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107th Congress                                                   Report
                        HOUSE OF REPRESENTATIVES
 1st Session                                                    107-229

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



 
  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2002

                                _______
                                

October 9, 2001.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

                                _______
                                

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

                              R E P O R T

                        [To accompany H.R. 3061]

    The Committee on Appropriations submits the following 
report in explanation of the accompanying bill making 
appropriations for the Departments of Labor, Health and Human 
Services (except the Food and Drug Administration and the 
Indian Health Service), and Education, Armed Forces Retirement 
Home, Corporation for National and Community Service, 
Corporation for Public Broadcasting, Federal Mediation and 
Conciliation Service, Federal Mine Safety and Health Review 
Commission, Institute of Museum and Library Services, Medicare 
Payment Advisory Commission, National Commission on Libraries 
and Information Science, National Council on Disability, 
National Labor Relations Board, National Mediation Board, 
Occupational Safety and Health Review Commission, Railroad 
Retirement Board, Social Security Administration, and the 
United States Institute of Peace for the fiscal year ending 
September 30, 2002, and for other purposes.

                        INDEX TO BILL AND REPORT

_______________________________________________________________________


                                                            Page number

                                                            Bill Report
Title I--Department of Labor:
        Employment and Training Administration.............     2
                                                                      9
        Pension and Welfare Benefits Administration........     7
                                                                     16
        Pension Benefit Guaranty Corporation...............     7
                                                                     17
        Employment Standards Administration................     8
                                                                     17
        Occupational Safety and Health Administration......    12
                                                                     19
        Mine Safety and Health Administration..............    15
                                                                     20
        Bureau of Labor Statistics.........................    17
                                                                     20
        Departmental Management............................    17
                                                                     21
        Assistant Secretary for Veterans Employment and 
            Training.......................................    19
                                                                     22
        Office of the Inspector General....................    20
                                                                     23
        General Provisions.................................    20
                                                                     23
Title II--Department of Health and Human Services:
        Health Resources and Services Administration.......    21
                                                                     23
        Centers for Disease Control and Prevention.........    24
                                                                     42
        National Institutes of Health......................    26
                                                                     56
        Substance Abuse and Mental Health Services 
            Administration.................................    32
                                                                    101
        Agency for Healthcare Research and Quality.........    33
                                                                    107
        Centers for Medicare and Medicaid Services.........
                                                                    109
        Administration for Children and Families...........    36
                                                                    113
        Administration on Aging............................    42
                                                                    123
        Office of the Secretary............................    42
                                                                    125
        General Provisions.................................    45
                                                                    132
Title III--Department of Education:
        Education Reform...................................

        Education for the Disadvantaged....................    52
                                                                    134
        Impact Aid.........................................    53
                                                                    137
        School Improvement Programs........................    53
                                                                    138
        Reading Excellence.................................
                                                                    146
        Indian Education...................................    54
                                                                    146
        School Renovation..................................

        Bilingual and Immigrant Education..................    54
                                                                    147
        Special Education..................................    54
                                                                    147
        Rehabilitation Services and Disability Research....    55
                                                                    150
        Special Institutions for Persons with Disabilities.    56
                                                                    153
        Vocational and Adult Education.....................    56
                                                                    154
        Student Financial Assistance.......................    58
                                                                    158
        Federal Family Education Loans.....................    59
                                                                    159
        Higher Education...................................    59
                                                                    160
        Howard University..................................    59
                                                                    167
        College Housing and Academic Facilities Loans......    60
                                                                    167
        Historically Black College and University Capital 
            Financing......................................    60
                                                                    167
        Education Research, Statistics, and Improvement....    60
                                                                    168
        Departmental Management............................    61
                                                                    171
        Office for Civil Rights............................    61
                                                                    172
        Office of the Inspector General....................    61
                                                                    172
        General Provisions.................................    62
                                                                    173
Title IV--Related Agencies:
        Armed Forces Retirement Home.......................    63
                                                                    173
        Corporation for National and Community Service.....    64
                                                                    174
        Corporation for Public Broadcasting................    64
                                                                    175
        Federal Mediation and Conciliation Service.........    65
                                                                    175
        Federal Mine Safety and Health Review Commission...    66
                                                                    175
        Institute of Museum and Library Services...........    67
                                                                    175
        Medicare Payment Advisory Commission...............    67
                                                                    176
        National Commission on Libraries and Information 
            Science........................................    67
                                                                    176
        National Council on Disability.....................    68
                                                                    176
        National Education Goals Panel.....................
                                                                    176
        National Labor Relations Board.....................    68
                                                                    176
        National Mediation Board...........................    69
                                                                    176
        Occupational Safety and Health Review Commission...    69
                                                                    177
        Railroad Retirement Board..........................    69
                                                                    177
        Social Security Administration.....................    71
                                                                    178
        United States Institute of Peace...................    76
                                                                    179
Title V--General Provisions................................    76
                                                                    180
House of Representatives Report Requirements...............


                Summary of Estimates and Appropriations

    The following table compares on a summary basis the 
appropriations including trust funds for fiscal year 2001, the 
budget estimate for fiscal year 2002 and the Committee 
recommendation for fiscal year 2002 in the accompanying bill.

                                 2002 LABOR, HHS, EDUCATION APPROPRIATIONS BILL
                                            [In millions of dollars]
----------------------------------------------------------------------------------------------------------------
                                                             Fiscal year--               2002 committee compared
                                                ---------------------------------------           to--
                                                                                       -------------------------
                                                     2001     2002 budget      2002         2001
                                                  comparable                committee    comparable  2002 budget
----------------------------------------------------------------------------------------------------------------
Department of Labor............................      $11,235      $13,511      $12,001         $766      -$1,510
    Advances...................................       $2,463            0        2,098         -365        2,098
Department of Health and Human Services........      225,882      250,635      250,652       24,770           17
    Advances...................................       40,373       49,456       50,856       10,483        1,400
Department of Education........................       30,056       47,023       37,151        7,095       -9,872
    Advances...................................       14,581            0       14,597           16       14,597
Related Agencies...............................       29,434       28,187       28,198       -1,236           11
    Advances...................................       10,949       10,898       11,263          314          365
Grand Total, current year......................      269,607      339,356      328,002       31,395      -11,354
    Advances...................................       68,366       60,354       78,814       10,448       18,460
Current year total using 302(b) scorekeeping...      357,929      407,607      396,219       38,290      -11,388
    Mandatory..................................      248,577      272,554      272,494       23,917          -60
    Discretionary..............................      109,352      135,053      123,725       14,373      -11,328
----------------------------------------------------------------------------------------------------------------


                                           PROGRAM LEVEL DISCRETIONARY
                                            [In millions of dollars]
----------------------------------------------------------------------------------------------------------------
                                                             Fiscal year--               2002 committee compared
                                                ---------------------------------------           to--
                                                                                       -------------------------
                                                     2001     2002 budget      2002         2001
                                                  comparable                committee    comparable  2002 budget
----------------------------------------------------------------------------------------------------------------
Department of Labor............................      $11,712      $11,338      $11,927         $215         $598
Department of Health and Human Services........       49,275       51,673       53,151        3,876        1,478
Department of Education........................       42,238       44,541       49,267        7,029        4,726
Related Agencies...............................        8,694        8,776        8,787           93           11
                                                ----------------------------------------------------------------
      Subtotal, Program Level..................      111,919      116,328      123,132       11,213        6,804
Adjustments....................................       -2,567       18,725          593        3,160      -18,132
                                                ----------------------------------------------------------------
      Total, Discretionary.....................      109,352      135,053      123,725       14,373      -11,328
----------------------------------------------------------------------------------------------------------------

                         Highlights of the Bill

    Funding levels in the fiscal year 2002 appropriation bill 
for the Departments of Labor, Health and Human Services, and 
Education and Related Agencies reflect the Committee's attempt 
to establish priorities within the limitations and competing 
demands facing the Committee. Mandatory spending continues its 
inexorable increase, this year by $32.6 billion or 13 percent.
    As in past years, the Committee has increased funding for 
programs that work for people and represent a core Federal 
responsibility. Consistent with the fiscal year 2002 budget 
request and passage in the House of Representatives of H.R. 1, 
the bill places high priority on enhancing Federal support for 
education. For example, the bill embraces reforms outlined in 
the budget request and embodied in H.R. 1 for funding 
Elementary and Secondary Education Act programs. The bill also 
maintains the Committee's commitment to raising the Federal 
contribution for educating students with special needs under 
the Individuals with Disabilities Education Act and to 
increasing support for students pursuing a higher education by 
raising the maximum Pell Grant.
    Bill total.--Total funding, including offsets, for fiscal 
year 2002 in the Departments of Labor, Health and Human 
Services and Education and Related Agencies Appropriations Act, 
2002 is $406,816,801,000. For Discretionary accounts for 2002 
the bill provides $123,725,000,000, including offsets.
    Mandatory programs.--The bill provides $272,494,315,000 for 
entitlement programs in fiscal year 2002. Seventy percent of 
the funding in the bill is for these mandatory costs. Funding 
requirements for entitlement programs are determined by the 
basic authorizing statutes. Mandatory programs include general 
fund support for the Medicare and Medicaid programs, 
Supplemental Security Income, and Black Lung payments. The 
following chart indicates the funding levels for the major 
mandatory programs in fiscal years 2000 and 2001 and the growth 
in these programs.

                                                    MANDATORY
                                             [Dollars in thousands]
----------------------------------------------------------------------------------------------------------------
                                                                 Fiscal year      Fiscal year
                           Program                                   2001             2002            Change
----------------------------------------------------------------------------------------------------------------
Department of Labor:
    Black Lung Disability Trust Fund.........................       $1,027,900       $1,036,115           $8,215
Department of Health and Human Services:
    Center for Medicare and Medicaid Services:
        Medicaid current law benefits........................      122,488,800      134,308,100       11,819,300
        Medicare Payments to Health Care Trust Fund..........       70,381,600       81,924,200       11,542,600
Department of Education:
    Rehabilitation Services..................................        2,399,790        2,481,383           81,593
Related Agencies:
    Social Security Administration:
        Special Benefits for Disabled Coal Miners............          489,748          446,840          -42,908
        Supplemental Security Income.........................       32,933,000       31,740,412       -1,192,588
----------------------------------------------------------------------------------------------------------------

    Department of Labor.--The bill appropriates $14,099,407,000 
for the Labor Department, an increase of $401,628,000 above the 
comparable fiscal year 2001 amount and $588,541,000 above the 
budget request. Program level funding for discretionary 
programs totals $11,926,642,000, which is an increase of 
$588,426,000 above the budget request and $214,641,000 over 
least year's level. Included is $5,578,647,000 to carry out the 
provisions of the Workforce Investment Act (WIA). Due to the 
slowing economy and growing unemployment, the bill provides 
$105,694,000 above fiscal year 2001, and $454,626,000 above the 
budget request, for WIA job training and employment services 
activities.
    Job Corps.--The Committee provides $1,474,174,000 for Job 
Corps. This is $75,026,000 above both the fiscal year 2001 
level and the budget request.
    Youth Opportunity Grants.--The Committee provides 
$250,000,000 for this program, the same as fiscal year 2001 and 
the budget request.
    Employment Standards Administration.--The Committee 
recommends $369,631,000 for ESA. This level is $6,915,000 above 
the fiscal year 2001 level.
    Occupational Safety and Health Administration.--The 
Committee recommends funding for OSHA at $435,307,000, 
$9,472,000 above the budget request and $9,421,000 above last 
year's level. Within OSHA, state compliance assistance programs 
are increased by $2,503,000 above fiscal year 2001 and 
$4,578,000 above the budget request.
    Department of Health and Human Services.--The bill 
appropriates $301,508,579,000, which is $1,417,794,000 above 
the budget request and $35,253,396,000 above the fiscal year 
2001 level. Program level funding for discretionary programs 
totals $53,150,728,000, which is $1,477,394,000 above the 
President's request and $3,876,081,000 above last year's level.
    Countering Bioterrorism.--In fiscal year 1999, the 
Committee began increasing support for developing an 
infrastructure and resources for the medical and public health 
response to terrorist acts involving biological or chemical 
weapons. This effort involved the activities of the Office of 
Emergency Preparedness (OEP) within the Office of the 
Secretary; the Centers for Disease Control and Prevention 
(CDC); and the National Institutes of Health (NIH). Although 
progress has been made, the tragic events of September 11, 2001 
impressed upon the Committee the importance of ensuring that 
the Country is prepared at the Federal, State and local levels 
to respond rapidly to any incident of bioterrorism. The 
Committee recommendation includes $393,319,000 for countering 
bioterrorism and improving preparedness. Of this amount, 
$300,619,000 is provided within the Public Health and Social 
Services Emergency Fund to support the activities of the Office 
of the Secretary, the Office of Emergency Preparedness, and the 
Centers for Disease Control and Prevention. In addition, an 
estimated $92,700,000 will be used to fund research supported 
by the National Institutes of Health. These amounts total 
$100,000,000 over comparable levels in fiscal year 2001.
    Health Resources and Services Administration.--Funding for 
the Health Resources and Services Administration (HRSA) 
programs is $5,813,119,000, an increase of $117,111,000 above 
last year and $718,793,000 above the budget request. Within 
HRSA, the community health centers funding is at 
$1,318,559,000, an increase of $150,000,000 above the fiscal 
year 2001 level and $25,836,000 above the budget request. 
Health professions training is funded at $669,992,000, 
$82,103,000 above last year's level and $330,145,000 above the 
budget request. Ryan White AIDS Care Act programs are funded at 
$1,919,609,000, $112,000,000 above last year and $111,845,000 
above the budget request.
    Centers for Disease Control and Prevention.--The bill 
provides $4,077,060,000 directly to the Centers for Disease 
Control and Prevention (CDC) and an additional $231,919,000 for 
CDC activities related to bioterrorism preparedness funded in 
the Public Health and Social Services Emergency Fund. As a 
result, overall funding for CDC is $4,308,979,000, $264,287,000 
above the comparable fiscal year 2001 level and $430,449,000 
above the budget request.
    National Institutes of Health.--The Committee provides 
$22,874,971,000 for biomedical research activities at the 
National Institutes of Health (NIH). This is $2,579,711,000 
above the comparable fiscal year 2001 level and the same 
program level provided in the budget request. The Committee has 
maintained its policy of resisting disease specific earmarks in 
the bill and report, believing that decisions as to appropriate 
levels of funding and appropriate avenues of research are best 
left to the scientific managers at NIH. NIH has testified that 
its allocation will allow increases above the overall NIH level 
for research related to Parkinson's disease, Alzheimer's 
disease, diabetes and cardiovascular disease, among others.
    Substance Abuse and Mental Health Services 
Administration.--The bill provides $3,131,558,000 for the 
Substance Abuse and Mental Health Services Administration 
(SAMHSA), an amount $168,134,000 above fiscal year 2001 and 
$102,102,000 above the budget request. The Committee has 
provided $1,725,000,000 for the Substance Abuse Block Grant 
which is $60,000,000 above last year's level and the same as 
the budget request.
    Agency for Healthcare Research and Quality.--The bill 
provides $306,245,000 for the Agency for Healthcare Research 
and Quality (AHRQ), an amount $36,510,000 above last year and 
the same as the budget request.
    Low Income Home Energy Assistance.--The Committee 
recommendation provides $1,700,000,000 for the Low Income Home 
Energy Assistance Program in fiscal year 2002. An additional 
$300,000,000 is provided in emergency funding for heating and 
cooling emergencies. The combination of the formula and 
emergency funds brings the total in the bill to $2,000,000,000 
which is $300,000,000 above both the fiscal year 2001 and the 
budget request.
    Child Care and Development Block Grant.--The fiscal year 
2001 Departments of Labor, Health and Human Services and 
Education and Related Agencies Act provided $2,199,987,000 for 
fiscal year 2002 funding of the Child Care and Development 
Block Grant. This is $200,119,000 over fiscal year 2001 and the 
same as the budget request.
    Social Services Block Grant.--The Committee recommends 
$1,700,000,000, for the Social Services Block Grant. This is 
$25,000,000 below last year and the same as the budget request.
    Head Start.--The bill includes $6,475,812,000 for Head 
Start, $276,000,000 above last year's level and $151,000,000 
above the budget request.
    Community Services Block Grant.--The bill provides 
$620,000,000 for the community services block grant, 
$20,009,000 above both the fiscal year 2001 level and the 
budget request.
    Funding of Abortions.--The bill includes the revised 
``Hyde'' language that has been carried in the bill for several 
years.
    Human Embryo Research.--The bill includes the same language 
included for the past several years to prohibit the use of 
funds for research involving human embryos. This language also 
has the effect of prohibiting Federal support for human 
cloning.
    Needle Exchange.--The bill includes a prohibition on the 
use of Federal funds for needle exchange programs, which is the 
same as last year.
    Title X Family Participation in Decisions of Minors to Seek 
Family Planning.--The bill includes language requiring 
recipients of title X funding, family planning funding, to 
certify that it encourages family participation in the decision 
of minors to seek family planning services and that it provides 
counseling to minors on how to resist attempts to coerce minors 
into engaging in sexual activities. This language has been 
included in the bill for several years.
    Title X Compliance With State Laws.--The bill includes a 
provision, continued from last year, requiring Title X clinics 
to comply with State laws relating to notification or reporting 
of child abuse, child molestation, sexual abuse, rape or 
incest.
    Department of Education.--The bill funds programmatic and 
support activities in the Department of Education at 
$49,266,632,000, an increase of $4,725,469,000 above the budget 
request and $7,028,811,000 above last year's level (adjusted 
for advance appropriations in fiscal year 2001).
    Education for the Disadvantaged.--The bill provides 
$10,500,000,000, for grants to local education agencies under 
title I of the Elementary and Secondary Education Act. This 
level is $1,737,279,000 above the fiscal year 2001 amount and 
$1,439,279,000 above the request level. The bill also provides 
$310,000,000, $50,000,000 above the budget request and 
$100,000,000 above last year, for Comprehensive School Reform. 
The bill also includes $975,000,000 for Reading First and Early 
Reading First, two new programs designed to help all children 
learn to read. This level is the same as the budget request.
    Impact Aid.--The bill provides $1,130,500,000 for school 
districts that are impacted by Federal activities, such as 
military bases or Indian lands. This is an increase of 
$137,198,000 above the fiscal year 2001 level, and the same as 
the budget request.
    School Improvement Programs.--The bill provides 
$3,175,000,000 for State grants for improving teacher quality, 
a new program which consolidates existing teacher training 
programs. The budget request was $2,600,000,000. The bill 
provides $1,000,000,000 in this account for educational 
technology state grants, a new program which consolidates 
existing educational technology programs. The budget request 
was $817,096,000. 21st Century Community Learning Centers are 
funded at $1,000,000,000 in the bill, an increase of 
$154,386,000 above both last year's level and the budget 
request.
    Bilingual and Immigrant Education.--Bilingual and Immigrant 
Education programs are funded at $700,000,000, an increase of 
$240,000,000 above fiscal year 2001 amount and the budget 
request.
    Special Education.--The Committee recommends an overall 
program funding level for special education programs of 
$8,860,076,000, $1,420,128,000 above last year's level and 
$434,481,000 above the budget request. The bill provides a 
$1,375,000,000 increase for grants to states under part B of 
the Individuals with Disabilities Education Act.
    Vocational and Adult Education.--Vocational education state 
grants are funded at $1,250,000,000 and adult education state 
grants are funded at $595,000,000.
    Student Financial Assistance and Higher Education.--The 
Committee places a high priority on direct assistance to 
students. For Student Financial Aid, the Committee provides 
$12,410,000,000, $1,736,100,000 above last year and 
$736,100,000 above the budget request. For Higher Education, 
the Committee provides $1,906,401,000. This level is $5,309,000 
below last year and $183,178,000 above the request. The bill 
includes funding to allow the maximum Pell grant to rise to 
$4,000--the highest in history, $250 above last year and $150 
above the budget request. SEOG's, TRIO and institutional 
development for minority schools are increased. TRIO is funded 
at $800,000,000, an increase of $70,000,000 above fiscal year 
2001 and $20,000,000 above the President's request.
    Education Research and Statistics.--The Committee proposes 
$445,620,000 for education research and statistics.
    Social Security Administrative Costs.--Funding for the cost 
of administering the social security programs is 
$7,568,000,000, $444,000,000 above last year and the same as 
the budget request. Full funding is provided for continuing 
disability reviews.
    National Labor Relations Board.--Funding for the National 
Labor Relations Board is $221,438,000, $5,000,000 above last 
year's level and the same as the budget request.
    Corporation for Public Broadcasting.--CPB is an advance 
funded account with funds already appropriated through fiscal 
year 2003. Funding proposed by the Committee is $365,000,000 
for 2004, the same as fiscal year 2003 and the budget request.

                           Transfer Authority

    The Committee, again this year, has included a general 
transfer authority for several of the Departments and agencies 
funded under this bill. In doing so, it is providing the 
Executive Branch with the ability to respond to emergencies or 
unanticipated needs.
    The Committee reiterates that it is not the purpose of the 
transfer authority to provide funding for new policy proposals 
that can, and should, be included in subsequent budget 
proposals. The Congress sets funding levels for programs, 
projects and activities through the annual appropriations act 
and the accompanying tables included in the conference report. 
Absent the need to respond to emergencies or unforeseen 
circumstances discussed above, this authority cannot be used 
simply to increase funding for programs, projects or activities 
because of disagreements over the funding level or the 
difficulty or inconvenience with operating levels set by the 
Congress.

                 Government Performance and Results Act

    As with last year, the Committee believes that the 
Departments and agencies under its jurisdiction have made 
progress toward the establishment of goals and other benchmarks 
as required by the Government Performance and Results Act. 
However, they remain a long way from meeting its overall 
intent. As noted in specific instances throughout this Report, 
the Committee continues to feel that quantifiable and 
measurable individual performance indicators need to be 
developed for each program. Individual indicators need to be 
specific and measurable wherever possible, need to be 
consistent with other measures used in similar programs and 
need to be supported by systems that can provide annual 
information on the progress being made toward achieving the 
stated goals. There are still far too many programs with 
indicators using the terms ``increase,'' or ``decrease,'' or 
``improve'' rather than specific numerical goals.
    In addition, these indicators must increasingly focus on 
the improvements in employment and income, worker safety, 
health status, biomedical discoveries, the quality of life of 
various populations, educational achievement, and the many 
other goals that are the primary purpose of the programs funded 
by this bill. Again, the indicators are far too often related 
to the issuance of program guidance or focus on the number of 
individuals served. The Committee is disappointed that the 
baselines so necessary for measuring progress are not being 
established rapidly enough. These baselines need to indicate 
multi-year trends so that the Committee and the American people 
can judge program effectiveness against long-term trend data.
    Finally, the Committee continues to urge the Departments 
and agencies under its jurisdiction to manage themselves based 
on performance and outcomes. They should use outcome and 
performance measures as the primary management tool for 
resource allocation and the evaluation of programs and 
individuals. The Committee expects that each Department and 
office funded in the bill will be prepared to testify during 
the fiscal year 2003 cycle on how performance and outcome 
measures are being used to manage their programs, including:
    How outcome and performance goals are being established for 
individual offices within departments and how they are held 
accountable for the achievement of these goals;
    How such data is used to establish individual performance 
goals; and
    How actual performance is measured against these goals and 
the kinds of incentives, both positive and negative, that are 
in place to assure the achievement of overall goals.

                            Operating Plans

    The Committee directs the Departments and agencies 
identified in the report accompanying the fiscal year 1998 bill 
to continue to provide it with operating plans on the dates 
identified in that report. These plans should follow the 
instructions outlined in House Report 106-370.
    The Committee believes that the Departments and agencies 
must make better progress in upgrading their financial 
management systems to determine better the actual flow of 
appropriated dollars to individual programs and identifying 
obligation schedules. However, the Committee is troubled by the 
fact that for many programs, simple formulas are used for 
outlay and obligation patterns rather than a true analysis of 
the likely obligation and spending patterns for the program.

                      TITLE I--DEPARTMENT OF LABOR


                 Employment and Training Administration


                    training and employment services

    The Committee recommends $5,583,147,000 for this account, 
which provides funding authorized primarily by the Workforce 
Investment Act (WIA). This is $105,694,000 above the fiscal 
year 2001 level and $454,626,000 above the budget request. Of 
the total provided, the Committee recommends that 
$2,098,000,000 is made available as of October 1, 2002.
    The Training and Employment Services account is comprised 
of programs that enhance the employment and earnings of those 
in need of such services, operated through a decentralized 
system of skill training and related services. The account is 
mostly forward-funded on a July to June cycle, with funds 
provided for fiscal year 2002 supporting the effort from July 
1, 2002 through June 30, 2003.
    Program year 2000 was the first year under the new 
Workforce Investment Act, beginning July 1, 2000. The new 
legislation is expected to significantly enhance employment and 
training services, consolidating, coordinating, and improving 
programs utilizing a local level one-stop delivery system. 
There was a difficult transition to the Workforce Investment 
Act in program year 2000 in which States experienced 
significant carry-over balances. The Committee is concerned 
about this and is closely monitoring State expenditure 
patterns.
    The Committee requests the Department submit a report, no 
later than June 30, 2002, on the extent to which the Workforce 
Investment Act State grant funding is used by migrant and 
seasonal farmworkers. Included in the report should be 
information concerning the utilization of the training programs 
by this population, causes for underutilization if any, and 
whether these programs meet the needs of migrant and seasonal 
farmworkers, whether they are culturally appropriate and 
whether they reflect the training needs of these populations.
    The Committee notes that the Workforce Investment Act 
requires the establishment of local workforce investment boards 
that are to be comprised of local public and private sector 
leaders, among them representatives from community-based 
organizations. The Committee urges the Department to encourage 
State and local authorities to include individuals familiar 
with community and faith-based organizations on local workforce 
investment boards.

Adult employment and training activities

    For adult employment and training activities, the Committee 
recommends $950,000,000. Of this amount, $712,000,000 will 
become available on October 1, 2002. The total recommended is 
$50,000,000 more than the budget request and the same as the 
2001 comparable level.
    This program is authorized by the Workforce Investment Act. 
The funds are allocated by formula to States and further 
distributed to local workforce investment boards. Services for 
adults will be provided through the One-Stop system and most 
customers receiving training will use their individual training 
accounts to determine which programs and providers fit their 
needs. The Act authorizes core services, which will be 
available to all adults with no eligibility requirements, and 
intensive services, for unemployed individuals who are not able 
to find jobs through core services alone.
    States have had difficulty transitioning to the Workforce 
Investment Act and as a result, have experienced significant 
carry-over from program year 2000 funds. The Committee believes 
that with the downturn in the economy and more and more workers 
being laid off from their jobs that funding levels should be 
increased to meet those training needs. However, the Committee 
will continue to closely monitor the expenditures for this 
program, as well as the other State grant training programs 
authorized by the Workforce Investment Act.

Dislocated worker employment and training activities

    For dislocated worker employment and training activities, 
the Committee recommends $1,535,040,000, of which, $695,000,000 
will be made available on October 1, 2002. This total is 
$97,500,000 more than the 2001 comparable level and 
$152,000,000 more than the budget request.
    This activity is a State-operated program which provides 
core services, intensive services, training, and supportive 
services to help permanently separated workers return to 
productive, unsubsidized employment. In addition, States use 
these funds for rapid response assistance to help workers 
affected by mass layoffs and plant closures. Eighty percent of 
funding is distributed by formula to the States. The remaining 
twenty percent is available to the Secretary for activities 
specified in WIA, primarily to respond to mass layoffs, plant 
and/or military base closings, and natural disasters across the 
country, which cannot be otherwise anticipated, as well as 
technical assistance and training and demonstration projects.
    Funding was reduced in this program in the fiscal year 2001 
supplemental due to the significant carry-over balances 
anticipated from fiscal year 2000 funds. The Committee believes 
that with the downturn in the economy and more and more workers 
being dislocated permanently from their jobs that funding 
levels should be increased to meet those training needs. 
However, the Committee will continue to closely monitor the 
expenditures for this program, as well as the other State grant 
training programs authorized by the Workforce Investment Act.

Youth activities

    For youth activities, the bill includes $1,353,065,000. 
This level is $225,100,000 above the fiscal year 2001 funding 
and $352,100,000 above the budget request.
    The Workforce Investment Act consolidated the Summer Youth 
Employment and Training Program and Youth Training Grants under 
JTPA into a single youth training activity. The funds are 
allocated by formula to States and further distributed to local 
workforce investment boards. Also, the Workforce Investment Act 
requires that when the appropriation for this program exceeds 
$1,000,000,000, up to $250,000,000 shall be reserved by the 
Secretary for Youth Opportunity grants. These grants are aimed 
at increasing the long-term employment of youth who live in 
empowerment zones, enterprise communities, and other high-
poverty areas. In past appropriations, the Committee has 
provided funds for these grants as a separate program. The 
Committee believes that consolidating the funding for both of 
these youth programs is consistent with the Workforce 
Investment Act.
    Funds reserved in fiscal year 2002 for the Youth 
Opportunity grants are sufficient to maintain the current 
projects administered in this program. The Committee 
understands that the Department is conducting a review of this 
program and requests a copy of this review upon completion.
    States have had difficulty transitioning to WIA and as a 
result, have experienced significant carry-over from program 
year 2000 funds. The Committee believes that with the downturn 
in the economy affecting all members of the workforce, 
including youth, that funding levels should be increased to 
meet those training needs. However, the Committee will continue 
to closely monitor the expenditures for this program, as well 
as other State grant training programs authorized by the 
Workforce Investment Act.

Youth opportunity grants

    The Committee does not provide separate funding for the 
Youth Opportunity grants in fiscal year 2002. Funding for the 
program has been provided in the Youth Training program as 
authorized in the Workforce Investment Act.

Job Corps

    For Job Corps, the Committee recommends $1,474,174,000. 
This is $75,026,000 more than the 2001 comparable level and the 
budget request. Of the amount provided, $691,000,000 will 
become available on October 1, 2002.
    The Job Corps, authorized by WIA, is a nationwide network 
of residential facilities chartered by Federal law to provide a 
comprehensive and intensive array of training, job placement 
and support services to at-risk young adults. The mission of 
Job Corps is to attract eligible young adults, teach them the 
skills they need to become employable and independent, and 
place them in meaningful jobs or further education. 
Participation in the program is open to economically 
disadvantaged young people in the 16-24 age range who are 
unemployed and out of school. Most Job Corps students come from 
disruptive or debilitating environments, and it is important 
that they be relocated to residential facilities where they can 
benefit from the highly structured and carefully integrated 
services provided by the Job Corps program. A limited number of 
opportunities are also available for non-residential 
participation. The Committee supports the effort of the 
Workforce Investment Act of 1998 to more fully integrate Job 
Corps centers in their local communities.
    As a national training program, Job Corps is particularly 
well suited to help meet the needs of large, multi-state 
employers for skilled entry-level workers. The Committee 
commends Job Corps for establishing partnerships with nine 
national employers, and encourages Job Corps to continue to 
work with both larger employers and small businesses to ensure 
that student training meets current labor market needs. Job 
Corps should intensify its efforts to upgrade its vocational 
offerings and curricula to reflect industry standards and skill 
shortages.
    The Committee understands that there is an ongoing need 
within Job Corps to bring salaries of academic and vocational 
instructors into line with those of comparable institutions. 
The Secretary is encouraged to use a portion of the funds 
provided above the budget request to address this need. In 
addition, the Committee reiterates concern expressed last year 
that there is a need to expand the number of Job Corps centers. 
The Committee intends to work with the Secretary prior to 
conference to determine whether a portion of the increase 
should be allocated to Job Corps center renovation and new 
construction. Further, the Committee strongly urges the 
Secretary to include additional construction funds for new 
centers in the 2003 budget, which is currently being 
formulated.

Native Americans

    For Native Americans, the bill includes $55,000,000, the 
amount requested. This is the same as the 2001 comparable 
level. This program, authorized by WIA, is designed to improve 
the economic well-being of Native Americans (Indians, Eskimos, 
Aleuts, and Native Hawaiians) through the provision of 
training, work experience, and other employment-related 
services and opportunities that are intended to aid the 
participants to secure permanent, unsubsidized jobs. The 
Department of Labor allocates formula grants to Indian tribes 
and other Native American groups whose eligibility for such 
grants is established in accordance with Department's 
regulations.

Migrant and seasonal farmworkers

    For Migrant and Seasonal Farmworkers, the Committee 
recommends $77,270,000, which is $500,000 higher than the 2001 
comparable level and the budget request. This program, 
authorized by WIA, is designed to serve members of economically 
disadvantaged families whose principal livelihood is derived 
from migratory and other forms of seasonal farmwork. Through 
training and other employability development services, the 
program prepares eligible seasonal farmworkers and their family 
members for stable, year-round employment, both inside and 
outside the agricultural industry. The program also provides 
health care, day care and other supportive services for 
farmworkers who choose to stay in agriculture. At least 94 
percent of each year's appropriation is allocated to States 
according to a population-based formula. The remainder of each 
year's appropriation is set aside for technical assistance to 
grantees and for other special projects to benefit seasonal 
farmworkers such as the Migrant Farmworker Housing Program. The 
Department is expected to continue the farmworker housing 
program at no less than the current year level.

National programs

    For national programs, the Committee recommends 
$134,098,000. This is $42,432,000 less than the 2001 comparable 
level and $75,000,000 more than the budget request. This 
activity includes WIA-authorized programs in support of the 
workforce system including technical assistance and incentive 
grants, evaluations, pilots, demonstrations and research. In 
addition, the activity includes the National Skills Standards 
Board.
    Technical Assistance/Incentive Grants: The Committee 
recommends $15,000,000, the amount provided in 2001, for the 
provision of technical assistance, staff development, and 
replication of programs of demonstrated effectiveness; as well 
as incentive grants to each State that exceeds State adjusted 
levels of performance for WIA State programs.
    Pilots, Demonstrations and Research: The Committee 
recommends $55,000,000 for grants or contracts to conduct 
research, pilots or demonstrations that improve techniques or 
demonstrate the effectiveness of programs. This is $42,432,000 
below the 2001 level and $20,000,000 more than the budget 
request.
    The Committee is greatly concerned that America faces a 
desperate need for qualified help in hospitals, assisted living 
facilities, nursing homes, and home health. As the country 
ages, this demand will only get stronger. The demand for 
trained and qualified health care workers is at record levels. 
The Committee encourages the Department to support research and 
pilot programs which would encourage the training and retention 
of health care workers to help confront the health care worker 
shortage facing every community. The Committee also urges the 
Secretary to work closely with the Attorney General to develop 
appropriate foreign trained nurses and nursing assistant visa 
programs in order to assure an adequate supply of quality 
health care workers in the United States.
    The Committee is also aware of the acute need to provide 
models for cooperation between government and small faith and 
community-based entities in the administration of Federal job 
training funds. The Committee believes the Department of Labor 
should develop and implement pilot and demonstration programs 
that are targeted at creating such models as well as improving 
outreach, technical assistance and capacity building among 
faith-based and community organizations working in the areas of 
job readiness and training.
    Responsible Reintegration of Youthful Offenders: The 
Committee recommends $55,000,000. This is the same as the 2001 
level; no funding was requested in fiscal year 2002.
    Employer-based national training contractors play a unique 
role in helping the Department comply with the Workforce 
Investment Act's requirements for closer ties with industry, 
while fulfilling the skills training and job placement needs of 
this country's most economically disadvantaged youth. The 
Committee encourages the Department to expand its relationships 
with these organizations. The Committee recognizes the Home 
Builders Institute's Project CRAFT (Community Restitution and 
Apprenticeship Focused Training) program as a successful model 
and proven intervention technique in the rehabilitation and 
reduced recidivism of accused and adjudicated juvenile 
offenders. The Committee also acknowledges the home building 
industry's shortage of skilled workers and the role that 
Project CRAFT plays in helping to address this need. As such, 
the Committee encourages the Department to work with the 
Department of Justice to replicate project CRAFT in order to 
offer at-risk and juvenile offenders training and job placement 
in the building industry.
    Evaluation: The Committee recommends $9,098,000 to provide 
for the continuing evaluation of programs conducted under WIA, 
as well as of federally-funded employment-related activities 
under other provisions of law. This is the same as both the 
2001 level and the budget request.
    National Skill Standards Board: The Committee recommends 
$3,500,000 for the Board to continue the development of 
voluntary partnerships. This is the same as the 2001 level and 
the budget request.
    The Committee has provided funds to be used to complete the 
activities of the Board, as this is the final year of funding, 
and to transition the voluntary partnerships to self-sustaining 
operations, as requested in the budget.
    Women in Apprenticeship for Non-Traditional Occupations: 
The Committee recommends $1,000,000. This is the same as the 
2001 level and the budget request.
    The Women in Apprenticeship and Non-traditional Occupations 
program supports the Women's Bureau work with community and 
faith-based organizations who provide technical assistance to 
employers and labor unions on how to effectively recruit, hire, 
and retain women in non-traditional jobs. The program will 
continue to focus on recruiting women for jobs in high 
technology.

            community service employment for older americans

    The bill includes $440,200,000 for community service 
employment for older Americans. This is the same as the fiscal 
year 2000 level and the budget request.
    The community service employment for older Americans 
program provides grants to public and private nonprofit 
organizations that subsidize part-time work in community 
service activities for unemployed persons aged 55 and older, 
whose family's annual income does not exceed 125 percent of the 
poverty level. The funds provided will maintain the fiscal year 
2001 level of 48,000 slots in community services such as day-
care centers, schools, and hospitals.

              federal unemployment benefits and allowances

    The bill includes $11,000,000, and an additional 
$404,650,000 contingent upon authorization. Authorization for 
trade adjustment assistance benefits and NAFTA transitional 
adjustment assistance benefits were authorized through 
September 30, 2001. The Committee has provided additional 
funding contingent upon enactment of legislation extending 
these programs.
    Weekly benefits as well as training and job search 
allowances are provided to certified workers adversely affected 
by imports and trade with countries covered by the North 
America Free Trade Agreement.

     state unemployment insurance and employment service operations

    The bill includes $3,400,338,000 for this account, an 
increase of $16,628,000 above the fiscal year 2001 level and 
$14,000,000 below the budget request. Included in the total 
availability are $3,236,886,000 authorized to be drawn from the 
Employment Security Administration Account of the Unemployment 
Trust Fund and $163,452,000 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.
    For Unemployment Insurance Services, the bill provides 
$2,413,923,000. This total includes $2,403,923,000 for State 
Operations and $10,000,000 for national activities. The 
recommendation is $46,628,000 more than the fiscal year 2001 
level and the same as the budget request.
    For the Employment Service, the bill provides $846,415,000 
which includes $23,452,000 in general funds together with an 
authorization to spend $822,963,000 from the Employment 
Security Administration Account of the Unemployment Trust Fund. 
These amounts are the same as the fiscal year 2001 level and 
the budget request. Included in the bill for the Employment 
Service is $796,735,000 for Wagner-Peyser Act Grants to States, 
available for the program year of July 1, 2001 through June 30, 
2002. This is the same as the fiscal year 2001 level and the 
budget request.
    The Committee has provided $49,680,000 for ES national 
activities, the same as the fiscal year 2001 level and the 
budget request.
    Funds provided support the Alien Labor Certification 
Program, Welfare-to-Work tax credit programs, capacity building 
and technical assistance. The Committee notes that the 
Administration has requested funds to support the 
implementation of the permanent labor application and 
adjudication process.
    The bill provides $20,000,000 for Work Incentive Grants. 
This is the same as the fiscal year 2001 level and the budget 
request.
    Work Incentive Grants are competitively awarded to 
partnerships of organizations that assist the One-Stop system 
in providing the full range of services to people with 
disabilities.
    The Committee has provided $120,000,000 for One-Stop career 
centers. This is $30,000,000 less than the fiscal year 2001 
level and $14,000,000 less than the budget request. The One-
Stop program provided significant funding for State 
implementation of One-Stop grants to create a comprehensive one 
stop system for service delivery. The Committee understands 
that the Department is focusing on universal access through its 
core products and encourages the Department to streamline and 
avoid duplication in its labor market information products.

        advances to the unemployment trust fund and other funds

    The bill includes $464,000,000, the same as the budget 
request and an increase of $29,000,000 above the fiscal year 
2001 level. The appropriation is available to provide advances 
to several accounts for purposes authorized under various 
Federal and State unemployment compensation laws and the Black 
Lung Disability Trust Fund, whenever balances in such accounts 
prove insufficient.

                         program administration

    The bill includes total funding for this account of 
$161,863,000. This is $3,000,000 more than the 2001 level and 
$785,000 more than the budget request. This includes 
$113,365,000 in general funds and authority to expend 
$48,507,000 from the Employment Security Administration Account 
of the Unemployment Trust Fund.
    Within the funds provided, the Committee assumes a 4.6 
percent pay increase as well as an increase of $1.5 million for 
procuring contractor services to provide specialized financial 
and program management information to all levels of ETA 
organizations.
    General funds in this account provide the Federal staff to 
administer employment and training programs under the Workforce 
Investment Act, the Older Americans Act, the welfare-to-work 
program, the Trade Act of 1974, and the National Apprenticeship 
Act. Trust funds provide for the Federal administration of 
employment security functions under title III of the Social 
Security Act and the Immigration and Nationality Act.

              Pension and Welfare Benefits Administration


                         salaries and expenses

    The bill provides $109,866,000 for this account, an 
increase of $2,233,000 over the fiscal year 2001 level and 
$1,878,000 over the budget request. Within the funds provided, 
the Committee assumes a 4.6 percent pay increase.
    The Pension and Welfare Benefits Administration (PWBA) is 
responsible for the enforcement of Title I of the Employee 
Retirement Income Security Act of 1974 (ERISA) in both civil 
and criminal areas. This involves ERISA fiduciary and 
reporting/disclosure requirements. PWBA is also responsible for 
enforcement of sections 8477 and 8478 of the Federal Employees' 
Retirement Security Act of 1986 (FERSA). The agency was also 
given new responsibilities under the Health Insurance 
Portability and Accountability Act of 1996.

                  Pension Benefit Guaranty Corporation

    The Corporation's budget estimate for fiscal year 2002 
includes benefit payments of $1,079,000,000, multi-employer 
financial assistance of $6,270,000, an administrative expenses 
limitation of $11,690,000, and services related to terminations 
of $178,924,000. The amount in the administrative expense 
limitation is $38,000 above the fiscal year 2001 level and the 
budget request.
    The Pension Benefit Guaranty Corporation is a wholly-owned 
government corporation established by the Employee Retirement 
Income Security Act of 1974. The law places it within the 
Department of Labor and makes the Secretary of Labor the 
chairman of its board of directors. The Corporation receives 
its income from insurance premiums collected from covered 
pension plans, collections of employer liabilities imposed by 
the Act, and investment earnings. It is also authorized to 
borrow up to $100 million from the Treasury. The primary 
purpose of the Corporation is to guarantee the payment of 
pension plan benefits to participants if covered plans fail or 
go out of existence.

                  Employment Standards Administration


                         salaries and expenses

    The bill includes $369,631,000 for this agency. This is 
$6,915,000 more than the fiscal year 2001 level and $85,197,000 
more than the budget request. The bill includes $367,650,000 in 
general funds for this account and also contains authority to 
expend $1,981,000 from the Special Fund established by the 
Longshore and Harbor Workers' Compensation Act. The Committee 
does not include authority for the Department to impose a 
surcharge totaling $80,281,000 collected from Federal agencies 
for workers compensation for administration of the FECA program 
as requested. The Committee has instead provided this funding 
in appropriations to the Department for administration of the 
FECA program.
    The Employment Standards Administration is involved in the 
administration of numerous laws, including the Fair Labor 
Standards Act, the Immigration and Nationality Act, the Migrant 
and Seasonal Agricultural Workers' Protection Act, the Davis-
Bacon Act, the Family and Medical Leave Act, the Federal 
Employees' Compensation Act (FECA), the Longshore and Harbor 
Workers' Compensation Act, and the Federal Mine Safety and 
Health Act (black lung). The agency also administers Executive 
Order 11246 related to affirmative action by Federal 
contractors and the Labor-Management Reporting and Disclosure 
Act.
    The Committee has provided sufficient funds to create a 
searchable LM2 filing database and expects that this computer 
database will be completed and available to the public as soon 
as possible.
    For several years, the Labor Department has been evaluating 
ways to modernize the Davis-Bacon wage determinations process. 
The Employment Standards Administration issued a letter to the 
Committee on January 17, 2001, regarding a decision to move 
ahead with the ``reengineering'' approach to modernization. The 
Committee requests the Department to submit a report outlining 
specific changes which are proposed to modernize the wage 
determination process under the reengineering approach as well 
as the reinvention approach (which could utilize data already 
being gathered by the Bureau of Labor Statistics) including 
cost analysis for both options. The report should also identify 
what additional data--if any--other than data already being 
gathered by the Bureau of Labor Statistics, would be necessary 
to complete reinvention of the Davis-Bacon process.

