA)--Health Facilities   equipment in Silver City.
                                    and Services.
Department of Health & Human       Health Resources and Services              Hospice of the Panhandle, Martinsburg, WV, for facilities and              $3,000,000  Rockefeller
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Houston Community College, Houston, TX, for recruitment and nurse            $250,000  Hutchison
 Services.                          Administration (HRSA)--Health Facilities   training.
                                    and Services.
Department of Health & Human       Health Resources and Services              Howard Community College, Columbia, MD, for health education                 $250,000  Cardin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Hudson Perinatal Consortium, Jersey City, NJ, for a program to               $200,000  Lautenberg, Menendez
 Services.                          Administration (HRSA)--Health Facilities   improve birth outcomes.
                                    and Services.
Department of Health & Human       Health Resources and Services              Idaho State University, Pocatello, ID, for facilities and equipment          $150,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Innovis Health, Fargo, ND, for facilities and equipment............          $175,000  Dorgan, Conrad
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Integrated Service Solutions, Caribou, ME, to implement an                   $255,000  Collins
 Services.                          Administration (HRSA)--Health Facilities   electronic health record system.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa CareGivers Association, West Des Moines, IA, for the Direct             $300,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   Care Worker Resource and Outreach Center.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa Healthcare Collaborative, Des Moines, IA, to improve                    $650,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   healthcare provider efficiency and effectiveness.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa Nebraska Primary Care Association, Des Moines, IA, for                  $600,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   planning grants.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa State University, Ames, IA, for facilities and equipment for          $1,000,000  Harkin, Grassley
 Services.                          Administration (HRSA)--Health Facilities   the Institute for Novel Vaccines and Anti-Microbial Design.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa Valley Community College District, Marshalltown, IA, to assist          $100,000  Harkin, Grassley
 Services.                          Administration (HRSA)--Health Facilities   underserved individuals in pursuing a healthcare career.
                                    and Services.
Department of Health & Human       Health Resources and Services              Iowa Western Community College, Council Bluffs, IA, for facilities           $250,000  Grassley, Harkin
 Services.                          Administration (HRSA)--Health Facilities   and equipment for the nursing center.
                                    and Services.
Department of Health & Human       Health Resources and Services              J.C. Blair Memorial Hospital, Huntingdon, PA, for facilities and             $100,000  Specter, Casey
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Jackson Laboratory, Bar Harbor, ME, for facilities and equipment...          $100,000  Snowe, Collins
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Jackson Park Hospital, Chicago, IL, for facilities and equipment...          $250,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Jackson State University, Jackson, MS, for facilities and equipment        $1,000,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Jacksonville State University, Jacksonville, AL, for a nursing               $100,000  Sessions
 Services.                          Administration (HRSA)--Health Facilities   education program including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Jameson Health System, New Castle, PA, for facilities and equipment          $100,000  Specter
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Kalihi-Palama Health Center, Honolulu, HI, for a program on renal            $250,000  Inouye, Akaka
 Services.                          Administration (HRSA)--Health Facilities   dis-  ease.
                                    and Services.
Department of Health & Human       Health Resources and Services              Kanawha-Charleston Health Department, Charleston, WV, for a chronic          $350,000  Rockefeller
 Services.                          Administration (HRSA)--Health Facilities   disease management program.
                                    and Services.
Department of Health & Human       Health Resources and Services              Kauai Community Health Center, Lihue, HI, for facilities and                 $200,000  Inouye, Akaka
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Kennesaw State University, Kennesaw, GA, for facilities and                  $200,000  Isakson
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              King County Project Access, Seattle, WA, for facilities and                   $40,000  Murray
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              La Clinica del Valle Family Health Care Center, Inc., Medford, OR,           $200,000  Merkley, Wyden
 Services.                          Administration (HRSA)--Health Facilities   for facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Lake Area Technical Institute, Watertown, SD, for health training            $100,000  Johnson
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Lanai'i Community Health Center, Lanai'i City, HI, for facilities            $100,000  Inouye, Akaka
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Leflore County Health Center, Inc, Greenwood, MS, for a patient              $250,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities   navigator initiative, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Legacy Health System, Vancouver, WA, for telemedicine programs,              $125,000  Murray, Cantwell
 Services.                          Administration (HRSA)--Health Facilities   including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Lewis-Clark State College, Lewiston, ID, for facilities and                  $150,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Linn Community Care, Cedar Rapids, IA, for facilities and equipment          $250,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Little Company of Mary Hospital, Evergreen Park, IL, for facilities          $400,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Livingston Health Care, Livingston, MT, for facilities and                   $150,000  Tester, Baucus
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Los Angeles Community College District, Los Angeles, CA, for health          $150,000  Boxer
 Services.                          Administration (HRSA)--Health Facilities   professions training, including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Loyola University, Chicago, IL, for facilities and equipment                 $400,000  Durbin
 Services.                          Administration (HRSA)--Health Facilities   related to nurse training.
                                    and Services.
Department of Health & Human       Health Resources and Services              Maine Medical Center, Portland, ME, for physician recruitment,               $355,000  Collins, Snowe
 Services.                          Administration (HRSA)--Health Facilities   including scholarships.
                                    and Services.
Department of Health & Human       Health Resources and Services              Manchester College, Fort Wayne, IN, for facilities and equipment...          $150,000  Lugar
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Maniilaq Association, Kotzebue, AK, for facilities and equipment...        $1,500,000  Murkowski
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Marcus Autism Center, Atlanta, GA, for rural health outreach.......          $200,000  Isakson, Chambliss
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Marquette University, Milwaukee, WI, for a comprehensive dental              $850,000  Kohl
 Services.                          Administration (HRSA)--Health Facilities   outreach program.
                                    and Services.