                            special benefits

    The bill includes $121,000,000. This is an increase of 
$65,000,000 above the fiscal year 2001 appropriation and the 
same as the budget request. This appropriation primarily 
provides benefits under the Federal Employees' Compensation Act 
(FECA). The payments are required by law.
    The total amount to be available in fiscal year 2002 for 
FECA payments, including anticipated reimbursements from 
Federal agencies of $1,388,000,000, is expected to be 
$2,226,000,000, an increase of $48,044,000 over the fiscal year 
2001 comparable level.
    The Committee recommends continuation of appropriation 
language to provide authority to deposit into the Special 
Benefits account those funds that the Postal Service, the 
Tennessee Valley Authority, and other entities are required to 
pay to cover their ``fair share'' of the costs of administering 
the claims filed by their employees under FECA. The Committee 
also recommends approval of appropriation language to provide 
that up to $36,696,000 of the funds transferred from the ``fair 
share'' agencies to pay the costs of administration will be 
available to the Secretary of Labor to finance capital 
improvements relating to upgrading and enhancing the Federal 
Employees' Compensation program computer system and to finance 
staff costs related to the FECA periodic roll management 
project. The remaining balance of the administrative costs paid 
by the ``fair share'' agencies will revert to Treasury as 
miscellaneous receipts.

       energy employees occupational illness compensation program

    The bill includes $136,000,000 for the Energy Employees 
Occupational Illness Compensation Program authorized by Title 
XXXVI of the National Defense Authorization Act of 2001. This 
is $75,672,000 above the fiscal year 2001 level and the same as 
the budget request. Funds will be used to administer a program 
that provides compensation to employees or survivors of 
employees of the Department of Energy (DOE), its contractors 
and subcontractors, companies that provided beryllium to DOE, 
and atomic weapons employees 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, and uranium workers covered under the Radiation 
Exposure Compensation Act.

                    black lung disability trust fund

    The bill includes authority to obligate a total of 
$1,036,115,000 from the Black Lung Disability Trust Fund in 
fiscal year 2002, with $981,283,000 for benefits and interest 
authorized to be made from the Trust Fund. For administrative 
purposes, the total amount available for fiscal year 2002 will 
provide $54,476,000 and $356,000 for administrative expenses 
for the Departments of Labor and Treasury, respectively.
    The Trust Fund pays all black lung compensation/medical and 
survivor benefit expenses when no responsible mine operator can 
be assigned liability for such benefits, or when coal mine 
employment ceased prior to 1970, as well as all administrative 
costs which are incurred in administering the benefits program 
and operating the Trust Fund.
    It is estimated that 53,250 people will be receiving black 
lung benefits financed from the Trust Fund in fiscal year 2002. 
This compares with an estimated 59,500 receiving benefits in 
fiscal year 2001.
    The basic financing for the Trust Fund comes from a coal 
excise tax for underground and surface-mined coal. Additional 
funds come from reimbursement payments from mine operators for 
benefit payments made by the Trust Fund before the mine 
operator is found liable, and advances from the general fund, 
estimated at $464,000,000 in fiscal year 2002. The advances to 
the Fund assure availability of necessary funds when 
liabilities may exceed other income. The Omnibus Budget 
Reconciliation Act of 1987 continues the current tax structure 
until 2014.

             Occupational Safety and Health Administration


                         salaries and expenses

    The bill includes $435,307,000 for OSHA. This is $9,472,000 
above the budget request and $9,421,000 above the 2001 
comparable level. This agency is responsible for enforcing the 
Occupational Safety and Health Act of 1970 in the Nation's 
workplaces. Within the funds provided, the Committee assumes a 
4.6 percent pay increase.
    The Committee is very pleased with OSHA's efforts in 
placing high priority on the Voluntary Protection Program (VPP) 
and other voluntary cooperative programs. The agency's work in 
expanding participation in the programs and promoting prompt 
review and processing of applications, is particularly 
noteworthy. In fiscal year 2002 the Committee expects OSHA to 
continue to place priority on the VPP, making every effort to 
ensure 25 percent growth in participation by sites covered 
under Federal OSHA jurisdiction. Cooperative voluntary 
programs, especially the VPP, are important to employers' 
ability to assure worker safety and health.
    The Committee has included language carried in the bill 
since 1976 in one instance and 1979 in the other that restricts 
the use of funds for certain purposes. First, the bill includes 
language that effectively exempts farms employing 10 or fewer 
people from the provisions of the Act except those farms having 
a temporary labor camp. Second, the bill includes language 
exempting businesses employing 10 or fewer in industry 
classifications having a lost workday injury rate less than the 
national average from general schedule safety inspections.

                 Mine Safety and Health Administration


                         Salaries and Expenses

    The bill includes $251,725,000 for this agency. This is 
$5,419,000 above the budget request and the fiscal year 2001 
comparable level. This agency enforces the Federal Mine Safety 
and Health Act in underground and surface coal and metal and 
non-metal mines. Within the funds provided, the Committee 
assumes a 4.6 percent pay increase.

                       Bureau of Labor Statistics


                         Salaries and Expenses

    The total funding recommended by the Committee for the 
Bureau of Labor Statistics is $477,108,000. This is $1,108,000 
above the budget request and is an increase of $26,221,000 over 
the 2001 comparable level. The bill includes $407,976,000 in 
general funds for this account and authority to spend 
$69,132,000 from the Employment Security Administration Account 
of the Unemployment Trust Fund. The Bureau of Labor Statistics 
is the principal fact-finding agency in the Federal Government 
in the broad field of labor economics. Its principal surveys 
include the Consumer Price Index and the monthly unemployment 
series. Within the funds provided, the Committee assumes a 4.6 
percent pay increase.

                 Office of Disability Employment Policy


                         Salaries and Expenses

    The bill includes $33,053,000 for the new Office of 
Disability Employment Policy, which is $10,210,000 below the 
budget request and $10,084,000 above the fiscal year 2001 
comparable level. Fiscal year 2002 is the first year that 
funding for this program is not provided under the Departmental 
Management activities. Of the funds provided, $2,640,000 is for 
the National Task Force on Employment of Adults with 
Disabilities. The Office provides leadership to eliminate 
employment barriers to people with disabilities. The Committee 
is pleased that the Department has made the employment of 
people with disabilities a priority, however, there is concern 
that the Office is not prepared for the 88 percent increase 
requested due to the slow start in hiring staff and in 
confirmation of an Assistant Secretary. Although full funding 
for this program is not provided in this bill, the Committee 
supports the Secretary's initiative. Within the funds provided, 
the Committee assumes a 4.6 percent pay increase.

                        Departmental Management


                         Salaries and Expenses

    The bill includes $383,878,000 for Departmental Management 
activities. This is $26,491,000 above the fiscal year 2001 
comparable level and $54,113,000 above the budget request. The 
bill includes $383,568,000 in general funds for this account 
along with authority to transfer $310,000 from the Employment 
Security Administration Account of the Unemployment Trust Fund. 
In addition, an amount of $22,590,000 is available by transfer 
from the Black Lung Disability Trust Fund. This is an increase 
of $1,000,000 over the fiscal year 2001 level and the same as 
the budget request. Within the funds provided, the Committee 
assumes a 4.6 percent pay increase.
    The Departmental Management appropriation finances staff 
responsible for formulating and overseeing the implementation 
of Departmental policy and management activities. In addition, 
this appropriation includes a variety of operating programs and 
activities that are not involved in Departmental Management 
functions, but for which other salaries and expenses 
appropriations are not suitable.
    The Committee is aware that the Department of Labor, like 
the rest of the government departments, is going through a 
transition from one Administration to the next. However, the 
Committee is concerned about the lack of timely responses to 
the Committee's requests for information and material. In 
particular, the Committee experienced difficulties in receiving 
hearing testimony, responses to hearing questions, and other 
requests for information and briefings pertaining to the 
funding and operation of the Department's programs and 
activities. These delays hindered the Committee's ability to 
perform its oversight responsibilities in reviewing the budget 
request for fiscal year 2002. Given the nature of the 
appropriations process, the majority of the Committee's 
requests need to be directed to the Department's budget office. 
It is critical that the Committee have access to that office. 
In addition, the Committee reserves the right to call upon all 
components of the Department for information and assistance. 
The workload generated in the budget process is large and 
growing; therefore, a positive, responsive relationship between 
the Committee, the legislative affairs office, and the budget 
office is absolutely essential to the appropriations process of 
the United States government.
    The bill includes $147,982,000 for the Bureau of 
International Labor Affairs, which is the same as the fiscal 
year 2001 comparable level and an increase of $76,394,000 above 
the budget request.
    The Committee is concerned that the growth in ILAB's 
programs in recent years might be outpacing ILAB's capacity to 
monitor grants and contracts to ensure that funds are achieving 
the purposes for which they were appropriated and that the 
implementing organizations are utilizing the grants efficiently 
in obtaining the desired results. The Committee is aware that a 
study is underway and anticipates receiving a report from ILAB 
by July 31, 2002 listing the specific evaluations or other 
methods used by ILAB to monitor the results achieved by these 
programs.
    The bill reduces the request for the Department-wide 
information technology crosscut by $28,292,000. The funding 
level after this reduction is $51,708,000, which is $14,708,000 
above the fiscal year 2001 comparable level. The Committee 
commends the Department in streamlining its information 
technology infrastructure into a single, uniform system and 
encourages the Department in this effort. However, the 
Committee was forced to make difficult choices given the budget 
constraints under which it is operating this year.
    The Committee is aware of concerns about the Department's 
``policy guidance'' issued January 17, 2001 pursuant to 
Executive Order 13166, published on August 16, 2000, regarding 
Limited English Proficiency. For example, some argue the 
``policy guidance'' may require State-level agencies, including 
local Workforce Investment Boards, grant recipients, Job Corps, 
One-Stop Centers and others, to provide oral translations plus 
written translations of almost all notices, letters, pamphlets 
and brochures, posters, and other printed materials into scores 
of languages, leading to costs that could overwhelm State 
agencies, small businesses and even Federal agencies. The 
Committee recommends that the Department carefully review the 
guidance and revisit its implications, impacts and consequences 
both practically and fiscally.
    In light of the enactment of the Workforce Investment Act, 
the Committee requests the Secretary update and submit to this 
Committee and the authorization committees with jurisdiction 
over the Department's programs by September 30, 2002, a report 
that describes current policy and practice barriers to access 
and utilization of targeted and mainstream employment and 
training systems and programs by homeless people and 
recommendations for removing such impediments and strengthening 
such programs.

        assistant secretary for veterans employment and training

    The bill includes $211,703,000 for veteran employment and 
training activities, the same level as the 2001 comparable 
level and the budget request. Within this amount, the bill 
includes $186,903,000 to be expended from the Employment 
Security Administration account of the Unemployment Trust Fund 
for the traditional State and Federal administration of 
veterans employment and training activities.
    For State grants, the bill provides $81,615,000 for the 
Disabled Veterans Outreach program. The bill also provides 
$77,253,000 for the Local Veterans Employment Representative 
program. For Federal administration, the bill provides 
$28,035,000 which is $47,000 more than the 2001 level and the 
same as the budget request.
    For veterans workforce investment programs, the Committee 
recommends $7,300,000. This is the same as the 2001 comparable 
level and the same as the budget request. This budget activity, 
authorized by WIA, supports efforts to provide lifelong 
learning and skills development to veterans who have service-
connected disabilities, who have significant barriers to 
employment, who served on active duty in the armed forces 
during a war or in a campaign or expedition for which a 
campaign badge has been authorized, or who are recently 
separated.
    The Committee recommends $17,500,000 for the homeless 
veterans reintegration program assisting homeless veterans to 
find jobs. This is the same as 2001 and the budget request.

                    office of the inspector general

    The bill includes $57,133,000 for the Office of Inspector 
General. This is $2,450,000 above the fiscal year 2001 level 
and the same as the budget request. This includes $52,182,000 
in general funds for this account along with authority to 
transfer $4,951,000 from the Employment Security Administration 
account of the Unemployment Trust Fund.
    The Office of the Inspector General was created by law to 
protect the integrity of Departmental programs as well as the 
welfare of beneficiaries served by those programs. Through a 
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 throughout the Department.

                           General Provisions

    Sec. 101. The Committee continues a provision to prohibit 
the use of Job Corps funding for compensation of an individual 
at a rate in excess of Executive Level II.
    Sec. 102. The Committee continues a provision to permit 
transfers of up to one percent between appropriations.

           TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES


              Health Resources and Services Administration


                     health resources and services

    The bill includes $5,691,480,000 for health resources and 
services programs, which is $146,491,000 above the fiscal year 
2001 comparable level for these activities and $718,793,000 
above the budget request. Within the funds provided, the 
Committee assumes a 4.6 percent pay increase.
    The Health Resources and Services Administration (HRSA) 
supports programs which provide health services to 
disadvantaged, medically undeserved, and special populations; 
improve infant mortality rates; direct the education, supply, 
and distribution of a wide range of health professionals; and 
provide technical assistance regarding the utilization of 
health resources and facilities.

Community health centers

    The Committee provides $1,318,559,000 for community health 
centers, which is $150,000,000 above the fiscal year 2001 
comparable level and $25,836,000 above the budget request. 
These funds support programs which include community health 
centers, migrant health centers, health care for the homeless 
and public housing health service grants.
    The Committee includes bill language similar to previous 
years limiting the amount of funds available for the payment of 
claims under the Federal Tort Claims Act to $15,000,000. The 
Committee recognizes the value of this program for health 
centers and as additional health centers participate in the 
program, the number of claims submitted and paid also 
increases. The agency reports that currently only $1,100,000 
remains available to pay claims and there are 465 claims 
pending. Therefore, the Committee has increased the limitation 
for tort claims to $15,000,000. The Committee requests HRSA to 
submit a report by February 15, 2002 that provides an analysis 
of the Federal tort claims program. This report should include 
a history of the program, trends in the number and type of 
claims submitted as well as those paid, any proposals, 
including legislative proposals, to change the program, and any 
other information the Committee might need to address this 
issue.
    The Committee is pleased with the Administration initiative 
to double the number of citizens served by community health 
centers. However, the Committee emphasizes that the ends to 
such a goal must not be achieved simply by placing additional 
centers in densely populated urban communities, thus leaving 
less densely populated rural areas still underserved.
    For the past few years, priority has been given to ensure 
that financially-pressed health centers remain viable in under-
served communities. The Committee commends HRSA for stabilizing 
many health centers through its funding methodology and 
supports continuation of that effort. In addition, the 
Committee has increased funding above the budget request in 
order to expand current service levels and sites. The Committee 
encourages HRSA to distribute these additional funds to 
existing health centers based on their ability to expand their 
delivery of care to new patients and for new sites in 
communities without adequate access to primary and preventive 
care.
    The Committee does not provide additional funds for loan 
guarantee authority under section 330(d) of the Public Health 
Service Act. The Committee notes that the $160,000,000 made 
available in fiscal years 1997 and 1998 for loan guarantees 
continues to be available for guarantees of both loan principal 
and interest.
    The Committee recognizes that a growing number of community 
health centers are feeling the financial impact of providing 
culturally and linguistically appropriate services to 
multicultural and limited English speaking patients. Community 
health centers providing services in more than two languages 
and/or dialects and to a patient base with at least 70 percent 
requiring such services are not compensated for providing 
culturally and linguistically appropriate services. The 
Committee encourages HRSA to include such costs in formulas 
that determine base funding for community health centers.

National Health Service Corps: Field placements

    The Committee provides $42,511,000 for field placement 
activities, which is $1,049,000 above the fiscal year 2001 
comparable level and the same as the budget request. These 
funds are used to support the activities of National Health 
Service Corps (NHSC) obligors and volunteers in the field, 
including travel and transportation costs of assignees, 
training and education, recruitment of volunteers, and 
retention activities. Salary costs of most new assignees are 
paid by the employing entity.

National Health Service Corps: Recruitment

    The Committee provides $100,000,000 for recruitment 
activities, which is $12,088,000 above the fiscal year 2001 
comparable level and $12,084,000 above the budget request. The 
program awards scholarships to health professions students and 
assists graduates in repaying their student loans. In return 
for every year of support, these students are obligated to 
provide a year of service in health professional shortage areas 
usually located in inner cities or rural areas, with a two-year 
minimum obligation. Within the total provided, $4,000,000 is 
for State offices of rural health.

Health professions

    The Committee provides $669,992,000 for all health 
professions training programs, which is $82,103,000 above the 
fiscal year 2001 comparable level and $330,145,000 above the 
budget request. The Bureau of Health Professions provides both 
policy leadership and support for health professions workforce 
enhancement and educational infrastructure development.

Centers of excellence

    The Committee provides $33,637,000 for centers of 
excellence, which is $3,000,000 above the fiscal year 2001 
comparable level and $20,790,000 above the budget request. The 
program is designed to strengthen the national capacity to 
educate underrepresented minority (URM) students in the health 
professions by offering special support to those institutions 
which train a significant number of URM individuals, including 
African-Americans, Hispanics and Native Americans. Funds are 
used for the recruitment and retention of students and faculty, 
information resources and curricula, faculty and student 
research, and the development of plans to achieve institutional 
improvements.
    The Committee is pleased that HRSA has re-focused the 
minority centers of excellence program on providing support to 
historically minority health professions institutions. The 
Committee encourages the program to consider applications that 
are responsive to allied health professions that are 
experiencing shortages and high vacancy rates such as 
laboratory personnel.

Health careers opportunity program

    The Committee provides $35,795,000 for the health careers 
opportunity program, which is $3,000,000 above the fiscal year 
2001 comparable level and $22,043,000 above the budget request. 
This program provides grants and contracts to eligible health 
professions schools for identifying, recruiting, and selecting 
individuals from the various racial and ethnic populations who 
are from disadvantaged backgrounds for education and training 
in a health profession and facilitating their entry into, 
retention and completion of their education at a health 
professions school.
    The Committee is pleased that HRSA has given priority 
consideration for health careers opportunities program (H-COP) 
grants to minority health professions institutions and 
recommends that grant review committees have proportionate 
representation from these institutions. The Committee 
encourages the program to consider applications that are 
responsive to allied health professions that are experiencing 
shortages and high vacancy rates such as laboratory personnel.

Loan repayments and fellowships regarding faculty positions

    The Committee provides $1,330,000 for loan repayments and 
fellowships regarding faculty positions, which is the same as 
the fiscal year 2001 comparable level and $773,000 above the 
budget request. The program provides for the repayment of 
educational loans of individuals from disadvantaged backgrounds 
who are health professions students or graduates, and who have 
agreed to serve for not less than two years as a faculty member 
of an eligible health professions school. The school matches 
the Federal contribution toward loan repayment. The program 
also supports fellowships for URM faculty members.

Scholarships for disadvantaged students

    The Committee provides $46,473,000 for scholarships for 
disadvantaged students, which is $2,000,000 above the fiscal 
year 2001 comparable level and $27,822,000 above the budget 
request. The program provides grants to eligible health 
professions and nursing schools to provide scholarships to 
eligible individuals from disadvantaged backgrounds, including 
students who are members of racial and ethnic minority groups. 
By statute, not less than 16 percent of the funds must go to 
schools of nursing. The Committee continues to intend that all 
health professions disciplines made eligible by statute be able 
to participate in the program.

Training in primary care medicine and dentistry

    The Committee provides $95,048,000 for training in primary 
care medicine and dentistry, which is $4,000,000 above the 
fiscal year 2001 comparable level. The Administration did not 
request funding for this program. The program is comprised of 
four elements: (1) family medicine programs; (2) general 
internal medicine and general pediatrics (GIM/GP) training; (3) 
physician assistants (PA) training; and (4) general or 
pediatric dentistry training. Family medicine grants and 
contracts promote the predoctoral training of medical students, 
support family medicine residency programs and their trainees, 
train physicians who plan to teach in family medicine programs, 
and assist in establishing or improving family medicine 
academic administrative units. GIM/GP grants and contracts are 
to plan and operate residency programs and to provide financial 
assistance for residents, meet the costs of training programs 
for physicians who plan to teach in GIM/GP, as well as to 
support the faculty trainees, and develop programs to support 
predoctoral activities. PA training grants and contracts are to 
plan, develop, and operate or maintain programs for the 
training of PAs and for the training of individuals who will 
teach in programs to provide such training. General or 
pediatric dentistry training grants and contracts are to meet 
the costs of planning, developing, or operating programs and to 
provide financial assistance to residents in such programs.

Area health education centers

    The Committee provides $33,362,000 for area health 
education centers (AHEC), which is the same as the fiscal year 
2001 comparable level and $25,806,000 above the budget request. 
The program links university health science centers with 
community health service delivery systems to provide community-
based training sites for students, faculty, and practitioners. 
The program supports two types of projects: (1) basic/core AHEC 
cooperative agreement projects to plan and implement new and 
developing programs; and (2) model programs to extend AHEC 
cooperative agreement projects, with not less than 50 percent 
of the project costs supported by non-Federal contributions in 
cash.

Health education and training centers

    The Committee provides $4,403,000 for health education and 
training centers, which is the same as the fiscal year 2001 
comparable level. The Administration did not request funding 
for this program. The program funds schools of medicine and 
osteopathy to conduct training and education programs for 
health professions students to improve the access, diversity, 
and quality of health personnel along the border between the 
United States and Mexico, in the State of Florida, and in other 
urban and rural areas with populations with serious unmet 
health care needs. The program also provides educational 
support to health professionals, including nursing, practicing 
in the area.

Allied health and other disciplines

    The Committee provides $9,501,000 for allied health and 
other disciplines, which is $1,079,000 above the fiscal year 
2001 comparable level and $7,594,000 above the budget request. 
The program is comprised of three elements: (1) allied health 
special projects; (2) podiatric primary care residency 
training; and (3) chiropractic demonstration projects. Allied 
health special projects assist entities in meeting the costs 
associated with expanding or establishing programs that will 
increase the number of individuals trained in allied health 
professions. Activities included are those that: (1) expand 
enrollments; (2) provide rapid transition and career 
advancement training programs; (3) establish community-based 
training programs; (4) expand or establish interdisciplinary 
training programs, demonstration centers, and clinical training 
sites in medically underserved or rural communities; (5) 
provide traineeships to students; and (6) plan, develop, and 
operate or maintain graduate programs in behavioral and mental 
health practice. Podiatric primary care residency training 
grants and contracts are for planning and implementing projects 
in residency programs and providing traineeships to residents 
who plan to specialize in primary care. Chiropractic 
demonstration grants and contracts are to carry out 
demonstration projects in which chiropractors and physicians 
collaborate to identify and provide effective treatment of 
spinal and lower-back conditions.
    Within the total provided, $2,000,000 above the budget 
request is to establish a graduate psychology education program 
to train health service psychologists in accredited psychology 
programs. This competitive program will provide awards for work 
with underserved populations, including children, the elderly, 
victims of abuse, the chronically ill or disabled and in areas 
of emerging needs, which will foster an integrated approach to 
health care services, address access for underserved 
populations and build on the interrelatedness of behavior and 
health.
    The Committee continues to encourage HRSA to give priority 
consideration to those projects for schools training allied 
health professionals experiencing shortages, such as medical 
technologists and cytotechnologists. The Committee is concerned 
about high vacancy rates for these laboratory personnel and 
urges HRSA to redouble efforts to address these shortages.

Geriatric programs

    The Committee provides $22,410,000 for geriatric programs, 
which is $10,000,000 above the fiscal year 2001 comparable 
level. The Administration did not request funding for this 
program. The program provides grants and contracts to eligible 
entities to: (1) establish geriatric education centers to 
provide training for health care professionals who provide 
treatment and for training and retraining of faculty who teach 
geriatrics; (2) provide support for geriatric training projects 
to train physicians, dentists, and behavioral and mental health 
professionals who plan to teach geriatrics; and (3) establish a 
program to provide Geriatric Academic Career Awards to eligible 
individuals to promote the career development of such 
individuals as academic geriatricians.
    Within the total provided, $10,000,000 above the budget 
request is to expand graduate medical education curriculum in 
geriatrics. The Committee is concerned that there is an 
insufficient number of health care providers trained to address 
the health care needs of the growing older population. With 
only a small number of new physicians going into the field and 
those already in the field approaching retirement age, 
incentives are needed to increase the number of academic 
geriatricians to competently train health professionals from a 
variety of disciplines, including geriatric medicine. The 
Committee believes that to meet the needs of an aging 
population, HRSA needs to improve the training of all health 
professionals in geriatrics.

Quentin N. Burdick program for rural interdisciplinary training

    The Committee provides $5,988,000 for the Quentin N. 
Burdick program for rural interdisciplinary training program, 
which is the same as the fiscal year 2001 comparable level. The 
Administration did not request funding for this program. The 
program provides grants and contracts to entities for the 
purpose of funding interdisciplinary training projects that are 
designed to train, recruit, and retain teams of 
interdisciplinary professionals to work in underserved areas.

Health professions workforce information and analysis

    The Committee provides $824,000 for health professions 
workforce information and analysis, which is the same as both 
the fiscal year 2001 comparable level and the budget request. 
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 a non-Federal analytic and research 
infrastructure, and the conduct of program evaluation and 
assessment.

Public health, preventive medicine and dental public health programs

    The Committee provides $11,478,000 for public health, 
preventive medicine and dental public health programs, which is 
$2,000,000 above the fiscal year 2001 comparable level and 
$9,331,000 above the budget request. The program is comprised 
of three elements: (1) public health training centers; (2) 
public health traineeships; and (3) preventive medicine and 
dental public health residencies. Grants or contracts for the 
operation of public health training centers are awarded to an 
accredited school of public health, or another public or 
nonprofit private institution accredited for the provision of 
graduate or specialized training in public health, that plans, 
develops, operates, and evaluates projects that are in 
furtherance of the goals for the year 2000 in the areas of 
preventive medicine, health promotion and disease prevention, 
or improving access to and quality of health services in 
medically underserved communities. Public health traineeship 
grants provide graduate or specialized public health training 
to individuals in the fields of epidemiology, environmental 
health, biostatistics, toxicology, nutrition, and maternal and 
child health. Preventive medicine and dental public health 
residency grants and contracts assist schools in developing new 
residency training programs or improving existing programs and 
in providing financial assistance to residency trainees.

Health administration programs

    The Committee provides $1,231,000 for health administration 
programs, which is the same as the fiscal year 2001 comparable 
level. The Administration did not request funding for this 
program. These programs provide grants to eligible entities 
with an accredited program in health administration, hospital 
administration, or health policy analysis and planning to 
provide traineeships to students and assist accredited health 
administration programs in the development or improvement of 
programs to prepare students for employment with public or 
nonprofit private agencies. Priority in awarding of 
traineeships is given to students who demonstrate a commitment 
to employment with public or non-profit entities in the fields 
with respect to which the traineeships are awarded.

Children's hospitals graduate medical education program

    The Committee provides $285,000,000 for the children's 
hospitals graduate medical education program, which is 
$50,020,000 above the fiscal year 2001 comparable bill and 
$84,906,000 above the budget request. The program provides a 
more adequate level of support for health professions training 
in children's teaching hospitals that have a separate Medicare 
provider number (``free-standing'' children's hospitals). 
Children's hospitals are statutorily defined under Medicare as 
those whose inpatients are predominantly under the age of 18. 
The funding in this program is intended to make the level of 
Federal Graduate Medical Education support more consistent with 
other teaching hospitals, including children's hospitals which 
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.

Advanced education nursing

    The Committee provides $61,048,000 for advanced education 
nursing, which is $2,003,000 above the fiscal year 2001 
comparable level and $2,000,000 above the budget request. The 
program provides grants and contracts to eligible entities to 
meet the costs of: (1) projects that support the enhancement of 
advanced nursing education and practice; and (2) traineeships 
for individuals in advanced nursing education programs. The 
program prepares nurse practitioners, clinical nurse 
specialists, nurse midwives, nurse anesthetists, nurse 
educators, nurse administrators, public health nurses or other 
nurse specialists for advanced practice roles. The type of 
advanced education programs include master's and doctoral 
degree programs, combined registered nurse/master's program, 
post-nursing master's certificate programs, or in the case of 
certificate nurse midwifery programs, those in existence on 
November 12, 1998.

Nursing workforce diversity

    The Committee provides $6,173,000 for nursing workforce 
diversity, which is $1,500,000 above the fiscal year 2001 
comparable level and the same as the budget request. The 
program provides grants and contracts to schools of nursing and 
other eligible entities to meet the costs of special projects 
to increase nursing education opportunities for individuals who 
are from disadvantaged backgrounds, including racial and ethnic 
minorities, by providing student scholarships or stipends, pre-
entry preparation, and retention activities. The program also 
contributes to the basic preparation of disadvantaged and 
minority nurses for leadership positions within the nursing and 
health care community.

Basic nurse education and practice

    The Committee provides $16,291,000 for basic nurse 
education and practice, which is $3,501,000 above the fiscal 
year 2001 comparable level and the same as the budget request. 
The program provides grants and contracts to schools of nursing 
and other eligible entities for projects to strengthen capacity 
for basic nurse education and practice by strengthening 
programs that provide basic nurse education through 
establishing or expanding nursing practice arrangements in non-
institutional settings; providing care for underserved 
populations and other high-risk groups, such as the elderly, 
individuals with HIV/AIDS, substance abusers, the homeless, and 
victims of domestic violence; providing managed care, quality 
improvement, and other skills needed to practice in existing 
and emerging health care systems; develop cultural competencies 
among nurses; expand the enrollment in baccalaureate programs; 
promote career mobility and cross training or specialty 
training among diverse population groups; and providing 
education in informatics, including distance learning 
methodologies or other priority areas.

Hansen's disease services

    The Committee provides $17,491,000 for the Hansen's disease 
program, which is $399,000 below the fiscal year 2001 
comparable level and $900,000 below the budget request. This 
program offers Hansen's disease treatment to about 40 long term 
residents who continue to reside at Carville, to patients at a 
Center in Baton Rouge, as well as to patients at other contract 
supported locations in Baton Rouge and in grant supported 
outpatient regional clinics. Other former long term residents 
have been offered and elected to receive a living allowance 
from the program and now live independently. These programs 
provide treatment to about 3,000 of the 6,000 Hansen's disease 
sufferers in the continental United States. Over the next few 
years, a long term facility will be developed in the Baton 
Rouge area and offered to the current long term residents 
remaining at the Carville location as an alternative to 
remaining at the historic facility. The program also conducts 
research focusing on the global elimination of Hansen's 
disease.

Maternal and child health block grant

    The Committee provides $740,000,000 for the maternal and 
child health (MCH) block grant, which is $25,849,000 above the 
fiscal year 2001 comparable level and $30,913,000 above the 
budget request. The MCH block grant provides funds to States to 
meet a broad range of enhanced and wraparound health services, 
including personal health services; general, population-wide 
health services, such as screening; family support services; 
and integrated systems of care. About 17 million women, 
infants, children, adolescents and children with special health 
care needs will be served in fiscal year 2002. The authorizing 
statute provides that, up to a funding level of $600,000,000, 
85 percent of the funds are distributed to the States, with 15 
percent of the funds set-aside by the Secretary for special 
projects of regional and national significance (SPRANS). When 
the appropriation exceeds $600,000,000, 12.75 percent of the 
amount over $600,000,000 is directed to the Community 
Integrated Service Systems set-aside program. The remaining 
87.25 percent is distributed by the same 85/15 percent 
allocation as in the basic block grant formula.
    The Committee provides $9,000,000 more for SPRANS 
activities than would otherwise be the case under the statutory 
formula, of which $5,000,000 is to continue the traumatic brain 
injury health services demonstration projects initiated in 
fiscal year 1997 under this authority and $4,000,000 is to 
enhance the sickle cell newborn screening program and its 
locally based outreach and counseling efforts. HRSA is urged to 
give priority consideration to sickle cell disease 
organizations that have a proven track record of providing 
supportive and related services.
    In addition, $10,000,000 is provided for the title V SPRANS 
abstinence education program. This brings the total program 
level to $40,000,000 for fiscal year 2002. The Committee 
supports abstinence education for adolescents, ages 12 through 
18, and supports expansion of efforts to present an abstinence-
only message to America's youth. It is important, however, to 
ensure that America's youth do not receive mixed messages, or 
medically inaccurate information. The legislation directs that 
abstinence messages given to a group of youth by a grantee must 
not be diluted by any instructor or materials from the same 
grantee. Nothing in the legislation is intended to prevent 
these adolescents from seeking health information or services. 
Nothing shall preclude entities who are teaching these 
abstinence-only classes and who have a public health mandate 
from discussing other forms of sexual conduct or providing 
services, as long as this is conducted in a different setting 
than where and when the abstinence-only course is being 
conducted. In allocating grant funds, priority should be given 
to those organizations which have a strong record of support of 
abstinence education as defined in sections (a) through (h) of 
title 5, section 510(b)(2) of the Social Security Act.
    The Committee is also committed to studying the 
effectiveness of abstinence education, of sexuality education, 
and the lack of education in these areas. In order to properly 
track the long term effects of these programs, it is necessary 
to conduct longitudinal studies that follow groups of 
adolescents receiving a particular curricula for a number of 
years. Therefore the Committee provides up to 3.5 percent of 
the funding under this legislation to study, track and evaluate 
groups of youth who receive such education, including a 
representative sample of adolescent clients who use Federally 
funded family planning services. If possible, these cohorts 
should be large enough to provide statistically significant 
results in all major population segments of American society, 
including African Americans, Asians, Caucasians, Hispanics, and 
Native Americans. They should also be able to track socio-
economic variables as well. All appropriate active prior 
parental consent, age-appropriateness and privacy guidelines 
should be followed. Criteria for success should include 
prevention and reduction of out of wedlock pregnancies and 
sexually transmitted diseases, including both viral and 
bacterial; rates of abortion; age at first sexual activity and 
intercourse; frequency of sexual activity and intercourse, and 
numbers who postpone sexual activity or intercourse through 
adolescence. Progress reports should be submitted to Congress 
annually.
    Within the total provided, the Committee expects HRSA to 
work with States to begin implementing the heritable disorders 
program authorized in the Children's Health Act of 2000. This 
program is designed to strengthen State's newborn screening 
programs and improve State's ability to develop, evaluate, and 
acquire innovative testing technologies, and establish and 
improve programs to provide screening, counseling, testing, and 
special services for newborns and children at risk for 
heritable disorders.
    The Committee continues to recognize the critical role of 
hemophilia treatment centers in the prevention and treatment of 
the complications of hemophilia and other bleeding and clotting 
disorders. The Committee urges HRSA to strengthen support for 
these centers and requests a report by February 15, 2002 on 
steps taken to improve services provided through the network to 
persons with hemophilia and other blood disorders, especially 
in reaching the underserved.
    The Committee commends HRSA for its support of the Sudden 
Infant Death Syndrome (SIDS) program support center and 
encourages the Bureau to continue its efforts in this area of 
service. The Committee is pleased that the SIDS and Other 
Infant Death Support Center is collaborating with the National 
Institutes of Health to address the disproportionately high 
incidence of SIDS among African Americans.
    The Committee is pleased to learn that HRSA will continue 
to fund three thalassemia centers. These centers provide 
comprehensive services to patients and families. The Committee 
urges HRSA to continue to work closely with these centers and 
the Cooley's Anemia Foundation.
    The Committee is aware of HRSA's activities to improve 
access to dental care for underserved populations. The 
Committee urges HRSA to continue and to expand its programs 
with the Centers for Medicare and Medicaid Service (CMS) and 
the private sector dental community that promote access to 
dental services for underserved populations. The Committee also 
urges HRSA, through its Maternal and Child Health program, to 
continue to collaborate with CMS and adequately fund HRSA/CMS 
regional dental access teams and efforts to assist states to 
reduce barriers to care for Medicaid and SCHIP populations. 
Such collaborations should include expanding its state oral 
health systems development grant program, formalizing its 
partnership with CMS to conduct State dental access summit 
meetings, and funding innovative demonstration projects for the 
prevention and early intervention of dental disease in children 
under three years of age.

Healthy Start

    The Committee provides $102,000,000 for Healthy Start, 
which is $12,004,000 above both the fiscal year 2001 comparable 
level and the budget request. Healthy Start provides grants to 
select communities with high rates of infant mortality to help 
them identify, plan, and implement a diverse range of 
community-driven strategies that can successfully and 
significantly reduce disparities in perinatal health that 
contribute to the Nation's high infant mortality rate.
    In structuring the competition for Healthy Start grant 
awards in fiscal year 2002, HRSA is urged to give a preference 
to current and former grantees with expiring or recently 
expired project periods, including grantees that did not 
receive renewed funding during the fiscal year 2001 round.

Universal newborn hearing screening

    The Committee provides $10,000,000 for the universal 
newborn hearing screening program, which is $2,001,000 above 
the fiscal year 2001 comparable level and $3,419,000 above the 
budget request. The program provides competitive grants to 
States for the purpose of implementing a national program of 
universal newborn hearing screening by means of physiologic 
testing prior to hospital discharge, audiologic evaluation by 
three months of age, and entry into a program of early 
intervention by six months of age.

Organ transplantation

    The Committee provides $19,992,000 for organ 
transplantation activities, which is $5,000,000 above the 
fiscal year 2001 comparable level and the same as the budget 
request. The program supports a scientific registry of organ 
transplant recipients; the National Organ Procurement and 
Transplantation Network, which matches organ donors with 
potential recipients; and grants and contracts with public and 
private non-profit organizations to promote and improve organ 
donations.
    The Committee urges HRSA to use increased funding for media 
advertising and best practices demonstrations designed to 
increase the number of annual organ donations. Such 
demonstrations could include providing assistance to State 
Departments of Motor Vehicles to establish donor registries 
that are accessible to organ procurement agencies and programs 
to encourage licensed drivers to become organ donors.

Bone marrow program

    The Committee provides $22,000,000 for the bone marrow 
program, which is $42,000 above the fiscal year 2001 comparable 
level and the same as the budget request. In addition to 
funding from HRSA in fiscal year 2002, the National Marrow 
Donor Program is expected to receive $19,000,000 from the U.S. 
Navy. Funds are used for donor medical costs, donor centers, 
tissue typing, research, minority recruitment, and program 
administration. The registry is run by contract.

Rural outreach grants

    The Committee provides $51,863,000 for rural outreach 
grants, which is $6,348,000 below the fiscal year 2001 
comparable level and $14,000,000 above the budget request. The 
program supports projects that provide health services to rural 
populations not currently receiving them and that enhance 
access to existing services. The reduction below last year's 
level is due to the funding of one-time projects.

Rural health research

    The Committee provides $12,099,000 for rural health 
research, which is $1,337,000 below the fiscal year 2001 
comparable level and $6,000,000 above the budget request. The 
activity supports several rural health research centers and the 
Office for Rural Health Policy's advisory committee. The 
reduction below last year's level is due to the funding of one-
time projects.

Telehealth

    The Committee provides $27,609,000 for telehealth, which is 
$8,367,000 below the fiscal year 2001 comparable level and 
$22,000,000 above the budget request. The telehealth program 
works with and support communities in their efforts to develop 
cost-effective uses of telehealth technologies. These 
technologies bring health services to residents of the Nation 
who are isolated from health care, and health-related education 
to the practitioners who serve them. The reduction below last 
year's level is due to the funding of one-time projects.
    The Committee recognizes the potential that telehealth has 
for improving the delivery of quality health care and health 
information to rural underserved areas and providing distance 
education to health care professionals and consumers. The 
Committee strongly supports HRSA's rural telehealth initiatives 
and encourages the agency to work in partnership with medical 
librarians, the National Library of Medicine, and other health 
information specialists in the development and implementation 
of its telehealth projects.

Denali Commission

    The Committee does not provide funding for the Denali 
Commission, the same as the budget request.

Emergency medical services for children

    The Committee provides $19,000,000 for emergency medical 
services for children, which is $15,000 above the fiscal year 
2001 comparable level and $3,426,000 above the budget request. 
The program supports demonstration grants for the delivery of 
emergency medical services to acutely ill and seriously injured 
children.

Poison control centers

    The Committee provides $16,421,000 for poison control 
centers, which is $3,574,000 below the fiscal year 2001 
comparable level and the same as the budget request. The amount 
provided is to support activities authorized in the Poison 
Control Center Enhancement and Awareness Act.

Black lung clinics

    The Committee provides $6,000,000 for black lung clinics, 
which is the same as both the fiscal year 2001 comparable level 
and the budget request. The program supports 14 grantees that 
treat a declining population of coal miners with respiratory 
and pulmonary impairments. The clinics presently receive more 
than one-third of their funding from other sources, such as 
Medicaid and Medicare. Of the 14 grantees, three actually 
receive community health center funding as well as black lung 
grants.

Trauma care

    The Committee provides $3,000,000 for trauma care, which is 
the same as the fiscal year 2001 comparable level and $533,000 
above the budget request. Trauma systems respond to public 
health emergencies such as natural disasters, e.g. earthquakes, 
or mass violence, e.g. riots, or school shootings, or motor 
vehicle accidents. HRSA efforts include assisting States in 
stabilizing their trauma/emergency medical services basic 
infrastructure of their systems, and public information and 
education campaigns to assist State and local agencies to raise 
awareness of this vital component of the public health system.

Nurse loan repayment for shortage area service

    The Committee provides $2,279,000 for nurse loan repayment 
for shortage area service, which is $5,000,000 below the fiscal 
year 2001 comparable level and the same as the budget request. 
This program offers student loan repayment to nurses in 
exchange for an agreement to serve not less than two years in 
an Indian Health Service health center, Native Hawaiian health 
center, public hospital, community or migrant health center, or 
rural health clinic. The reduction below last year's level is 
due to the use of the Secretary's one percent transfer 
authority.

Payment to Hawaii for treatment of Hansen's disease

    The Committee provides $2,045,000 for the treatment of 
persons with Hansen's disease in the State of Hawaii, which is 
the same as both the fiscal year 2001 comparable level and the 
budget request. The program, which provides a partial matching 
payment to the State of Hawaii, dates to the period of Father 
Damien's facility for sufferers of Hansen's disease (leprosy). 
That facility now has only 47 residents who live there by 
choice, and the grounds have been converted to a historical 
site. Most patients diagnosed with Hansen's disease in Hawaii 
are now treated in the same manner as new patients on the 
mainland; their care is handled on an out-patient basis, with 
the program paying for about 5,200 outpatient visits per year.

Ryan White AIDS programs

    The Committee provides $1,919,609,000 for Ryan White AIDS 
programs, which is $112,000,000 above the fiscal year 2001 
comparable level and $111,845,000 above the budget request. The 
Committee recognizes that each Part of the Ryan White CARE Act 
provides services, which enable individuals to adhere to HIV 
drug treatments and access needed medical care.
    The Committee is aware of several formal collaborations 
between Veteran's Health Administration facilities and local 
providers of Ryan White Care Act funding. The Committee is 
supportive of such efforts to enhance HIV/AIDS services through 
these innovations. The Committee requests that HRSA submit a 
report by February 15, 2002 detailing actions taken by the 
agency to further develop collaborations, reduce barriers, and 
strengthen such activities to maximize Federal HIV/AIDS care 
resources.
    Within the total provided, $123,200,000 is for Ryan White 
AIDS activities that are targeted to address the growing HIV/
AIDS epidemic and its disproportionate impact upon communities 
of color, including African Americans, Latinos, Native 
Americans, Asian Americans, Native Hawaiians, and Pacific 
Islanders. Department statistics show that racial and ethnic 
minorities represent the highest number of new AIDS cases. 
While African-Americans and Hispanics are only 12 percent and 
13 percent of the U.S. population respectively, they account 
for at least 55 percent and 20 percent of all new AIDS cases. 
In addition, more than 60 percent of people living with AIDS 
are racial minorities. Congress began funding the Minority HIV/
AIDS Initiative in fiscal year 1999. It was designed to focus 
special attention on solving a growing public health problem as 
well as to develop and improve the capacity of minority 
community based organizations to more effectively serve their 
communities. This approach was tailored to yield innovative and 
successful strategies specifically targeted to the highest risk 
and hardest to serve populations, which for the past two 
decades have eluded more traditional HIV/AIDS prevention, 
treatment, and education efforts. In distributing these funds, 
the Committee expects HRSA to tailor the portion of the Ryan 
White programs that are funded under the Minority HIV/AIDS 
Initiative as tightly as possible in order to address the 
growing health problem and maximize the participation of 
minority community based organizations. In evaluating 
organizations' capacities, HRSA should take into consideration 
that the board, management and key staff are representative of 
the minority communities served, be situated closest to the 
targeted problem, have a history of providing services to these 
communities, and have documented linkages to the targeted 
populations, so that they can help close the gap in access to 
service for the highly impacted communities of color in the 
interest of public health. These funds are for activities that 
are designed to address the trends of the HIV/AIDS epidemic in 
communities of color based on the most recent estimated living 
AIDS cases, HIV infections and AIDS mortality among ethnic and 
racial minorities as reported by the Centers for Disease 
Control and Prevention. Consistent with this overall direction, 
these funds are allocated as follows:

Emergency assistance

    The Committee provides $619,169,000 for the Part A, 
emergency assistance program, which is $15,000,000 above both 
the fiscal year 2001 comparable level and the budget request. 
These funds provide grants to metropolitan areas with very high 
numbers of AIDS cases for outpatient and ambulatory health and 
social support services. Half of the amount appropriated is 
allocated by formula and half is allocated to eligible areas 
demonstrating additional need through a competitive grant 
process.
    Within the total provided, $41,800,000 is for competitive, 
supplemental grants to improve the HIV-related health outcomes 
for communities of color and reduce existing health 
disparities. Funds should be allocated through the established 
planning council processes of Title I eligible metropolitan 
areas. The Committee strongly urges the Planning Councils to 
maximize the participation of minority community based 
organizations as defined above. These funds are expected to 
improve and develop the capacity of these organizations to 
deliver HIV-related treatment and supportive services within 
communities of color, that are both culturally and 
linguistically appropriate to individuals living with HIV/AIDS.

Comprehensive care programs

    The Committee provides $985,969,000 for Part B, 
comprehensive care programs, which is $75,000,000 above both 
the fiscal year 2001 comparable level and the budget request. 
The funds provided support formula grants to States for the 
operation of HIV service delivery consortia in the localities 
most heavily affected, for the provision of home and community-
based care, for continuation of health insurance coverage for 
infected persons, and for purchase of therapeutic drugs.
    The Committee has included bill language identifying 
$649,000,000 specifically for the purchase of AIDS drugs. The 
fiscal year 2001 bill designated $589,000,000 for this purpose.
    Within the total provided, $7,000,000 is for State HIV care 
grants to support educational and outreach services to increase 
the number of eligible minorities who access HIV/AIDS treatment 
through AIDS Drug Assistance Programs (ADAP). The Committee 
strongly urges States to maximize the participation of minority 
community based organizations in delivering these educational 
and outreach services. The Committee is concerned that the 
continuing under representation of African Americans, Latinos, 
Native Americans, Asian Americans, Native Hawaiians, and 
Pacific Islanders in State-run ADAP contributes to their 
persistently poor HIV/AIDS health outcomes in comparison to 
other populations.

Early intervention program

    The Committee provides $192,878,000 for Part C, the early 
intervention program, which is $6,999,000 above the fiscal year 
2001 comparable level and $6,844,000 above the budget request. 
Funds are used for discretionary grants to migrant and 
community health centers, health care for the homeless 
grantees, family planning grantees, hemophilia centers and 
other private non-profit entities that provide comprehensive 
primary care services to populations with or at risk for HIV 
disease. The grantees provide testing, risk reduction 
counseling, transmission prevention, and clinical care; case 
management, outreach, and eligibility assistance are optional 
services.
    Within the total provided, $49,400,000 is for planning 
grants and Early Intervention Service (EIS) grants to health 
care providers with a history of serving communities of color. 
The Committee strongly urges HRSA to maximize the participation 
of minority community based organizations as defined above in 
planning and delivering EIS. Funds should also be made 
available to regional and local technical assistance 
organizations to assist service providers in identifying and 
increasing the retention of minorities in care with an emphasis 
on women and gay men of color in highly impacted and 
underserved areas. Within the increase provided, HRSA is urged 
to make enhancing the service capacity of existing minority EIS 
providers a priority.

Pediatric demonstrations

    The Committee provides $69,995,000 for Part D, pediatric 
AIDS demonstrations, which is $5,000,000 above both the fiscal 
year 2001 comparable level and the budget request. The program 
supports demonstration grants to foster collaboration between 
clinical research institutions and primary community-based 
medical and social service providers for the target population 
of HIV-infected children, pregnant women and their families. 
The projects are intended to increase access to comprehensive 
care, as well as to voluntary participation in NIH and other 
clinical trials.
    Within the total provided, the Committee intends that at 
least 90 percent should be spent on direct primary care and 
support services. With the exception of any increases provided 
through the minority AIDS initiative, priority should be placed 
on funding increases to existing grantees as a percentage 
increase to their base grants in order to recognize the 
increasing costs of providing services.
    The Committee encourages HRSA to expand efforts to 
facilitate ongoing communication with grantees so that 
prospective changes in the administration of the program can be 
discussed. Such efforts should include collaboration with 
grantees on the study connected with the forthcoming 
determination by the Secretary on a potential limit on 
administrative expenses, as mandated in the Ryan White CARE Act 
Amendments of 2000. The Committee also encourages HRSA to work 
with CDC to identify and eliminate barriers between HIV 
prevention and care services.
    Within the total provided, $17,000,000 is to sustain and 
expand efforts to deliver comprehensive, culturally competent 
and linguistically appropriate research-based intervention and 
HIV care services to minority women, infants, and children. The 
Committee strongly urges HRSA to maximize the participation of 
minority community based organizations as defined above in 
delivering these services. Priority should be given to these 
organizations and providers with a history of effectively 
providing services to communities of color to expand or 
implement programs specifically designed to provide youth, 
adolescent, and young adult-focused HIV/AIDS care and services. 
These funds will help to bridge targeted prevention and medical 
care and treatment services to youth and young adults.

AIDS dental services

    The Committee provides $15,000,000 for AIDS dental 
services, which is $5,001,000 above both the fiscal year 2001 
comparable level and the budget request. The program provides 
grants to dental schools and postdoctoral dental education 
programs to assist with the cost of providing unreimbursed oral 
health care to patients with human immunodeficiency virus 
disease. Dental students and residents participating in this 
program receive extensive training in the understanding and 
management of the oral health care needs of people living with 
HIV/AIDS.

Education and training centers

    The Committee provides $36,598,000 for AIDS education and 
training centers, AETCs, which is $5,000,000 above both the 
fiscal year 2001 comparable level and the budget request. The 
centers train health care personnel who care for AIDS patients 
and develop model education programs.
    Within the total provided, $8,000,000 is to increase the 
training capacity of AETCs to expand the number of community-
based minority health care professionals with treatment 
expertise and knowledge about the most appropriate standards of 
HIV/AIDS-related treatments and medical care for HIV infected 
adults, adolescents and children as developed by the US Public 
Health Service. The training of minority providers is to be 
implemented through collaborations with Historically Black 
Colleges and Universities (HBCU), Hispanic Serving 
Institutions, and Tribal Colleges. These efforts are designed 
to increase the treatment expertise and HIV knowledge of 
minority front-line providers serving individuals living with 
HIV/AIDS. Funds are also intended to support minority community 
based organizations to train minority providers to deliver 
culturally competent and linguistically appropriate treatment 
education services.

Family planning

    The Committee provides $264,170,000 for the family planning 
program, which is $10,273,000 above the fiscal year 2001 
comparable level and $10,000,000 above the budget request. The 
program provides grants to public and private non-profit 
agencies to support projects which provide a range of family 
planning and reproductive services, as well as screening for 
ancillary health problems such as hypertension and diabetes. 
The program also supports training for providers, an 
information and education program, and a research program which 
focuses on family planning service delivery improvements.
    The bill repeats language from the 2001 appropriations bill 
making clear that these funds shall not be expended for 
abortions, that all pregnancy counseling shall be nondirective, 
and that these funds shall not be used to promote public 
opposition to or support of any legislative proposal or 
candidate for public office.

Health care facilities

    The Committee has not included funding for health care 
facilities. A total of $251,546,000 was provided for this 
purpose in fiscal year 2001; no funding was included in the 
budget request. This program provides funds to public and 
private nonprofit entities for construction or modernization of 
outpatient medical facilities. This activity has not been 
funded by the Committee on a regular annual basis.

Buildings and facilities

    The Committee provides $250,000 for buildings and 
facilities, which is the same as both the fiscal year 2001 
comparable level and the budget request. These funds are used 
to finance the repair and upkeep of buildings at the Gillis W. 
Long Hansen's Disease Center at Carville, Louisiana.

Rural hospital flexibility grants

    The Committee provides $35,000,000 for rural hospital 
flexibility grants, which is $10,004,000 above the fiscal year 
2001 comparable level and $10,003,000 above the budget request. 
The program provides grants to States to help them improve 
access to health care services in rural communities by: (1) 
developing and implementing a State rural health plan; (2) 
assisting small, at risk rural hospitals that wish to convert 
to Critical Access Hospitals and receive cost-based payments 
from Medicare; and (3) supporting these hospitals and the 
communities they serve in developing networks of care that meet 
the requirements of the law and integrate Critical Access 
Hospitals with emergency services and other sources of health 
care in the communities.
    Within the total provided, $10,000,000 above the budget 
request is for a small rural hospital prospective payment 
systems (PPS) grant program as authorized in the Children's 
Health Act.

Rural access to emergency devices

    The Committee provides $12,500,000 for rural access to 
emergency devices to be administered through the Rural Health 
Outreach Office. This newly authorized program provides grants 
to expand the placement of automatic external defibrillators 
(AED) to rural areas and to address AED training needs for 
first responders and emergency medical technicians in rural 
communuties.

National practitioner data bank

    The Committee does not provide funding for the national 
practitioner data bank for fiscal year 2002, which is the same 
as both the fiscal year 2001 action on appropriations and the 
budget request. The Committee recommendation and the budget 
request assume that the data bank will be self-supporting, with 
collections of $17,200,000 in user fees. The national data bank 
receives, stores and disseminates information on paid medical 
malpractice judgments and settlements, sanctions taken by 
Boards of Medical Examiners, losses of membership in 
professional societies, and certain professional review actions 
taken by health care entities. Insurance companies, State 
licensure boards and authorities, and other health care 
entities and professional societies are required to report 
information to the data bank within 30 days of each action. The 
coverage of the data bank includes dentists and physicians, 
and, with respect to malpractice settlements and judgments, 
other categories of licensed health professionals. Hospitals 
are required to search the data bank when a health care 
provider applies for employment and once every two years 
thereafter. State licensing boards, other health care entities, 
licensing authorities, and professional societies also have 
access to the data bank. Traditional bill language is included 
to ensure that user fees are collected to cover the full costs 
of the data bank operations.

Healthcare integrity and protection data bank

    The Committee does not provide funding for the healthcare 
integrity and protection data bank (HIPDB) for fiscal year 
2002. The Committee recommendation and the budget request 
assume that the data bank will be self-supporting, with 
collections of $8,000,000 in user fees. HIPDB receives, stores, 
and disseminates information on final adverse actions taken 
against health care providers, suppliers, and practitioners. 
This information is collected from and made available to 
Government agencies and health plans. In addition, disclosure 
of the information is made available, upon request, to health 
care providers, suppliers, and practitioners who wish to self-
query.

Community access program

    The Committee has provided $120,041,000 for the community 
access program, which is $19,943,000 below the fiscal year 2001 
comparable level and $105,000,000 above the budget request.
    Within the total provided, $15,041,000 is to help States 
identify the characteristics of the uninsured within the State 
and develop approaches for providing all uninsured with health 
coverage and $105,000,000 is to continue the program of grants 
to public, private, and non-profit health entities to develop 
and expand integrated systems of care and address service gaps 
within such integrated systems with a focus on primary care, 
mental health and substance abuse services.

Program management

    The Committee provides $147,049,000 for the cost of Federal 
staff and related activities to coordinate, direct and manage 
the programs of the Health Resources and Services 
Administration. This amount is $8,077,000 above the fiscal year 
2001 comparable level and the same as the budget request. 
Within the funds provided, the Committee assumes a 4.6 percent 
pay increase.
    The Committee requested a report from HRSA outlining a 
detailed plan on how to consolidate the oral health programs 
and their funding in an effort to better coordinate HRSA's oral 
health activities. This report was due to the Committee by 
February 1, 2001. The Committee is extremely disappointed that 
it did not receive this report until August 31, 2001 and the 
report did not contain the requested consolidation plan. The 
Committee directs HRSA to tell the Committee why it did not 
comply with this request.

               Medical Facilities Guarantee and Loan Fund


           federal interest subsidies for medical facilities

    The Committee does not provide funding for the Medical 
Facilities Guarantee and Loan Fund, the same as the budget 
request. Appropriations are used to pay interest subsidies on 
loans made or guaranteed prior to fiscal year 1977 for hospital 
construction. There are sufficient carryover funds from prior 
years' appropriations to pay defaults and interest subsidy 
payments; therefore, no appropriation is required to cover 
these payments. In addition, the bill includes language, as in 
prior years, which prohibits commitments for new loans or loan 
guarantees in fiscal year 2002.

               health education assistance loans program

    The Health Education Assistance Loans (HEAL) program 
insured loans provided by non-Federal lenders to students in 
health professions schools. Under the accounting rules 
established in the Budget Enforcement Act of 1990, one account 
is maintained to pay the obligations arising from loans 
guaranteed prior to fiscal year 1992. A second account pays 
obligations and collects income from premiums on loans 
guaranteed in fiscal year 1992 and beyond. Each annual cohort 
of loans is independently tracked in this account. The 
authority for this program expired in fiscal year 1999. Fiscal 
year 1998 was the last year in which loans were obligated to 
previous borrowers under the HEAL authority.
    The Committee provides $10,000,000 to liquidate obligations 
from loans guaranteed prior to 1992, which is the same as both 
the fiscal year 2001 level and the budget request.
    The Committee provides $3,792,000 for HEAL program 
management, which is $120,000 above the fiscal year 2001 
comparable level and the same as the budget request.

              national vaccine injury compensation program

    The Committee makes available the release of $114,855,000 
from the Vaccine Injury Compensation Trust Fund in fiscal year 
2002, which is $500,000 above the fiscal year 2001 level and 
the same as the budget request.
    The National Vaccine Injury Compensation Program provides a 
system of compensation for individuals with vaccine-associated 
injuries or deaths. Funds for claims from vaccines administered 
on or after October 1, 1988 are generated by a per-dose excise 
tax on the sale of selected prescribed vaccines. Revenues 
raised by this tax are maintained in a Vaccine Injury 
Compensation Trust Fund.
    Trust funds made available in the bill will support the 
liability costs of vaccines administered after September 30, 
1988. They will also support the $2,992,000 in costs incurred 
by the agency in the operation of the program, which is the 
same as both the fiscal year 2001 level and the budget request.

               Centers for Disease Control and Prevention


                 disease control, research and training

    The Committee provides $4,077,060,000 for the Centers for 
Disease Control and Prevention (CDC), which is $214,287,000 
above the fiscal year 2001 comparable level and $380,449,000 
above the budget request. Within the funds provided, the 
Committee assumes a 4.6 percent pay increase.
    The CDC assists State and local health authorities and 
other health-related organizations to control and reduce 
disease and other health problems. The activities of CDC focus 
on several major priorities, including providing core public 
health functions, responding to urgent health threats, 
monitoring the Nation's health using scientific methods, 
building the Nation's health infrastructure to insure our 
national security against bioterrorist threats, 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 considers the table accompanying this report 
to be determinative of the CDC budget. Funds should be 
apportioned and allocated consistent with the table, and any 
changes in funding are subject to the normal notification 
procedures.

Birth defects, developmental disabilities, disability and health

    The Committee provides $80,280,000 for birth defects, 
developmental disabilities, disability and health, which is 
$9,554,000 above the fiscal year 2001 comparable level and 
$4,000,000 above the budget request. This program collects, 
analyzes, and makes available data on the incidence and causes 
of birth defects and developmental disabilities.
    Within the total provided, $2,000,000 above the budget 
request is to expand autism and developmental disabilities 
surveillance activities in additional States.
    Within the total provided, $2,000,000 above the budget 
request is to expand surveillance and epidemiological efforts 
of Duchenne and Becker muscular dystrophy in the United States, 
which will assist with research decisions, standards of care 
formation, prenatal and infant screening and medical education 
efforts.
    With the creation of this Center, CDC has an unprecedented 
opportunity to support research to prevent birth defects and 
disabilities. The Committee has included funding to increase 
efforts to discover causes and develop prevention and 
intervention strategies for birth defects and developmental 
disabilities. The Committee encourages CDC to increase 
monitoring, research, and prevention activities conducted by 
CDC in cooperation with States and other partners.
    The Committee commends CDC for its partnership with the 
Christopher Reeve Paralysis Foundation to establish an 
information and support center. This is a critical resource for 
families and individuals that experience spinal cord injuries 
and neurological conditions which result in paralysis. The 
Committee understands that, within the $10,000,000 increase 
requested in the President's budget, funds are included to 
continue working with the Foundation on projects dealing with 
paralysis.
    Within the total provided, the Committee urges CDC to work 
with NICHD, NINDS, AHRQ, and private organizations in convening 
a consensus conference examining the current state of practice 
and its opportunities relating to secondary prevention, 
including in utero surgery, and efforts to reduce and prevent 
secondary conditions of Spina bifida.
    The Committee commends CDC for continuing the National Limb 
Loss Information Center and expanding its efforts to address 
the needs of the over 1.5 million people who have experienced 
limb loss. The Committee urges CDC to further enhance its limb 
loss efforts including improved epidemiological research and 
quality of life assessments among persons with childhood 
skeletal malignancies.
    The Committee is aware of the importance of early 
identification and proper treatment of attention deficit/
hyperactivity disorder (AD/HD) in the prevention of serious 
consequences, including school and work failure, depression, 
conduct disorder, failed relationships and substance abuse. The 
Committee understands that CDC plans to establish a pilot 
program for AD/HD in fiscal year 2002. The Committee urges CDC 
to expand its public health research agenda on AD/HD and work 
with non-profit organizations representing individuals with AD/
HD to establish an AD/HD resource center.

Chronic disease prevention and health promotion

    The Committee provides $722,495,000 for chronic disease 
prevention and health promotion, which is $27,213,000 below the 
fiscal year 2001 comparable level and $147,935,000 above the 
budget request. This program implements research and programs 
to prevent the leading causes of death and disability (e.g., 
heart disease and stroke, cancer, diabetes, and arthritis) 
which are among the most prevalent, costly, and preventable of 
all health problems. CDC plays a leadership role in 
coordinating and catalyzing the efforts of numerous public and 
private partners, which allows CDC to substantially extend its 
effectiveness in reaching people at highest risk for chronic 
disease.
    Within the total provided, the following funding levels are 
for the specific program activities identified: heart disease 
and stroke, $32,727,000; cancer prevention and control, 
$67,879,000, of which $38,021,000 is for cancer registries, 
$10,569,000 is for colorectal cancer, $13,046,000 is for 
prostate cancer, $1,647,000 is for skin cancer and $4,596,000 
is for ovarian cancer; diabetes, $57,728,000; arthritis, 
$13,251,000; health promotion, $8,630,000; tobacco, 
$101,071,000; nutrition, physical activity, and obesity, 
$17,988,000; school health, $58,327,000; safe motherhood/infant 
health including HIV/AIDS, $49,472,000; oral health, 
$11,678,000; prevention centers, $22,432,000; epilepsy, 
$6,527,000; iron overload, $489,000; breast and cervical 
cancer, $189,296,000; and National Campaign to Change 
Children's Health Behavior, $85,000,000.
    CDC is implementing the first year of a youth media 
campaign, which uses principles of marketing and communications 
strategies to influence America's children to develop habits 
that foster good health over a lifetime--including physical 
activity, good nutrition, and the avoidance of illicit drugs, 
tobacco, and alcohol. The Committee has provided funds to 
continue this campaign for a second year. The Committee 
continues to believe that, if we are to have a positive impact 
on the future health of the American population, we must change 
the behaviors of our children and young adults by reaching them 
with important health messages. The Committee notes that CDC is 
working with the Health Resources and Services Administration 
(HRSA), the Substance Abuse and Mental Health Services 
Administration (SAMHSA), and the National Institute of Child 
Health and Human Development (NICHD) to implement the campaign. 
The Committee strongly urges CDC to include the use of in-
school networks in distributing the messages of the campaign.
    The Committee encourages CDC to continue its collaborative 
efforts with the National Cancer Institute and the National 
Institute of Environmental Health Sciences on lymphoma data 
collection to better understand current trends of lymphoma 
incidence in the United States. The Committee also encourages 
CDC to consider developing new efforts to educate patients and 
health care practitioners about the symptoms associated with 
lymphoma and the challenges of correct diagnosis.
    The Committee is encouraged by CDC's work with State and 
national health organizations to develop an integrated and 
comprehensive national cardiovascular disease program. The 
Committee understands that, in fiscal year 2001, 25 States will 
have received Federal funding to design and/or deliver 
cardiovascular disease prevention and control programs to meet 
local needs. These programs target reduction of heart disease 
and stroke risk factors through efforts to promote physical 
activity and good nutrition and to prevent or control high 
blood pressure, elevated cholesterol, and obesity. The 
Committee has provided additional funds to expand these 
activities to additional States.
    Stroke remains America's number three killer, a major cause 
of permanent disability and a key contributor to late-life 
dementia. The Paul Coverdell National Acute Stroke Registry is 
designed to track and improve the delivery of care to patients 
with acute stroke. The Committee urges CDC to continue to work 
with the National Heart, Lung and Blood Institute and other 
professional organizations, including hospitals, universities, 
State and local health departments and other appropriate 
partners experienced in the treatment of stroke to further 
implement the registry.
    Prostatitis affects 10 percent of the male population. It 
may be the trigger for both prostatic enlargement and prostate 
cancer. It may also act as a reservoir for bacterial resistance 
and for the spread of chronic disease in women and men by 
various pathogens. The Committee encourages CDC to investigate 
the etiology of prostatitis, begin disease surveillance, 
increase public awareness and determine treatment and 
prevention strategies.
    Epilepsy is a chronic neurological condition affecting over 
2.3 million persons in the United States. The Committee 
commends CDC for its work over the last couple of years to 
promote better public education and treatment of people with 
epilepsy. The Committee has provided additional funds to allow 
CDC to continue to enhance its efforts related to epilepsy with 
a focus on health education programs at schools; modeling State 
based epilepsy public health education programs; nationwide 
public service campaigns; targeted training curriculums for 
transit officials and other members of the public sector; 
stigma, self-esteem and other psychological consequences 
associated with the disorder; and developing medical school and 
professional education curriculum on epilepsy and seizures. The 
Committee also urges CDC to enhance its voluntary health agency 
partnerships, including increased attention to external public 
health activities.
    The Committee notes the work of CDC, the National Institute 
of Child Health and Human Development, and the Health Resources 
and Services Administration in developing a model guideline for 
a death scene protocol for Sudden Infant Death Syndrome (SIDS). 
The Committee encourages CDC to implement projects to 
demonstrate the effectiveness of the protocol in a variety of 
locales throughout the Nation. The Committee requests that the 
Director be prepared to report on the progress of this 
initiative at the fiscal year 2003 appropriations hearing.
    The Committee provides continued funding for the WISEWOMAN 
screening demonstration program at last year's level. This 
program uses the framework of CDC's National Breast and 
Cervical Cancer Early Detection Program to screen women for 
heart attack, stroke, and other cardiovascular disease risk 
factors such as high blood pressure, lack of physical activity, 
and obesity. CDC also delivers dietary and physical activity 
counseling to these women to improve their health and to 
prevent cardiovascular diseases, the leading cause of death of 
American women.
    The Committee encourages CDC to plan and implement public 
awareness programs for orphan cancers for patients and 
physicians. Such cancers include esophageal, kidney, liver, 
multiple myeloma, pancreatic and stomach. Patients diagnosed 
with these cancers have the lowest life expectancy rates of all 
diagnosed cancers, yet community oncologists generally lack 
specific knowledge about these malignancies. Public awareness 
programs would help physicians better identify orphan cancer 
symptoms and make more accurate, timely diagnoses.
    The Committee encourages CDC to integrate epidemiological 
data of the National Cancer Registries program, NCI SEER data, 
NIEHS data and other appropriate Federal sources to create 
reliable baseline information for all cancer-specific sites and 
more comprehensive statistical data needed to support research, 
particularly in the orphan cancers.
    The Committee encourages CDC to determine the feasibility 
of integrating hematological, digestive system and 
genitourinary cancers screening and awareness programs into 
existing activities.
    The Committee encourages CDC to enhance its chronic fatigue 
syndrome program to include the study of cancers and linkages 
with immune-deficiency factors such as multiple myeloma.
    The Committee continues to recognize the need for enhanced 
epidemiological research in inflammatory bowel disease (IBD), 
especially in light of recent advancements in treatment for 
these diseases and the increased risk that IBD patients have 
for developing colorectal cancer. The Committee continues to 
encourage CDC to work to further the understanding of the 
prevalence of these diseases through appropriate 
epidemiological and surveillance activities and to explore 
collaboration with NIDDK and NIAID.
    Colorectal cancer is the third most commonly diagnosed 
cancer for both men and women in the U.S. and the second 
leading cause of cancer related deaths. Despite the 
availability of proven screening tests, only 37 percent of 
colorectal cancers are diagnosed while the disease is still in 
a localized stage. The Committee commends the leadership of 
CDC's National Colorectal Cancer Roundtable in promoting the 
availability and advisability of screening to both health care 
providers and the general public. The Committee has provided 
additional funds to continue to expand partnerships with State 
health departments, professional and patient organizations, and 
private industry to combat this disease.
    The Committee supports the partnership between CDC, the 
States and the Arthritis Foundation to implement the National 
Arthritis Plan. This collaboration is an effective model for 
leveraging resources to address the burden of this chronic 
disease. The Committee has provided additional funds to allow 
CDC to continue to implement this Plan.
    The Committee has provided additional funds to further 
enhance CDC's oral health activities to reduce the disparity of 
oral health diseases including dental decay, tooth loss, oral 
cancers, gum disease and oral conditions associated with 
chronic diseases such as diabetes and heart disease. The 
Committee expects CDC to work with eligible entities to 
implement the oral health prevention programs of the Children's 
Health Act of 2000 and to allow States to assist communities 
that are initiating water fluoridation projects to apply for 
appropriate assistance.
    The Committee encourages CDC to enhance school health HIV 
activities to the extent possible within the budget request. 
Significant increases in the HIV epidemic in the United States 
during the last decade have disproportionately affected 
adolescents and young adults who can benefit from school and 
university based HIV prevention programs.
    National breast and cervical cancer early detection program 
funds may be used to reimburse for HPV/DNA tests for women with 
inconclusive or ASCUS Pap test results. Recently published 
findings from a National Cancer Institute study showed that HPV 
testing is the most effective way to manage the more than two 
million women every year who are diagnosed with ASCUS results 
following their routine Pap test. The test would help 
distinguish false positive and true positive Pap test results, 
allowing for more appropriate decisions regarding colposcopy, 
biopsy, and treatment.
    The Committee is aware of the NCI-convened progress review 
group on hematological cancers and encourages CDC to work with 
NCI to determine possible areas of collaboration.

Environmental health

    The Committee provides $146,683,000 for environmental 
health, which is $9,428,000 above the fiscal year 2001 
comparable level and $10,000,000 above the budget request.
    Within the total provided, the following funding levels are 
for the specific program activities identified: $38,649,000 is 
for the environmental health laboratory; $33,201,000 is for 
environmental health activities; $32,693,000 is for the asthma 
program; and $42,140,000 is for the childhood lead poisoning 
program.
    The funds provided for the environmental health laboratory 
are to assist States in responding to environmental emergencies 
and to administer the National Biomonitoring program. CDC is 
urged to use these funds to expand the assessment of exposure 
of the U.S. population to environmental chemicals, expand 
assistance to States in assessing exposure of individuals and 
groups of people to toxic substances, provide more effective 
laboratory response to toxic emergencies by developing more 
rapid, sensitive and specific methods to measure toxic 
substances in people, and develop and apply laboratory methods 
that help determine the role of nutritional and generic risk 
factors in disease, especially those caused by exposure to 
toxic substances.
    The Committee encourages CDC to enhance its current 
activities to include the study of cancer incidence rates, 
especially cancers such as multiple myeloma, pancreatic and 
kidney, among remote arctic communities.

Epidemic services and response

    The Committee provides $80,303,000 for epidemic services 
and response, which is $2,542,000 above the fiscal year 2001 
comparable level and the same as the budget request. The 
objectives of the program include the prevention and control of 
epidemics, the maintenance of surveillance systems, the 
training of public health epidemiologists, and the operation of 
the quarantine program. The program supports the Epidemic 
Intelligence Service program, the publication of the Morbidity 
and Mortality Weekly Report, and a variety of infant and 
minority health programs.
    The Committee commends CDC for its leadership role in 
landmine victim assistance programs and encourages CDC to 
continue to partner with the Landmine Survivors Network and to 
further develop peer support networks that address the 
rehabilitative and socioeconomic needs of landmine victims in 
mine affected countries.

Health statistics

    The Committee provides a total of $126,978,000 for health 
statistics, which is $5,028,000 above the fiscal year 2001 
comparable level and the same as the budget request. Of this 
amount, $33,014,000 is provided in general funds and 
$93,964,000 is derived from the one percent evaluation set-
aside. The budget request proposed to fund the full amount 
through the one percent evaluation set-aside.
    This program is responsible for collecting, interpreting, 
and disseminating data on the health status of the U.S. 
population and the use of health services. Surveys include the 
National Vital Statistics System, the National Health Interview 
Survey, the National Survey of Family Growth, the National 
Health and Nutrition Examination Survey, and the National 
Health Care Survey.
    The Committee is pleased that NCHS is working to establish 
a primary immune deficiency national surveillance program in 
collaboration with the National Center for Infectious Diseases.
    Of the 10,000 women who give birth each day in the United 
States, 20 percent have a major complication before labor 
begins. In addition, each day two to three women die as a 
result of pregnancy. The Committee urges NCHS to work with 
NCCDPHP to review the Pregnancy Risk Assessment Monitoring 
Survey with the intent of expanding this survey to add a 
reporting requirement to track the medical care and 
interventions that women receive during pregnancy and delivery.

HIV/AIDS, STD and TB prevention

    The Committee provides $1,148,452,000 for HIV/AIDS, STD and 
TB prevention, which is $104,382,000 above the fiscal year 2001 
comparable level and $80,000,000 above the budget request. Of 
the amount provided, $844,213,000 is for the HIV/AIDS programs, 
of which $137,527,000 is for global HIV/AIDS programs; 
$167,700,000 is for the STD program; and $136,539,000 is for 
the TB program.
    The HIV/AIDS programs support HIV research, surveillance, 
epidemiologic and laboratory studies, and prevention 
activities. CDC provides funds to state and local health 
departments to develop and implement integrated community 
prevention plans. The STD program awards grants to state and 
local health departments and other nonprofit entities to 
support a wide variety of public health activities to prevent 
and treat STDs. CDC directly conducts special investigations, 
surveillance and epidemiologic research. The tuberculosis 
program provides grants to States and large cities for a broad 
range of tuberculosis control activities. In addition, the CDC 
supports state and local laboratories and conducts research, 
epidemiological investigations, and education and training 
seminars.
    The Committee commends CDC for its continued efforts to 
control TB in the United States, as demonstrated by the eighth 
year of declining TB trends reported for 2000. However, with 
the release of the Institute of Medicine's report ``Ending 
Neglect: the Elimination of Tuberculosis in the U.S.'', the 
Committee remains concerned about the threat of TB and multi-
drug resistant TB. The Committee is also concerned that, until 
global control efforts are more effective and new treatments 
and effective vaccines are developed, the global crisis on TB 
will continue to impact the U.S. Therefore, the Committee has 
provided additional funds for CDC to continue to work with 
domestic partners to maintain strong prevention and control 
programs, to work with international partners to assure the 
success of control programs, and to encourage and support, when 
possible, the development of new TB treatments and the 
development of an effective TB vaccine.
    CDC estimates that between four and five million people in 
the United States are at continued behavioral risk for HIV 
infection and this is probably a low estimate. Communities must 
be better equipped with local data to identify and direct 
resources to those most at risk. They must have an array of 
effective interventions available and the capacity to implement 
and evaluate them at the local level. They must also be able 
not only to address barriers and deter risky behavior but also 
to encourage health promotion behavior through a variety of 
individual and group interventions, community-level supports 
and structural level changes. Those at risk for or living with 
HIV infection are often also at risk for other health problems, 
such as STD and TB. Therefore, HIV prevention should be 
integrated with other services, including STD and TB screening 
and treatment, reproductive health, mental health and drug use 
prevention and treatment. The Committee urges CDC to give its 
HIV strategic plan high priority, especially with regard to 
behavioral research, development, implementation and evaluation 
of prevention and intervention programs for at-risk 
subpopulations such as racial and ethnic minorities, 
adolescents, women, sex workers, substance abusers and 
incarcerated individuals.
    Within global HIV/AIDS, the Committee expects CDC to expand 
support for microbicide research and development and support 
the priorities established in the HIV prevention strategic plan 
and the tropical microbicides five-year research agenda.
    Within the total provided, $100,000,000 is for activities 
that are targeted to address the growing HIV/AIDS epidemic and 
its disparate impact on communities of color, including African 
Americans, Latinos, Native Americans, Asian Americans, Native 
Hawaiians, and Pacific Islanders. Department statistics show 
that racial minorities represent the highest number of new AIDS 
cases. While African-Americans and Hispanics are only 12 
percent and 13 percent of the U.S. population respectively, 
they account for at least 55 percent and 20 percent of all new 
AIDS cases. In addition, more than 60 percent of people living 
with AIDS are racial and ethnic minorities. Congress began 
funding the Minority HIV/AIDS Initiative in fiscal year 1999. 
It was designed to focus special attention on solving a growing 
public health problem and to develop and improve the capacity 
of minority community based organizations to more effectively 
serve their communities. This approach was tailored to yield 
innovative and successful strategies specifically targeted to 
the highest risk and hardest to serve populations, which for 
the past two decades have eluded more traditional HIV/AIDS 
prevention, treatment, and education efforts. In distributing 
these funds, the Committee expects CDC to tailor the portion of 
its programs that are funded under the Minority HIV/AIDS 
Initiative as tightly as possible in order to address the 
growing health problem and maximize the participation of 
minority community based organizations. In evaluating 
organizations' capacities, CDC should take into consideration 
that the board, management and key staff are representative of 
the minority communities service, be situated closest to the 
targeted problem, have a history of providing services to these 
communities, and have documented linkages to the targeted 
populations, so that they can help close the gap in access to 
service for the highly impacted communities of color in the 
interest of public health.
    These funds are for activities that are designed to address 
the trends of the HIV/AIDS epidemic in communities of color 
based on the most recent estimated living AIDS cases, HIV 
infections and AIDS mortality among ethnic and racial 
minorities as reported by the CDC. These funds are to support 
HIV prevention services for individuals who are already living 
with HIV/AIDS and those who are uninfected that will promote 
behavioral change and ensure that those who are uninfected, 
remain uninfected, thereby reducing the overall number of new 
HIV infections. These funds are intended to develop and expand 
HIV prevention interventions and services targeted to highly 
impacted minority men, women, and youth. Minority youth, 
adolescents, young adults, women and gay men remain at 
disproportionate risk for HIV infection and in critical need of 
targeted, culturally competent and linguistically appropriate 
HIV prevention interventions and services.
    Included in the total funding for CDC's Minority HIV/AIDS 
Initiative, the Committee provides funds for the Directly 
Funded Minority Community Based Organization Program to fund 
technical assistance programs for grant applications from 
minority community based organizations, as defined above. The 
Committee also provides funds for the Community Development 
Program, which supports State-based and local needs assessments 
that enhance community planning processes to integrate HIV, 
hepatitis, STD, TB, and substance abuse prevention within 
communities of color.
    In addition, funds are provided for coalitions and 
partnerships with faith-based institutions. The Committee 
supports faith-based initiatives as proven and effective HIV 
prevention and intervention strategies in communities of color. 
Funds are also provided for HIV prevention programs targeted to 
serving the incarcerated population and ex-offenders who suffer 
from disproportionately higher HIV/AIDS rates than the general 
population.
    These funds are also for HIV/AIDS education and prevention 
efforts targeting adolescents of color who are at highest risk 
for HIV infection, such as a public/private non-traditional 
media and marketing effort with organizations that have a 
proven track record in this area and through media venues 
typically accessed by the Nation's youth such as music, 
concerts, broadcasts and the Internet.
    Funds are also provided to support HIV surveillance 
activities, including HIV surveillance and behavioral 
surveillance studies on Native Americans, Asians Americans, 
Native Hawaiians, Pacific Islanders and Haitian Americans. 
Minority AIDS funds provided to CDC should support priorities 
identified in the previous fiscal year as well as new 
priorities, with emphasis on infrastructure development, 
service capacity building, and technical assistance to minority 
community-based organizations, HIV prevention services to 
highly impacted high-risk populations, including outreach and 
risk reduction education, HIV testing, linkage to HIV care 
services and follow up.

Immunization

    The Committee provides $599,645,000 for immunization, which 
is $47,073,000 above the fiscal year 2001 comparable level and 
$25,000,000 above the budget request. In addition, the Vaccines 
for Children (VFC) program funded through the Medicaid program 
is expected to provide $795,533,000 in vaccine purchases and 
distribution support in fiscal year 2002, an increase of 
$20,300,000 above the fiscal year 2001 comparable level and the 
same as the budget request. Immunization project grants are 
awarded to States and local agencies for planning, developing, 
and conducting childhood immunization programs including 
enhancement of the vaccine delivery infrastructure. CDC 
directly maintains a stockpile of vaccines, supports 
consolidated purchase of vaccines for state and local health 
agencies, and conducts surveillance, investigations, and 
research into the safety and efficacy of new and presently used 
vaccines. The Committee notes that there are other Federal 
programs that provide immunizations to children, including the 
State Children's Health Insurance Program (SCHIP), the Maternal 
and Child Health Block Grant, and community health centers.

Infectious diseases control

    The Committee provides $343,018,000 for infectious diseases 
control, which is $25,436,000 above the fiscal year 2001 
comparable level and $11,500,000 above the budget request. The 
program supports national surveillance of infectious diseases, 
the development of new or improved prevention and control 
methods and techniques, the acceleration of the general 
application of accepted prevention technologies, and 
strengthening of the capability to respond to outbreaks of new 
and re-emerging infectious diseases.
    Within the total provided, $1,500,000 above the budget 
request is for the establishment of a national autopsy network 
for prion disease surveillance. Currently, autopsies are 
performed in less than 30 percent of prion cases leaving a 
large surveillance gap. The network should be designed to close 
this gap by assisting in performing autopsies and evaluating 
tissue samples from all individuals who have died of prion 
diseases such as Creutzfeldt-Jakob disease. The Committee also 
encourages CDC to work with State and local health departments 
to improve the timely reporting of prion diseases cases to CDC.
    Within the total provided, $5,000,000 above the budget 
request is for a prevention program to control and reduce the 
incidents of hepatitis C. This funding is to develop State-
based programs and demonstrations to learn the most feasible 
approach to integrating hepatitis C and B screening, 
counseling, and referral programs into existing HIV and STD 
State programs. The Committee requests that the Director be 
prepared to provide a progress report outlining a plan for a 
full response to the need for hepatitis C prevention activities 
at the fiscal year 2003 appropriations hearing.
    Within the total provided, $5,000,000 above the budget 
request is to continue planned activities and expand efforts to 
control the West Nile virus. The Committee is aware of CDC's 
effort to complete a national plan for West Nile virus response 
in the U.S. and encourages CDC to continue its efforts as 
quickly as possible. That includes developing a computerized 
national surveillance system for West Nile virus and providing 
funds to build national capacity to develop and implement 
effective surveillance, prevention, and control activities.
    The Committee urges CDC to continue working with the 
National Hemophilia Foundation to strengthen disease 
management, prevention and outreach programs and its blood 
safety surveillance. Genotyping of the hemophilia population 
would speed identification of inhibitors and facilitate the 
rapid translation of gene therapy technologies into treatment 
and prevention efforts. The Committee encourages CDC to 
establish a genetic databank for persons with hemophilia and 
bleeding disorders.
    The Committee is pleased that CDC is working to establish a 
competitively awarded primary immune deficiency diseases 
national surveillance program. These diseases, which impair the 
body's immune system, strike most severely at children, many of 
whom do not survive beyond their teens or early twenties. 
Primary immune deficient patients require regular infusions of 
immune globulin intravenous (IGIV) to bolster their immune 
systems and maintain their health. Given the serious public 
health problems caused by the longstanding shortage of IGIV in 
the United States and the lack of knowledge regarding the long-
term effects of IGIV use, the Committee encourages CDC to 
continue its partnership with the primary immune deficiency 
community, NCHS and the National Institute of Allergy and 
Infectious Diseases in developing a primary immune deficiency 
surveillance program.
    The Committee commends CDC for increasing its involvement 
in the national education and awareness campaign sponsored by 
the Jeffrey Modell Foundation (JMF) in collaboration with 
NICHD, NIAID, NCI and other private entities. The campaign is 
targeted at the estimated 500,000 Americans whose primary 
immunodeficiency (PI) is undiagnosed, under-diagnosed or 
misdiagnosed through distribution of a 10 warning signs poster 
and other related materials to physicians, day care programs, 
public health departments and clinics, third-party payers and 
others. The Committee understands that CDC and JMF will jointly 
sponsor two Jeffrey Modell fellows dedicated to researching the 
role of public health in addressing PI. In addition, CDC is 
planning a workshop in the Fall of 2001 on the role of public 
health in PI and will publish the results as a supplement to a 
major journal. The Committee strongly urges CDC to further this 
national education and awareness campaign from within available 
funds. The Director should be prepared to provide a status 
report outlining the progress that has been made in this area 
at the fiscal year 2003 appropriations hearing.
    The Committee encourages CDC to evaluate the effectiveness 
of existing data collection, reporting, and analyzing systems 
related to food allergies. The Committee requests that the 
Director be prepared to provide information about how these 
efforts could be improved at the fiscal year 2003 
appropriations hearing.
    The Committee is pleased that CDC is restoring funding to 
the chronic fatigue syndrome (CFS) research program and that 
these funds are being used in substantive areas of research and 
education. The Committee commends CDC on its collaborations 
with prominent CFS clinicians, researchers and advocates and 
supports efforts to develop and test an empirically derived 
case definition and initiate a national CFS survey to estimate 
sex, age, race/ethnic and socioeconomic specific prevalence of 
CFS. CDC is encouraged to enhance support of its CFS research 
plan, which includes surveillance projects on children, 
adolescents and minorities, a national patient registry, 
studies of etiologic agents, diagnostic markers, identifying 
risk factors, and public education programs. The Committee 
recognizes CDC's support of the CFS Coordinating Committee 
(CFSCC) and urges CDC to continue this support as the CFSCC 
transitions from a Coordinating Committee to an advisory 
committee.
    The Committee commends CDC for developing its new Working 
Document on Potential Infectious Etiologies of Crohn's Disease 
and encourages the agency to enhance efforts to pursue the 
research directions outlined in the document.
    Patients with Cooley's anemia, or thalassemia, are the most 
heavily transfused of all patients, often receiving blood every 
two weeks. CDC has created a program outline for establishing a 
blood safety surveillance program through the major clinical 
research centers and other sources in cooperation with the 
Cooley's Anemia Foundation. This program is modeled on the 
Universal Data Collection program used in hemophilia. The 
Committee urges CDC to begin work to establish this program 
from within available funds.