Department of Health & Human       Health Resources and Services              Marshall University, Huntington, WV, for facilities and equipment          $2,300,000  Rockefeller
 Services.                          Administration (HRSA)--Health Facilities   related to genetic research.
                                    and Services.
Department of Health & Human       Health Resources and Services              Massachusetts League of Community Health Centers, Boston, MA, for            $100,000  Kerry
 Services.                          Administration (HRSA)--Health Facilities   workforce training and development.
                                    and Services.
Department of Health & Human       Health Resources and Services              Maui Medical Center, Wailuku, HI, for health professions training,           $100,000  Inouye, Akaka
 Services.                          Administration (HRSA)--Health Facilities   including equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mental Crisis Services, Denver, CO, for electronic health record             $150,000  Bennet
 Services.                          Administration (HRSA)--Health Facilities   implementation.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mercy Medical Center, Inc., Canton, OH, to implement an electronic           $250,000  Voinovich
 Services.                          Administration (HRSA)--Health Facilities   medical records system.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mercy Medical Foundation, Des Moines, IA, for pediatric care                 $500,000  Harkin
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Minidoka Memorial Hospital, Rupert, ID, for facilities and                   $150,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Minot State University, Minot, ND, for its Great Plains Autism               $200,000  Dorgan, Conrad
 Services.                          Administration (HRSA)--Health Facilities   Treatment Program to serve transition-age youth with autism
                                    and Services.                              spectrum disorders.
Department of Health & Human       Health Resources and Services              Mission Health System, Asheville, NC, for facilities and equipment.          $150,000  Hagan
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi Blood Services, Inc., Jackson, MS, for facilities and            $485,000  Cochran
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi County Hospital System d.b.a. Great River Medical                $200,000  Lincoln, Pryor
 Services.                          Administration (HRSA)--Health Facilities   Center, Blytheville, AR, for facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi Primary Health Care Association, Jackson, MS, for                $350,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi State University, Mississippi State, MS, for biomedical        $1,000,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities   engineering facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi State University, Mississippi State, MS, for facilities          $500,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Mississippi University for Women, Columbus, MS, for facilities and           $190,000  Cochran, Wicker
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Missouri River Medical Center, Fort Benton, MT, for facilities and           $300,000  Tester, Baucus
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Moses Cone Health System, Greensboro, NC, for facilities and                 $200,000  Hagan
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Murray State University, Murray, KY, to purchase a mobile health             $500,000  McConnell
 Services.                          Administration (HRSA)--Health Facilities   unit.
                                    and Services.
Department of Health & Human       Health Resources and Services              Nathan Adelson Hospice Foundation, Las Vegas, NV, for facilities             $590,000  Reid
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              National Jewish Health, Denver, CO, for facilities and equipment...          $250,000  Bennet
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Native Women's Health Care Center, Rapid City, SD, for facilities            $100,000  Johnson
 Services.                          Administration (HRSA)--Health Facilities   and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Navos, Seattle, WA, for facilities and equipment...................          $100,000  Cantwell, Murray
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Nevada Cancer Institute, Las Vegas, NV, for equipment..............          $750,000  Reid
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              New Mexico Foundation for Dental Health, Research and Education,             $100,000  Bingaman, Tom Udall
 Services.                          Administration (HRSA)--Health Facilities   Albuquerque, NM, for outreach, care coordination, and support of
                                    and Services.                              oral health care.
Department of Health & Human       Health Resources and Services              New York Presbyterian Hospital, New York, NY, for facilities and             $150,000  Gillibrand, Schumer
 Services.                          Administration (HRSA)--Health Facilities   equip-  ment.
                                    and Services.
Department of Health & Human       Health Resources and Services              New York University Langone Medical Center, New York, NY, for                $750,000  Schumer
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              North Colorado Medical Center, Greeley, CO, for facilities and               $250,000  Bennet
 Services.                          Administration (HRSA)--Health Facilities   equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              North Dakota Medical Association, Bismarck, ND, to set up a                  $250,000  Dorgan, Conrad
 Services.                          Administration (HRSA)--Health Facilities   statewide quality improvement network.
                                    and Services.
Department of Health & Human       Health Resources and Services              North Idaho College, Coeur d'Alene, ID, to expand the physical               $100,000  Crapo, Risch
 Services.                          Administration (HRSA)--Health Facilities   therapy program.
                                    and Services.
Department of Health & Human       Health Resources and Services              North Shore Long Island Jewish Health System, Great Neck, NY, to             $500,000  Gillibrand, Schumer
 Services.                          Administration (HRSA)--Health Facilities   implement electronic medical records.
                                    and Services.
Department of Health & Human       Health Resources and Services              Northeast Missouri Health Council, Inc., Kirksville, MO, for                 $750,000  Bond
 Services.                          Administration (HRSA)--Health Facilities   facilities and equipment.
                                    and Services.
Department of Health & Human       Health Resources and Services              Nye County, Pahrump, NV, for facilities and equipment..............          $400,000  Reid
 Services.                          Administration (HRSA)--Health Facilities
                                    and Services.
Department of Health & Human       Health Resources and Services              Oakwood Healthcare, Inc., Dearborn, MI, for facilities and                   $150,000  Stabenow, Levin
 Services.                          Administration (HRSA)--Health Facilities   equipment related to orthopedics.
                                    and Services.
Department of Health & Human       Health Resources and Services              Oglala Sioux Tribe, Pine Ridge, SD, for facilities and equipment             $250,000  Johnson
 Services.                          Administration (HRSA)--Health Facilities   related to emergency care.
                                    and Services.
Department of Health & Human       Health Resources and Services              Ohio State University Comprehensive Cancer Center--James Cancer              $200,000  Voinovich,