Injury prevention and control

    The Committee provides $143,655,000 for the injury control 
program, which is $823,000 above the fiscal year 2001 
comparable level and the same as the budget request. The injury 
prevention and control program supports intramural research, 
injury control research centers, extramural research grants, 
and technical assistance to state and local health departments.
    The bill retains a limitation included in previous 
Appropriation Acts to prohibit the National Center for Injury 
Prevention and Control from engaging in any activities to 
advocate or promote gun control. The Committee does not believe 
that CDC should advocate or promote policies to advance gun 
control initiatives, or discourage responsible private gun 
ownership. The Committee expects research on gun violence to be 
objective and grants to be awarded through an impartial peer 
review process.
    The Committee urges CDC to continue the establishment of a 
uniform trauma surveillance data system from within available 
resources.

Occupational safety and health

    The Committee provides $270,135,000 for occupational safety 
and health, which is $10,103,000 above the fiscal year 2001 
comparable level and $4,000,000 above the budget request. This 
program conducts applied research, develops criteria for 
occupational safety and health standards, and provides 
technical services to government, labor and industry, including 
training for the prevention of work-related diseases and 
injuries. This appropriation supports surveillance, health 
hazard evaluations, intramural and extramural research, 
instrument and methods development, dissemination, and training 
grants.
    The Committee supports NIOSH's activities in domestic 
terrorism preparedness to protect emergency responders from 
biological and chemical terrorism exposures as well as 
industrial accidents. Fire fighters, emergency medical 
personnel, and other on-site workers need reliable personal 
protective equipment, particularly respirators, protective 
clothing, and detection devices to be able to effectively help 
victims in case of exposure to biological or chemical terrorist 
agents. The Committee urges NIOSH to make certification of 
protective equipment a high priority.
    Sleepiness, as a result of either untreated sleep disorders 
or simple sleep deprivation, has been identified as a causal 
factor in many chronic diseases as well as a growing number of 
vehicular and on-the-job injuries. Sleep deprivation is also a 
growing problem for high school students, the largest at-risk 
group for fall-asleep car crashes, as well as parents, police 
officers, and medical residents. The Committee encourages NIOSH 
to serve as the primary Federal partner for state and community 
programs in collaboration with other appropriate centers at the 
CDC.

Preventive health and health services block grant

    The Committee provides $135,030,000 for the preventive 
health and health services block grant, which is $1,000 above 
the fiscal year 2001 comparable level and the same as the 
budget request. This program provides grants to States for a 
wide range of public and preventive health activities.

Public health improvement

    The Committee provides $149,910,000 for public health 
improvement, which is $39,034,000 above the fiscal year 2001 
comparable level and $40,000,000 above the budget request. This 
program funds activities designed to close the Nation's gap in 
public health capacity and strengthen the practice of public 
health at the front lines, develop improved interventions and 
services, help racial and ethnic minority communities mobilize 
and organize their resources to support effective and 
sustainable programs that will contribute to the elimination of 
health disparities, and develop and implement national data 
standards for surveillance reporting.
    Within the total provided, $20,000,000 above the budget 
request is for development and implementation of a nationwide 
environmental public health tracking network and capacity 
development in environmental health at State and local health 
departments. The combination of information obtained from a 
national tracking system and enhanced State and local capacity 
in environmental public health would enable State and local 
health departments to rapidly respond to outbreaks, disease 
clusters, and emerging trends in identified health conditions. 
These funds will allow CDC to develop standards, protocols, and 
demonstration models for implementation of State-based tracking 
systems, support demonstration projects in 25 States, support 
training in the use of information derived from such a tracking 
system, and focus efforts on developing capacity in States so 
that information obtained from such a system can be used for 
public health action.
    Within the total provided, $20,000,000 above the budget 
request is to improve public health infrastructure and capacity 
at the State and local level to identify, detect, monitor, and 
respond to threats to the public health. Our national public 
health system is the first line of defense against preventable 
disease and disability. The Committee believes that additional 
steps are needed to close the gaps in the capacity of this 
system to respond to the many health challenges this country is 
facing. In response to the seriousness of the problem, Congress 
passed the Public Health Improvement Act. The Committee has 
provided funds for programs and activities outlined in this 
Act.

Buildings and facilities

    The Committee provides $175,000,000 for buildings and 
facilities, which is the same as the fiscal year 2001 
comparable level and $25,000,000 above the budget request. This 
line item supports ongoing maintenance projects, as well as 
safety repairs and equipment purchases. Funding is included for 
storage infrastructure hardware and software upgrades to 
provide for heterogeneous correctivity to all existing systems 
used at CDC.

Office of the Director

    The Committee provides $49,440,000 for the activities of 
the Office of the Director, which is $10,370,000 above the 
fiscal year 2001 comparable level and the same as the budget 
request. The Committee intends this amount to be a ceiling. The 
Director may transfer these funds to non-administrative, 
programmatic activities at his discretion.
    The Committee continues to be interested in the financial 
accountability of CDC. The mission of CDC is critical to the 
health and well-being of the people of this country and others 
around the world and the integrity of the agency must be 
intact. The budget request reflects a new budget structure for 
the agency that is intended to make CDC more transparent and 
strengthen its accountability. The Committee has concurred with 
this new structure, but will be monitoring its implementation. 
The Committee requests the Director to be prepared to provide a 
progress report at the fiscal year 2003 appropriations hearing.
    The Committee commends CDC's commitment to improving the 
health status of minority and disadvantaged individuals and 
urges expansion of these efforts including the coordination of 
preventative health care, substance abuse treatment and HIV.

Bioterrorism

    The Committee provides $231,919,000 for bioterrorism 
activities, within the Public Health and Social Services 
Emergency Fund.

                     National Institutes of Health

    The Committee provides $22,874,971,000, for the 26 
appropriations, which together fund the programs of the 
National Institutes of Health (NIH). These include 
appropriations for the 19 research Institutes, the National 
Center for Research Resources, the John E. Fogarty 
International Center, the National Library of Medicine, the 
National Center for Complimentary and Alternative Medicine, the 
National Center on Minority Health and Health Disparities, the 
Office of the Director, and Buildings and Facilities. The total 
in the bill is $2,579,711,000 above the fiscal year 2001 
comparable level and the same as the budget program request. 
This funding level provides a 12.3 percent increase in total 
for the research components of NIH, the same as the budget 
program request. Programs funded in this account are not 
authorized for fiscal year 2002.
    The funding levels provided in the bill for each of the 
Institutes and Centers reflect the same program level as the 
Administration request. The budget proposed to increase the 
Public Health Service evaluation tap from one percent to two 
percent. The Committee has not agreed to this proposal. The 
Committee has adjusted the appropriation for each Institute and 
Center based on a one percent evaluation tap amount and 
provides each Institute and Center with the same program level 
as requested by the President.
    Within the funds provided, the Committee assumes a 4.6 
percent pay increase.
    Committee Priorities.--The Committee views NIH as one of 
its very highest priorities and has made difficult resource 
allocation decisions throughout the bill to provide what it 
believes is the necessary funding level for NIH. NIH is the 
world's leading biomedical research institution; its 
investments in research save lives, relieves suffering, and 
reduce health care costs while creating jobs and economic 
growth in a global economy. This research has produced major 
advances in the treatment of cancer, heart disease, diabetes, 
and mental illness that have helped thousands of American 
families. The U.S.'s ability to translate scientific 
discoveries into new product development has resulted in its 
lead over Europe and Japan in pharmaceutical and biotechnology 
patents. While the Committee is firm in its commitment to 
budget restraints, it believes that funding of biomedical 
research is an important investment in the future health and 
economic well-being of our nation.
    Balance in the Research Portfolio.--The Committee believes 
that NIH should distribute funding on the basis of scientific 
opportunity. As a result, the Committee has allocated the 
Institute appropriations consistent with the distribution 
recommended by NIH and reflecting the Director's judgment of 
scientific opportunity. The Committee urges the Director and 
the Administration to continue to resist pressures to earmark, 
set-aside and otherwise politicize these invaluable resources. 
If NIH believes that adjustments to this allocation are 
necessary as the fiscal year 2002 appropriations bill moves 
through the legislative cycle, the Committee would be pleased 
to consider them in later action on the bill.
    To enhance NIH's flexibility to allocate funding based on 
scientific opportunity, the Committee has attempted to minimize 
the amount of direction provided in the report accompanying the 
bill. For example, there are no directives to fund particular 
research mechanisms, such as centers or requests for 
applications, or specific amounts of funding for particular 
diseases.
    In stating that scientific opportunity should be the basis 
for allocating research funding, the Committee understands that 
other factors also are relevant to NIH's decisions, including 
such considerations as the infectious nature of a disease, the 
number of cases and deaths associated with a particular 
disease, the Federal and other costs of treating a disease, the 
years of productive life lost due to a particular disease, and 
the estimated proximity to research breakthroughs. The 
Committee does not presume to judge which criteria should take 
precedence or carry the greatest weight in individual funding 
decisions, but urges NIH to consider the full array of relevant 
criteria as it constructs its research portfolio.
    AIDS Funding.--Consistent with the philosophy outlined 
above, the Committee has chosen not to earmark a specific 
dollar amount for AIDS research. The Committee understands that 
it would be NIH's intent to allocate AIDS funding consistent 
with the Director's recommendations. The Committee understands 
that this allocation may change before the beginning of the 
fiscal year.
    The Committee intends that the funds allocated for AIDS 
should be spent in a manner fully consistent with the AIDS 
research plan developed by the Office of AIDS Research (OAR) 
and expects the Director of NIH to use the full authority of 
his office to ensure that this occurs. The Committee has 
provided the Director of OAR, jointly with the Director of NIH, 
transfer authority to reallocate up to three percent of funds 
designated for AIDS research among Institutes, subject to 
normal reprogramming procedures. The Committee encourages NIH 
to use this authority whenever it believes that an adjustment 
in the allocation of AIDS funding between Institutes is 
appropriate to achieve scientific objectives or to facilitate 
promising research efforts.
    The Committee continues to support OAR, its leadership, and 
its coordinated budget planning process and expects the 
individual institutes, centers and divisions to fully cooperate 
with OAR's work. The Committee has provided funding for the OAR 
within the Office of the Director and intends that the OAR will 
maintain its current structure and responsibilities, including 
the allocation of an emergency discretionary fund.
    Government Performance and Results Act.--The Committee 
recognizes that the development of programmatic indicators for 
NIH under the Government Performance and Results Act is one of 
the most difficult conceptual and methodological problems in 
the Act's implementation. NIH should continue to work with the 
National Academy of Sciences and the other science agencies to 
develop a better conceptual and theoretical framework for such 
measures. The Committee believes that NIH should begin to 
implement the Act where it can. Measures of administrative 
efficiency and effectiveness can and should be adopted and 
tracked. Similarly, indicators of the ability of systems to 
support the research enterprise exist, and should be included. 
Presentation of these measures, including goals for 
improvements, baselines and reporting systems are an initial 
step. Information presented with the President's budget should 
include improvements in these indicators resulting from 
proposed funding levels. In addition, the Committee will expect 
the Director to include a report in the fiscal year 2003 
appropriations budget justifications on the progress toward 
indicators relating directly to research and the translation of 
basic research findings to medical and other applications.

                       national cancer institute

    The Committee provides $4,146,291,000 for the National 
Cancer Institute (NCI), which is $409,074,000 above the fiscal 
year 2001 comparable level and the same as the budget program 
request.
    Mission.--The NCI conducts and supports basic and applied 
cancer research in early detection, diagnosis, prevention, 
treatment and rehabilitation. NCI provides training support for 
research scientists, clinicians and educators, and maintains a 
national network of cancer centers, clinical cooperative 
groups, and community clinical oncology programs, along with 
cancer prevention and control initiatives and outreach programs 
to rapidly translate basic research findings into clinical 
practice.
    Blood Cancers.--The Committee is pleased that NCI has 
conducted a progress review group on lymphoma, leukemia and 
myeloma to evaluate opportunities for research in these areas 
and looks forward to receiving a copy of the final report. The 
Committee requests that the Director of the Institute be 
prepared to provide a progress report on lymphoma and 
hematological cancer research, including a proposed budget 
plan, at the fiscal year 2003 appropriations hearing.
    The Committee urges NCI to enhance research support to 
improve the understanding of, and develop treatments for, 
myelodysplasia, a serious blood disorder affecting primarily 
older Americans and individuals who have previously undergone 
radiation or chemotherapy treatment for cancer.
    Bone Disease.--The Committee encourages NCI to include 
multiple myeloma, a cancer of the plasma cells of the bone 
marrow, in its study of bone involvement in certain cancers. 
The Committee urges NCI to collaborate with NIAMS in 
translational research activities to capitalize on recent 
advances in the study of biophosphonates, a class of drugs that 
strengthen bone through all available mechanisms, as 
appropriate.
    Cancer Metastases.--The Committee encourages NCI to conduct 
research to develop a better understanding of the unique role 
bone microenvironment plays in cancer metastatic to bone, in 
particular, in breast cancer, prostate cancer and myeloma 
through all available mechanisms, as appropriate, including the 
development of animal models of bone metastases and the 
identification of novel therapeutic targets and modalities to 
prevent and treat bone metastases.
    Chronic Lymphocytic Leukemia.--Chronic Lymphocytic Leukemia 
(CLL), the most common form of adult leukemia in the United 
States, is characterized by an accumulation of abnormal 
lymphocytes in the blood and bone marrow. The Committee 
understands that NCI awarded a program project grant last year 
to establish and lead a multi-disciplinary national research 
consortium to study CLL at both the cellular and clinical 
levels. The Committee encourages NCI to consider expanding the 
scope of research activities of the consortium through all 
available mechanisms, as appropriate.
    Five a Day Nutrition Program.--The Committee commends the 
NCI's national 5-A-Day program and encourages the Institute to 
conduct research on how best to promote healthy eating, 
especially fruit and vegetable consumption. This research 
should include, but not be limited to, research on children and 
adolescents, the general adult population, low-income and 
disparate groups, especially African Americans and Latinos and 
ways to transfer already-developed technologies to other 
government agencies and to non-profit, civic, and other 
organizations.
    Lymphoma.--The incidence of non-Hodgkin's lymphoma has 
grown by an estimated 80 percent between 1973 and 1997 and has 
a survival rate of only 51 percent. The Committee understands 
that NCI is currently supporting research to identify possible 
risk factors for non-Hodgkin's lymphoma, including a case 
control study investigating the role of immune suppression and 
stimulation in non-Hodgkin's lymphoma incidence. The Committee 
encourages NCI to make the investigation of risk factors for 
non-Hodgkin's lymphoma a high priority and evaluate the 
possibility of a workshop to assess the state of knowledge of 
the causes of the disease.
    Multiple Myeloma.--Multiple myeloma is unique among all 
cancers in that the progress of the disease can be tracked from 
its precursor through active stages through markers of abnormal 
proteins in the blood and urine. The Committee urges NCI to 
collaborate with NIAMS and NHLBI and expand knowledge of these 
markers through all available mechanisms, as appropriate, 
including greater use of translational research activities. The 
Committee also urges NCI to work with CDC regarding 
epidemiological data gathering and interpretation.
    Natural Products Drug Development.--The Committee 
encourages NCI to enhance the Natural Products Drug Development 
program, particularly in the area of complementary and 
alternative medicine. Recent surveys indicate that a majority 
of cancer patients will include complementary and alternative 
therapies in their treatment regime. NCI is encouraged to 
support high quality research proposals investigating cancer 
therapies such as iscadore and other botanical substances. 
Ayurvedic, homeopathic, traditional Chinese approaches, and 
alternative dietary approaches. The Director of the Institute 
should be prepared to provide a progress report at the fiscal 
year 2003 appropriations hearings.
    Neurofibromatosis.--The Committee encourages NCI to 
strengthen its neurofibromatosis (NF) research portfolio in 
such areas as further development of animal models, natural 
history studies, therapeutic experimentation and clinical 
trials through all available mechanisms, as appropriate. The 
Committee also urges NCI to continue to coordinate its efforts 
with other Institutes engaged in NF research.
    Ovarian Cancer.--Ovarian cancer remains one of the 
deadliest cancers for women, in part due to the lack of 
effective early screening methods. The Committee urges NCI to 
expedite current research in screening methods to detect, 
diagnose, and identify staging of ovarian cancer. The Committee 
also encourages NCI to fully fund the four ovarian cancer 
SPOREs and accelerate research in this area through all 
available mechanisms, as appropriate, including the 
establishment of additional ovarian cancer SPOREs.
    Primary Immune Deficiency Diseases.--A symposium held in 
March 2000 to investigate the relationship between primary 
immune deficiency diseases and cancer showed that primary 
immunodeficiency patients have a 200 times greater risk of 
developing cancer than someone without primary 
immunodeficiency. The Committee encourages NCI to develop a 
comprehensive research portfolio in this area. The Director of 
the Institute should be prepared to provide a progress report 
at the fiscal year 2003 appropriations hearing. NCI is also 
encouraged to expand its role in a national education and 
awareness campaign through all available mechanisms, as 
appropriate.
    Prostate Cancer.--Cancer of the prostate is the most 
commonly diagnosed non-skin cancer in America and tends to 
disproportionately affect men who are members of minority 
groups. If detected early, it can be treated successfully with 
no negative impact on the cancer survivor's quality of life. 
However, existing forms of detection are insufficient, and 
available treatments frequently result in erectile dysfunction, 
urinary problems, or other disorders and disruptions that 
negatively impact the patients quality of life. The Committee 
urges NCI to place an increased priority on research through 
all available mechanisms, as appropriate, including clinical 
trials that result in earlier, more reliable detection methods 
and more effective and less disfiguring treatment regimes.

               national heart, lung, and blood institute

    The Committee provides $2,547,675,000 for the Heart, Lung 
and Blood Institute (NHLBI), which is $249,011,000 above the 
fiscal year 2001 comparable level and the same as the budget 
program request.
    Mission.--The National Heart, Lung, and Blood Institute 
provides leadership for a national research program in diseases 
of the heart, blood vessels, lungs, and blood, in transfusion 
medicine, and in sleep disorders through support of basic, 
clinical, and population-based and health education research. 
The Women's Health Initiative (WHI) was transferred from the 
Office of the Director to NHLBI. WHI is a large cross-Institute 
initiative to study prevention of conditions responsible for 
deaths, disability and frailty in older women--breast and 
colorectal cancer, heart disease, and osteoporosis. There are 
three components of the study: a randomized clinical trial; an 
observational study; and a community prevention study. The 
clinical trial is being conducted at 40 centers with 161,809 
women participating. It is scheduled for completion in 2004.
    Blood Disorders.--The Committee encourages NHLBI to support 
research in transfusion medicine and hemostasis through all 
available mechanisms, as appropriate, including the 
establishment of a clinical research network, which would 
enable patients with non-malignant blood disorders to 
participate in clinical protocols while at the same time 
attracting and training clinicians in hematology.
    Bone Formation and Calcification in Cardiovascular 
Diseases.--Evidence suggests an association between bone 
formation, repair and breakdown (e.g. osteoporosis) and 
development of heart disease and other cardiovascular diseases. 
The Committee urges NHLBI to explore basic research in this 
area that may result in strategies to prevent osteoporosis and 
cardiovascular diseases.
    Cardiovascular Diseases.--Cardiovascular diseases remain 
the leading cause of death in the United States and a major 
cause of disability. Nearly 61 million Americans of all ages 
suffer from cardiovascular diseases. An expert panel, convened 
in 1999, reports that progress in reducing the death rate from 
cardiovascular diseases has slowed and that there are 
differences in these death rates by race/ethnicity, 
socioeconomic status and geography. The Committee supports an 
intensive research program on cardiovascular diseases at NHLBI 
and urges the Institute to place a high priority on such 
research by supporting existing heart and stroke-related 
research and investing in promising heart and stroke-related 
research initiatives.
    Cardiovascular Diseases and Stroke in Women.--
Cardiovascular diseases remains a leading cause of disability 
and is the number one cause of death in women. The clinical 
course of cardiovascular diseases is different in men than in 
women and current diagnostic capabilities are less accurate in 
women than in men. The Committee encourages NHLBI to expand its 
research on cardiovascular diseases in women, through all 
available mechanisms, as appropriate, including the development 
of safe, efficient, and cost effective diagnostic approaches 
for women and to create more informational and educational 
programs for women patients and health care providers on heart 
disease and stroke risk factors, such as high blood pressure, 
elevated cholesterol and obesity.
    Chronic Obstructive Pulmonary Disease.--Chronic Obstructive 
Pulmonary Disease (COPD) is a major cause of chronic morbidity 
and mortality throughout the world. The Committee commends 
NHLBI for its collaborative effort with the World Health 
Organization to release a new report on the global burden of 
COPD, titled Global Initiative for Chronic Obstructive Lung 
Disease. The Institute is encouraged to utilize this report to 
increase awareness of COPD in the public and research 
community. The Committee also encourages NHLBI to expand 
research to improve prevention and management of COPD through 
all available mechanisms, as appropriate.
    Cooley's Anemia.--The Committee continues to be pleased 
with the progress being made by the Thalassemia Clinical 
Research Network, which is comprised of the leading research 
centers in North America on thalassemia as well as with the 
leadership of NHLBI. The Committee understands that the Network 
is currently prioritizing a wide variety of potential research 
areas that are ripe for investigation. The Director of the 
Institute is requested to submit a summary report to the 
Committee on the work of the Network by February 1, 2002.
    Diabetes.--Vascular complications, including 
cardiovascular, peripheral vascular and cerebrovascular, are a 
major cause of mortality and morbidity in persons with 
diabetes, particular in those with juvenile diabetes. NHLBI is 
encouraged to enhance research in diabetic-specific vascular 
complications with emphasis on the accelerate pathways seen in 
juvenile diabetes in order to develop effective treatments and 
prevention. This research should be conducted through all 
available mechanisms, as appropriate, including gene therapy 
and angiogenesis. The Institute is also encouraged to 
collaborate with NIDDK to assess the genetics of complications 
of juvenile diabetes as well as understanding gene function in 
individuals with diabetes who have serious and life threatening 
complications, to develop more effective therapeutic 
interventions.
    Hematological Cancers.--The Committee urges NHLBI to 
collaborate with NCI on mutual research areas related to 
leukemia, lymphoma and multiple myeloma through all available 
mechanisms, as appropriate.
    Hemophilia.--The Committee commends NHLBI for the support 
it has provided for hemophilia gene therapy research and urges 
the Institute to continue this and other efforts to address the 
needs of persons with hemophilia and bleeding disorders, 
including blood and blood product safety, treatment of 
hepatitis C and other complications, and women's bleeding 
disorders. The Committee is concerned about the increasing 
shortage of trained hematology specialists to translate 
research discoveries into the treatment of hemophilia and 
prevention of its complications. NHLBI is urged to pursue 
strategies for addressing this critical issue.
    HIV/AIDS.--The Committee supports research on the 
interaction of tuberculosis and AIDS and encourages NHLBI to 
strengthen its research in this area through all available 
mechanisms, as appropriate.
    Lyme Disease.--The Committee urges the Institute to study 
vascular disease with a specific focus on the unique features 
associated with Lyme disease through all available mechanisms, 
as appropriate.
    Lymphangioleiomyomatosis.--Lymphangioleiomyomatosis (LAM) 
is a progressive and often fatal lung disease of young women. 
Currently, there is no effective treatment and hypothesis 
driven research is just beginning. It has been recently 
discovered that LAM occurs in up to 40 percent of women with 
tuberous sclerosis, increasing the urgency for development of 
effective therapies and suggests the targeting of specific 
molecular pathways for future research. The Committee urges 
NHLBI to continue to support the LAM intramural and the LAM 
clinical protocol. The Committee also urges NHLBI to expand 
efforts through all available mechanisms, as appropriate, 
including sponsoring a state of the science workshop, 
development of a research plan, request for applications, and 
clinical trials directed at limiting the decline in lung 
function.
    National Asthma Education and Prevention Program.--The 
Committee commends the National Asthma Education and Prevention 
Program (NAEPP) for its leadership in helping to educate 
physicians, asthma patients, their families, and the general 
public regarding asthma and its management. The Committee urges 
NAEPP to enhance the role of its Advisory Committee in helping 
to coordinate asthma education throughout the United States. 
The Committee encourages NHLBI and NAEPP to develop, in 
conjunction with other Federal agencies and voluntary and 
professional health organizations, a Federal plan to respond to 
asthma. The Director of the Institute should be prepared to 
provide a progress report on this effort at the fiscal year 
2003 appropriations hearing.
    Neurofibromatosis.--Advances continue to be made in 
research on neurofibromatosis (NF). Recent studies have 
documented the involvement of NF1 in valve formation, which may 
open up a new area for future research in congenital heart 
disease. Understanding how NF1 deficiency leads to heart 
disease may help to unravel the molecular pathways affected in 
genetic and environmental causes of heart disease. The 
Committee encourages NHLBI to enhance its NF research 
activities and coordinate its efforts with other Institutes 
engaged in NF research.
    Pediatric Asthma Network.--Little is known about the 
optimal treatment for asthma in infants and young children. 
Many questions remain unanswered, such as what is the most 
effective dose and type of medication for different types of 
asthma, what is the correct balance between medical benefits 
and possible side effects, when is the best time to start 
different types of therapies, whether early therapy can prevent 
asthma from becoming more severe or even eliminate it as a 
child gets older, and what are the combination of therapies 
that will allow a child to participate fully in childhood 
activities. The Committee urges NHLBI to use the research 
amassed through the Pediatric Asthma Clinical Research Network 
to provide clearer choices for childhood asthma therapy, to 
encourage the development and dissemination of new therapies, 
and to identify optimum asthma management strategies for 
children.
    Pediatric Cardiology.--Children's cardiovascular disorders 
represent a leading cause of childhood disability and death as 
well as the precursor to many adult heart disorders. NHLBI is 
encouraged to enhance research at understanding the natural 
history, the prevention and the treatment of childhood heart 
diseases such as childhood heart defects and cardiomyopathies 
through all available mechanisms, as appropriate, including 
clinical research and greater representation by pediatric 
cardiologists on committees and boards.
    Primary Pulmonary Hypertension.--Primary Pulmonary 
Hypertension (PPH) is a rare, progressive, and fatal disease 
affecting predominantly women of all races and ages. This 
disease involves deadly deterioration of the heart and lungs 
and is a secondary condition in many other serious and fatal 
conditions such as scleroderma and lupus. The Committee 
commends NHLBI's efforts to promote research of PPH and urges 
the Institute to enhance its support for basic research, gene 
therapy, and clinical trials of promising pharmaceuticals 
through all available mechanisms, as appropriate. NHLBI is also 
urged to take appropriate measures to ensure the submission of 
high quality proposals in this area.
    Transfusion Medicine.--The Committee encourages NHLBI to 
continue to support research and development efforts associated 
with polynitroxylated hemoglobin, a blood cell substitute that 
is being developed to provide oxygen carrying capacity and 
blood flow to the critically injured.
    Transmissible Spongiform Encephalopathies.--The Committee 
encourages NHLBI, in collaboration with NINDS, to enhance its 
efforts to develop a diagnostic test for transmissible 
spongiform encephalopathies (TSE) that would be suitable for 
screening the blood supply. Currently, there is no suitable 
method for identifying TSE-infected blood or humans infected 
with TSEs. Human TSEs, for which there are no known treatments, 
include Creutzfeld-Jakob disease and new variant Creutzfeldt-
Jakob disease.

         national institute of allergy and infectious diseases

    The Committee provides $2,337,204,000 for the National 
Institute of Allergy and Infectious Diseases (NIAID), which is 
$274,583,000 above the fiscal year 2001 comparable level and 
the same as the budget program request. The Committee includes 
language to allow the Director of NIH to transfer up to 
$25,000,000 to International Assistance Programs, ``Global Fund 
to Fight HIV/AIDS, Malaria, and Tuberculosis.''
    Mission.--The NIAID supports and conducts basic and 
clinical research and research training programs in infectious 
diseases caused by, or associated with, disorders of the immune 
system. NIAID supported research includes research on acquired 
immunodeficiency syndrome (AIDS), asthma and allergies, 
tuberculosis, sexually transmitted diseases, tropical diseases, 
and emerging microbes. The goals of NIAID research are to 
better understand disease pathogenesis, to improve disease 
diagnosis, to develop new and improved drugs to treat diseases, 
and to develop new and improved vaccines to prevent disease, 
many of which significantly affect public health.
    Asthma.--The Committee is pleased with NIAID's leadership 
regarding asthma research and management and recognizes the 
role the Institute has played in the Inner City Asthma Study 
and the importance of this effort concerning morbidity and 
mortality among underserved populations, particularly children. 
The Committee urges the Institute to continue to improve its 
focus and effort on asthma management, especially as it relates 
to children.
    Autoimmune Diseases.--NIH and the Autoimmune Diseases 
Coordination Committee are encouraged to enhance research aimed 
at improving awareness, diagnosis and treatment for the entire 
family of autoimmune diseases through all available mechanisms, 
as appropriate, including the study of overlapping genetics and 
environmental triggers of autoimmune diseases.
    Diabetes.--The Committee commends the Institute for its 
work in implementing juvenile diabetes research. The Committee 
is pleased with the progress of the Collaborative Network for 
Clinical Research on Immune Tolerance and particularly with the 
research successes involved with transplantation of insulin-
producing cells, and urges NIAID to enhance efforts in this 
area. The Committee requests that the Director of the Institute 
be prepared to provide a status of efforts to develop a vaccine 
to prevent juvenile diabetes at the fiscal year 2003 
appropriations hearing.
    Food Allergies.--Approximately seven million Americans 
suffer from food allergies. Every year, roughly 30,000 people 
receive emergency room treatment due to the ingestion of 
allergenic foods and an estimated 150 people die from 
anaphylactic shock caused by a food allergy. The Committee 
encourages NIAID to enhance efforts in this area through all 
available mechanisms, as appropriate, including convening a 
panel of expert to review current basic and clinical research 
efforts and development of a research agenda.
    Hemophilia.--The Committee encourages NIAID to continue its 
efforts with the national hemophilia foundation to ensure 
people with hemophilia have access to and opportunities to 
participate in research for improving treatment of HIV and 
complications of hemophilia including hepatitis C.
    Hepatitis C.--The Committee urges NIAID to work with other 
Institutes and Centers and with public health organizations to 
promote liver wellness and prevention on hepatitis C, 
especially among African Americans.
    Inflammatory Bowel Disease.--The Committee continues to 
note with interest a scientific research agenda for Crohn's 
disease and ulcerative colitis, collectively known as 
inflammatory bowel disease, entitled ``Challenges in 
Inflammatory Bowel Disease (IBD)''. This report identifies 
linkages between the functions of the immune system and IBD. 
The Committee is aware of NIAID's research partnership with the 
IBD community and encourages the Institute to enhance its 
support of research focused on the immunology of IBD as well as 
the interaction of genetics and environmental factors in the 
development of the disease.
    Multiple Sclerosis.--The Committee understands that NIAID 
has partnered with the Multiple Sclerosis Society and other 
groups to support research related to gender-based differences 
in immune function and immunologic disease. The Committee 
commends the Institute for undertaking this important 
initiative.
    Pediatric Kidney Disease.--An estimated 150,000 children 
and adolescents suffer from kidney diseases for which no cure 
or effective treatment exists. Approximately 10,000 of these 
children suffer from chronic kidney failure, are on dialysis, 
or have received a kidney transplant. Studies have shown that 
improvements seen in transplant survival among adults have not 
been completely realized in children, who have not fully 
benefited from improvements in immunosuprressive medications 
tested largely in the adult population. NIAID is encouraged to 
enhance its efforts to maintain transplants over a longer 
period, thereby improving kidney transplant outcomes in 
children and adolescents.
    Primary Immune Deficiency Diseases.--More than 70 primary 
immune deficiency diseases have been identified to date. These 
diseases, which impair the body's immune system, strike most 
severely at children, many whom do not survive beyond their 
teens or early twenties. The Committee continues to be pleased 
with NIAID's commitment to addressing the medical and other 
problems caused by primary immunodeficiencies, including the 
primary immune deficiencies clinical registries program. The 
Committee urges NIAID to continue to support this program and 
enhance research efforts with respect to these diseases through 
all available mechanisms, as appropriate, including gene 
therapy, bone marrow transplantation, and cord blood 
transplantation. The Committee also urges the Institute to 
continue to work with the primary immune deficient community 
and the Centers for Disease Control and Prevention on a 
national education and awareness campaign and a primary immune 
deficiency surveillance program.
    The Committee looks forward to learning the results of 
NIAID-sponsored research concerning the impact of primary 
immunodeficiencies among urban minority populations.
    Rhinosinusitis.--Rhinosinusitis affects approximately 33 
million Americans, yet its cause remains unclear. Recent 
studies have suggested that the trigger in the development of 
sinusitis, accompanied by benign polyps in one or more sinus, 
is fungus or fungi that circulate in the environment. Many 
people may be exposed to the same fungi, yet some do not 
develop rhinosinusitis or sinus polyps. NIAID is encouraged to 
support research to determine the factors that sensitize a 
patient to fungus or which generate a fungus-specific immune 
response through all available mechanisms, as appropriate.
    Sjogren's Syndrome.--NIAID has taken a leadership role in 
the NIH Autoimmune Diseases Coordination Committee (ADCC), 
which is vital to the coordination and promotion of autoimmune 
research. The Committee is encouraged to pursue critical 
statistics and epidemiology in Sjogren's and other autoimmune 
diseases that will expand knowledge and lead to new avenues for 
research. NIAID is encouraged to enhance its research support 
into the immunological aspects of Sjogren's syndrome through 
all available mechanisms, as appropriate, including ensuring 
the submission of high quality proposals in this area.
    Vaccine Safety.--The Committee encourages NIAID, in 
coordination with NICHD and NIEHS, to enhance research to 
evaluate the long-term safety of vaccines for children and 
vaccine ingredients including the potential connection to 
diabetes, autism, ADD/ADHS, SIDS and pediatric brain tumors. 
The Committee requests that the Director of the Institute be 
prepared to provide a progress report at the fiscal year 2003 
appropriations hearing.

             national institute of general medical sciences

    The Committee provides $1,706,968,000 for the National 
Institute of General Medical Sciences (NIGMS), which is 
$167,065,000 above the fiscal year 2001 comparable level and 
the same as the budget program request.
    Mission.--The NIGMS supports research and research training 
in the basic biomedical sciences. Institute grantees, working 
in such fields as cell biology, biophysics, genetics, 
developmental biology, pharmacology, physiology, and biological 
chemistry, study normal biological processes to better 
understand what goes wrong when disease occurs. In this way, 
NIGMS supports the new knowledge, theories, and technologies 
that can then be applied to the disease-targeted studies 
supported by other NIH components. NIGMS-supported basic 
research advances also find applications in the biotechnology 
and pharmaceutical industries. The Institute's training 
programs help provide the scientists needed by industry and 
academia.
    Minority Scientist Training Programs.--The Committee 
continues to be pleased with the quality of NIGMS's training 
programs, particularly those that have a special focus on 
increasing the number of minority scientists such as Minority 
Access to Research Careers (MARC) and Minority Biomedical 
Research Support (MBRS). The Committee urges NIGMS to continue 
to support these training programs. The Committee commends 
NIGMS for its support of biomedical research career 
opportunities programs for high school and undergraduate 
college students in conjunction with minority institutions.

    national institute of diabetes and digestive and kidney diseases

    The Committee provides $1,446,705,000 for the National 
Institute of Diabetes and Digestive and Kidney Diseases 
(NIDDK), which is $143,135,000 above the fiscal year 2001 
comparable level and the same as the budget program request.
    Mission.--The NIDDK supports research in three major 
disease categories: diabetes, endocrinology, and metabolic 
diseases; digestive diseases and nutrition; and kidney, 
urologic, and hematologic diseases. The NIDDK supports a 
coordinated program of fundamental and clinical research and 
demonstration projects relating to the causes, prevention, 
diagnosis, and treatment of diseases within these categories. 
The Institute also supports efforts to transfer the knowledge 
gained from its research program to health professionals, 
patients, and the general public.
    Bladder Disease.--More than one of every ten Americans 
suffers from bladder disease. The Committee understands that 
NIDDK convened the Bladder Research Progress Review Group in 
2001 and has issued an RFA related to urinary incontinence. The 
Committee urges NIDDK to finalize a long-term research strategy 
based on the recommendations of the progress review group. 
NIDDK is also urged to enhance research in such areas as basic 
bladder disease, pediatric urology and urinary tract infection 
through all available mechanisms, as appropriate, including 
establishing centers of excellence and maintaining a cell/
tissue archive for bladder disease. The Committee requests that 
the Director of the Institute be prepared to report on the 
progress in this area at the fiscal year 2003 appropriations 
hearing.
    Cooley's Anemia.--The Committee continues to support work 
to advance treatments for Cooley's anemia in the areas of iron 
measurement, fetal hemoglobin and iron chelation and encourages 
NIDDK to enhance research through all available mechanisms, as 
appropriate, including investigator-initiated research. The 
Committee requests that the Director of the Institute be 
prepared to provide a progress report at the fiscal year 2003 
appropriations hearing.
    Cystic Fibrosis.--The Committee commends NIDDK for its 
support of a clinical trial testing the safety and efficacy of 
inhaled tobramycin in infants with cystic fibrosis.
    Diabetes.--The Committee commends NIDDK for its leadership 
in implementing juvenile diabetes research. The Institute 
encourages NIDDK to enhance research in this area through all 
available mechanisms, as appropriate, including vaccine 
development, genomics/bioinformatics, research training and 
development of alternative sources of insulin-producing beta 
cells for therapeutic replacement.
    The Committee is aware that the Diabetes Research Working 
Group's (DRWG) five-year strategic plan has aided in the 
advancement of diabetes research. To review the progress in 
both type 1 and type 2 diabetes research, the Committee 
requests that NIDDK coordinate the development of a trans-NIH 
report which highlights major research efforts that have been 
undertaken across the NIH relative to the DRWG's key categories 
of scientific recommendations and which also highlights 
important research advances and new scientific opportunities 
that have emerged since issuance of the plan. This report 
should be submitted to the Committee by August 31, 2002.
    Digestive Diseases.--The Committee continues to encourage 
NIDDK to strike an appropriate balance between conducting basic 
studies on digestive diseases and bringing those research 
findings to the bedside in the form of improved patient care.
    The Committee commends NIDDK for its leadership in the area 
of inflammatory bowel disease (IBD). The Committee also remains 
concerned about the increasing frequency of irritable bowel 
syndrome (IBS), a chronic complex of disorders that malign the 
digestive system and encourages NIDDK to enhance research for 
irritable bowel syndrome/functional bowel disorders through all 
available mechanisms, as appropriate, including education/
scientific symposiums. The Institute is also encouraged to 
collaborate with CDC and the private sector on an IBS awareness 
campaign.
    The Committee recognizes the success of the Digestive 
Disease Centers program in addressing a wide range of disorders 
that result in significant human suffering and economic burden. 
The Committee continues to encourage NIDDK to expand this 
program with an increased emphasis on inflammatory bowel 
disease
    End Stage Renal Disease.--There is preliminary evidence 
that many end stage renal disease patients could have improved 
outcomes from an increased frequency of dialysis. The Committee 
is pleased that NIDDK and the Centers for Medicare and Medicaid 
Services (CMS) hosted a planning meeting earlier this year in 
preparation for a jointly funded clinical trial to study the 
efficacy of daily dialysis. The Committee requests that the 
Director of the Institute be prepared to provide a progress 
report on this initiative at the fiscal year 2003 
appropriations hearing.
    Glomerular Injury Research.--The Committee is pleased that 
NIDDK is working to initiate several clinical trials related to 
glomerular injury and urges the Institute to enhance its 
efforts in this area through all available mechanisms, as 
appropriate, including a consensus development conference.
    Hepatitis C.--The Committee is encouraged that the HALT-
Hepatitis C clinical trial is expected to yield important 
information about the relatively low response rates to current 
hepatitis C treatments. The Committee is also encouraged that 
ten promising ancillary research projects have been developed. 
The Director of the Institute should be prepared to provide a 
progress report of this trial at the fiscal year 2003 
appropriations hearing. The Committee encourages NIDDK to 
enhance efforts to study the different response rates of the 
various racial and ethnic groups through all available 
mechanisms, as appropriate. The Committee also encourages NIDDK 
to explore ways to work with public and non-profit 
organizations to assist with patient accrual. The Committee is 
pleased to learn that a new consensus conference is scheduled 
for September 2002.
    Hyperoxaluria and Oxalate.--The Committee encourages NIDDK 
to enhance basic and clinical research on hyperoxaluria and 
oxalate stone diseases through all available mechanisms, as 
appropriate, including issuing an RFA proposal.
    Interstitial Cystitis.--The Committee understands that 
research on interstitial cystitis (IC) is progressing and is 
encouraged by the recent discovery and identification of 
specific markers in the urine of patients with IC. This marker 
will not only help in selecting patients for successful 
therapy, but will allow the development of new, specific, 
targeted therapies that can cure this chronic disabling 
disease. The Committee encourages NIDDK to enhance research 
efforts in this area. The Committee also understands that NIDDK 
convened a Bladder Research Review Group in 2001 to create a 
strategic plan and set research priorities for all aspects of 
bladder disease, including IC and encourages the Institute to 
implement this plan as expeditiously as possible. The Committee 
is pleased with the progress of the IC clinical trials groups 
and encourages NIDDK to consider its continuation.
    Patients with IC frequently get multiple disorders, 
including irritable bowel syndrome, vulvodynia, allergies, 
Crohn's disease, ulcerative colitis, and fibromyalgia. The 
Committee encourages NIDDK to support collaborative research on 
the etiology, diagnosis, genetics, pathophsysiology and 
epidemiology of IC that includes urologists, neurologists, 
visceral pain specialists, and specialists in vulvodynia, 
irritable bowel syndrome and irritable bowel diseases and 
genetics.
    Kidney Disease.--The yearly mortality rate for dialysis 
patients is approximately 20 percent and it is estimated that 
the renal failure population will double over the next 10 
years. The Committee urges NIDDK to enhance kidney disease 
research through all available mechanisms, as appropriate, 
including clinical trials. The Committee requests that the 
Director of the Institute be prepared to give a progress report 
at the fiscal year 2003 appropriations hearing.
    Liver Disease.--The Committee is pleased with the research 
focus on hepatitis C, but urges the Institute to continue focus 
on other liver diseases, hepatocellular carcinoma in 
collaboration with NCI, alcoholic liver disease in 
collaboration with NIAAA, and hereditary hemochromatosis in 
collaboration with NHLBI. The Committee is aware that NIDDK, 
working with NCCAM, has begun studies of some complementary and 
alternative medicine treatments for liver diseases. The 
Committee urges NIDDK to continue to support this research and 
to assure that the public is aware of the results.
    Living Donor Liver Transplantation.--The Committee is 
encouraged by the growing number of transplants using living 
donors who contribute a portion of their liver to a recipient. 
The Committee urges NIDDK to enhance research to study the 
outcome of both donors and recipients, define optimal surgical 
procedures, and identify eligibility criteria in order to 
increase living donor transplantations through all available 
mechanisms, as appropriate, including the establishment of 
clinical centers and a data coordinating center.
    Mucopolysaccharidosis Diseases.--The Committee encourages 
NIDDK to enhance research efforts in the development of 
effective treatments for mucopolysaccharidosis (MPS) disorders 
through all available mechanisms, as appropriate, including 
genotype-phenotype studies, cell biology and the 
pathophysiology of brain damage and substrate deprivation as it 
relates to MPS disorders. The Committee also encourages NIDDK, 
NINDS and NICHD to collaborate its research efforts and enhance 
support for both current MPS studies as well as new efforts to 
develop effective therapies.
    Obesity.--Obesity is a complex chronic disease that results 
from an integration of social, behavioral, cultural, 
psychological, metabolic and genetic factors. It is a major 
health threat in the United States. The Committee commends NIH 
for increasing the number of grants examining obesity and 
encourages NIDDK to expand efforts in such areas as the effects 
of obesity on gene expression, the risk of gastrointestinal 
cancers, the role of GI hormones, motility and mucosal 
absorption in the complex balances of satiety, nutrient uptake 
and calorie and energy balance, and the effect of diet and 
nutrient intake on metabolism and gene function through all 
available mechanisms, as appropriate.
    Pediatric Kidney Disease.--The Committee remains concerned 
over the alarming number of children and adolescents suffering 
from kidney disease, a disproportionate number of whom are 
minorities. Chronic kidney failure among young people results 
in particularly severe consequences. Normal growth and 
development are impaired, and many scientists believe that 
chronic kidney failure has a profound effect on the developing 
brain, often resulting in learning disabilities and mental 
retardation. Research and treatment are hampered by the 
critical and growing shortage of pediatric kidney specialists, 
individuals who are specially trained and qualified to manage 
renal disease that arise in this vulnerable age group. The 
Committee urges NIDDK to enhance research on both congenital 
and acquired chronic renal failure through all available 
mechanisms, as appropriate, including the molecular mechanisms 
underlying growth failure in children with kidney failure, 
hypertension as a risk factor for cardiovascular and renal 
disease, and the development of a database of genetic renal 
diseases. NIDDK is also encouraged NIDDK to consider launching 
new training initiatives to help ease the workforce shortage in 
this field.
    Pediatric Liver Disease.--Biliary atresia is the most 
common cause of liver transplantation in children. The 
Committee urges NIDDK to enhance efforts to address this and 
other pediatric liver diseases through all available 
mechanisms, as approprirate including the establishment of 
clinical centers and a data-coordinating center.
    Polycystic Kidney Disease.--The Committee is encouraged 
that the number of research discoveries aimed at treatment and 
a cure for Polycystic Kidney Disease (PKD) are numerous. 
Notable breakthroughs are coming from the four 
interdisciplinary research centers established last year. The 
Committee is aware that the Institute is planning an 
international scientific workshop focusing on clinical aspects 
of PKD and an RFA for a PKD interventional trials network. In 
light of the scientific momentum in this field, the Committee 
urges the Institute to continue to implement the PKD strategic 
plan through all available mechanisms, as appropriate.
    Prostatitis.--The Committee commends NIDDK for establishing 
the Chronic Prostatitis Collaborative Research Network and is 
pleased that it will be expanding into multicenter trials. The 
Institute is encouraged to establish these centers separate 
from the urological centers. The Committee also encourages 
NIDDK to enhance research in areas that will correlate clinical 
findings with fundamental research studies.
    Urinary Incontinence.--Urinary incontinence afflicts 
approximately 13 million adults in the United States, 85 
percent of whom are women. The Committee encourages NIDDK to 
enhance research in this area through all available mechanisms, 
as appropriate including support to the urinary incontinence 
treatment network and clinical trials.

        national institute of neurological disorders and stroke

    The Committee provides $1,306,321,000 for the National 
Institute of Neurological Disorders and Stroke (NINDS), which 
is $129,524,000 above the fiscal year 2001 comparable level and 
the same as the budget program request.
    Mission.--The NINDS supports and conducts basic and 
clinical neurological research and research training to 
increase understanding of the brain and improve the prevention 
and treatment of neurological and neuromuscular disorders. The 
NINDS mission encompasses over 600 disorders, including stroke; 
head and spinal cord injury; epilepsy; multiple sclerosis; and 
neurodegenerative disorders such as Parkinson's disease.
    Alzheimer's Disease.--NINDS continues to play an integral 
part in advancing science's understanding of Alzheimer's 
disease. Working collaboratively with NIA, NINDS-supported 
researchers found that cortical degeneration or brain atrophy 
was 20 to 25 percent greater in patients with Alzheimer's. The 
Committee encourages NINDS to make Alzheimer's research a high 
priority and to continue to work closely with NIA and other 
Institutes.
    Dystonia.--The Committee continues to be interested in the 
extramural research portfolio of NINDS with respect to dystonia 
and encourages NINDS to continue to expand the study of the 
DYT1 gene and any other promising genetic leads. The Committee 
also encourages NINDS to enhance its collaboration with the 
dystonia research community in supporting epidemiological 
studies on dystonia and enhancing public and professional 
awareness of this disorder. The Director of the Institute 
should be prepared to provide a status report on the dystonia 
research portfolio at the fiscal year 2003 appropriations 
hearing.
    Epilepsy.--The Committee is encouraged by the development 
of 13 benchmarks for epilepsy research resulting from the 
Institute sponsored conference held in March 2000 on ``Curing 
Epilepsy: Focus on the Future''. The Committee urges NINDS to 
enhance research efforts in the prevention, treatment and 
eventual cure of this disease through all available mechanisms, 
as appropriate, including the development of a plan to 
implement the research benchmarks and establishment of an 
Interagency Epilepsy Coordinating Committee. The Committee also 
urges the Institute to enhance efforts to address research 
issues related to the impact of seizures on young children, 
women, the elderly and those with intractable or uncontrolled 
epilepsy. NINDS is also encouraged to develop research plans 
and goals for the anti-epileptic drug development program. The 
Director should be prepared to testify on its efforts to 
advance these areas of research at the fiscal year 2003 
appropriations hearing.
    Facioscapulohumeral Muscular Dystrophy.--Facioscapulo-
humeral muscular dystrophy (FSHD) is the third most common form 
of muscular dystrophy. The Committee is pleased that NINDS and 
NIAMS have taken steps to begin implementation of the 
recommendations of the 2000 research planning conference on 
FSHD and urges NINDS and NIAMS to develop a comprehensive 
research portfolio through all available mechanisms, as 
appropriate.
    Fragile X.--Fragile X is a single-gene neurological 
disorder affecting 1 in 2000 males and 1 in 4000 females with 
mental disorders, cognitive impairment and seizures. The cause 
of the disease is the failure of a single gene to produce a 
protein. The Committee urges NINDS to enhance its research 
activities on Fragile X and to include Fragile X patients in 
its studies of related disorders. The Committee also urges 
NINDS to coordinate these efforts with other Institutes working 
on related activities, including NIMH and NICHD.
    Mucolipidosis Type IV.--The Committee commends NINDS for 
sponsoring research with the Mucolipidosis Type IV (ML4) 
Foundation. This research identified the gene whose mutation 
causes this debilitating genetic metabolic disease. The 
Committee urges NINDS and other Institutes to expand both 
intramural and extramural research on this disease.
    Neurofibromatosis.--Recent advances in Neurofibromatosis 
(NF) research have linked NF to cancer, brain tumors, learning 
disabilities, and heart disease. The Committee encourages NINDS 
to expand its NF basic and clinical research portfolio through 
all available mechanisms, as appropriate, including clinical 
trials. The Committee commends NINDS for its leadership in 
initiating a NF workshop that involved other relevant NIH 
Institutes as well as the Army and Veterans Administration. 
NINDS is encouraged to translate the recommendations of the 
workshop into research initiatives and to continue to 
coordinate its efforts with other Institutes engaged in NF 
research.
    Parkinson's Disease.--NIH has developed a five-year 
Parkinson's Disease Research Agenda. The Committee urges NINDS 
to work toward full implementation of this research agenda 
through all available mechanisms, as appropriate, including 
research opportunities in the development of stem cell therapy 
for neurodegenerative disorders, related brain repair research 
that will develop the scientific opportunity presented in this 
fast moving field, and support for consortia to involve the 
extramural research community in planning and executing this 
initiative. The Committee commends NIH for supporting workshops 
and other collaborations between sectors of the Parkinson's 
research community, including the workshop on gene therapy, and 
encourages similar collaborative models. The Committee is 
encouraged by the reference in the Parkinson's Research agenda 
to support translational research. The Committee also commends 
NINDS for its efforts, through supplemental funding, workshop 
sponsorship and other mechanisms, in developing the Morris K. 
Udall centers for Parkinson's Research as an important research 
resource and urges continued support for these Centers for all 
authorized activities including a clinical component.
    Reflex Sympathetic Dystrophy.--Reflex Sympathetic Dystrophy 
(RSD), also known as Complex Regional Pain Syndrome (CRPS), is 
a chronic debilitating condition characterized by severe 
burning, pain, pathological changes in bone and skin, excessive 
sweating, tissue swelling, and extreme sensitivity to touch. It 
is estimated that between two and five percent of individuals 
with peripheral nerve injury and up to 20 percent of those with 
paralysis on one side of the body will suffer from RSD. The 
Committee is pleased to learn about the State of the Science 
conference being planned for RSD and other chronic pain 
diseases. The Committee encourages NINDS to enhance research 
into this condition through all available mechanisms, as 
appropriate.
    Spina Bifida.--Spina bifida and neural tube defects are the 
leading, permanent disabling birth defect in the United States. 
The Committee urges NINDS to work with NICHD, AHRQ and CDC to 
enhance efforts to assess and evaluate secondary prevention 
strategies to reduce the complications associated with Spina 
bifida, including an evaluation of in utero surgical techniques 
through all available mechanisms, as appropriate, including a 
consensus conference. The Committee requests that the Director 
of the Institute be prepared to provide a progress report at 
the fiscal year 2003 appropriations hearing.
    Stroke.--Stroke remains the third leading cause of death, a 
leading cause of permanent disability, and a major contributor 
of late-life dementia. The Committee encourages NINDS to place 
a high priority on stroke research. The Committee also 
encourages the Institute to expand its stroke education program 
and to initiate and continue innovative approaches to improve 
stroke diagnosis, treatment, rehabilitation, and prevention 
through all available mechanisms, as appropriate. The Committee 
looks forward to receiving the NINDS five-year strategic stroke 
research plan scheduled to be released this fall.
    The Committee encourages NINDS to support research and 
development in the area of polynitroxylated albumin as a 
neuroprotectant for ischemic, hemorrhagic and transient 
ischemic stroke through all available mechanisms, as 
appropriate.
    Tuberous Sclerosis.--Tuberous scelosis (TS) is a genetic 
disorder that affects many different organ systems. TS occurs 
in all races, both sexes, affects over one million individuals 
worldwide, and is the leading genetic cause of epilepsy and the 
second most identifiable genetic cause of autism. The Committee 
encourages NINDS to enhance research in this area through all 
available mechanisms, as appropriate, including working 
collaboratively with private patient foundations to develop a 
research plan.

                  national institute of mental health

    The Committee provides $1,228,780,000 for the National 
Institute of Mental Health (NIMH), which is $122,261,000 above 
the fiscal year 2001 comparable level and the same as the 
budget program request.
    Mission.--The NIMH is responsible for research activities 
that seek to improve diagnosis, treatments, and overall quality 
of care for persons with mental illnesses. Disorders of high 
priority to NIMH include schizophrenia, depression and manic 
depressive illness, obsessive-compulsive disorder, anxiety 
disorders and other mental and behavioral disorders that occur 
across the lifespan; these include childhood mental disorders 
such as autism and attention-deficit/hyperactivity disorder; 
eating disorders; Alzheimer's disease; and other illnesses. 
NIMH supports and conducts fundamental research in 
neuroscience, genetics, and behavioral science. In addition to 
laboratory and controlled clinical studies, the NIMH supports 
research on the mental health needs of special populations and 
health services research.
    Alzheimer's Disease.--NIMH continues to play an important 
role in research on the causes of Alzheimer's disease, its 
clinical course and treatment and services for patients. NIMH 
research has documented a strong link between depression and 
physical aggression in Alzheimer's patients suggesting that 
depression treatment may reduce aggression in patients. The 
Committee encourages NIMH to make Alzheimer's research a high 
priority and continue to collaborate with NIA and other 
Institutes.
    Fragile X.--Fragile X is the most common single-gene 
neuropsychiatric disease known. The Committee urges NIMH to 
support research on the neurobiological basis of Fragile X 
through all available mechanisms, as appropriate, including 
studies on specific neural circuits and molecules. The 
Committee also urges NIMH to characterize the mental health 
symptoms of Fragile X, investigate effective treatments and 
promising new psychopharmacologic interventions that target 
these symptoms and include Fragile X in studies of related 
neuropsychiatric disorders through all available mechanisms, as 
appropriate. NIMH is encouraged to work with NICHD and NINDS to 
develop cooperative research in this area.
    Psychiatric Nursing.--The Committee is encouraged by the 
progress made by NIMH and NINR in implementing a technical 
assistance workshop on grant writing and navigating a research 
career trajectory in the area of behavioral change related to 
psychiatric mental health nurse researchers. The Committee 
encourages NIMH to continue to collaborate with NINR and expand 
research in this area through all available mechanisms, as 
appropriate.
    Senior Citizen Mental Health.--Older Americans are at 
greater risk of mental disorders and their complications than 
younger people. However, depression does not have to be an 
inevitable part of the aging process and many of these 
illnesses can be accurately diagnosed and successfully treated. 
The Committee is pleased that NIMH has renewed and strengthened 
its emphasis in this area and notes the launch of an intra-NIMH 
consortium of scientists concerned with mental disorders in the 
aging population with a goal of increasing coordinated research 
efforts, expanding recognition of disorders in the elderly, 
developing new treatments and reducing stigma. The Committee 
urges NIMH to expand research in this area extramurally through 
all available mechanisms, as appropriate.

        national institute of child health and human development

    The Committee provides $1,088,208,000 for the National 
Institute of Child Health and Human Development (NICHD), which 
is $109,487,000 above the fiscal year 2001 comparable level and 
the same as the budget program request.
    Mission.--The NICHD conducts and supports laboratory and 
clinical research on the reproductive, developmental, and 
behavioral processes that determine and maintain the health and 
well-being of children, adults, families and populations. In 
addition, research in medical rehabilitation is supported. The 
Committee commends NICHD for its innovative program of 
Specialized Centers for Research in Reproductive Medicine in 
Minority Institutions and looks forward to learning about the 
progress of this initiative.
    Bone Disease in Adolescents.--The Committee encourages 
NICHD to support research to understand the relationship 
between pregnancy and lactation and bone mass in adolescents. 
Such research might address the impact of chronic 
anticoagulation on bone mass in pregnancy, the effect of oral 
contraceptives on acquisition of peak bone mass and bone loss 
in early adolescence and the impact on bone status of chronic 
under-nutrition of young women. The Committee supports the 
continuing efforts of the Institute to provide a database of 
bone density across a decade for white and minority children 
and adolescents.
    Demographic Research.--The Committee recognizes that 
demographic research is fundamental to the understanding of 
national and international trends. The Committee urges NICHD to 
continue its support of demographic research on such issues as 
marriage, family structure, fatherhood, teen childbearing, 
immigration, child and adolescent health and the impact of 
changing age structures on children and adults. The Committee 
continues to support NICHD's partnerships with other Federal 
agencies that help produce data for demographic research.
    Diabetes.--The Committee is concerned about reports of a 
shortage of pediatric endocrinologists and urges NICHD to 
enhance efforts to address this problem through all available 
mechanisms, as appropriate. The Committee urges NICHD to 
continue collaborating with NIAID and NIDDK in an effort to 
develop a vaccine to prevent juvenile, or Type 1, diabetes. The 
Committee also urges the Institute to collaborate with CDC's 
initiative to establish a pediatric diabetes registry.
    Fragile X.--Fragile X is the most common inherited cause of 
mental retardation. The Committee commends NICHD for its 
research actions, both intramurally and extramurally, in this 
area. The Committee encourages NICHD to enhance its research 
efforts on Fragile X through all available mechanisms, as 
appropriate, including establishment of research centers. The 
Committee requests that the Director of the Institute be 
prepared to provide a progress report at the fiscal year 2003 
appropriations hearing.
    Limb Loss.--Congenital limb deficiency, vascular disease, 
childhood skeletal malignancy, and trauma have resulted in over 
1.5 million persons in the United States with limb loss. 
Technological advancements today offer considerable opportunity 
for persons with limb loss to effectively resume active, 
productive lives. The Committee commends the National Center 
for Medical Rehabilitation Research (NCMMR) for holding a 
prosthetic outcomes research consensus conference, together 
with the Department of Veterans Affairs and the Department of 
Education. The Committee encourages NCMMR to continue its 
program in prosthetic research.
    Literacy and Preventive Interventions.--The Committee 
encourages NICHD to develop a comprehensive research program 
designed to assess the effectiveness of well defined and 
evidence-based early childhood, school readiness and child care 
programs and interventions that significantly improve the 
integrated development of social competencies, emotional 
health, physical health and cognitive abilities and skills to 
the maximum extent possible in children from birth to entry 
into the first grade. This research should also look at the 
role of parental involvement and the quality of training and 
experience of preschool teachers and child care personnel on 
developmental outcomes at different stages of development. The 
Committee encourages NICHD to develop collaborations with the 
Department of Education and programs within the Department of 
Health and Human Services to develop and implement programs in 
the most timely and optimal manner.
    The Committee commends NICHD for its promising research of 
the educational practices that help disadvantaged children 
effectively learn to read and write. States, such as California 
would benefit from the application of this research. NICHD is 
urged to continue this research and coordinate with other 
Federal agencies, State and local education agencies, the 
private sector and the general public to put the results of 
this research into the widest and most productive use.
    Maternal-Fetal Medicine.--Seventy-five percent of the 
infant deaths and substantial morbidity occurring during the 
neonatal period are caused by pre-mature delivery. The 
Committee urges NICHD to enhance its research efforts into the 
causes of pre-term delivery building on previous research 
surrounding the role of infection and immune response and the 
role of genetics through all available mechanisms, as 
appropriate, including sponsoring a planning workshop. The 
Director of the Institute should be prepared to testify on the 
progress in this area at the fiscal year 2003 appropriations 
hearing.
    Mathematical Skills Improvement.--The Committee urges NICHD 
to pursue research on the development of skills needed to learn 
math, the means to address difficulties learning math, as well 
as the effective instruction for math. The Committee also urges 
NICHD to examine the use of technology such as calculators and 
its effects on long-term math achievement.
    Mental Retardation/Developmental Disabilities.--Nearly 
500,000 children are born each year in the United States with 
mental retardation and/or other developmental disabilities. In 
the past, the Committee has highlighted the importance of 
research in specific conditions such as Rett syndrome, autism, 
spina bifida, learning disabilities, Fragile X syndrome and 
other related diseases. As a result of center-based research 
focusing specifically on mental retardation and developmental 
disabilities the knowledge base has been advanced in such areas 
as imaging technology, brain development, genetic mapping, low 
birthweight, prematurity and family functioning. The Committee 
encourages NICHD to enhance the efforts of these centers to 
continue the advancement of both basic and clinical research 
into the causes, diagnosis, early detection, prevention, and 
treatment of mental retardation and developmental disabilities 
through all available mechanisms, as appropriate, including 
infrastructure improvements.
    National Longitudinal Children's Cohort Study.--Children 
are more vulnerable than adults to environmental influences 
because of fragile developing systems and behaviors that may 
lead to increased exposure to environmental contaminants. It is 
thought that evidence-based policies and effective prevention 
and health promotion strategies to achieve a healthy and safe 
environment for children are best derived from a Federal multi-
agency longitudinal study. The Committee supports the National 
Longitudinal Children's Cohort Study and urges NICHD to provide 
sufficient funds to enhance ongoing multi-agency planning 
activities, facilitate collaboration among Federal and non-
Federal scientists and other stakeholders and support initial 
pilot studies. This study should investigate basic mechanisms 
of developmental disorders and environmental processes and 
incorporate behavioral, emotional, educational, and contextual 
consequences to enable a complete assessment of the physical, 
chemical, biological, and psychological environmental 
influences on children's well being. NICHD is urged to support 
the full scope of work of the Interagency Work Group and the 
Scientific Assembly so that initial enrollment in the full 
study can begin by the end of 2003. The Committee requests that 
the Director of the Institute be prepared to provide a progress 
report on this study at the fiscal year 2003 appropriations 
hearing.
    Neurofibromatosis.--Learning disabilities occur with high 
frequency in children with Neurofibromatosis (NF). NF1 provides 
an opportunity to uncover a molecular basis for cognitive 
impairment and to identify a marker for brain dysfunction. 
Research in understanding the cognitive deficits of NF1 
patients possesses broad application to learning disabilities 
in the general population. NICHD is encouraged to enhance its 
NF research portfolio and to coordinate its efforts with other 
Institutes engaged in NF research.
    Osteogenesis Imperfecta.--The Committee encourages NICHD to 
enhance research on osteogenesis imperfecta with emphasis on 
genetic therapies, animal models, drug treatment and 
rehabilitation techniques through all available mechanisms, as 
appropriate.
    Pediatric Kidney Disease.--Despite scientific advances, 
kidney disease continues to be a major cause of illness and 
death among children and adolescents. NICHD is encouraged to 
enhance research on the understanding and treatment of 
congenital diseases and kidney malformations which lead to 
chronic renal failure and end-stage renal disease in children 
and adolescents, as well as the prevention and treatment of the 
adverse effects of chronic renal failure on cognitive and 
physical development in children.
    Pelvic Floor Dysfunction.--The Committee commends NICHD on 
the progress made in establishing a research portfolio in 
pelvic floor disorders. The Committee urges the Institute to 
expand efforts in this area through all available mechanisms, 
as appropriate, including epidemiological research, clinical 
trials, and increasing the capacity of gynecologic and 
obstetrics researchers to submit grant applications.
    Primary Immune Deficiency Diseases.--The Committee 
continues to be pleased with the comprehensive commitment that 
NICHD has demonstrated in addressing primary immunodeficiency 
diseases. The active role NICHD has taken with regard to the 
national education and awareness campaign sponsored by the 
Jeffrey Modell Foundation in partnership with NIAID, NCI, CDC 
and other private entities stands as a model for all agencies. 
The Committee encourages NICHD to remain committed to this 
collaboration and enhance its efforts through all available 
mechanisms, as appropriate, including the distribution of 
appropriate materials to pediatricians and others, trans-
Institute cooperation on research issues and replication of 
successful programs to determine the nature of under-diagnosis 
in minority communities.
    Reading Development.--The Committee commends NICHD for its 
priority on reading development as a means to better predict 
reading difficulties, reading disabilities and learning 
disabilities in young children. The Committee encourages NICHD 
to enhance its efforts to identify effective intervention 
strategies and teaching techniques for older children who are 
still struggling to read. NICHD is urged to work with the 
relevant components of the Department of Education, including 
the Office of Educational Research, Statistics, and Improvement 
(OERI) as well as the National Institute for Literacy.
    The Committee also commends NICHD for the leadership 
contributions it has provided to the Interagency Educational 
Research Initiative undertaken with OERI at the Department of 
Education, and the National Science Foundation. The Institute 
is urged to continue its participation and leadership in this 
promising joint effort.
    Spina Bifida.--Spina bifida and neural tube defects are the 
leading, permanent disabling birth defect in the United States. 
The Committee urges NICHD to work with NINDS, AHRQ and CDC to 
enhance efforts to assess and evaluate secondary prevention 
strategies to reduce the complications associated with Spina 
bifida, including an evaluation of in utero surgical techniques 
through all available mechanisms, as appropriate, including a 
consensus conference. The Committee requests that the Director 
of the Institute be prepared to provide a progress report at 
the fiscal year 2003 appropriations hearing.
    Sudden Infant Death Syndrome.--The Committee is pleased 
with NICHD's continued efforts to extend the reach of its 
extremely successful ``Back to Sleep'' campaign to underserved 
populations and daycare providers. The Committee also commends 
NICHD's attempts to further its progress in SIDS research by 
initiating a third SIDS five-year research plan. This third 
five-year plan will continue the efforts of the past two five-
year plans, which have been responsible for many of the 
research breakthroughs in the effort to reduce SIDS cases in 
the United States. The Committee is pleased that NICHD is 
collaborating with HRSA's Maternal and Child Health Bureau and 
the NIH's Office of the Director to improve public awareness 
about SIDS to the African American community.

                    national institute on drug abuse

    The Committee provides $900,389,000 for the National 
Institute on Drug Abuse (NIDA), which is $119,562,000 above the 
fiscal year 2001 comparable level and the same as the budget 
program request.
    Mission.--NIDA-supported science addresses questions about 
drug abuse and addiction, which range from its causes and 
consequences to its prevention and treatment. NIDA research 
explores how drugs of abuse affect the brain and behavior and 
develops effective prevention and treatment strategies; the 
Institute works to ensure the transfer of scientific data to 
policy makers, practitioners, and the public.
    Club Drugs.--The landscape of the drug abuse problem is 
constantly changing and new drugs of abuse are continually 
emerging in local communities across the country. The Committee 
commends NIDA for having rapidly identified club drugs, 
particularly MDMA or ecstasy, as a serious threat and for 
quickly launching a research and information dissemination 
effort to inform communities about this and other emerging 
drugs. The Committee urges NIDA to enhance research to 
determine the consequences of abusing these drugs, to work 
toward the development of both behavioral and pharmacological 
treatments that may be used to treat individuals who abuse 
these drugs and develop targeted prevention efforts.

                      national institute on aging

    The Committee provides $873,186,000 for the National 
Institute on Aging (NIA), which is $86,883,000 above the fiscal 
year 2001 comparable level and the same as the budget program 
request.
    Mission.--The NIA conducts biomedical, behavioral, and 
social research related to the aging process to prevent disease 
and other problems of the aged, and to maintain the health and 
independence of older Americans.
    Alzheimer's Disease.--An estimated four million Americans 
now suffer with Alzheimer's disease and by the time the ``baby 
boomer'' generation reaches the age of greatest risk, as many 
as 14 million persons will be afflicted. The disease has a 
significant impact on the Nation's health care system, which 
will only be exacerbated as the population ages. After two 
decades of intensive research, scientists have begun to 
understand the basic mechanisms of Alzheimer's as well as the 
complex interplay of genetic and environmental risk factors. 
Past investments have lead to a number of exciting new 
opportunities, including clinical trials of a vaccine that may 
prevent amyloid deposits in the brain and the FDA approval of a 
fourth drug for the treatment of the disease's cognitive 
symptoms. However, researchers believe that Alzheimer's 
actually begins 10 to 20 years before its first symptoms 
appear. Therefore, the Committee urges NIA to expand its 
efforts in Alzheimer's disease research through all available 
mechanisms, as appropriate, including clinical trials.
    The Committee is aware of potential benefits that may be 
derived from compounds found in nature in developing new drug 
treatments for Alzheimer's disease. The Committee is also aware 
of current pilot studies taking place using families of 
compounds obtainable from ginkgo biloba, huperzine and nicotine 
and encourages the Institute to examine more fully their 
potential in treating this disease.
    Bone Diseases.--The Committee encourages NIA to coordinate 
research with NIAMS on osteoporosis and Paget's disease. The 
Committee also encourages NIA to study the effects of aging on 
people with Osteogenesis Imperfecta through all available 
mechanisms, as appropriate, including studies related to the 
aging skeleton.
    Demographic Research.--The Committee commends NIA for its 
demographic and economic research on health dynamics in older 
populations and the early life determinants of the late life 
health disparities. This research, conducted through the Health 
and Retirement Study, the National Long Term Care Survey, the 
Office of Demography and the Demography of Aging Centers, is 
important for advancing research on the Medicare and Social 
Security systems. The Committee also commends NIA for its 
efforts to link demography and biology and develop a more 
integrated social and behavioral science.

                 national center for research resources

    The Committee provides $966,541,000 for the National Center 
for Research Resources (NCRR), which is $149,443,000 above the 
fiscal year 2001 comparable level and the same as the budget 
program request.
    Mission.--The NCRR develops and supports critical research 
technologies and shared resources that underpin biomedical 
research. The NCRR programs develop a variety of research 
resources; provide resources for complex biotechnologies, 
clinical research and specialized primate research; develop 
research capacity in minority institutions; and enhance the 
science education of pre-college students and the general 
public.
    Animal Research Facilities.--The Committee commends NCRR 
for its initiative to upgrade animal research facilities at 
minority health professions schools. The Committee urges NCRR 
to continue its collaboration with minority health professions 
schools in providing grants to upgrade their animal facilities 
in an effort to assist them in complying with Federal laws and 
regulations and receive accreditation by the appropriate 
scientific accreditation organization.
    Cystic Fibrosis.--The Committee is encouraged by the 
assessment of researchers that improved treatments for cystic 
fibrosis are promising. The Committee encourages NCRR, in 
partnership with other NIH Institutes, to continue to support 
the coordinating center for the therapeutic development centers 
so that progress in moving research from the bench to bedside 
will occur promptly.
    Extramural Facilities.--The Committee has included bill 
language identifying $97,000,000 in extramural biomedical 
facility renovation and construction, which is $22,000,000 
above the fiscal year 2001 level and the same as the budget 
request. These funds are to be awarded competitively, 
consistent with the requirements of section 481A of the Public 
Health Service Act, which allocates 25 percent of the total 
funding to institutions of emerging excellence. The Committee 
commends NCRR for taking a more proactive role in fulfilling 
this requirement. The Committee urges NCRR to continue to 
improve animal research facilities at Institutions of Emerging 
Excellence.
    General Clinical Research Centers.--Over three decades ago, 
NIH established the General Clinical Research Centers (GCRCs) 
program to support regional patient-oriented research centers. 
Today, NCRR supports 75 GCRCs, which provide citizens across 
the country with local access to clinical research programs 
focused on a wide range of diseases and disorders. In recent 
years, the Committee has expressed its concern regarding the 
funding provided to the GCRCs. The Committee strongly urges 
NCRR to enhance funding for GCRCs as authorized by section 481C 
of the Public Health Service Act.
    Graduate Training in Clinical Investigation Awards.--The 
Committee is concerned about the declining numbers of 
physician-scientists pursuing careers in clinical research and 
is pleased that NIH has initiated the Clinical Research 
Curriculum Awards to improve the quality of training in 
clinical research. The Committee understands that NCRR is 
developing a non-categorical, institutional career development 
award that should be announced sometime this fall consistent 
with the Graduate Training in Clinical Investigation Awards in 
the Clinical Research Enhancement Act. This program will 
provide salary and other types of career development support to 
physicians and dentists interested in research training that 
will launch a career in patient oriented clinical research. 
This program will also provide the option for candidates to 
obtain advance degrees, such as MS or Ph.D. in clinical 
investigation, or MPH. In order to assess the funding needs for 
fiscal year 2003, the Committee requests data on the number of 
applications and likely awards by the summer of 2002.
    Institutional Development Awards.--The Institutional 
Development Awards (IDeA) program provides capacity building 
assistance for biomedical research efforts in States that have 
not previously participated fully in the research programs of 
the NIH. The Committee supports the budget request for this 
program. These funds should be used to continue the Centers of 
Biomedical Research Excellence program and the Biomedical 
Research Infrastructure Network program and may be used to 
provide for new competitions for these programs. The focus of 
IDeA should continue to be on improving the necessary 
infrastructure and strengthening the biomedical research 
capacity and capability of research institutions within IDeA 
States.
    Research Centers at Minority Institutions.--The Committee 
recognizes the critical role played by minority institutions at 
both the graduate and undergraduate level in addressing the 
health research and training needs of minority populations. 
These programs help facilitate the preparation of a new 
generation of scientists at these institutions. The Committee 
encourages NCRR to strengthen participation from minority 
institutions and enhance resources in this area. The Committee 
also encourages NCRR to work with minority institutions with a 
track record of producing minority scholars in science and 
technology.

                         national eye institute

    The Committee provides $566,725,000 for the National Eye 
Institute (NEI), which is $56,200,000 above the fiscal year 
2001 comparable level and the same as the budget program 
request.
    Mission.--The NEI conducts and supports basic and clinical 
research, research training, and other programs with respect to 
blinding eye diseases, visual disorders, mechanisms of visual 
function, preservation of sight, and the special health 
problems and needs of individuals who are visually-impaired or 
blind. In addition, the NEI is responsible for the 
dissemination of information, specifically public and 
professional education programs aimed at the prevention of 
blindness.
    Diabetic Retinopathy.--Diabetic retinopathy is the leading 
cause of new cases of blindness in working age adults. The 
Committee recognizes the collaborative efforts of NEI and other 
Institutes and Centers to study ways to control the 
proliferation of abnormal vessels that give rise to diabetic 
complications within the eye and on other organs and systems of 
the body. The Committee encourages NEI to continue research 
that may lead to the development of methods to inhibit this 
proliferation before sight-threatening damage has occurred.
    Genomic Research.--The Committee recognizes the success of 
NEI's Functional Genomics Workshop and the implementation of 
its recommendations to create a national eye genome resource to 
identify and sequence genes that are expressed in the visual 
system. The Committee understands that work is underway to make 
this information publicly available in an easily accessible and 
retrievable database through a NEI-supported website. The 
Committee is pleased with this model approach of providing the 
information and other related resources that will assist 
researchers in gaining a better understanding of genetic 
diseases that effect the eye and visual system and will speed 
the development and testing of new gene-based therapies. NEI is 
encouraged to enhance the development of these gene-based 
therapies, especially for retinal degenerative diseases, 
through all available mechanisms, as appropriate.
    Healthy People 2010.--The Committee is pleased to see that 
vision impairment is a priority area in the Healthy People 2010 
initiative. NEI is encouraged to develop data on the extent of 
the problem of eye disease, especially among the aging 
population, and the economic consequences of eye disease so 
progress in these areas can be measured.
    Lyme Disease.--The Committee encourages NEI to study the 
neuro-opthalmalogic abnormalities associated with Lyme disease 
through all available mechanisms, as appropriate.
    Ocular Albinism--Ocular Albinism (OA) is a hereditary 
disease that causes distorted vision in children. Individuals 
with this disorder are usually boys who receive the defective 
gene from their mother. Affected patients experience nystagmus, 
photophobia, lack of stereoscopic vision, strabismus and other 
symptoms that deny them normal vision. Recently, the OA1 gene, 
responsible for most cases of the disease, was identified and a 
diagnostic screening test was created to help women determine 
if they are at risk of passing the disease on to their 
children. The Committee urges NEI to enhance its research 
efforts in OA through all available mechanisms, as appropriate, 
including a request for proposal. The Committee requests that 
the Director of the Institute be prepared to provide a progress 
report at the fiscal year 2003 appropriations hearing.
    Sjogren's Syndrome.--One of the symptoms of Sjogren's 
syndrome is dry eye, a serious disorder that can lead to 
blindness if left untreated and, even when treated properly, 
can greatly affect one's quality of life. NEI has recently 
completed clinical trials on cyclosporin as a treatment for dry 
eye and currently sponsors the largest number of extramural 
grants at NIH for Sjogren's-related research. The Committee 
encourages NEI to enhance research on Sjogren's syndrome and 
dry eye research.

          national institute of environmental health sciences

    The Committee provides $557,435,000 for the National 
Institute of Environmental Health Science (NIEHS), which is 
$54,448,000 above the fiscal year 2001 comparable level and the 
same as the budget program request.
    Mission.--The NIEHS mission is to reduce the burden of 
environmentally related illness and dysfunction by 
understanding how environmental exposures affect health, how 
individuals differ in their susceptibility to these effects, 
and how these susceptibilities change over time. This mission 
is achieved through multidisciplinary biomedical research 
programs, prevention and intervention efforts, and 
communication strategies that encompass training, education, 
technology transfer, and community outreach.
    Diethylstilbestrol.--The Committee encourages NIEHS to 
support research on third generation effects of 
diethylstilbestrol (DES) exposure, the long-term risks of 
cancer among DES-exposed daughters and sons and genetic markers 
for DES exposure through all available mechanisms, as 
appropriate.
    Interagency Coordinating Committee for the Validation of 
Alternative Methods (ICCVAM).--The Committee supports the 
assessment of scientific validation of new, revised and 
alternative toxicological test methods by the ICCVAM and 
encourages NIEHS to use the expertise and credibility of the 
National Toxicology Program Center for the Evaluation of 
Alternative Methods for these assessments to streamline 
individual consideration of new, revised and alternative 
toxicological test methods.
    Lymphoma.--The Committee encourages NIEHS to enhance 
research on investigating the potential of environmental, 
bacterial and viral factors that are associated with the 
development of lymphoma and other hematological cancers. The 
Committee also encourages NIEHS to collaborate its research 
efforts with NCI, CDC and other appropriate agencies that will 
lead to a better understanding of how environmental factors 
contribute to the development of lymphoid malignancies. The 
Committee requests that the Director of the Institute be 
prepared to report on the status of its research portfolio on 
lymphoma and the direction of future research at the fiscal 
year 2003 appropriations hearing.
    Metals-in-Medicine.--There is growing concern about the 
health affects of mercury in the environment including exposure 
through medicine. NIEHS is urged to coordinate with the NIH 
Metals-in-Medicine initiative to conduct research to further 
understand the health effects of mercury through environmental 
and medical exposures. Given recent hearings on mercury 
exposure and suspected relationships between mercury exposure 
and various neurological diseases such as autism and 
Alzheimer's disease, the NIH is encouraged to explore as part 
of the Metals, In, Medicine initiative, studies of how 
inorganic mercury and organic mercury compounds (including 
ethyl, methyl and other forms of mercury from both food and 
pharmaceutical and dental sources) are processed in the bodies 
of children and adults, studies of the toxic effects of 
inorganic mercury and organic mercury compounds on the nervous 
systems of young children, adults and the elderly, and methods 
of properly removing mercury and mercury containing compounds 
from the brains of affected humans. This initiative will be 
enhanced by coordination with various medical groups that have 
expressed interest in this issue.
    National Toxicology Program.--Chromium is used in 
industrial manufacturing and its toxic version, hexavalent 
chromium or chromium 6, has been detected in groundwater wells 
used for drinking. The Committee encourages the National 
Toxicology Program to study the carcinogenicity of hexavalent 
chromium compounds when ingested in drinking water through all 
available mechanisms, as appropriate.
    Parkinson's Disease.--The Committee commends NIEHS for its 
leadership in developing an important initiative in the 
environmental role in the cause of Parkinson's and related 
disorders, including gene-environment interactions. There is 
hope that this initiative will produce important information on 
the cause of Parkinson's-related syndromes and provide a model 
for understanding the environmental role in other chronic and 
life-threatening disorders. The Committee urges NIEHS to work 
toward full implementation of the Parkinson's Research Agenda 
through all available mechanisms, as appropriate.

 national institute of arthritis and musculoskeletal and skin diseases

    The Committee provides $440,144,000 for the National 
Institute of Arthritis and Musculoskeletal and Skin Diseases 
(NIAMS), which is $43,616,000 above the fiscal year 2001 
comparable level and the same as the budget program request.
    Mission.--The NIAMS conducts and supports basic and 
clinical research and research training, and the dissemination 
of health information on the more than 100 forms of arthritis; 
osteoporosis and other bone diseases; muscle biology and muscle 
diseases; orthopaedic disorders, such as back pain and sports 
injuries; and numerous skin diseases.
    Bone Disease and Cancer.--Significant advances have been 
made in the understanding of biophosphonates in bone disease 
and the role of anti-angiogenesis in restricting tumor growth 
and malignancies. The Committee urges NIAMS to work with NCI 
and NHLBI to establish translational research activities to 
understand the role of bone involvement and tumor growth in 
multiple myeloma, lymphoma, breast and prostate cancer.
    Duchenne Muscular Dystrophy.--The Committee urges NIAMS to 
continue working with NINDS and the Centers for Disease Control 
and Prevention to identify collaborative opportunities to 
advance basic, clinical, and translational research into 
treatment for Duchenne Muscular Dystrophy.
    Ehlers-Danlos Syndrome.--Ehlers-Danlos syndrome (EDS) is a 
group of heritable connective tissue disorders that develop as 
a result of faulty collagen. Individuals with EDS often suffer 
from fragile skin and unstable joints. The Committee urges 
NIAMS to aggressively pursue basic research programs on EDS 
through all available mechanisms, as appropriate.
    Facioscapulohumeral Muscular Dystrophy.--The Committee 
understands that NIAMS and NINDS have taken steps to begin 
implementation of the recommendations of the 2000 research 
planning conference on facioscapulohumeral muscular dystrophy 
(FSHD). The Committee strongly urges that research on muscle 
biology, muscular dystrophy in general and FSHD in particular 
be enhanced through all available mechanisms, as appropriate, 
including the development of a comprehensive research 
portfolio.
    Fibrous Dysplasia.--Fibrous dysplasia is a chronic disorder 
of the skeleton that predominately afflicts young children and 
adolescents resulting in uneven growth, severe pain and 
deformed extremities. The cause of fibrous dysplasia is unknown 
although recent studies indicate that it may be caused by a 
chemical abnormality leading to the overgrowth of fibrous 
tissue in the bone. The Committee encourages NIAMS to enhance 
research to evaluate promising drug therapies in both pediatric 
and adolescent fibrous dysplasia patients through all available 
mechanisms, as appropriate.
    Lupus.--Lupus is an autoimmune disease that mainly affects 
women of child-bearing age, can lead to severe organ injury, 
and the treatment is often as devastating as the disease. Women 
of color, especially African-Americans, are three times more 
likely to have lupus than Caucasian women. Recent research 
developments are very encouraging and give promise to new 
scientific opportunities for the study of lupus. The Committee 
encourages NIAMS to enhance research efforts that would 
increase understanding of the factors associated with the high 
prevalence of lupus in women and people of color. The Committee 
also encourages NIAMS to enhance research efforts at developing 
new and innovative treatments that are safer and more 
effective.
    Marfan Syndrome.--The Committee commends NIAMS for its 
support of research on heritable disorders of connective 
tissue, which includes Marfan syndrome and for co-sponsoring 
the Third Workshop on Heritable Disorders of Connective Tissue. 
The Committee urges NIAMS and other appropriate Institutes to 
enhance its research efforts on Marfan syndrome through all 
available mechanisms, as appropriate, including the 
establishment of research centers to coordinate basic research 
enabling studies to be rapidly translated into advances in 
patient care.
    Osteogenesis Imperfecta.--The Committee encourages NIAMS to 
continue its research efforts into gene and cell therapies and 
drug treatment for osteogenesis imperfecta (OI) and active 
follow-up of new research opportunities arising out of the 2001 
NIH workshop on OI through all available mechanisms, as 
appropriate. The Committee also encourages NIAMS, in 
collaboration with NHLBI, to investigate respiratory and 
cardiovascular problems associated with OI.
    Osteoporosis.--The Committee encourages NIAMS to continue 
to work with NHLBI in investigating the basic and clinical 
relationship between cardiovascular diseases and osteoporosis. 
The Committee also encourages NIAMS to enhance research through 
all available mechanisms, as appropriate, to study osteoporosis 
in non-white women as well as to understand the genetic 
predisposition for osteoporosis in certain populations.
    Paget's Disease.--The Committee is aware of the importance 
of research on the viral and genetic factors that may cause 
Paget's disease and encourages NIAMS to enhance efforts in this 
area through all available mechanisms, as appropriate, 
including the development of animal models.
    Psoriasis.--Psoriasis is a genetically-acquired immune-
mediated disease of the skin and joints that affects over seven 
million Americans. In its most severe forms, patients may have 
psoriatic lesions covering widespread areas of the body, 
swollen joints, extreme physical and emotional pain and a 
diminished quality of life. The Committee urges NIAMS to 
enhance research in this area through all available mechanisms, 
as appropriate, including conducting a scientific workshop to 
assess basic and clinical research in psoriasis, especially 
prospects for innovative therapeutic approaches for moderate to 
severe forms of the disease, and support for a comprehensive 
public awareness and education program on the best available 
treatments for moderate and severe psoriasis.
    Scleroderma.--Characterized by hardening of the body's 
connective tissue, scleroderma is a chronic, debilitating 
disease that is fatal in its worst forms. With improvements in 
diagnostics, prevalence and incidence of scleroderma is 
growing, as is the death rate for this disease. The Committee 
urges NIAMS to aggressively pursue basic research programs on 
scleroderma.
    Sjogren's Syndrome.--The Committee is pleased that NIAMS 
has published a booklet on Sjogren's syndrome, which is a 
common, systemic, autoimmune disease affecting the 
musculoskeletal system and many body organs. The Committee 
encourages NIAMS to enhance efforts through all available 
mechanisms, as appropriate, including scientific workshops, 
research grants and inclusion in autoimmune databases.
    Skin Diseases.--The Committee encourages NIAMS to enhance 
efforts to identify existing information sources on the costs 
and scope of skin diseases and to recommend strategies for 
developing new information sources through all available 
mechanisms, as appropriate, including sponsoring a workshop. 
NIAMS is encouraged to collaborate with CDC, AHRQ, HRSA as well 
as skin disease researchers and voluntary health organizations.
    Tissue Engineering.--The Committee commends NIAMS for its 
ongoing work in advancing the science of tissue engineering, 
acknowledging in particular the potential future benefits such 
research will have for burn victims and diabetics. The 
Committee urges NIAMS to continue to review the benefits of 
utilizing naturally derived biopolymer materials as a medium 
for tissue scaffolds.

           national institute on alcohol abuse and alcoholism

    The Committee provides $379,026,000 for the National 
Institute on Alcohol Abuse and Alcoholism (NIAAA), which is 
$38,489,000 above the fiscal year 2001 comparable level and the 
same as the budget program request.
    Mission.--The NIAAA supports research to generate new 
knowledge to answer crucial questions about why people drink; 
why some individuals are vulnerable to alcohol dependence or 
alcohol-related diseases and others are not; the relationship 
of genetic and environmental factors involved in alcoholism; 
the mechanisms whereby alcohol produces its disabling effects, 
including organ damage; how to prevent alcohol misuse and 
associated damage and how alcoholism treatment can be improved. 
NIAAA addresses these questions through a program of 
biomedical, behavioral, and epidemiologic research on 
alcoholism, alcohol abuse, and related problems. This program 
includes various areas of special emphasis such as medications 
development, fetal alcohol syndrome, genetics, and moderate 
drinking.
    Alcohol-Induced Liver Disease.--Alcoholic liver disease 
remains a major cause of morbidity and mortality in the United 
States. The development of effective interventions to prevent 
alcoholism and/or prevent alcohol-induced liver injury would 
enhance health and result in savings to healthcare costs. The 
Committee encourages NIAAA, in collaboration with NIDDK, to 
enhance research on studies of the pathogenesis and treatment 
of alcoholic liver disease through all available mechanisms, as 
appropriate.

                national human genome research institute

    The Committee provides $423,454,000 for the National Human 
Genome Research Institute (NHGRI), which is $41,414,000 above 
the fiscal year 2001 comparable level and the same as the 
budget program request.
    Mission.--The NHGRI coordinates extramural research and 
research training for the NIH component of the Human Genome 
Project, an effort to determine the location and sequence of 
the estimated 100,000 genes which constitute the human genome. 
The Division of Extramural Research supports research in 
genetic and physical mapping, DNA sequencing and technology 
development, database management and analysis, and studies of 
the ethical, legal, and social implications of human genome 
research. The Division of Intramural Research focuses on 
applying the tools and technologies of the Human Genome Project 
to understanding the genetic basis of disease and developing 
DNA-based diagnostics and gene therapies.
    Ethical, Legal and Social Implications.--The Committee 
commends the Institute for its leadership in research and 
policy development related to the ethical, legal and social 
implications (ELSI) of the human genome project. The early 
commitment to devote resources to study ELSI issues has 
generated important information and recommendations concerning 
both research and public policy. The Committee encourages NHGRI 
to move forward with ELSI research and policy initiatives 
outlined in the budget justifications and in testimony before 
the Committee.
    Human Genome Project.--The Committee commends the 
international Human Genome Project, led by NHGRI, for the 
February 15, 2001 publication of 95 percent of the 3.1 billion 
bases that comprise the human genome. This was a historic 
achievement that occurred ahead of schedule and within budget. 
The Committee understands that substantial effort will be 
required to produce the final, highly accurate sequence by 
2003. The Committee encourages the Institute to pursue the 
development of the next generation of genomic tools and 
technologies needed to study the human genome and understand 
its role in human health and disease.
    The Committee is pleased that NHGRI has upheld the policy 
that all sequence information is provided freely to all via the 
World Wide Web, with no restrictions on its use or 
redistribution. The Committee understands that ready access to 
this fundamental sequence information already has led to the 
identification of tens of thousands of genes, including in 
excess of 30 over the past two years that play a direct role in 
human disease. The Committee encourages the Institute to 
continue this policy of free and unfettered access to genomic 
data.

         national institute of dental and craniofacial research

    The Committee provides $339,268,000 for the National 
Institute of Dental and Craniofacial Research (NIDCR), which is 
$33,115,000 above the fiscal year 2001 comparable level and the 
same as the budget program request.
    Mission.--The NIDCR conducts and supports research and 
research training to improve craniofacial, oral and dental 
health. The Institute's programs reflect the genetic, 
behavioral and environmental factors that result in complex 
human disease and are clustered into the following areas: 
inherited disorders; infection and immunity; oral, pharyngeal 
and laryngeal cancers; chronic and disabling conditions such as 
bone and joint diseases and chronic pain; behavioral science, 
epidemiology and health promotion; and tissue engineering and 
biomimetics research to improve diagnostics and tissue repair 
and regeneration.
    Bone Diseases.--Osteoporosis and related bone diseases 
affect millions of Americans. The Committee encourages the 
Institute to enhance its research efforts to compare bone loss 
in the oral cavity with bone loss elsewhere in the body. The 
Committee also encourages NIDCR to enhance research on 
dentinogenesis imperfecta, orthodontic manipulation in people 
with osteogenesis imperfecta and fibrous dysplasia through all 
available mechanisms, as appropriate.
    Head and Neck Cancer.--Head and neck cancer has diverse and 
debilitating effects on a person's quality of life. Surgery to 
treat the cancer can significantly disrupt a person's speaking 
and eating functions and result in facial disfigurement. The 
Committee encourages NIDCR to support research to advance 
techniques for replacing bony structures of the head and face 
with restoration of sensory and motor functions of the 
reconstructed structures through all available mechanisms, as 
appropriate, including basic, clinical and translational 
research.
    Native American Communities.--The Committee is concerned 
about the high rate of severe dental caries suffered by Native 
American children. The Committee encourages NIDCR to enhance 
research of the etiology and pathogenesis of dental caries in 
these populations. The Committee also encourages NIDCR to 
enhance research on effective ways to control severe caries in 
American Indian children through all available mechanisms, as 
appropriate, including clinical trials.
    Sjogren's Syndrome.--The Committee commends NIDCR for its 
leadership in Sjogren's syndrome research, including hosting 
the first clinical conference with the Sjogren's Syndrome 
Foundation. The Committee encourages NIDCR to expand efforts to 
help people who have Sjogren's syndrome.

    national institute on deafness and other communication disorders

    The Committee provides $334,161,000 for the National 
Institute on Deafness and Other Communication Disorders 
(NIDCD), which is $33,092,000 above the fiscal year 2001 
comparable level and the same as the budget program request.
    Mission.--The NIDCD funds and conducts research in human 
communication. Included in its program areas are research and 
research training in the normal and disordered mechanisms of 
hearing, balance, smell, taste, voice, speech and language. The 
Institute addresses special biomedical and behavioral problems 
associated with people who have communication impairments or 
disorders. In addition, the NIDCD is actively involved in 
health promotion and disease prevention, dissemination of 
research results, and supports efforts to create devices that 
substitute for lost and impaired sensory and communication 
functions.
    Dysphonia.--The Committee continues to be pleased with 
NIDCD's intramural research program with respect to dysphonia 
and encourages Institute leaders to enhance its extramural 
research efforts and its collaborations with other Institutes 
in this area of research.
    Neurofibromatosis.--NF2 accounts for approximately five 
percent of genetic forms of deafness and, unlike other genetic 
forms of deafness, NF2 associated deafness is potential 
preventable or curable if tumor growth is halted before damage 
has been done to the adjacent nerve. Conditional mutant mice 
can be used to test the effectiveness of gene therapy for NF2, 
which could be beneficial for all patients suffering from 
meningiomas and other tumors. The Committee encourages NIDCD to 
enhance its NF research and to coordinate its efforts with 
other Institutes conducting NF research.

                      national library of medicine

    The Committee provides $273,610,000 for the National 
Library of Medicine (NLM), which is $27,306,000 above the 
fiscal year 2001 comparable level and the same as the budget 
program request.
    Mission.--The National Library of Medicine collects, 
organizes, disseminates, and preserves biomedical literature in 
all forms, regardless of country of origin, language, or 
historical period. The Library's collection is widely 
available; it may be consulted at the NLM facility on the NIH 
campus; items may be requested on interlibrary loan; and the 
extensive NLM bibliographic databases may be searched online by 
health professionals around the world. NLM has a program of 
outreach to acquaint health professions with available NLM 
services. The Library also is mandated to conduct research into 
biomedical communications and biotechnology; to award grants in 
support of health science libraries and medical informatics 
research and training; and to create specialized information 
services in such areas as health services research, 
environmental health, AIDS, hazardous substances, and 
toxicology.
    Access to Health Information in Rural Areas.--The Committee 
is concerned about challenges related to access to health 
information in rural and other medically underserved areas and 
supports the Library's efforts to address this through its 
Internet Connection Grant program, which provides resources for 
education of consumers and health care professionals by 
partnering with regional libraries to provide hardware, 
training and access to the Internet at locations in medically 
underserved areas.
    Bioethics.--The Committee commends NLM for its work over 
the past 15 years in support of information retrieval in 
bioethics. As public policy debates today increasingly include 
in depth discussion of the bioethical aspects of topics such as 
the oversight of human experimentation, stem cell research, 
cloning and privacy issues surrounding health and genetic 
records, the Committee encourages NLM to maintain and build on 
this important work through all available mechanisms, as 
appropriate, including the cooperative relationship with the 
Kennedy Institute of Ethics.
    Minority Outreach.--The Committee encourages NLM to support 
initiatives to strengthen information technology infrastructure 
at minority health professions schools that focus their 
research efforts on health disparities and educating health 
professionals who serve in medically underserved communities 
through all available mechanisms, as appropriate.
    Outreach.--The Committee continues to note the success of 
the MEDLINE and MEDLINEplus databases and encourages NLM to 
continue its outreach activities aimed at educating health care 
professionals and the general public about the Library's 
products and services, in coordination with medical librarians 
and other health information specialists.
    PubMed Central.--PubMed Central is an electronic online 
repository for life science articles and holds promise for 
increasing access to health care literature by health 
professions, students, educators, researchers, and the general 
public. The Committee encourages NLM to work with the medical 
library community, including health sciences librarians, 
regarding issues related to copyright, fair use, peer-review, 
and classification of information on PubMed Central.

                 national institute of nursing research

    The Committee provides $116,773,000 for the National 
Institute of Nursing Research (NINR), which is $11,615,000 
above the fiscal year 2001 comparable level and the same as the 
budget program request.
    Mission.--The NINR supports and conducts scientific 
research and research training to reduce the burden of illness 
and disability; improve health-related quality of life; and 
establish better approaches to promote health and prevent 
disease.
    Caregivers Research.--Caregivers must cope with complex 
issues such as ventilators, special nutritional needs, and 
medications while managing their own health, stress and quality 
of life. The Committee encourages NINR to continue to emphasize 
science-based strategies to help families and friends with 
their care-giving responsibilities while reducing the burdens 
that compromise quality of life.
    End-of-Life Issues.--The Committee urges NINR to continue 
to make end-of-life research a priority, particularly in the 
areas of palliative care, which involves managing pain and 
other discomforts of the dying process, and helping patients, 
families and healthcare providers make decisions about when to 
withdraw treatment in favor of comfort care.
    Health Disparities.--NINR has long been active in 
ethnically and culturally sensitive research to improve health 
and reduce health disparities. The Committee is encouraged that 
NINR is focusing on testing strategies that increase screening 
for cancer among minorities and encourages NINR to continue 
this important research.
    Improving Quality of Life.--The Committee commends NINR for 
stimulating research to address key issues of chronic illness. 
It is important to alleviate symptoms such as pain and that 
quality of life be maintained or improved to the maximum extent 
possible.
    Nursing Interventions for Psychiatric Populations.--The 
Committee understands that NINR and NIMH implemented a 
technical assistance workshop on grant writing and navigating a 
research career trajectory in the area of behavioral change 
related to psychiatric populations, which will build the 
research capacity of psychiatric mental-health nurse 
researchers. The Committee encourages NINR and NIMH to expand 
research in this area through all available mechanisms, as 
appropriate, including a mentorship program.

                  john e. fogarty international center

    The Committee provides $56,021,000 for the Fogarty 
International Center (FIC), which is $5,549,000 above the 
fiscal year 2001 comparable level and the same as the budget 
program request.
    Mission.--The FIC was established to improve the health of 
the people of the United States and other nations through 
international cooperation in the biomedical sciences. In 
support of this mission, the FIC pursues the following four 
goals: mobilize international research efforts against global 
health threats; advance science through international 
cooperation; develop human resources to meet global research 
challenges; and provide leadership in international science 
policy and research strategies.

       national center for complementary and alternative medicine

    The Committee provides $99,288,000 for the National Center 
for Complementary and Alternative Medicine (NCCAM), which is 
$10,167,000 above the fiscal year 2001 comparable level and the 
same as the budget program request.
    Mission.--The Center was established to stimulate, develop, 
and support rigorous and relevant research of high quality and 
open, objective inquiry into the safety and effectiveness of 
complementary and alternative medicine practices in order to 
provide the American public with reliable information about 
these practices.
    EDTA Chelation Therapy.--EDTA chelation therapy has long 
been used for improved circulation, but the potential benefits 
for use of this therapy for claudication or arteriosclerosis 
has not been studied. The Committee encourages NCCAM, in 
collaboration with NHLBI, to enhance efforts in this area 
through all available mechanisms, as appropriate, including 
clinical trials.
    Frontier Medicine.--Frontier medicine includes the role of 
spirituality in healing, vibrational medicine, and subtle 
energies such as homeopathy, reiki, aromatherapy, Bach Flower 
Remedies, and Qi gong. Additionally, alternative diagnostic 
equipment using the human energy field may offer the potential 
for cost-saving opportunities in health care. The Committee 
urges NCCAM to enhance research in these areas through all 
available mechanisms, as appropriate.
    Herbal Medicine.--The Committee encourages the Center to 
enhance research to study the basic mechanisms of action and 
toxicity of herbal medicine through all available mechanisms, 
as appropriate, including requests for applications. The 
Committee also encourages the Center to enhance research on the 
risk of unanticipated and potentially dangerous interactions 
between botanical and prescription drugs and to continue to 
seek collaboration with other Institutes on research 
opportunities on botanical drugs that could lead to the 
development of new therapeutics.
    Research Training Program.--As required by the legislation 
creating NCCAM, NIH is encouraged to assist the Center in 
developing a research training program for complementary and 
alternative therapy professionals to improve opportunities for 
non-MD health care professionals to conduct or participate in 
high quality research evaluating the effectiveness and 
potential cost-savings of CAM therapies. NCCAM is also 
encouraged to establish a clinical research program within the 
Clinical Center in order to provide intramural research 
opportunities at NIH.
    Sickle Cell Disease.--The Committee encourages NCCAM to 
support potential nutritional supplement and food additive 
research for sickle cell disease through all available 
mechanisms, as appropriate.

       national center on minority health and health disparities

    The Committee provides $157,204,000 for the National Center 
on Minority Health and Health Disparities (NCMHD), which is 
$25,160,000 above the fiscal year 2001 comparable level and the 
same as the budget program request.
    Mission.--The Center conducts and supports research, 
training, information dissemination and other programs aimed at 
reducing the disproportionately high incidence and prevalence 
of disease, burden of illness and mortality experienced by 
certain American populations, including racial and ethnic 
minorities and other groups, such as the urban and rural poor, 
with disparate health status.
    Breast Cancer.--The Committee urges NCMHD, in collaboration 
with NCI, to enhance research targeting the rising incidence 
and mortality rate of breast cancer in African American women.
    Glomerular Injury.--Glomerular injury, a group of diseases 
that effect the filtering mechanisms of the kidney, are more 
prevalent among African Americans than the general population. 
The Committee urges NCMHD to explore collaborations with NIDDK 
to support research activities related to glomerular injury.
    Osteoporosis.--The Committee urges NCMHD to support 
research that furthers the understanding of the risk factors, 
causes and consequences of osteoporosis among African 
Americans, Hispanic, Asian American and Native American women 
and men through all available mechanisms, as appropriate, 
including epidemiological studies.
    Research Endowments.--The Committee commends the newly 
established Center for its leadership in addressing the 
longstanding problem of health disparities in minority 
populations and looks forward to reviewing the strategic plan 
for health disparities research currently being developed. The 
Committee encourages NCMHD to work with its advisory committee 
in the full implementation of the pilot research endowment 
program launched this year. The Committee also encourages NCMHD 
to coordinate with NCRR in support of extramural facility 
construction and the development of other research 
infrastructure at minority health professions schools.
    Rural Poor.--While studies have shown that certain diseases 
affect minority groups, economic status may also have an impact 
on health outcomes. The rural poor have a high incidence of 
cancer and other diseases, therefore, the Committee expects 
NCMHD to include the rural poor population in its efforts to 
eliminate health disparities as authorized by law.

      national institute of biomedical imaging and bioengineering

    The Committee provides $39,896,000 for the National Center 
on Minority Health and Health Disparities (NCMHD), which is the 
same as the budget program request.
    Mission.--The mission of the Institute is to improve health 
by promoting fundamental discoveries, design and development, 
and translation and assessment of technological capabilities in 
biomedical imaging and bioengineering, enabled by relevant 
areas of information science, physics, chemistry, mathematics, 
materials science, and computer sciences.
    Brain Imaging.--The Committee encourages NIBIB to examine 
SPECT brain imaging as a surrogate marker of brain function 
through all available mechanisms, as appropriate.
    Breast Cancer.--The Committee recognizes the development of 
advanced imaging technologies including medical infrared 
imaging derived from the U.S. military and NASA as well as 
other optical and non-invasive modalities that can be 
incorporated into comprehensive systems for the early detection 
and treatment of breast cancer. The Committee encourages NIBIB 
to explore these approaches to disease management through all 
available mechanisms, as appropriate.
    Joint Replacement.--An estimated 500,000 joint replacements 
are performed in the U.S. each year, a number of which fail and 
require additional surgery. Patients who require additional 
surgery are typically elderly. The failure of the replacement 
joint is usually caused by wear of the weight-bearing surfaces, 
the surgery is often more complex and expensive than the 
original procedure, and the failure rate is several times 
greater. The Committee encourages NIBIB to enhance research to 
identify the causes of wear in prosthetic joints and find 
solutions to the problem, such as new materials through all 
available mechanisms, as appropriate.

                         office of the director

    The Committee provides $232,098,000 for the Office of the 
Director (OD), which is $43,752,000 above the fiscal year 2001 
comparable level and the same as the budget request. The bill 
includes language proposed by the Administration and included 
in the 1998 through 2001 appropriations bill authorizing the 
collection of third party payments for the cost of clinical 
services.
    Mission.--The Office of the Director provides leadership to 
the NIH research enterprise and coordinates and directs 
initiatives which cross-cut the NIH. The OD is responsible for 
the development and management of intramural and extramural 
research and research training policy, the review of program 
quality and effectiveness, the coordination of selected NIH-
wide program activities, and the administration of centralized 
support activities essential to operations of the NIH.
    Office of Research on Women's Health.--The Office of 
Research on Women's Health (ORWH) works in collaboration with 
the ICDs of NIH to promote and foster efforts to address gaps 
in knowledge related to women's health through the enhancement 
and expansion of funded research and/or the initiation of new 
investigative studies. The ORWH is responsible for ensuring the 
inclusion of women in clinical research funded by NIH, 
including the development of a computerized tracking system and 
the implementation of new guidelines on such inclusion. This 
Office is also involved in promoting programs to increase the 
number of women in biomedical science careers, and in the 
development of women's health and sex and gender factors in 
biology as a focus of medical/scientific research.
    For the past decade, ORWH has advanced research on women's 
health, ensured that women participate in NIH studies, and 
supported women in biomedical careers. The Committee urges the 
Director to continue to provide fiscal and administrative 
support that will permit the Office to serve as the central 
focus for all NIH on women's health research and career 
development. The additional funding provided in fiscal year 
2002 will permit the Office to continue to enhance, stimulate, 
and co-fund meritorious research on sex and gender factors in 
basic and clinical studies. These funds should also be used for 
new research activities in a variety of health issues and new 
and expanded career development programs for women scientists, 
such as BIRCWH. The Committee also urges ORWH to enhance 
research on multi-systemic diseases in women through all 
available mechanisms, as appropriate, including the 
establishment of interdisciplinary research centers. The 
Director should be prepared to provide a progress report at the 
fiscal year 2003 appropriations hearing.
    Office of AIDS Research.--The Office of AIDS Research (OAR) 
is responsible for coordination of the scientific, budgetary, 
legislative, and policy elements of the NIH AIDS research 
program. The OAR develops a comprehensive plan for NIH AIDS-
related research activities which is updated annually. The plan 
is the basis for the President's budget distribution of AIDS-
related funds to the Institutes, centers and divisions within 
NIH. The Committee expects the Director of NIH to use this plan 
and the budget developed by OAR to guide his decisions on the 
allocation of AIDS funding among the Institutes. The Director 
of NIH also should use the full authority of his office to 
ensure that the ICDs spend their AIDS research dollars in a 
manner consistent with the plan. In addition, the OAR allocates 
an emergency AIDS discretionary fund to support research that 
was not anticipated when budget allocations were made.
    The Committee has included the same general provisions in 
bill language that was contained in the 2001 appropriations 
bill. This language permits the Director of OAR, jointly with 
the Director of NIH, to transfer between ICDs up to three 
percent of the funding determined by NIH to be related to AIDS 
research. This authority could be exercised throughout the 
fiscal year subject to normal reprogramming procedures, and is 
intended to give NIH flexibility to adjust the AIDS allocations 
among Institutes if research opportunities and needs should 
change. The Committee also repeats language from last year's 
bill making the research funds identified by NIH as being AIDS 
related available to the OAR account for transfer to the 
Institutes. This provision permits the flow of funds through 
the OAR in the spirit of the authorization legislation without 
requiring the Congress to earmark a specific dollar amount for 
AIDS research.
    The Office is encouraged to expand and strengthen science-
based HIV prevention research for African Americans, Latinos, 
Native Americans, Asian Americans, Native Hawaiians, and 
Pacific Islanders. The Office is also encouraged to expand 
existing and develop new areas of culturally appropriate 
behavior and social research that seeks to reduce the risk of 
contracting HIV through high risk behaviors and the 
transmission of HIV infection in the targeted minority 
populations. OAR, and a number of NIH Institutes and Centers, 
have a longstanding commitment to AIDS research and training 
efforts to benefit minority populations and increase minority 
investigators. The Committee strongly supports the continued 
efforts in this area.
    Office of Dietary Supplements.--The Office of Dietary 
Supplements (ODS) was established in recognition that dietary 
supplements can have an important impact on the prevention and 
management of disease and on the maintenance of health. ODS is 
charged with promoting, conducting, and coordinating scientific 
research within NIH relating to dietary supplements.
    Office of Behavioral and Social Sciences Research.--The 
Office of Behavioral and Social Sciences Research (OBSSR) 
provides leadership and direction for the development of a 
trans-NIH plan to increase the scope of and support for 
behavioral and social science research and in defining an 
overall strategy for the integration of these disciplines 
across NIH institutes and centers; develops initiatives to 
stimulate research in the behavioral and social sciences arena 
and integrate a biobehavioral perspective across the research 
areas of NIH; and promotes studies to evaluate the 
contributions of behavioral, social and lifestyle determinants 
in the development, course, treatment, and prevention of 
illness and related public health problems.
    The Committee is concerned that, outside of its traditional 
home at NIMH and a number of other Institutes, there is 
insufficient NIH support for behavioral and social science 
investigators. Behavioral science is often treated only as a 
core mental health, alcohol, or substance abuse field rather 
than as a core NIH research discipline. Yet, many of the 
Nation's leading health concerns addressed throughout NIH are 
behavioral in origin or in their manifestation, including heart 
disease, lung disease, many forms of cancer, diabetes, 
developmental disabilities, brain injury, and AIDS. The 
Committee is pleased that several Institutes such as NCI and 
NIAMS have begun to expand their behavioral and social science 
programs. However, NIH should continue to integrate and expand 
behavioral and social perspectives through its research 
portfolio. The Committee requests NIH to report back with a 
plan for a coordinated system of increased training in basic 
and applied behavioral and social research, a plan for 
increasing basic and applied behavioral research support in 
non-traditional institutes, and other measures intended to 
ensure that NIH scientific priorities and policies 
appropriately reflect the central role of behavior in health.
    The Committee encourages OBSSR to enhance the mind-body 
initiative to assist the various healthcare fields to 
understand the existing research on health and spirituality and 
its clinical implications through all available mechanisms, as 
appropriate, including the establishment of a coordinating 
body.
    Office of Rare Disease Research.--The Office of Rare 
Disease Research (ORDR) was established in recognition of the 
need to provide a focal point of attention and coordination at 
NIH for research on rare diseases. ORDR works with Federal and 
non-Federal national and international organizations concerned 
with rare disease research and orphan products development; 
develops a centralized database on rare diseases research; and 
stimulates rare diseases research by supporting scientific 
workshops and symposia to identify research opportunities.
    Alpha-1 Antitrypsin.--Alpha-1 Antitrypsin is a devastating, 
potentially lethal hereditary disorder which can cause lung and 
liver disease. It is the leading genetic killer of adults in 
the United States and a leading cause of liver transplants in 
children. The Committee encourages NIH to enhance its research 
portfolio through all available mechanisms, as appropriate, 
including clinical trials. NIH is also encouraged to expand 
efforts to raise public awareness and to provide information 
about Alpha-1 to the public and health professionals.
    Autism.--The Committee is pleased with the expansion that 
has occurred in autism research and with the activities of the 
NIH Autism Coordinating Committee. The Committee continues to 
be aware of concerns about reports of a possible association 
between the measles component of the MMR vaccine and a subset 
of autism termed autistic entercolitis. The Committee continues 
its interest in this issue and urges the NIH Coordinating 
Committee to continue to give serious attention to these 
reports. The Committee also urges NIH to continue to pursue 
appropriate research that will permit scientific analysis and 
evaluation of the concerns that have been raised through all 
available mechanisms, as appropriate, including an attempt to 
replicate the molecular evidence of persistent measles virus 
infection in children with autistic entercolitis. The research 
should be pursued in a way that does not cause undue harm to 
the Nation's efforts to protect children against vaccine-
preventable diseases.
    The Committee encourages NIH to pursue the recommended 
research initiatives outlined in the Institute of Medicine's 
(IOM) Immunization Review Committee report issued April 23, 
2001. These activities should be coordinated with CDC where 
appropriate. The Committee also notes that the IOM Review 
Committee will be issuing a report on mercury exposures in 
childhood vaccines. The Committee urges NIH and CDC to pursue 
research recommendations the IOM panel may issue in regard to 
this research.
    Bayh-Dole Act.--The Committee continues to support the 
principles of the Bayh-Dole Act with respect to the 
utilization, commercialization and public availability of 
government funded inventions. As such, the Committee believes 
that patent protection may be necessary for the development of 
a research tool as a potential product for sale and 
distribution to the research community. However, the Committee 
is also concerned that products that are a result of Federal 
funding, especially those discoveries that should be the 
subject of widespread research, should not be restricted in 
their use, but should be available to the research community 
and the public. Therefore, recipients of NIH grants should not 
be discouraged from seeking patent protection, where 
appropriate, to bring a product to practical application, but 
should also license the intellectual property in a manner that 
maximizes the potential for broad distribution of the research 
tool. Intellectual property restrictions can stifle the 
dissemination of new discoveries and limit future avenues of 
research and product development. At the same time, reasonable 
restrictions on the dissemination of research tools are 
sometimes necessary to protect legitimate proprietary interests 
and to preserve incentives for commercial development. 
Accordingly, NIH should continue to offer guidance to both 
funding recipients and their commercial sponsors to find the 
appropriate balance between these potentially competing 
interests.
    Breast Implants.--The Committee is aware of a recent Food 
and Drug Administration (FDA) study revealing alarmingly high 
rupture rates in silicone breast implants and that researchers 
concluded that the relationship of free silicone to development 
or progression of disease is unknown. The Committee is also 
aware of the FDA's recent decision to approve saline breast 
implants. The Committee encourages NIH to support research to 
expand the understanding of the health implications of both 
silicone and saline breast implants through all available 
mechanisms, as appropriate. Such research should, if determined 
to be scientifically appropriate, include a multidisciplinary, 
clinical, case-controlled study of women with breast implants 
for at least eight years whether it be one prosthesis or 
multiple, and differentiate between women receiving implants 
for mastectomy, reconstructive or cosmetic purposes.
    Clinical Research Loan Repayment.--The Committee is 
concerned about the declining number of physician-scientists 
pursuing careers in clinical research. The Committee believes 
that the Clinical Research Enhancement program authorized by 
Congress last year is important and that tuition loan repayment 
should be made available to health professionals who are 
pursuing structured training experience in clinical research; 
actively engaged in clinical research career development 
activities with the guidance of a mentor; or conducting 
clinical research with independent support from NIH. The 
Committee has provided funds for the loan repayment program 
authorized in section 487A of the PHS Act concurrent with the 
budget request. In order to assess the funding needs for fiscal 
year 2003, the Committee requests data on the number of 
applications as of May 1, 2002 as well as the number and size 
of awards made as of September 1, 2002.
    Collaborations with the U.S. Geological Survey.--The 
Committee is pleased to learn of the promising scientific 
collaboration ongoing among various Institutes and Centers at 
NIH and the U.S. Geological Survey, a scientific agency housed 
within the Department of the Interior. This work has the 
potential to shed light on possible associations between 
environmental factors and a variety of human health concerns.
    Digital Human Concept.--Advances in information technology 
make it possible to build powerful software-based simulations 
that integrate the explosion of information emanating from 
medical and biological science in ways that greatly enhance 
research, education and training, and medical practice, which 
can be useful in understanding biological processes that 
operate at all physical levels. The Committee urges the 
Director to facilitate the development and use of these new 
tools by leading a national effort to ensure that software 
components for simulation developed by NIH contractors and by 
other Federal agencies can interoperate and can easily be 
improved and reused. The Committee understands that NLM and 
NIBIB have missions that relate to the digital human 
integration effort. The Committee also urges the Director to 
continue to communicate with other Federal agencies, including 
the National Science Foundation, the Department of Defense and 
DARPA, and NASA about NIH's activities.
    Hyperbaric Oxygen.--Based on anecdotal evidence collected 
by clinicians in the field of hyperbaric medicine, hyperbaric 
oxygen therapy is currently in widespread use for a wide range 
of acute and chronic medical conditions such as stroke and 
brain injuries. The Committee understands that NIH is funding 
basic research on hyperbaric oxygen therapy, including studies 
at NINDS on its use in reperfusion injury and traumatic brain 
injury. The Committee encourages NIH to support meritorious 
studies in this area through all available mechanisms, as 
appropriate including controlled clinical trials to test the 
safety and efficacy of this treatment for a variety of 
conditions. The Director of NIH is encouraged to coordinate 
activities across all appropriate Institutes and Centers.
    Human Stem Cell Research.--The Committee received testimony 
from NIH institute and center directors, representatives of 
scientific and medical societies, and members of voluntary 
health organizations about the potential of both adult and 
embryonic stem cells for improving the lives of those who 
suffer with a host of disorders, including diabetes, 
Alzheimer's, Parkinson's, and cardiovascular disease. The 
Committee understands that a great deal of basic research is 
required to determine whether this potential can be realized.
    It is the Committee's intent, that the NIH move ahead 
expeditiously to implement the President's policy concerning 
support of scientifically meritorious research involving both 
adult and human embryonic stem cells. The Committee commends 
the NIH for moving quickly to negotiate material transfer 
agreements with holders of existing embryonoc cell lines. The 
Director is requested to keep the Committee apprised of program 
initiatives as well as research progress concerning both adult 
and embryonic stem cells.
    Lyme Disease.--The Committee encourages NIH to improve its 
communication across Institutes to better coordinate Lyme 
disease research and outreach to public and private scientists 
about Lyme disease with the goal of stimulating research 
interest and encouraging investigators to bring their research 
interests to bear in this field. The Committee also encourages 
NIH to identify appropriate NIH advisory committees for Lyme 
disease representation and appoint qualified persons thereon 
and to include a broad range of scientific viewpoints in the 
research planning process, including those from community-based 
clinicians, voluntary agencies, and patient advocates. NIH is 
encouraged to enhance research in Lyme disease and other tick 
borne disorders through all available mechanisms, as 
appropriate, including establishment of a pathology lab.
    Microbicide Research.--The Committee urges the Director to 
enhance microbicide research and product development through 
OAR, NIAID, NICHD, NIMH, NIDA, and ORWH. NIH is urged to begin 
implementation of the annual strategic plan for microbicide 
research, product development and evaluation being completed 
under NIH leadership and in coordination with other Federal 
agencies through all available mechanisms, as appropriate. The 
Committee requests that the Director provide a report to the 
Committee by March 31, 2002 on the status of this initiative, 
including research efforts, funding levels and implementation 
of the strategic plan.
    Micronutrient and Trace Mineral Deficiencies.--In addition 
to the Chromium research initiative being conducted, NIH is 
encouraged to work with the Department of Agriculture to 
examine micronutrient and mineral deficiency diseases 
throughout life. Factors that influence the development and 
progression of these diseases should also be examined, such as 
bioavailability, altered physiology, and age-specific 
absorption rates. This initiative could include investigations 
of the basic science that underlies the various disease 
processes, evaluation of the available veterinary, farm, and 
other animal models for consideration of their relevance to the 
analogous human diseases, and assessment of potential utility 
of dietary regimens and/or dietary supplements for improving 
clinical outcomes. Extensive animal experimentation has been 
conducted on nutrient supplementation in birth defects, 
improving resistance to infectious disease and infertility. 
Each of these areas has potential for reducing health care 
costs and increasing the effectiveness of medical treatments 
for disease. NCCAM and ODS should coordinate these activities 
across all appropriate NIH disease-related Institutes and 
Centers.
    Minority Health Research.--The Committee commends NIH's 
implementation of various programs focused on developing 
research infrastructure at minority health professions 
institutions, including Research Centers at Minority 
Institutions, Extramural Biomedical Research Facilities and the 
recently established National Center for Minority Health and 
Health Disparities. Due to the number of new competitive 
mechanisms at NIH for these research institutions, the Director 
is encouraged to work with the Director of NCMHD to establish a 
program of coordination among these various mechanisms to 
partner minority health professions schools to address their 
infrastructure needs.
    Parasitic Diseases.--The Committee encourages NIH to 
enhance research on parasitic diseases, including 
schistosomiasis, leishmaniasis, African Sleeping Sickness and 
Chagas disease through all available mechanisms, as 
appropriate.
    Parkinson's Disease.--NIH has developed a five-year 
Parkinson's Disease Research Agenda. To carry out the plan, the 
professional judgment budget estimates call for increases over 
existing Parkinson's research of $143,400,000 in year two 
(fiscal year 2002). The Committee strongly urges the Director 
to work toward the implementation of the research agenda 
through all available mechanisms, as appropriate, including 
hosting a consortium in collaboration with the Parkinson's 
research-related Institutes and the extramural research 
community to identify the full extent of available scientific 
opportunity and the research and funding needed to implement 
the Research Agenda. The Committee requests that the Director 
be prepared to provide a status report on the research agenda 
at the fiscal year 2003 appropriations hearing.
    The Committee commends NIH for encouraging and supporting 
workshops and other collaborations between sectors of the 
Parkinson's research community, including the NIEHS-supported 
consortia and the NINDS-supported workshop on gene therapy and 
encourages similar collaborative models.
    Pediatric Research.--The Committee has previously urged NIH 
to continue to strengthen and expand its portfolio of pediatric 
research across all Institutes and establish priorities based 
on the severity and impact of pediatric diseases and on the 
potential for scientific breakthroughs. The Committee 
understands that the Acting Director has asked the NICHD 
Director to co-chair a committee developing recommendations to 
operate the Pediatric Research Initiative authorized as part of 
the Children's Health Act of 2000. The flexibility afforded to 
NIH in the implementation of the Initiative will facilitate the 
development of the most effective means to achieve the 
program's objectives. Within the total provided to NIH, the 
Committee believes adequate funds are available to continue 
implementing this activity. The Committee requests that the 
Director be prepared to provide a status of this initiative at 
the fiscal year 2003 appropriations hearing.
    Research to Improve Efficiency and Reduce Costs of Health 
Care.--The cost of health care delivery continues to rise with 
many health care experts predicting nine percent increases for 
the foreseeable future. While recent research demonstrates that 
development and application of new health care technology is 
generally worthwhile or cost-effective in terms of improved 
survival and productivity in the workplace and reduced 
disability over the life span, there is some concern that some 
research discoveries that provide new remedies for health 
problems and the over use and misuse of available technology 
may also contribute to higher health care costs. The Committee 
recognizes that the development of new health care innovations 
and the appropriate application of available technology are 
necessary to assure access to affordable health care for all 
Americans. The Committee urges NIH to work with the Agency for 
Healthcare Research and Quality to find the methods of 
evaluation and treatment that will reduce health care costs 
without sacrificing quality.
    Sjogren's Syndrome.--Sjogren's syndrome is one of the most 
prevalent autoimmune diseases. The Committee encourages the NIH 
Autoimmune Diseases Coordination Committee to include Sjogren's 
syndrome in its strategic plan.
    Usher Syndrome.--Usher Syndrome (US) is the leading cause 
of deaf-blindness in the United States. It is an inherited 
disorder that is characterized by moderate to profound hearing 
impairment and progressive vision loss due to retinitis 
pigmentosa and affects an estimated 30,000 Americans. 
Researchers have mapped the chromosomal locations of nine 
different genes that account for the various forms of US, of 
which four have been isolated and cloned. The Committee 
encourages NIH to enhance research aimed at finding a treatment 
or cure for US through all available mechanisms, as 
appropriate, including a better understanding of the etiology 
of the disorder.
    Veterans Administration Cooperation.--The Veterans 
Administration (VA) has over 900 hospitals and clinics that 
provide medical care to 4.1 million veterans. The VA system is 
an ideal setting for large multi-center studies and clinical 
trials and is a resource to facilitate and accelerate research. 
The Committee urges NIH to explore ways to increase cooperative 
research efforts with the VA. The Committee requests that the 
Director be prepared to provide a progress report on this 
initiative at the fiscal year 2003 appropriations hearing.

                        buildings and facilities

    The Committee provides $311,600,000 for buildings and 
facilities, which is $157,839,000 above the fiscal year 2001 
comparable level and $5,000,000 above the budget program 
request. The Committee includes language to allow the Director 
of NIH to transfer up to $75,000,000 to International 
Assistance Programs, ``Global Fund to Fight HIV/AIDS, Malaria, 
and Tuberculosis.''
    Mission.--The Buildings and Facilities appropriation 
provides for the design, construction, improvement, and major 
repair of clinical, laboratory, and office buildings and 
supporting facilities essential to the mission of the National 
Institutes of Health. The funds in this appropriation support 
the 77 buildings on the main NIH campus in Bethesda, Maryland; 
the Animal Center in Poolesville, Maryland; the National 
Institute of Environmental Health Sciences facility in Research 
Triangle Park, North Carolina; and other smaller facilities 
throughout the United States.
    Within the total provided, funds are included for the 
Animal Vivarium, Phases I and II of the John Edward Porter 
Neuroscience Research Center and renovation of Building 10.

       Substance Abuse and Mental Health Services Administration


               substance abuse and mental health services

    The Committee provides a program level of $3,131,558,000 
for the Substance Abuse and Mental Health Services 
Administration (SAMHSA), which is $168,134,000 above the fiscal 
year 2001 comparable level and $102,102,000 above the budget 
request.
    SAMHSA is responsible for supporting mental health, 
alcoholism, and other drug abuse prevention and treatment 
services nationwide through discretionary knowledge development 
and applied research grants and formula block grants to the 
States. The agency consists of three principal centers: the 
Center for Mental Health Services, the Center for Substance 
Abuse Treatment, and the Center for Substance Abuse Prevention. 
The Office of the Administrator is responsible for overall 
agency management.

Center for Mental Health Services

    The Committee provides a total of $834,048,000 for the 
Center for Mental Health Services (CMHS), which is $52,158,000 
above the fiscal year 2001 comparable level and $67,900,000 
above the budget request.
            Programs of regional and national significance
    The Committee provides $223,499,000 for mental health 
programs of regional and national significance, which is 
$20,109,000 above the fiscal year 2001 comparable level and 
$35,900,000 above the budget request. The program includes 
multi-state studies and other knowledge development activities 
that identify the most effective service delivery practices, 
knowledge synthesis activities that translate program findings 
into useful products for the field, and knowledge application 
projects that support adoption of exemplary service approaches 
throughout the country. The Committee does not provide funding 
for projects that were earmarked in the fiscal year 2001 
appropriations bill.
    Within the total provided, $10,000,000 above the budget 
request is for continuation and expansion of youth violence 
prevention programs.
    Within the total provided, $5,000,000 above the budget 
request is to provide evidence based mental health outreach and 
treatment to the elderly. By the year 2010, there will be 
approximately 40 million people in the U.S. over the age of 65 
and more than 20 percent of them will experience mental 
disorders. Only a small percentage of Older Americans who 
require assistance currently receive specialty mental health 
services for reasons which include stigma, denial of problems, 
access barriers, lack of coordination between mental health and 
aging networks. The funding provided is intended to begin to 
address this problem.
    Within the total provided, $5,000,000 above the budget 
request is for grants to develop and implement programs to 
divert individuals with a mental illness from the criminal 
justice system to community-based services and for related 
training and technical assistance, as authorized by section 
520G of the Public Health Service Act.
    Mental illness among the Nation's homeless population 
remains a serious problem. Existing mental health services are 
not adequately reaching the homeless population and are not 
adequately addressing their unique needs and life 
circumstances. Within the funds provided to support grants to 
entities that develop or expand mental health services 
specifically for homeless people, the Committee expects SAMHSA 
to distribute the funds to local public or non-profit 
organizations through a competitive process, but SAMHSA should 
encourage applicants to demonstrate integration with primary 
care and addiction services and linkages with housing, 
employment and social services as a condition of the award.
    The Committee recognizes the role that the Minority 
Fellowship program plays in training mental health 
professionals to provide services to individuals who would 
otherwise go untreated and urges SAMHSA to enhance its efforts 
in this program through its three Centers.
    Fewer than one-third of Americans with a diagnosable mental 
disorder seek out services. The Surgeon General recently 
reported that stigma is a barrier discouraging people from 
obtaining treatment while promoting discrimination against the 
mentally ill. The Committee urges SAMHSA to increase efforts to 
combat stigma. The agency should collaborate with other Federal 
agencies as well as public and private organizations.
    The Committee encourages SAMHSA to add questions about 
treatment and prevention services for gambling disorders to its 
biennial survey of mental health organizations conducted as 
part of the National Reporting Program for Mental Health 
Statistics. Although millions of Americans suffer from gambling 
problems, there are few treatment or prevention services 
available for problem gamblers and their families. Since this 
survey is administered to mental health providers nationally, 
it should yield information about the availability of 
professional treatment services for problem and pathological 
gamblers, heighten the awareness among treatment professionals 
of the disorder of pathological gambling and encourage 
screening of clients for gambling problems.
    Within the total provided $7,000,000 is for the Minority 
HIV/AIDS Initiative. These funds are targeted to address the 
growing HIV/AIDS epidemic and its disparate impact on 
communities of color, including African Americans, Latinos, 
Native Americans, Asian Americans, Native Hawaiians, and 
Pacific Islanders. HHS statistics show that racial and ethnic 
minorities represent the highest number of new AIDS cases. 
While African-Americans and Hispanics are only 12 percent and 
13 percent of the U.S. population respectively, they account 
for at least 55 percent and 20 percent of all new AIDS cases. 
In addition, more than 60 percent of people living with AIDS 
are racial minorities. Congress began funding the Minority HIV/
AIDS Initiative in fiscal year 1999. It was designed to focus 
special attention on solving a growing public health problem 
and to develop and improve the capacity of minority community 
based organizations to more effectively serve their 
communities. This approach was tailored to yield innovative and 
successful strategies specifically targeted to the highest risk 
and hardest to serve populations, which for the past two 
decades have eluded more traditional HIV/AIDS prevention, 
treatment, and education efforts. In distributing these funds, 
the Committee expects SAMHSA to tailor the CMHS programs that 
are funded under the Minority HIV/AIDS Initiative as tightly as 
possible in order to address the growing health problem and 
maximize the participation of minority community based 
organizations. In evaluating organizations' capacities, SAMHSA 
should take into consideration that the board, management and 
key staff are representative of the minority communities 
served, be situated closest to the targeted population, have a 
history of providing services to these communities, and have 
documented linkages to the targeted populations, so that they 
can help close the gap in access to service for the highly 
impacted communities of color in the interest of public health. 
These funds are for activities that are designed to address the 
trends of the HIV/AIDS epidemic in communities of color based 
on the most recent estimated living AIDS cases, HIV infections 
and AIDS mortality among ethnic and racial minorities as 
reported by the Centers for Disease Control and Prevention.
    More specifically, the funds are for the treatment of 
mental health disorders related to HIV disease, including 
dementia, clinical depression and chronic, progressive 
neurological disabilities that often accompany HIV disease. the 
Committee strongly urges CMHS to use the Minority Aids funding 
to support competitive, direct service, and capacity building 
grants targeted to providers that operate in traditional and 
non-traditional settings and who have a history of providing 
services to communities of color. Funds are provided to improve 
State and local mental health screening and referrals programs 
located in non-mental health specific settings and to support 
ongoing jail diversion programs for non-violent mentally ill 
offenders living with HIV disease.
            Mental health performance partnerships
    The Committee provides $440,000,000 for mental health 
performance partnership grants, which is $20,000,000 above both 
the fiscal year 2001 comparable level and the budget request. 
The performance partnerships provide funds to States to support 
mental health prevention, treatment, and rehabilitation 
services. Funds are allocated according to statutory formula 
among the States that have submitted approved annual plans. The 
Committee notes that the mental health performance partnerships 
grant funding represents less than 2% of total State mental 
health funding and less than 5% of State community-based mental 
health services.
            Children's mental health
    The Committee provides $97,694,000 for the grant program 
for comprehensive community mental health services for children 
with serious emotional disturbance, which is $6,049,000 above 
the fiscal year 2001 comparable level and $6,000,000 above the 
budget request. Funding for this program supports grants and 
technical assistance for community-based services for children 
and adolescents up to age 22 with serious emotional, 
behavioral, or mental disorders. The program assists States and 
local jurisdictions in developing integrated systems of 
community care. Each individual served receives an individual 
service plan developed with the participation of the family and 
the child. Grantees are required to provide increasing levels 
of matching funds over the five-year grant period.
            Grants to states for the homeless (PATH)
    The Committee provides $39,855,000 for the grants to States 
for the homeless (PATH) program, which is $3,000,000 above both 
the fiscal year 2001 comparable level and the budget request. 
PATH grants to States provide assistance to individuals 
suffering from severe mental illness and/or substance abuse 
disorders and who are homeless or at imminent risk of becoming 
homeless. Grants may be used for outreach, screening and 
diagnostic treatment services, rehabilitation services, 
community mental health services, alcohol or drug treatment 
services, training, case management services, supportive and 
supervisory services in residential settings, and a limited set 
of housing services.
            Protection and advocacy
    The Committee provides $33,000,000 for the protection and 
advocacy program, which is $3,000,000 above both the fiscal 
year 2001 comparable level and the budget request. This funding 
is distributed to States according to a formula based on 
population and income to assist State-designated independent 
advocates to provide legal assistance to mentally ill 
individuals during their residence in State-operated facilities 
and for 90 days following their discharge.

Center for Substance Abuse Treatment

    The Committee provides a total of $2,030,122,000 for the 
Center for Substance Abuse Treatment (CSAT), which is 
$109,137,000 above the fiscal year 2001 comparable level and 
$9,000,000 above the budget request.
            Programs of regional and national significance
    The Committee provides $305,122,000 for substance abuse 
treatment programs of regional and national significance, which 
is $49,137,000 above the fiscal year 2001 comparable level and 
$9,000,000 above the budget request. The program supports 
activities of developing and field testing new treatment models 
in order to facilitate the provision of quality treatment 
services and service delivery. These activities are undertaken 
in actual service settings rather than laboratories and results 
are disseminated to State agencies and community treatment 
providers. The goal is to promote continuous, positive 
treatment service delivery change for those people who use and 
abuse alcohol and drugs. The Committee does not provide funding 
for projects that were earmarked in the fiscal year 2001 
appropriations bill.
    Within the total provided, $6,000,000 above the budget 
request is for grants to develop and expand mental health and 
substance abuse treatment services for homeless individuals as 
authorized by section 506 of the Public Health Service Act. The 
Committee intends these grants be available to projects 
focusing on mental health services and projects focusing on 
substance abuse treatment services, as well as projects 
providing services in both fields.
    Within the total provided, $3,000,000 above the budget 
request is for the Addiction and Technology Transfer Center 
program. This program has been successful in communicating to 
providers at all levels about research-based, effective 
approaches to substance abuse treatment and recovery. The 
Committee provides funds to enhance support of these Centers to 
enable them to maintain services while expanding their 
geographic coverage to all States. In addition, in areas of 
high drug trafficking or exceptional treatment need, these 
funds will support new centers responsible for a more limited 
geographic area.
    The Committee concurs with the budget request providing an 
increase of $40,000,000 for programs of regional and national 
significance. Within this funding, the Committee expects SAMSHA 
to fund treatment programs to fight the abuse of 
methamphetamine.
    Substance abuse among the Nation's homeless population 
remains a serious problem. Existing addiction services are not 
adequately reaching the homeless population and are not 
adequately addressing their unique needs and life 
circumstances. Within the funds provided to support grants to 
entities that develop or expand substance abuse services 
specifically for homeless people, the Committee expects SAMHSA 
to distribute the funds to local public or non-profit 
organizations through a competitive process, but SAMHSA should 
encourage applicants to demonstrate integration with primary 
care and mental health services and linkages with housing, 
employment and social services as a condition of the award.
    The Committee is concerned that effective substance abuse 
treatment programs may not be available to persons who 
currently receive or previously received TANF funding. SAMHSA 
is encouraged to coordinate with the Administration for 
Children and Families and inform them of programs that have a 
50 percent or higher effectiveness rate and help facilitate the 
availability of these programs to the TANF population.
    Within the total provided $57,000,000 is for the Minority 
HIV/AIDS Initiative. These funds are to enhance the quality of 
services and expand the service capacity of substance abuse 
treatment programs with a history of providing services to high 
risk communities of color that are severely impacted by 
substance abuse and HIV/AIDS. The correlation between addiction 
and HIV/AIDS is well documented. Injection and other drug use 
accounted for at least 30 percent of new reported HIV cases in 
the U.S. in 2000. These funds are to be allocated based on 
program priorities identified in the previous fiscal year and 
new priorities as funding permits. Funds are also included to 
enhance State, county and local efforts to plan and develop 
integrated substance abuse and HIV/AIDS treatment and 
prevention services within communities of color. In 
administering this program, CSAT should follow the same 
Committee direction provided under the Center for Mental Health 
Services for the Minority HIV/AIDS Initiative to maximize the 
participation of minority community based organizations.
            Substance abuse performance partnerships
    The Committee provides $1,725,000,000 for the substance 
abuse performance partnership grants, which is $60,000,000 
above the fiscal year 2001 comparable level and the same as the 
budget request. The substance abuse performance partnerships 
provide funds to States to support alcohol and drug abuse 
prevention, treatment, and rehabilitation services. Funds are 
allocated among the States according to a statutory formula. 
State applications including comprehensive state plans must be 
approved annually by SAMHSA as a condition of receiving funds.

Center for Substance Abuse Prevention

    The Committee provides a total of $187,215,000 for the 
Center for Substance Abuse Prevention, which is $12,296,000 
above the fiscal year 2001 comparable level and $12,202,000 
above the budget request.
            Programs of regional and national significance
    The Committee provides $187,215,000 for the substance abuse 
prevention programs of regional and national significance, 
which is $12,296,000 above the fiscal year 2001 comparable 
level and $12,202,000 above the budget request. The program 
identifies effective approaches in preventing substance abuse 
and implements its primary mission in bridging the gap between 
research and practice. The Committee does not provide funding 
for projects that were earmarked in the fiscal year 2001 
appropriations bill.
    With the total provided, $5,000,000 above the budget 
request is to enhance efforts to fight the abuse of 
methamphetamine, which is among the fastest growing drug 
problems throughout the Nation.
    Within the total provided $40,100,000 is for the Minority 
HIV/AIDS Initiative. These funds provide grants for planning 
and services to organizations with a history of providing 
services to high risk communities of color to enhance the 
quality of services and expand substance abuse prevention 
service capacity in communities of color disproportionately 
impacted by the HIV/AIDS epidemic. In administering this 
program. CSAP should follow the same Committee direction 
provided under the Center for Mental Health Services for the 
Minority HIV/AIDS Initiative to maximize the participation of 
minority community based organizations.
            Program management
    The Committee provides $80,173,000 for program management 
activities, which is $5,457,000 below the fiscal year 2001 
comparable level and $13,000,000 above the budget request. 
Within the funds provided, the Committee assumes a 4.6 percent 
pay increase. The appropriation provides funding to coordinate, 
direct, and manage the agency's programs. Funds are used for 
salaries, benefits, space, supplies, equipment, travel and 
overhead. The Committee does not provide funding for projects 
that were earmarked in the fiscal year 2001 appropriations 
bill.
    Within the total provided, $12,000,000 above the budget 
request is available for data collection activities which is 
the same as the fiscal year 2001 comparable level. In addition, 
the Administration proposed to increase the Public Health 
Service evaluation set-aside from one percent to two percent. 
The Committee did not approve this request; therefore, an 
additional $7,000,000 could be available for these activities.
    Within the total provided, $1,000,000 above the budget 
request is to develop a cost-effective strategy for reducing 
and preventing underage drinking. According to the National 
Household Survey on Drug Abuse, there are more than 10 million 
underage drinkers in the United States. Studies have shown that 
young people who begin drinking before the age of 15 are four 
times more likely to develop alcohol dependence than those who 
begin after age 21. In developing this strategy, SAMHSA should 
thoroughly review all programs and methods that would be the 
most effective in achieving the goal of reducing and preventing 
underage drinking. The Committee also believes that in order to 
be effective this strategy must be a public/private 
partnership; therefore the agency should consult with the 
Surgeon General, the National Institute of Alcoholism and 
Alcohol Abuse, and all private sector organizations with an 
interest in reducing and preventing underage drinking.
    The Committee is concerned that Federal resources may not 
be reaching hard-to-serve populations, such as the homeless, in 
the areas of mental health services or alcohol and substance 
abuse services. The Committee encourages SAMHSA to examine how 
funds are delivered to localities and accountability standards 
that exist to ensure that funds are being targeted to such 
hard-to-serve populations.
    The Committee has provided funding within the 
Administration for Children and Families (ACF) to implement 
several new activities that have mental health and substance 
abuse components. SAMHSA is encouraged to share expertise and 
collaborate with ACF in implementing these efforts.

               Agency for Healthcare Research and Quality

    The Committee provides a total of $306,245,000 for the 
Agency for Healthcare Research and Quality (AHRQ), which is 
$36,510,000 above the fiscal year 2001 comparable level and the 
same as the budget program request. Included in this amount is 
$168,435,000 in general funds and $137,810,000 in one percent 
evaluation funding. The Administration proposed to increase the 
Public Health Service evaluation set-aside from one percent to 
two percent and fund the agency's full request from evaluation 
funding. The Committee did not approve this request.
    The mission of the Agency is to generate and disseminate 
information that improves the delivery of health care. Its 
research goals are to determine what works best in clinical 
practice; improve the cost-effective use of health care 
resources; help consumers make more informed choices; and 
measure and improve the quality of care. The Committee is 
supportive of high quality, peer-reviewed research and supports 
appropriate funding for investigator-initiated research within 
the funding levels provided.
    For Research on Health Costs, Quality, and Outcomes, the 
Committee provides $255,145,000, which is $28,760,000 above the 
fiscal year 2001 comparable level and the same as the budget 
request. The Research on Health Costs, Quality, and Outcomes 
program identifies the most effective and efficient approaches 
to organize, deliver, finance, and reimburse health care 
services; determines how the structure of the delivery system, 
financial incentives, market forces, and better information 
affects the use, quality, and cost of health services; and 
facilitates the translation of research findings for providers, 
patients/consumers, plans, purchasers, and policymakers. It 
also funds research that determines what works best in medical 
care by increasing the cost effectiveness and appropriateness 
of clinical practice; supports the development of tools to 
measure and evaluate health outcomes, quality of care, and 
consumer satisfaction with health care system performance; and 
facilitates the translation of information into practical uses 
through the development and dissemination of research 
databases.
    For Medical Expenditures Panel Surveys, the Committee 
provides $48,500,000, which is $7,650,000 above the fiscal year 
2001 comparable level and the same as the budget request. The 
entire amount provided is derived through the one percent 
evaluation set-aside. The Medical Expenditures Panel Surveys 
provide data for timely national estimates of health care use 
and expenditures, private and public health insurance coverage, 
and the availability, costs, and scope of private health 
insurance benefits. This activity also provides data for 
analysis of changes in behavior as a result of market forces or 
policy changes on health care use, expenditures, and insurance 
coverage; develops cost/savings estimates of proposed changes 
in policy; and identifies the impact of changes in policy for 
subgroups of the population.
    For program support, the Committee provides $2,600,000, 
which is $100,000 above the fiscal year 2001 level and the same 
as the budget request. This activity supports the overall 
direction and management of the agency. Within the funds 
provided, the Committee assumes a 4.6 percent pay increase.
    The Committee urges AHRQ to develop long-term care quality 
initiatives in care delivery and workforce development across 
care settings, including nursing homes, assisted living and 
home care. Best practices, once identified, could be broadly 
disseminated to replicate effective care and treatment models.
    The cost of health care delivery continues to rise with 
many health care experts predicting nine percent increases for 
the foreseeable future. There is some concern that new 
biomedical research discoveries that provide new remedies for 
health problems may also contribute to higher health care costs 
when they are used inappropriately. The Committee recognizes 
the need to ensure that increased investment in biomedical 
research does not price quality health care out of reach of 
most Americans. Providers, patients and health care payers need 
objective, scientific information to understand which new 
interventions are more effective than existing practices, which 
groups of patients are most likely to benefit, the degree of 
improvement compared to the cost, and the relative risks for 
the patient of alternative interventions. The Committee urges 
AHRQ to expand its efforts to support research and clinical 
effectiveness trials that will develop scientific evidence 
regarding the relative effectiveness, outcomes, risks and costs 
of promising new interventions in comparison with existing 
practices, especially those that have the potential to reduce 
health care costs without reducing quality. The agency is also 
urged to support an initiative to identify and make easily 
accessible the findings of existing, scientifically sound, 
cost-effectiveness studies of new clinical interventions and 
technologies.
    The Committee is aware of the proposed consensus conference 
involving AHRQ, CDC, NINDS, NICHD and the Spina Bifida 
Association of America to assess and evaluate secondary 
prevention strategies to reduce the complications associated 
with spina bifida, including an evaluation of in utero surgical 
techniques. The Committee encourages the Agency to participate 
in the implementation of this initiative.

               Centers for Medicare and Medicaid Services


                     grants to states for medicaid

    The bill provides $106,821,882,000 for the Federal share of 
current law State Medicaid costs, which is $7,208,752,000 above 
the fiscal year 2001 comparable level and the same as the 
budget request. This amount does not include $36,207,551,000, 
which was advance funded in the fiscal year 2001 appropriation. 
In addition, the bill provides an advance appropriation of 
$46,601,937,000 for program costs in the first quarter of 
fiscal year 2003. The bill also includes indefinite budget 
authority for unanticipated costs in fiscal year 2001.
    Federal Medicaid grants reimburse States for 50 to 83 
percent (depending on per capita income) of their expenditures 
in providing health care for individuals whose income and 
resources fall below specified levels. Subject to certain 
minimum requirements, States have broad authority within the 
law to set eligibility, coverage, and payment levels. It is 
estimated that 34.3 million low-income individuals will receive 
health care services in 2000 under the Medicaid program. State 
costs of administering the program are matched at rates that 
generally range from 50 to 90 percent, depending upon the type 
of cost. Total funding for Medicaid includes $795,533,000 for 
the entitlement Vaccines for Children program. These funds, 
which are transferred to the Centers for Disease Control and 
Prevention for administration, support the costs of 
immunization for children who are on Medicaid, uninsured or 
underinsured and receiving immunizations at Federally qualified 
health centers or rural health clinics. Indefinite authority is 
provided by statute for the Vaccines for Children program in 
the event that the current estimate is inadequate.

Payments to health care trust funds

    The bill includes $81,924,200,000 for the Payments to the 
Health Care Trust Funds account, which is $11,542,600,000 above 
the fiscal year 2001 comparable level and the same as the 
budget request.
    This entitlement account includes the general fund subsidy 
to the Medicare Part B trust fund as well as other 
reimbursements to the Part A trust fund for benefits and 
related administrative costs which have not been financed by 
payroll taxes or premium contributions. The amount provided 
includes $150,200,000 for program management administrative 
expenditures, which is the fiscal year 2002 estimate of the 
general fund share of CMS program management expenses. This 
general fund share will be transferred to the Federal Hospital 
Insurance Trust Fund to reimburse for the funds drawn down in 
fiscal year 2001 from the trust fund to finance program 
management.

Program management

    The bill makes available $2,361,158,000 in trust funds for 
Federal administration of the Medicare and Medicaid programs, 
which is $119,560,000 above the fiscal year 2001 comparable 
level and $10,000,000 above the budget request.
            Research, demonstration, and evaluation
    The bill provides $55,311,000 for research, demonstration 
and evaluation, which is $83,000,000 below the fiscal year 2001 
comparable level and the same as the budget request. These 
funds support a variety of studies and demonstrations in such 
areas as monitoring and evaluating health system performance; 
improving health care financing and delivery mechanisms; 
modernization of the Medicare program; the needs of vulnerable 
populations in the areas of health care access, delivery 
systems, and financing; and information to improve consumer 
choice and health status. The reduction below last year's level 
is due to the funding of one-time projects.
    The Committee in the past has encouraged CMS to conduct a 
demonstration project to evaluate the use of managed health 
care principles in the delivery of traditional and alternative 
long-term care services. The Committee continues to support 
such a demonstration and encourages CMS to begin discussions 
with interested States and providers.
    The Committee understands that NIH-supported research 
involving transplantation of insulin-producing cells has shown 
great promise in treating diabetes and is being expanded into 
worldwide clinical trials. The Committee urges CMS to 
collaborate with NIH, FDA and non-profit voluntary health 
organizations to consider strategies that could hasten the 
speed for providing this therapy to more patients. The 
Committee requests that the Administrator be prepared to 
testify at the fiscal year 2003 appropriations hearing on the 
status of this initiative.
    The Committee is aware of the potential for web-enabled 
technology to improve the coordination and delivery of care 
among persons with disabilities and severe chronic conditions 
such as spinal cord injury, diabetes and arthritis, while also 
reducing transaction costs associated with traditional care 
delivery mechanisms. The Committee encourages CMS to 
demonstrate the effectiveness of an e-health tool for managed 
care nurse case managers in an integrated application with 
online claims adjudication capabilities which applies a 
prescription benefits manager to medical equipment, supplies 
and related products as currently utilized for pharmaceuticals.
            Medicare contractors
    The bill includes $1,522,000,000 to support Medicare claims 
processing contracts, which is $165,564,000 above the fiscal 
year 2001 comparable level and the same as the budget request.
    Medicare contractors are responsible for paying Medicare 
providers promptly and accurately. In addition to processing 
claims, contractors also identify and recover Medicare 
overpayments, as well as review claims for questionable 
utilization patterns and medical necessity. Contractors also 
provide information and technical support both to providers and 
beneficiaries regarding the administration of the Medicare 
program. In 2002, contractors are expected to process 950 
million claims.
            State survey and certification
    The bill includes $252,147,000 for State inspection of 
facilities serving Medicare and Medicaid beneficiaries, which 
is $10,000,000 above both the fiscal year 2001 comparable level 
and the budget request.
    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. Over 25,000 facilities are expected to be 
reviewed in 2002.
    Current law allows States to provide incentives and public 
recognition of high quality skilled nursing facilities. Such 
programs can be both an important factor in improving the 
quality of care in many nursing facilities as well as helping 
consumers to find the best nursing care for family members. The 
Committee urges CMS to encourage such State efforts.
    Under current law, States conduct educational programs for 
providers concerning the requirements of State and Federal law. 
The Committee believes that additional efforts should be made 
to provide educational programs and materials on innovative 
care practices to skilled nursing facilities, particularly 
those in rural areas and those serving low-income populations. 
The Committee urges CMS to consider conducting periodic 
educational programs for surveyors and facility staff or to 
encourage States to do so.
            Federal administration
    The bill includes $531,700,000 to support Federal 
administrative activities related to the Medicare and Medicaid 
programs, which is $26,996,000 above the fiscal year 2001 
comparable level and the same as the budget request. Within the 
funds provided, the Committee assumes a 4.6 percent pay 
increase.
    The Medicare, Medicaid, and Children's Health Insurance 
programs ensure the health care security of over 70 million 
beneficiaries. The Federal Administration costs budget provides 
funds for the staff and operations of CMS to administer these 
programs.
    The Committee is concerned by reports of widespread non-
compliance with requirements of blood lead screening of 
children served by Medicaid, and is distressed that little 
progress has apparently been made since GAO's 1999 report on 
the subject. The Committee expects CMS to increase its support 
for outreach and education and to report steps taken and 
progress made to the Committee by September 1, 2002. The 
Committee also urges CMS to permit Medicaid reimbursement for 
laboratory analysis of environmental samples needed to identify 
the source of lead exposure for children with lead poisoning.
    A provision was included in the Health Insurance 
Portability and Accountability Act to redesign the specialty 
code system to alpha-numeric; however, implementation of this 
new system is not final. In the interim, to ensure that 
pregnant women receive risk-appropriate care, the Committee 
urges CMS to work to create an interim two-digit specialty code 
recognizing maternal-fetal medicine.
    The Committee recognizes that hospitals, along with others 
in the health care sector, have concerns about compliance with 
the administrative simplification provisions of the Health 
Insurance Portability and Accountability Act of 1996 (HIPAA). 
The Committee acknowledges that compliance with these 
provisions, including electronic transaction standards and 
medical privacy and security requirements, will require health 
care organizations and providers to make substantial 
investments in information technology. These concerns are 
enhanced by the short two-year compliance deadline set in 
statute. Accordingly, the Committee directs the Secretary to 
evaluate the effects of these expenditures on the ability of 
the health care sector to provide health care services and to 
identify and report to the Committee any sources of Federal 
funding that would be available to help defray the costs of 
complying with HIPAA administrative simplification 
requirements. The Committee also instructs the Secretary to 
evaluate the appropriateness of the current statutory 
compliance deadline and report the findings to the Committee. 
Such findings shall be reported to the Committee no later than 
February 1, 2002.
    Medicare beneficiaries who are blind or visually impaired 
are eligible for physician-prescribed rehabilitation services 
from approved health care professionals on the same basis as 
beneficiaries with other medical conditions that result in 
reduced physical functioning. The Committee urges CMS to direct 
its carriers to inform physicians and other providers about the 
availability of medically necessary rehabilitation services for 
these beneficiaries.
    Medicaid and SCHIP are a major source of dental care 
provided to the nation's poor children. However, according to 
the U.S. Surgeon General's report, Oral Health in America, 
fewer than one in five Medicaid-covered children received a 
single preventive dental visit in a year. Left untreated, 
dental disease is inevitable and will not abate. Therefore, the 
Committee believes it is important that CMS maintain a distinct 
focus on oral health and urges CMS to retain a position of 
Chief Dental Officer reporting directly to the Director of the 
Center for Medicaid and State Operations.
    The Committee notes with interest the number of 
applications received by the Centers for Medicare and Medicaid 
Services for 1115 waivers requesting permission to expand 
eligibility for Medicaid coverage to non-disabled individuals 
living with HIV disease. Such expansions would improve access 
to critically needed life-prolonging treatments. In considering 
the budget neutrality aspects of these waiver applications, the 
Committee anticipates that CMS will work with the Office of 
Management and Budget and other interested parties to develop 
methodologies to take into account savings that might be 
achieved in non-Medicaid entitlement programs, such as 
Medicare, Social Security Disability Insurance, Supplemental 
Security Income, due to earlier access to treatment for HIV 
disease. Consideration should also be given to the impact on 
discretionary programs such as the Ryan White CARE Act.

                Administration for Children and Families


  payments to states for child support enforcement and family support 
                                programs

    The Committee recommends $2,447,800,000 for the Child 
Support Enforcement program, the same as the request. The bill 
also provides $1,100,000,000 in advance funding for the first 
quarter of fiscal year 2003 to ensure timely payments for the 
child support enforcement program, the same as the request. The 
bill continues to provide estimated funding of $23,000,000 for 
Payments to Territories, the same as the comparable amount for 
fiscal year 2001 and the budget estimate. The bill provides 
$1,000,000 for the repatriation program, the same as the 
request and the comparable amount provided for fiscal year 
2000.

                   Low-income home energy assistance

    The Committee recommends an appropriation of $1,700,000,000 
for the fiscal year 2002 for the low-income home energy 
assistance program (LIHEAP), $300,000,000 more than the budget 
request and the regular appropriation for fiscal year 2001. The 
bill also provides an additional $300,000,000 in emergency 
funding for unanticipated home energy assistance needs of 
States. The agreement includes up to $27,500,000 for the 
leveraging incentive fund within these totals.
    The LIHEAP program provides assistance to low-income 
households to help pay the costs of home energy. Funds are 
provided through grants to States, Indian Tribes and 
territories, and are used for summer cooling and winter 
heating/crisis assistance programs.

                     Refugee and entrant assistance

    The bill provides $460,224,000 for refugee assistance 
programs, an increase of $27,186,000 above the fiscal year 2001 
level and $15,000,000 above the budget request.

Transitional and medical services

    The bill provides $237,291,000 for transitional and medical 
services, the same as the request and $12,186,000 above the 
fiscal year 2001 level. The bill continues the policy of 
providing eight months of assistance to new arrivals. The 
transitional and medical services program provides funding for 
the State-administered cash and medical assistance program that 
assists refugees who are not categorically eligible for TANF or 
Medicaid, the unaccompanied minors program that reimburses 
States for the cost of foster care, and the voluntary agency 
grant program in which participating national refugee 
resettlement agencies provide resettlement assistance with a 
combination of Federal and matched funds.

Social services

    The bill provides $158,621,000 for social services, 
$15,000,000 more than the fiscal year 2001 appropriation and 
the budget request. Funds are distributed by formula as well as 
through the discretionary grant making process for special 
projects. The bill includes $15,000,000 to increase educational 
support to schools with a significant proportion of refugee 
children, consistent with previous support to schools heavily 
impacted by large concentrations of refugees.
    The Committee agrees that $19,000,000 is available for 
assistance to serve communities affected by the Cuban and 
Haitian entrants and refugees whose arrivals in recent years 
have increased. The Committee has set aside $26,000,000 for 
increased support to communities with large concentrations of 
refugees whose cultural differences make assimilation 
especially difficult justifying a more intense level and longer 
duration of Federal assistance. Finally, the Committee has set 
aside $14,000,000 to address the needs of refugees and 
communities impacted by recent changes in Federal assistance 
programs relating to welfare reform. The Committee urges ORR to 
assist refugees at risk of losing, or who have lost, benefits 
including SSI, TANF and Medicaid, in obtaining citizenship.

Preventive health

    The bill includes $4,835,000 for preventive health 
services, the same as the fiscal year 2001 appropriation and 
the request. These funds are awarded to the States to ensure 
adequate health assessment activities for refugees.

Targeted assistance

    The bill provides $49,477,000 for the targeted assistance 
program, the same as the fiscal year 2001 amount and the 
request. These grants provide assistance to areas with high 
concentrations of refugees.

Victims of torture

    The bill includes $10,000,000 to provide a comprehensive 
program of support for domestic centers and programs for 
victims of torture. This is the same as the budget request and 
last year's level. The Committee encourages the Office of 
Refugee Resettlement to support one or more well-established 
treatment centers, such as the Center for Victims of Torture, 
in order to strengthen the field. The larger programs have 
developed the knowledge base that has fostered growth of 
treatment facilities around the country. For this growth to 
continue, these leading centers will need to expand their 
staffs to create more trainers and to improve evaluation and 
research needed to guide and develop new programs. This can 
only happen if they are able to significantly increase their 
own client bases. Through this investment ORR would be 
advancing the field of treatment services and helping establish 
new treatment centers.

                 Child care and development block grant

    The bill includes $2,199,987,000 for the Child Care and 
Development Block Grant program, $200,119,000 above the fiscal 
year 2001 level and the same as the budget request. The 
Committee notes that the Administration has requested that 
$400,000,000 of this total be set aside for an after-school 
voucher program. The Committee believes that a change of this 
nature properly belongs within the jurisdiction of the House 
Committee on Education and the Workforce and has therefore 
deferred action on the after-school voucher program subject to 
that Committee's action.
    The Child Care and Development Block Grant program was 
originally enacted in the Omnibus Budget Reconciliation Act of 
1990 to increase the availability, affordability and quality of 
child care by providing funds to States, Territories and Indian 
Tribes for child care services for low-income families. In the 
1996 Welfare Reform Act, the block grant was reauthorized 
through 2003. In addition, that Act contains additional 
mandatory appropriations for child care in the amount of 
$2,717,000,000 for fiscal year 2002.

                      social services block grant

    The bill provides $1,700,000,000 for the social services 
block grant (SSBG), $25,000,000 below the fiscal year 2001 
appropriation and the same as the budget request.
    SSBGs are designed to encourage States to furnish a variety 
of social services to needy individuals to prevent and reduce 
dependency, help individuals achieve and maintain self-
sufficiency, prevent or reduce inappropriate institutional 
care, secure admission or referral for institutional care when 
other forms of care are not appropriate, and prevent neglect, 
abuse and exploitation of children and adults.
    Funds are distributed to the territories in the same ratio 
such funds were allocated in fiscal year 1981. The remainder of 
the appropriation is distributed to the States and the District 
of Columbia according to population.
    The bill includes a provision that maintains the percentage 
of funds that a State may transfer between the Social Services 
Block Grant and the Temporary Assistance to Needy Families 
Programs at 10 percent.

                children and families services programs

    The bill includes $8,275,442,000, an increase of 
$309,957,000 over the fiscal year 2001 amount and $84,044,000 
over the budget request. This account finances a number of 
programs aimed at enhancing the well-being of the Nation's 
children and families, particularly those who are disadvantaged 
or troubled.

Head Start

    The bill includes $6,475,812,000 for the Head Start program 
for fiscal year 2002, an increase of $276,000,000 over the 
fiscal year 2001 amount and $151,000,000 above the budget 
request. Of this total, the Committee continues the policy of 
advancing $1,400,000,000 of this account into fiscal year 2003. 
The President's budget did not propose advance funding this 
account.
    Head Start provides comprehensive development services for 
children and their families. Intended for preschoolers from 
low-income families, the program seeks to foster the 
development of children and enable them to deal more 
effectively with both their present environment and later 
responsibilities in school and community life. Head Start 
programs emphasize cognitive and language development, 
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 ten percent of enrollment 
opportunities in each State are made available to handicapped 
children.
    Grants to carry out Head Start programs are awarded to 
public and private non-profit agencies. Grantees must 
contribute 20 percent of the total cost of the program; this is 
usually an in-kind contribution. The Head Start Act does not 
include a formula for the allotment of funds to local grantees; 
however, it does require that 87 percent of the appropriation 
be distributed among States based on a statutory formula. In 
addition, grants, cooperative agreements and contracts are 
awarded for Indians and migrants and in the areas of research, 
demonstration, technical assistance and evaluation from the 
remaining 13 percent.

Runaway and homeless youth

    The bill includes $71,133,000 for runaway and homeless 
youth activities, an increase of $2,010,000 above fiscal year 
2001 and $2,000,000 above the budget request.
    The Runaway and Homeless Youth Program provides grants to 
local public and private organizations to establish and operate 
local runaway and homeless youth centers to address the crisis 
needs of runaway and homeless youth and their families. Grants 
are used to develop or strengthen community-based centers, 
which are outside the law enforcement, juvenile justice, child 
welfare, and mental health systems. Additionally, home-based, 
street-based, and drug education and prevention activities are 
all allowable uses of funds under the basic center grants. The 
Runaway and Homeless Youth Act requires that 90% of the program 
funds be used to establish and operate basic centers and 
transitional living programs which meet the immediate needs of 
runaway and homeless youth. Basic center grants are allotted 
among the States based on each State's youth population under 
18 years of age. Applications for basic center grants are 
selected for funding through a competitive review process based 
on each State's allocation of funds under the formula.
    The Transitional Living Program is awarded by the Secretary 
on a national competitive basis.

Maternity group homes

    The bill does not include funding for the maternity group 
homes program, a new program for which the Administration 
requested $33,000,000. This program is not specifically 
authorized for fiscal year 2002. The Committee believes that 
the design of this new program properly belongs within the 
jurisdiction of the House Committee on Education and the 
Workforce and has therefore deferred action on the program 
until after the passage of authorizing legislation.

Child abuse

    For child abuse prevention and treatment, the Committee 
recommends $42,978,000. The total amount recommended includes 
$23,000,000 for State grants, an increase of $1,974,000 above 
both last year and the budget request; and $19,978,000 for 
discretionary projects, which is $2,000,000 above the budget 
request and $13,226,000 below last year's level. The Committee 
notes that the reduction in the discretionary projects account 
is the result of the removal of one-year projects that were 
included in the fiscal year 2001 conference agreement. Within 
the funds provided, the Committee has included sufficient 
funding to establish a national hotline to prevent child abuse.
    The child abuse programs attempt to improve and increase 
activities at all levels of government which identify, prevent, 
and treat child abuse and neglect through State grants, 
technical assistance, research, demonstration, and service 
improvement.

Abandoned infants assistance

    The Committee recommends $12,205,000 for the Abandoned 
Infants Assistance Act, $23,000 above the fiscal year 2001 
appropriation and the same as the budget request. The purpose 
of this program is to provide financial support to public and 
non-profit private entities to develop, implement, and operate 
demonstration projects that will prevent the abandonment of 
infants and young children; identify and address their needs, 
especially those infected with HIV; assist such children to 
reside with their natural families or in foster care, as 
appropriate; provide respite care for families and caregivers; 
and recruit and train caregivers. Grantees must establish a 
care plan and case review system for each child.

Child welfare services

    The bill includes $291,986,000 for child welfare services, 
the same as the fiscal year 2001 amount and the budget request. 
This program authorized by title IV-B of the Social Security 
Act provides grants to States to assist public welfare agencies 
establish, extend, and strengthen child welfare services in 
order to enable children to remain in their homes under the 
care of their parents, or, where that is not possible, to 
provide alternative permanent homes for them.
    The bill also includes $6,998,000 for child welfare 
training, the same as the fiscal year 2001 amount and the 
budget request. The Committee recognizes the need for trained, 
skilled and qualified child welfare protection personnel. This 
program provides teaching and traineeship grants to schools of 
social work to train social workers in the specialty of child 
welfare.

Adoption opportunities

    The Committee recommends $27,405,000 for adoption 
opportunities, the same as the budget request and $26,000 above 
the fiscal year 2001 amount. The Adoption Opportunities Program 
provides funding specifically targeted to improving the 
adoption of children with special needs and minority children 
and for providing for innovative services that support families 
involved in adoption.

Adoption incentives

    The bill includes $43,000,000 for the adoption incentives 
program, the same as the budget request and $6,000 above the 
2001 level. This program was authorized in the Adoption and 
Safe Families Act of 1997. These funds are used to pay bonuses 
to States that increase their number of adoptions; the goal is 
to double the number of children adopted or permanently placed 
out of public child welfare systems by 2003. This should make 
adoption a higher priority at the State level.

Adoption Awareness

    The bill includes $9,906,000 for the adoption awareness 
program, the same as the budget request and an increase of 
$6,000 above the fiscal year 2001 level. This program was 
authorized in the Child Health Act of 2000. The adoption 
awareness program provides training to designated staff of 
eligible health centers in providing adoption information and 
referrals to pregnant woman on an equal basis with all other 
courses of action included in non-directive counseling to 
pregnant women.

Compassion capital fund

    The bill includes $30,000,000 for the compassion capital 
fund, a new program for which the Administration requested 
$89,000,000. This program will support the creation of grants 
to public/private partnerships to support charitable 
organizations in expanding or emulating model social services 
agencies.

Promoting responsible fatherhood

    The bill does not include funding for the promoting 
responsible fatherhood program, a new program for which the 
Administration requested $64,000,000. This program is not 
authorized for fiscal year 2002. The Committee will consider 
funding for this program after the passage of authorizing 
legislation.

Social services and income maintenance research

    The bill includes $27,000,000 for social services and 
income maintenance research, $11,096,000 below the fiscal year 
2001 amount and $20,574,000 above the budget request. These 
funds support research, demonstration, evaluation and 
dissemination activities. Areas covered include welfare reform, 
child care, and child welfare.
    Three years ago, the Administration for Children and 
Families (ACF) launched a concerted effort to assist states in 
meeting the complex information and systems reporting 
requirements of the Temporary Assistance to Needy Families 
(TANF) program. ACF utilized the state information technology 
consortium, out of which emerged a knowledge base that is 
enabling each State to tailor the best practices developed by 
others to meet their own unique needs. The Committee supports 
the current effort to apply web-based technology to help each 
state integrate their stand-alone systems under a single IT 
network.

Community-based resource centers

    The bill includes $34,000,000 for community-based resource 
centers, $1,166,000 above both the fiscal year 2001 amount and 
the budget request. The purpose of the program is to assist 
each State in developing and operating a network of community-
based, prevention-focused family resource and support programs 
that coordinate resources among a broad range of human service 
organizations.

Developmental disabilities

    For programs authorized by the Developmental Disabilities 
Assistance Act, the Committee recommends $136,334,000, an 
increase of $2,819,000 above the amount available for fiscal 
year 2001 and $3,000,000 above the budget request. The account 
total includes $69,800,000 for allotments to the States to fund 
State Councils, $2,000,000 above the budget request and fiscal 
year 2001. These Councils engage in such activities as 
planning, policy analysis, demonstrations, training, outreach, 
interagency coordination, and public education. They do not 
provide direct services to the developmentally-disabled 
population.
    In addition, $34,000,000 will be available to the States to 
be used for operating an advocacy program to protect the rights 
of the developmentally disabled. This is $1,000,000 above both 
the fiscal year 2001 level and the budget request.
    The bill includes $10,734,000 for special discretionary 
projects for training, technical assistance and demonstration. 
This is $181,000 below the fiscal year 2001 funding level and 
the budget request. The Committee notes that the decrease is 
the result of the deletion of a one-time, one-year special 
project included in the fiscal year 2001 conference report.
    The Committee approves a total of $21,800,000 for grants to 
university affiliated facilities and satellite centers to 
support the cost of administering and operating demonstration 
facilities and interdisciplinary training programs. This is the 
same as the fiscal year 2001 level and the budget request. 
These are discretionary grants to public and private non-profit 
agencies affiliated with a university. These grants provide 
basic operational and administrative core support for these 
agencies. In addition, these funds support interdisciplinary 
training, community services, technical assistance to State 
agencies and information dissemination.

Native American programs

    The bill includes $44,396,000, $1,593,000 below the fiscal 
year 2001 level and the same as the budget request. The 
Administration for Native Americans assists Indian Tribes and 
Native American organizations in planning and implementing 
their own long-term strategies for social and economic 
development. In promoting social and economic self-sufficiency, 
this organization provides financial assistance through direct 
grants for individual projects, training and technical 
assistance, and research and demonstration programs.

Community Services

    The bill includes $703,345,000 for Community Services 
activities, $20,794,000 above the fiscal year 2001 level and 
$48,330,000 over the budget request.
            State block grant
    For the State Block Grant, the bill includes $620,000,000, 
which is $20,009,000 above the budget request and the fiscal 
year 2001 level. This program provides grants to States for 
services to meet employment, housing, nutrition, energy, 
emergency services, and health needs of low-income people. By 
law, 90 percent of these funds are passed directly through to 
local community action agencies which have previously received 
block grant funds. The Committee believes that this program 
provides the kind of flexibility at the local level necessary 
to assist people who are in temporary need of government 
assistance to get back on their feet.
            Community economic development
    The bill includes $30,034,000 for community economic 
development grants, which is the same as the fiscal year 2001 
level and the budget request. These activities provide 
assistance to private, locally-initiated community development 
corporations which sponsor enterprises providing employment, 
training and business development opportunities for low-income 
residents in poor communities. In certain instances, projects 
which have been awarded funding may not be able to go forward 
because of changed circumstances. The Secretary may approve the 
use of the funds for another project sponsored by the same 
community development corporation if the project meets the 
requirements of the law and the goals and objectives of the 
original project for which the grant was made.
            Individual development account
    The bill includes $24,990,000 for individual development 
accounts, $99,000 above the fiscal year 2001 level and the same 
as the budget request. Individual development accounts are 
dedicated savings accounts that can be used by families with 
limited means for purchasing a first home, paying for 
postsecondary education or capitalizing a business. The intent 
of the program is to encourage participants to develop and 
reinforce strong habits for saving money. 501(c)(3) 
organizations are eligible to apply for the funds and 
applicants must match federal funds with non-federal funds.
            Rural community facilities
    The bill includes $5,321,000 for the rural community 
facilities program, the same as the fiscal year 2001 amount. 
The Administration did not request funding for this program. 
This program assists rural communities with their drinking 
water, wastewater and solid waste problems, especially those 
with Native American, farm worker and other minority or 
underserved populations.
            National youth sports program
    The bill includes $17,000,000 for the National Youth Sports 
Program, which is $1,000,000 above the fiscal year 2001 level. 
The President proposed no funding for this program. These funds 
are made available to a private, non-profit organization to 
provide recreational activities for low-income youth, primarily 
in the summer months. College and university athletic 
facilities are employed in the program.
            Community food and nutrition
    The bill includes $6,000,000 for the Community Food and 
Nutrition program. The President did not propose funding for 
this program. In fiscal year 2001, this program was funded at 
$6,314,000. This program provides grants to public and private 
agencies to coordinate existing food assistance programs, to 
identify sponsors of child nutrition programs and attempt to 
initiate new programs and to do advocacy work at the State and 
local levels.

Family violence prevention programs

    The bill includes $14,999,000 for the runaway youth 
prevention program, which is designed to reduce the sexual 
abuse of runaway youth. The fiscal year 2001 amount and the 
budget request were the same. The Committee recommends 
$126,918,000 for family violence prevention and services and 
battered women's shelters, which is $10,019,000 above the 
fiscal year 2001 level and $10,000,000 over the budget request. 
This program is designed to assist States in efforts to prevent 
family violence and to provide immediate shelter and related 
assistance for victims of family violence and their dependents, 
and to provide for technical assistance and training relating 
to family violence programs to State and local public agencies 
(including law enforcement agencies), nonprofit private 
organizations, and persons seeking such assistance.
    The bill also includes $2,157,000 to continue funding the 
National Domestic Violence Hotline. This is the same as the 
fiscal year 2001 level and the budget request.

Early Learning Fund

    The bill does not include funding for the Early Learning 
Fund, which received $19,995,000 in fiscal year 2001. The 
President's budget did not request funding for it. This program 
was begun in fiscal year 2001 to help facilitate the 
development of learning readiness in young children. The 
Committee notes that $75,000,000 is made available within the 
Department of Education for the establishment of an Early 
Reading program which will fund similar activities.

Faith-based center

    The bill includes $3,000,000 for the faith-based center, 
the same as the budget request. This activity was not funded in 
fiscal year 2001. The center will support implementation of 
faith-based and community initiatives in accordance with the 
President's executive order.

Program direction

    The Committee has approved $171,870,000 for program 
direction expenses of the Administration for Children and 
Families, $8,024,000 above the fiscal year 2001 level and the 
same as the budget request.
    The Committee is concerned that effective substance abuse 
treatment programs may not be available to persons who are 
currently receiving or have previously received TANF funding. 
With the large reductions in the welfare rolls, a much higher 
percentage of current TANF recipients have substance abuse 
problems. The Agency is encouraged to coordinate with SAMSHA 
and make funds available from TANF incentive funds whenever 
possible for appropriate and effective substance abuse 
treatment programs. The Agency should be prepared to answer 
questions on this issue at the fiscal year 2003 appropriations 
hearing.

                   promoting safe and stable families

    The bill includes $375,000,000 for the promoting safe and 
stable families account (formerly family preservation and 
support), $70,000,000 above the fiscal year 2001 level and 
$130,000,000 below the budget request. The Administration 
proposed modifying the program's authority to substantially 
increase the program to $505,000,000. The bill includes 
additional funding to address the continuing urgent need to 
protect children and to strengthen families.

Mentoring children of prisoners

    The bill does not include funding for the mentoring 
children of prisoners program, a new program for which the 
Administration requested $67,000,000. This program is not 
authorized for fiscal year 2002. The Committee has therefore 
deferred action on the increased level until after the passage 
of authorizing legislation.

           payments to states for foster care and assistance

    The bill provides $4,885,600,000 for payments to States for 
foster care and adoption assistance, that in combination with 
the $1,735,900,000 in advance fiscal year 2002 appropriations 
provided in the fiscal year 2001 Appropriations Act, makes 
available $6,681,500,000 for foster care and adoption 
activities, the same as the budget request and $220,400,000 
above last year's level. The bill also includes an advance 
appropriation of $1,754,000,000 for the first quarter of fiscal 
year 2003 to ensure timely completion of first quarter grant 
awards.
    Of the total appropriation, including the advance 
appropriation from the prior year, the bill provides 
$5,055,500,000 for the foster care program to provide 
maintenance payments to States on behalf of children who must 
live outside their homes, the same as the request and 
$8,000,000 below the fiscal year 2001 amount.
    Within the total appropriation, including the advance 
appropriation from the prior year, the bill provides 
$1,426,000,000 for adoption assistance, the same as the budget 
request and an increase of $228,400,000 above the fiscal year 
2001 appropriation. This program provides training for parents 
and State administrative staff as well as payments on behalf of 
categorically eligible children considered difficult to adopt. 
This annually appropriated entitlement is designed to provide 
alternatives to long, inappropriate stays in foster care by 
developing permanent placements with families.
    Within the total appropriation for this account, the bill 
provides $140,000,000 for the independent living program, the 
same as the fiscal year 2001 level and the budget request. The 
program is designed to assist foster children age 16 or older 
to make successful transitions to independence. Funds assist 
children to earn high school diplomas, receive vocational 
training, and obtain training in daily living skills. Funds are 
awarded to States on the basis of the number of children on 
behalf of whom Federal foster care payments are received. The 
bill does not include $60,000,000 as requested for a new 
voucher program for educational or vocational training 
assistance to youth who age out of foster care. This program is 
not specifically authorized for fiscal year 2002. The Committee 
has deferred action on the program until after the passage of 
authorizing legislation.

                        Administration on Aging


                        aging services programs

    For programs administered by the Administration on Aging, 
the Committee recommends a total of $1,144,832,000, which is an 
increase of $41,890,000 above the fiscal year 2001 level and 
$47,114,000 above the budget request. This account finances all 
programs under the Older Americans Act in this bill, with the 
exception of the Community Services Employment Program under 
title V, which is administered by the Department of Labor.

Supportive services and centers

    The Committee has included $327,075,000 for supportive 
services and centers. The amount provided is $2,048,000 over 
the fiscal year 2001 level and the same as the budget request. 
This includes funding for in-home services for frail elderly 
persons who are at risk of losing their self-sufficiency due to 
physical or mental impairments.
    Funds for supportive services and centers are awarded to 
each State with an approved State plan. The formula under title 
III of the Older Americans Act mandates that no State be 
allotted less than the total amount allotted to it in fiscal 
year 2000. The funds contained in the bill will support 
coordinated, comprehensive service delivery systems at the 
local level.
    The States have the ability under the basic law to transfer 
up to 20% of funds appropriated between the senior centers 
program and the nutrition programs; this allows the State to 
concentrate its resources in the program it deems most 
critical. Many States do transfer funds into this program from 
the congregate meals program.

Ombudsman/elder abuse

    The bill includes $14,181,000 for the State long-term care 
ombudsman activities, the elder abuse prevention program, State 
elder rights and outreach and counseling authorized by title 
VII of the Older Americans Act. The amount provided is the same 
as the fiscal year 2001 level and the budget request. This 
program provides the assistance needed by vulnerable older 
Americans to protect themselves from abuse and exploitation, to 
exercise control over their environment, and to locate the 
resources they need for care and daily living.

Preventive health

    The bill includes $21,123,000 for preventive health 
services authorized under part F of title III of the Act. This 
is the same as the budget request and $3,000 above the fiscal 
year 2001 funding level. These funds are awarded to States by 
formula to allow States and communities the flexibility to meet 
the health promotion and disease prevention needs of older 
people.

National Family Caregiver Support Program

    The bill includes $137,000,000 for the family caregivers 
program, $12,019,000 above the fiscal year 2001 level and 
$10,000,000 above the budget request.
    The family caregiver program provides formula grants, 
competitive grants, research and national activities to provide 
a support system in each state for family caregivers. All 
states are expected to put in place five basic system 
components, including individualized information on available 
resources; assistance to families in locating services from 
private and voluntary agencies; caregiver counseling, training 
and peer support; respite care; and limited supplemental 
services.

Nutrition programs

    For congregate nutrition services, the Committee includes 
$396,000,000, $17,644,000 above the fiscal year 2001 level and 
$17,588,000 above the budget request. For home-delivered 
nutrition services, the Committee provides $176,000,000, 
$24,022,000 above the fiscal year 2001 level and $18,000,000 
above the budget request. These programs are intended to 
address some of the difficulties confronting older individuals, 
namely nutrition deficiencies due to inadequate income, lack of 
adequate facilities to prepare food, and social isolation. The 
States have the ability under the basic law to transfer up to 
20% of funds appropriated between the senior centers program 
and the nutrition programs; this allows the State to 
concentrate its resources in the program it deems most 
critical.
    The nutrition programs also collect substantial sums each 
year in voluntary contributions from participants; private 
sector funds are also contributed. Volunteers also make a 
significant contribution to these programs.

Grants to Indian tribes

    The bill provides $25,457,000 for grants to Indian tribes. 
This is $2,000,000 above the fiscal year 2001 amount and the 
same as the budget request. Funds under this program are 
awarded to tribal organizations to be used to promote 
opportunities for older Indians, to secure and maintain 
independence and self-sufficiency, and to provide 
transportation, nutrition, health screening and other services 
to help meet the needs of this population.

Research, training and special projects

    The bill provides $19,100,000 for research, training and 
special projects under title IV of the Older Americans Act, 
$16,752,000 below the fiscal year 2001 funding level and 
$1,526,000 above the President's request. Funds under this 
program are used to support education and training activities 
for personnel working in the field of aging and to finance 
research, development, and demonstration projects.
    The Committee understands that osteoporosis is a major 
public health problem that exacts an enormous human and 
economic tool. In recognizing the prevalence of osteoporosis 
among post menopausal women, the Committee urges the 
Administration on Aging to implement an osteoporosis prevention 
education program aimed at post-menopausal women and has 
included sufficient funding within this account for such an 
effort.
    The Committee urges continued funding for research into 
Alzheimer's disease care options, best practices and other 
Alzheimer's research priorities as described in House report 
106-370.

Alzheimer's demonstration grants

    The Committee provides $8,962,000 for Alzheimer's 
demonstration grants, which is the same as the fiscal year 2001 
level and the budget request. The program provides grants to 
States to help them plan and establish programs to provide 
health care services to individuals with Alzheimer's disease. 
Funds are used for respite care and supportive services, 
clearinghouses, training, and administrative costs for State 
offices. By law, States are required to match the Federal 
funding at 45 percent of the cost of the program by the third 
year of the grant.

Program administration

    The bill includes $18,122,000 for program administration 
expenses of the Administration on Aging. This is the same as 
the budget request and $906,000 above the fiscal year 2001 
amount. This activity provides administrative and management 
support for all Older Americans Act programs administered by 
the Department.

                        Office of the Secretary


                    general departmental management

    The bill includes $338,887,000 for general departmental 
management, which is $39,252,000 above the fiscal year 2001 
comparable level and $13,612,000 below the adjusted budget 
request. Included in this amount is authority to spend 
$5,851,000 from the Medicare trust funds. Within the total 
provided, the Committee assumes a 4.6 percent pay increase.
    This appropriation supports those activities that are 
associated with the Secretary's roles as policy officer and 
general manager of the Department. The Office of the Secretary 
also implements Administration and Congressional directives, 
and provides assistance, direction and coordination to the 
headquarters, regions and field organizations of the 
Department. This account also supports several small health 
promotion and disease prevention activities that are centrally 
administered.
    Funds have been included above the budget request for the 
Department's Information Collection Review and Analysis System. 
The Committee understands that when implemented this system 
will fully automate the Department's process for certifying 
that the collection of information complies with the Paperwork 
Reduction Act of 1995.
    The Committee understands that there is no entity in the 
Department responsible for the coordination and oversight of 
activities across the Agency concerning men's health. The 
Committee is aware of reports that men are 25 percent less 
likely than women to receive regular health screenings, and 
that one of the top problems facing men's health is that men 
are not likely to visit a doctor when they notice a problem. 
The Committee encourages the Secretary to expand Departmental 
disease prevention and health promotion activities among men 
and to give consideration to establishing an office for men, 
similar to the Office of Women's Health.
    The Committee is pleased that the Department has announced 
that it will establish a chronic fatigue syndrome advisory 
committee to build upon progress made by the Chronic Fatigue 
Syndrome Coordinating Committee within the limits of its 
charter. It is this Committee's expectation that this 
transition to an advisory committee will not diminish the full 
partnership of involved agencies or the collaborative 
relationships among federal agencies, scientists, and CFS 
advocates that have developed over recent years through the CFS 
Coordinating Committee. The Committee anticipates that the new 
advisory committee will further advance the efforts of DHHS and 
the public health service agencies to address the scientific 
questions about CFS and the socioeconomic needs of persons with 
CFS.
    The Committee understands that the Department has not 
undertaken a campaign to inform health care professionals and 
the general public about CFS. The Committee again encourages 
the Secretary develop and implement an education campaign 
concerning CFS.
    The Committee is aware of the Report of the Evaluation 
Group on the national 5 A Day for Better Health Program. Given 
the report's favorable evaluation of the program, the Committee 
urges the Department of Health and Human Services (HHS) to 
strengthen and expand the 5 A Day program and develop a 
comprehensive plan to promote better health through increased 
consumption of fruits and vegetables. The Committee recognizes 
the importance of the public/private partnerships that have 
made the 5 A Day program so successful and expects that future 
efforts by CDC and NCI to expand the 5 A Day program will 
continue to involve these partners.
    The Committee urges the Secretary consider moving the Lyme 
disease coordinating council, led by National Institute for 
Allergy and Infectious Diseases (NIAID), to the Office of the 
Secretary and restructuring the council to include all tick-
borne disorders. This tick-borne disorder advisory committee 
would assure coordination and communication regarding all tick-
borne diseases across the Department and with other 
governmental agencies, the biomedical community, community-
based clinicians, voluntary organizations and patients. The 
Committee would provide advice to the Secretary on matters of 
program oversight, performance, budget allocations, and 
priorities for all agencies. The Committee requests that the 
Secretary be prepared to report on the Department's plans 
concerning the establishment of a tick-borne disorder advisory 
committee at the fiscal year 2003 budget hearings for the 
Department.
    The Committee commends the Department for increasing its 
attention to homelessness in recent years. The Committee 
requests the Secretary to prepare and submit to this Committee, 
and the authorization committees with jurisdiction over the 
Department's programs, a report that describes current policy 
and practice barriers concerning homeless persons' access to, 
and utilization of, health and human service programs of the 
Department. The report should also include recommendations for 
removing such impediments and strengthening such programs.
    Osteoporosis is a major health threat for more than 28 
million Americans, 80% of whom are women. In 2001, 10 million 
individuals have already developed the disease. Osteoporosis is 
responsible for 1.5 million fractures annually and is the 
second leading cause of nursing home admissions in the U.S. The 
Committee urges the Surgeon General to consider issuing a 
Report to the Nation on the status of research and education on 
osteoporosis and related bone disease and setting forth an 
action plan to comprehensively addresses the urgent need to 
reverse the increasing toll of this disease.
    The flow of information between Federal and State agencies 
and the court systems is a critical factor in the success of 
the Child Support Enforcement program. While some States have 
succeeded in implementing cost-effective processes for 
efficient information-sharing among relevant agencies and the 
courts, others have not. The Committee understands that ACF, 
through an information technology state consortium, improved 
the information and systems reporting under the TANF program. 
The Committee understands the Child Support Enforcement program 
at ACF intends to utilize this consortium to identify and 
disseminate methods for improving the flow of information 
within State child support enforcement agencies. The Committee 
supports this initiative.
    The Committee is aware of concerns about the Department's 
``policy guidance'' issued August 30, 2000 pursuant to 
Executive Order 13166, published on August 16, 2000, regarding 
Limited English Proficiency. For example, some argue the 
``policy guidance'' may require providers who receive federal 
financial assistance from HHS, including hospitals, HMOs, other 
health care providers, and human service agencies, to provide 
oral translations plus written translations of almost all 
notices, letters, pamphlets and brochures, posters, and other 
printed materials into scores of languages, leading to costs 
which could overwhelm State agencies, small businesses and even 
Federal agencies. The Committee recommends that the Department 
carefully review the guidance and revisit its implications, 
impacts and consequences both practically and fiscally.
    Trauma remains the leading cause of death for young 
Americans ages 1 to 40. The Committee recognizes the importance 
of coordination among Federal agencies and private 
organizations involved in injury prevention and treatment. The 
Committee encourages the Secretary to consider sponsoring, in 
partnership with the appropriate professional societies, a 
conference on developing strategies to improve trauma systems 
and outcomes and the enhancing cross-agency collaboration.
    The Committee understands that the Panel on the Future of 
the Health Care Labor Force in a Graying Society recently 
recommended convening a national panel to examine the education 
and training requirements for nursing occupations. The 
Committee encourages the Secretary to consider acting upon the 
Panel's proposal.
    On December 1, 2000, the Department's Office of Research 
Integrity (ORI) announced a Policy for Responsible Conduct of 
Research, requiring that all research staff at extramural 
research institutions in the country ``shall complete a basic 
program of instruction in the responsible conduct of 
research.'' The Committee understands that ORI announced this 
policy on its website without undergoing a formal rulemaking 
process or publishing its directives in the Federal Register. 
The Committee further understands that as a result of concerns 
voiced from many in the research community and a subsequent 
congressional inquiry, ORI suspended the new policy pending 
further review.
    The Committee remains supportive of efforts to assure the 
integrity and accuracy of the research carried out in our 
nation's research institutions. The Committee is concerned, 
however, that ORI has not developed a ``working partnership 
with extramural programs,'' and, as a result, the goal of 
preventing misconduct and promoting research integrity 
principally through oversight, education, and review of 
institutional findings will not be realized. The Committee 
urges the Secretary to carefully review the activities, 
policies, and procedures of the ORI during fiscal year 2002 
with the goal of forging a strong partnership between the ORI 
and the extramural research community in both the development 
and implementation of ORI's policies and procedures. The 
Committee expects the Secretary to be prepared to discuss this 
review and any subsequent actions during the hearings on the 
fiscal year 2003 budget.
    There is concern about the increase in lawsuits against 
nursing homes nationwide, the high costs of insurance, and the 
increases in bankruptcies and operating costs associated with 
these lawsuits. The Committee encourages the Secretary to study 
the effects of nursing home lawsuits on the costs to Medicare 
and Medicaid, its effects on the access to care by 
beneficiaries, and its effects on the facility and its ability 
to hire qualified and dedicated worker professionals. The 
Committee notes that the Center for Medicare and Medicaid 
Services is seeking this data through its regulatory call to 
determine data sources. The Secretary should be prepared to 
provide a status report on what extent these costs are 
significant and what extent Medicare and Medicaid reimbursement 
is disproportionately paying for insurance at the fiscal year 
2003 appropriations hearing.
    Long-term care settings nationwide are facing a shortage of 
frontline caregivers, including registered and licensed 
practical nurses, certified nurse aids, and other direct care 
workers. The General Accounting Office estimates that the US 
health care system will need an additional 800,000 nurse aides 
by the year 2008 and the Department has found that nursing 
homes need approximately 47 percent more nurses aides to keep 
pace with the growing demand for long term care. The Committee 
urges the Secretary to develop data that will define the 
shortage of certified nurse aides in long term care settings 
and be prepared to provide a progress report on the steps taken 
to address this shortage at the fiscal year 2003 appropriations 
hearing.
    The Commissioned Corps of the U.S. Public Health Service 
and its Reserve Component provide unique competencies to 
respond to a bioterrorist attack. The ability of the Corps to 
respond to an incident, however, may be impeded by the Surgeon 
General's lack of direct authority over all Public Health 
Service officers. In addition, the lack of a formalized 
inactive Reserve program may further impact the Corps' ability 
to respond in times of national emergency. The Committee 
requests that the Secretary report on the Department's actions 
and plans for strengthening and revitalizing the Commissioned 
Corps and its Reserve Component no later than March 1, 2002. 
The report should comment on any structural and/or legislative 
changes necessary to ensure that the Corps can readily be 
mobilized for response in times of emergency.

Minority health

    The bill includes $43,084,000 for the Office of Minority 
Health, which is $5,935,000 below the fiscal year 2001 
comparable amount and the same as the budget request. The 
Office of Minority Health works with Public Health Service 
agencies and other agencies of the Department in a leadership 
and policy development role to establish goals and coordinate 
other activities in the Department regarding disease 
prevention, health promotion, service delivery and research 
relating to disadvantaged and minority individuals; concludes 
interagency agreements to stimulate and undertake innovative 
projects; supports research, demonstration, and evaluation 
projects; and coordinates efforts to promote minority health 
programs and policies in the voluntary and corporate sectors.
    The Committee is pleased with the activities of the OMH 
related to collaborating with minority health professions 
institutions and urges continued support for ongoing 
activities. Additionally, the Committee believes that the OMH 
can play a significant role in partnering with these 
institutions to meet the challenges of academic opportunity for 
disadvantaged students and improve the health status of 
underserved communities.
    The bill includes the full amount requested for program 
initiatives. The Committee notes, however, that many of the 
initiatives fall in areas where other agencies of the 
Department have ongoing program activities. The Committee 
understands that the Office of Minority Health has an important 
role to play in initiating activities that fill gaps in 
addressing the health status of minority communities. The 
Committee believes, however, that once initiated, these 
activities should be supported through the operating agencies 
whenever possible. The Committee requests that the Secretary 
include in the fiscal year 2002 Operating Plan details of which 
agencies and programs of the Department will support the out-
year costs of fiscal year 2002 initiatives.
    Within the total provided for the Office of Minority 
Health, $9,700,000 is to promote an effective culturally 
competent and linguistically appropriate public health response 
to the HIV/AIDS epidemic. Funds are to be allocated based on 
HIV/AIDS program priorities identified in the previous fiscal 
year as well as new priorities as funding permits. The 
Committee supports the on-going efforts of the Office to 
improve access to services in rural and historically 
underserved urban areas. These funds are designed to help 
reduce the HIV/AIDS and related health disparities in an effort 
to improve the health outcomes for HIV infected African 
Americans, Latinos, Native Americans, Asian Americans, Native 
Hawaiians and Pacific Islanders with special emphasis in these 
communities on high-risk sub-populations. These funds are for 
activities that are designed to address the trends of the HIV/
AIDS epidemic in communities of color, including African 
Americans, Latinos, Native Americans, Asian Americans, Native 
Hawaiians, and Pacific Islanders based on the most recent 
estimated living AIDS cases, HIV infections and AIDS mortality 
among ethnic and racial minorities as reported by the Centers 
for Disease Control and Prevention.

Office on Women's Health

    The bill includes $26,769,000 for the Office on Women's 
Health, which is $9,499,000 above the fiscal year 2001 
comparable level and $627,000 below the budget request. The 
Committee notes that each of the Public Health Service agencies 
under its jurisdiction supports an office or program which 
focuses on women's health. The Office on Women's Health advises 
the Secretary and provides Department-wide coordination of 
programs focusing specifically on women's health.
    The bill includes the full amount requested for program 
initiatives. The Committee notes, however, that many of the 
initiatives fall in areas where other agencies of the 
Department have ongoing program activities. The Committee 
understands that the Office of Women's Health has an important 
role to play in initiating activities that fill gaps in agency 
programs to address the quality, availability, and 
comprehensiveness of care available to women. The Committee 
believes, however, that once initiated, these activities should 
be supported through the operating agencies whenever possible. 
The Committee requests that the Secretary include in the fiscal 
year 2002 Operating Plan details of which agencies and programs 
of the Department will support the out-year costs of fiscal 
year 2002 initiatives.

HIV/AIDS in minority communities

    The bill includes $50,000,000 to be available to the 
Secretary to transfer to the Department's operating agencies 
for specific program activities to address the high-priority 
HIV prevention and treatment needs of minority communities. 
This is the same as the fiscal year 2001 comparable level and 
the budget request.
    These funds are to address the growing HIV/AIDS epidemic 
and its disparate impact on communities of color, including 
African Americans, Latinos, Native Americans, Asian Americans, 
Native Hawaiians, and Pacific Islanders. Department statistics 
show that racial and ethnic minorities represent the highest 
number of new AIDS cases. While African-Americans and Hispanics 
are only 12 percent and 13 percent of the U.S. population 
respectively, they account for at least 55 percent and 20 
percent of all new AIDS cases. In addition, more than 60 
percent of people living with AIDS are racial minorities. 
Congress began funding the Minority HIV/AIDS Initiative in 
fiscal year 1999. It was designed to focus special attention on 
solving a growing public health problem and to develop and 
improve the capacity of minority community based organizations 
to more effectively serve their communities. This approach was 
tailored to yield innovative and successful strategies 
specifically targeted to the highest risk and hardest to serve 
populations, which for the past two decades have eluded more 
traditional HIV/AIDS prevention, treatment, and education 
efforts. In distributing these funds, the Committee expects the 
Department to tailor the programs that are funded under the 
Minority HIV/AIDS Initiative as tightly as possible in order to 
address the growing health problem and maximize the 
participation of minority community based organizations in 
delivering HIV services. In evaluating organizations' 
capacities, the Secretary should take into consideration that 
the board, management and key staff are representative of the 
minority communities served, be situated closest to the 
targeted population, have a history of providing services to 
these communities, and have documented linkages to the targeted 
populations, so that they can help close the gap in access to 
service for the highly impacted communities of color in the 
interest of public health. To effectively address this 
continuing HIV/AIDS epidemic, the Department's aggregate HIV/
AIDS resources and efforts along with the minority AIDS 
initiative should follow the trends of the epidemic. These 
funds are for activities that are designed to address the 
trends of the HIV/AIDS epidemic in communities of color based 
on the most recent estimated living AIDS cases, HIV infections 
and AIDS mortality among ethnic and racial minorities as 
reported by the Centers for Disease Control and Prevention.
    In fiscal year 1999, the Department established a Steering 
Committee on Implementation and Evaluation. The Committee 
develops and coordinates initiatives for the utilization of 
these funds. Priority areas were identified for targeted 
investments that complement other specific Agency activities in 
HIV prevention and treatment. The Department reports that these 
target investments have been successful in identifying and 
addressing barriers to effectively preventing and treating HIV/
AIDS in minority populations.

                    Office of the Inspector General

    The bill includes $35,786,000 for the Office of the 
Inspector General, which is $2,200,000 above the fiscal year 
2001 comparable level and the same as the budget request. A 
large permanent appropriation for this office is contained in 
the Health Insurance Portability and Accountability Act of 
1996. Total funds provided between this bill and the permanent 
appropriation would be $165,786,000 in FY 2002.
    The Office of the Inspector General was created by law to 
protect the integrity of Departmental programs as well as the 
health and 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 throughout the 
Department.
    The Committee renews its request that the Inspector General 
of the Department of Health and Human Services to provide the 
Committee with semi-annual reports on the actual deficit 
reduction impact of the Health Insurance Portability and 
Accountability Act of 1996.

                        Office for Civil Rights

    The bill includes $32,005,000, which is $4,022,000 over the 
fiscal year 2001 comparable level and the same as the budget 
request. This includes authority to transfer $3,314,000 from 
the Medicare trust funds.
    The Office for Civil Rights is responsible for enforcing 
civil rights statutes that prohibit discrimination in health 
and human services programs. OCR implements the civil rights 
laws through a compliance program designed to generate 
voluntary compliance among all HHS recipients.

                            Policy Research

    The bill includes $2,500,000, which is $14,048,000 below 
the amount appropriated in fiscal year 2001 and the same as the 
budget request. The Committee notes that the budget request 
provides for an estimated $18,000,000 for policy research 
through section 241 Evaluation funding authority. This will 
bring the program level to $20,500,000 in fiscal year 2002, 
$3,785,000 above fiscal year 2001.
    The Policy Research account, authorized by section 1110 of 
the Social Security Act, is the Department's principal source 
of policy-relevant data and research on the income sources of 
low-income populations; the impact, effectiveness, and 
distribution of benefits under existing and proposed programs; 
and other issues that cut across agency lines.

            public health and social services emergency fund

    The Committee provides $300,619,000 for the public health 
and social services emergency fund for bioterrorism activities, 
which is $59,670,000 above the fiscal year 2001 comparable 
level and $50,000,000 above the budget request. In addition to 
these funds, NIH will spend $92,700,000 on bioterrorism-related 
research, bringing the total amount in the bill for these 
activities to $393,319,000.
    Within the total provided, $231,919,000 is for the Centers 
for Disease Control and Prevention, of which $2,000,000 is to 
continue to discover, develop, and transition anti-infective 
agents to combat emerging diseases. The remaining $68,700,000 
is for the Office of Emergency Preparedness within the Office 
of the Secretary.
    The $50,000,000 above the request are included in part to 
accelerate and expand purchases of pharmaceuticals and vaccines 
for the National Pharmaceutical Stockpile. This includes 
pharmaceuticals that would protect from a wide range of 
potential biological agents, supplies to improve the usability 
and effectiveness of the existing smallpox vaccine stockpile, 
and to further accelerate the availability of next-generation 
vaccines. The funding is in addition to the amounts that were 
requested for the Stockpile and vaccine development. Additional 
funds also are provided to expand State and local capacity to 
detect and respond to bioterrorism. This includes funds for 
enhanced laboratory and epidemiological capacity, and 
electronic communications.
    The Committee commends CDC for its efforts to develop new 
rapid diagnostic tests to detect bioterrorist agents and urges 
CDC to enhance these efforts, including the development of 
rapid oral fluid tests.

                           General Provisions

    Sec. 201. The Committee continues a provision to limit the 
amount available for official reception and representation 
expenses.
    Sec. 202. The Committee continues a provision to limit the 
number of Public Health Service employees assigned to assist in 
child survival activities and to work in AIDS programs through 
and with funds provided by the Agency for International 
Development, the United Nations International Children's 
Emergency Fund or the World Health Organization.
    Sec. 203. The Committee continues a provision to prohibit 
the use of funds to implement section 399L(b) of the Public 
Health Service Act or section 1503 of the NIH Revitalization 
Act of 1993.
    Sec. 204. The Committee modifies a provision included in 
last year's bill to limit the salary of an individual through 
an NIH or SAMHSA grant or other extramural mechanism to not 
more than Executive Level II.
    Sec. 205. The Committee continues a provision to prohibit 
the Secretary from using evaluation set-aside funds until the 
Committee receives a report detailing the planned use of such 
funds.
    Sec. 206. The Committee modifies a provision included in 
last year's bill to provide the Secretary with one percent 
transfer authority of discretionary funds, but changes the 
amount an appropriation can be increased to 10 percent.
    Sec. 207. The Committee continues a provision to provide 
the Director of NIH, jointly with the Director of the Office of 
AIDS Research, the authority to transfer up to three percent of 
human immunodeficiency virus funds.
    Sec. 208. The Committee continues a provision to make NIH 
funds available for human immunodeficiency virus research 
available to the Office of AIDS Research.
    Sec. 209. The Committee continues a provision to prohibit 
the use of Title X funds unless the applicant for the award 
certifies to the Secretary that it encourages family 
participation in the decision of minors to seek family planning 
services and that it provides counseling to minors on how to 
resist attempts to coerce minors into engaging in sexual 
activities.
    Sec. 210. The Committee continues a provision related to 
the Medicare+Choice program.
    Sec. 211. The Committee continues a provision stating that 
no provider of services under title X shall be exempt from any 
State law requiring notification or the reporting of child 
abuse, child molestation, sexual abuse, rape, or incest.
    Sec. 212. The Committee continues a provision to exempt 
States from Synar provisions if certain funding criteria are 
met.
    Sec. 213. The Committee continues a provision to allow CDC 
international HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities abroad 
to be spent under the State Department Basic Authorities Act of 
1956.
    Sec. 214. The Committee continues a provision to permit the 
Division of Federal Occupational Health to use personal 
services contracting to employ professional management/
administrative and occupational health professionals.
    Sec. 215. The Committee includes a new provision to delay 
NIH obligations of $3,875,000,000 until September 30, 2002.

                   TITLE III--DEPARTMENT OF EDUCATION

    The Committee notes that the House Committee on Education 
and the Workforce and the Senate Committee on Health, 
Education, Labor and Pensions are nearing completion of a 
reauthorization of the Elementary and Secondary Education Act. 
The President submitted his budget reflecting his proposals for 
the reauthorization. The Committee has provided funding for 
programs
included in the Elementary and Secondary Education Act 
reauthorization under the structure outlined in H.R. 1 as 
passed by the House.
    The Committee continues to emphasize the importance of 
developing clear, measurable outcomes for programs within the 
Department of Education as outlined in the Government 
Performance and Results Act. It is vital that the Committee be 
provided with information on the actual results achieved by the 
programs, not simply the number of students affected by the 
program or the quantity of materials distributed. Program 
outcomes should, to the extent possible, focus on the 
achievement improvements that result to students and teachers 
in the classroom as a result of the Federal investment. 
Programs that are able to demonstrate these results over time 
will be considered higher funding priorities than programs that 
are unable to clearly demonstrate their value to the American 
public.

                    Education for the Disadvantaged

    The bill includes $12,547,900,000 for the disadvantaged 
programs. This amount is $1,537,279,000 more than the budget 
request and $2,854,279,000 above the fiscal year 2001 
appropriation. This appropriation account includes compensatory 
education programs authorized under title I of the Elementary 
and Secondary Education Act of 1965.

Grants to local educational agencies

    Of the amounts provided for Title I programs, 
$8,037,000,000 is available for basic grants to local education 
agencies and State administration. This is $639,029,000 above 
the amount for the 2001-2002 school year and $799,279,000 above 
the request. Funding for concentration grants, which targets 
funds to Local Education Agencies in counties with high levels 
of disadvantaged children, is $1,684,000,000, $319,250,000 
above last year and $320,000,000 above the request level. An 
additional $779,000,000 is included for targeted grants, 
$320,000,000 above the request. Targeted grants were not funded 
in fiscal year 2001.
    Of the total of $10,500,000,000 made available for school 
year 2002-2003 for grants to LEAs, $3,741,700,000 is 
appropriated for fiscal year 2002 for obligation after July 1, 
2002 and $6,758,300,000 is appropriated for fiscal year 2003 
for obligation on, or after, October 1, 2002.
    Financial assistance flows to school districts by formula, 
based in part on the number of school-aged children from low-
income families. Within districts, local school officials 
target funds on school attendance areas with the greatest 
number or percentage of children from poor families. Local 
school districts develop and implement their own programs to 
meet the needs of disadvantaged students.
    Funds under this account will also be used to pay the 
Federal share of State administrative costs for title I 
programs. The maximum State administration grant is equal to 1 
percent of title I local educational agency plus State agency 
grants to the State, or $400,000, whichever is greater. These 
funds are included in the grants to local educational agencies 
account, rather than being a separate line item.
    The Committee does not include a ``100 percent hold 
harmless'' legislative rider for the Title I program for fiscal 
year 2001. The Committee notes that the budget request also 
rejects this provision. The Committee believes that such 
legislative riders unfairly penalize underprivileged and 
immigrant children in growing states, including Arizona, 
Arkansas, California, Connecticut, Florida, Georgia, Hawaii, 
Montana, Nevada, New Mexico, New York, North Carolina, South 
Carolina, Texas, Virginia, and the District of Columbia. These 
states represent over half of the U.S. population of 
underprivileged schoolchildren.
    The Committee recognizes the need for proven, research-
based, structured learning systems that incorporate mentoring, 
both parental and communal, to improve reading levels among 
elementary school children attending schools eligible for Title 
I. The Committee recommends that schools eligible for Title I 
investigate reading programs like the HOSTS (Help One Student 
To Succeed) program to improve reading levels.

Demonstrations of comprehensive school reform

    The bill includes $310,000,000 for demonstrations of 
comprehensive school reform. This is $50,000,000 above the 
budget request and $100,000,000 above the fiscal year 2001 
level. This program provides schools with funds to develop and 
implement school reforms based on reliable research that will 
enable children to meet State academic standards.

Capital expenses for private school students

    The Committee recommends no funding for capital expenses 
grants for private schools. This amount is the same as the 
Administration's request and $6,000,000 below the fiscal year 
2001 amount.
    Capital expenses grants were authorized to pay some of the 
additional costs of providing title I services to children who 
attend nonpublic schools. A 1985 U.S. Supreme Court decision, 
Aguilar v. Felton, determined that public school teachers or 
other employees could not be sent to sectarian nonpublic 
schools for the purpose of providing title I services. The 
capital expenses grants were used for rental of classroom space 
in neutral sites (i.e., locations other than private or public 
schools), rental of mobile vans used for title I instruction, 
or transportation of nonpublic pupils to public schools or 
neutral sites.
    The United States Supreme Court recently reconsidered, and 
reversed, its decision in the Aguilar case and both the budget 
request and the Committee's recommendation implement a policy 
of discontinuing this program. The Committee notes that school 
districts may continue to reserve funds from their annual Title 
I allocations to cover extra expenses involved in providing 
services to private-school students.

Even Start

    The Committee provides $260,000,000 for Even Start, 
$10,000,000 above both last year and the request. Even Start 
provides demonstration grants for model programs of joint 
education of disadvantaged children, aged 1-7 years, who live 
in title I target school attendance areas, plus their parents 
who are eligible to be served under the Adult Education Act. 
These parents are not in school, are above the State's 
compulsory school attendance age limit, and have not earned a 
high school diploma (or equivalent). At appropriations levels 
above $50,000,000, Even Start funds are allocated to the 
States, generally in proportion to title I basic grants.
    The Committee encourages the Secretary to use funds 
available for program improvement and technical assistance to 
provide training and technical assistance to local Even Start 
programs identified by States as in need of such support. 
Technical assistance activities should include assistance to 
personnel to help them meet the qualifications for 
instructional personnel set forth in the Even Start statute and 
training and materials to ensure instructional programs in 
reading include the essential components of reading instruction 
as specified in Title I(B) of the Elementary and Secondary 
Education Act, as reauthorized, and are based on 
scientifically-based reading research. The Committee urges 
technical assistance providers to consult with the National 
Institute of Child Health and Human Development for guidance in 
identifying literacy and reading instructional approaches and 
practices that are based on such scientific research.
    The Committee notes the work of the National Even Start 
Association, the National Center for Family Literacy, the 
National Institute for Literacy and the William F. Goodling 
Institute for Research in Family Literacy in this area and 
encourages the Secretary to consider the expertise of such 
organizations when making technical assistance and training 
awards.

Reading First State Grants

    The bill provides $900,000,000 for Reading First State 
grants, the same as the budget request. This is a new program 
to provide assistance to states and school districts in 
establishing scientific research-based reading programs for all 
children in kindergarten through grade three. The program also 
provides for professional development and other supports to 
ensure that teachers can identify children at-risk for reading 
failure and provide the most effective early instruction to 
overcome specific barriers to reading proficiency.
    The Committee is impressed with a recent project conducted 
in the District of Columbia Public Schools which provided 
instructional programs that focus on the research-based 
components critical to success in learning to read and spell--
phonemic awareness, alphabetic and orthographic knowledge, 
vocabulary and text comprehension instruction--within a 
literature-rich environment. The Committee urges the Secretary 
to seek ways to build on the momentum created by this project 
to improve reading achievement for all students in the District 
of Columbia Public Schools.

Early Reading First

    The bill provides $75,000,000 for Early Reading First, the 
same as the budget request. This is a new competitive grant 
program targeted towards children ages three through five, and 
would support the development of verbal skills, phonemic 
awareness, pre-reading development, and assistance for 
professional development for teachers in evidence-based 
strategies of instruction.
    The Committee is aware of the work of the Reach Out and 
Read Program, which trains pediatricians and nurse 
practitioners to make early literacy a standard part of 
pediatric care. The Committee encourages the Secretary to 
continue to support innovative approaches such as this to 
improving the literacy and reading readiness of our Nation's 
youth.

State agency programs: migrant

    The bill includes $410,000,000 for the migrant education 
program, $30,000,000 above the budget request and the fiscal 
year 2001 appropriation. This program supports formula grants 
to State agencies for the support of special educational and 
related services to children of migratory agricultural workers 
and fishermen. The purpose of this program is to provide 
supplementary academic education, remedial or compensatory 
instruction, English for limited English proficient students, 
testing, plus guidance and counseling.

State agency programs: neglected and delinquent

    For the State agency program for neglected and delinquent 
children, the bill includes $46,000,000; this level is the same 
as the budget request and the same as the fiscal year 2001 
appropriation. This formula grant program provides services to 
participants in institutions for juvenile delinquents, adult 
correctional institutions, or institutions for the neglected.

Evaluation

    The Committee provides $8,900,000 for evaluation, the same 
as the 2001 appropriation and the budget request. Title I 
evaluation supports large scale national evaluations that 
examine how title I is contributing to improved student 
performance at the State, local education agency, and school 
levels. It also supports short-term studies that document 
promising models and other activities to help States and local 
education agencies implement requirements in the title I 
statute.

Migrant education, high school equivalency program

    The bill includes $23,000,000 for the high school 
equivalency program. This amount is $3,000,000 above the budget 
request and the fiscal year 2001 level. The high school 
equivalency program recruits migrant students aged 16 and over 
and provides academic and support services to help those 
students obtain a high school equivalency certificate and 
subsequently to gain employment or admission to a postsecondary 
institution or training program.

College assistance migrant programs

    The bill includes $15,000,000 for the college assistance 
migrant programs. This amount is $5,000,000 above the budget 
request and the fiscal year 2001 level. The college assistance 
migrant program (CAMP) provides tutoring and counseling 
services to first-year, undergraduate migrant students and 
assists those students in obtaining student financial aid for 
their remaining undergraduate years.

                               Impact Aid

    The bill provides $1,130,500,000 for Federal impact aid 
programs in fiscal year 2002, an increase of $137,198,000 above 
the fiscal year 2001 appropriation and the same as the budget 
request. This account supports payments to school districts 
affected by Federal activities. Impact Aid represents a federal 
responsibility to local schools educating children whose 
families are connected with the military or who live on Indian 
land.

Basic support payments

    The bill includes $982,500,000 for basic support payments 
to local educational agencies, an increase of $100,500,000 
above the fiscal year 2001 appropriation and the budget 
request. Basic support payments compensate school districts for 
lost tax revenue and are made on behalf of Federally-connected 
children such as children of members of the uniformed services 
who live on Federal property.

Payments for children with disabilities

    The Committee recommends $50,000,000 for payments on behalf 
of Federally-connected children with disabilities, the same as 
the budget request and the fiscal year 2001 appropriation. 
These payments compensate school districts for the increased 
costs of serving Federally-connected children with 
disabilities.

Facilities maintenance

    The Committee recommends $8,000,000 for facilities 
maintenance, the same as both the fiscal year 2001 amount and 
the budget request. These capital payments are authorized for 
maintenance of certain facilities owned by the Department of 
Education.

Construction

    The Committee recommends $35,000,000 for the construction 
program, an increase of $22,198,000 above the fiscal year 2001 
appropriation and $115,000,000 below the budget request. This 
program provides grants to eligible locally owned school 
districts for building and renovating school facilities.

Payments for Federal property

    The bill provides $55,000,000 for payments related to 
Federal property, an increase of $14,500,000 above the fiscal 
year 2001 appropriation and the budget request. Funds are 
awarded to school districts to compensate for lost tax revenue 
as the result of Federal acquisition of real property since 
1938.

                      School Improvement Programs

    The bill includes $7,673,084,000 for school improvement 
programs. This amount is $1,833,386,000 more than the 
comparable fiscal year 2001 appropriation and $1,284,290,000 
above the budget request for comparable programs. This 
appropriation account includes programs authorized under titles 
II, IV, V, VII and IX of the Elementary and Secondary Education 
Act as reauthorized by the House; title VIII of the Higher 
Education Act and title IV-A of the Civil Rights Act.

State Grants for Improving Teacher Quality

    The bill includes $3,175,000,000 for state grants for 
improving teacher quality, which is $575,000,000 above the 
budget request. This new program consolidates the Eisenhower 
professional development program and the class size reduction 
program. States are authorized to retain 5 percent of funds for 
state activities, including reforming teacher certification, 
re-certification or licensure requirements; expanding, 
establish or improving alternative routes to state 
certification; carrying out programs that include support 
during the initial teaching and leadership experience, such as 
mentoring programs; assisting school districts in effectively 
recruiting and retaining highly qualified and effective 
teachers and principals; reforming tenure systems; and 
developing professional development programs for principals.
    States send funding to the local level by formula and by 
competitive grant. Among other things, local uses of funds 
include initiatives to assist recruitment of principals and 
fully qualified teachers; initiatives to promote retention of 
highly qualified teachers and principals; programs designed to 
improve the quality of the teacher force; teacher opportunity 
payments; professional development activities; teacher 
advancement initiatives and hiring fully qualified teachers in 
order to reduce class size.
    States must also award between 15 and 20 percent of funds 
on a competitive basis to eligible partnerships for math and 
science programs.

Transition to Teaching/Troops to Teachers

    The bill includes $50,000,000 for transition to teaching/
troops to teachers, $20,000,000 above the budget request. This 
program was not funded as a separate line item in fiscal year 
2001; however, $34,000,000 was provided for this purpose 
through other Departmental programs. This program is designed 
to assist eligible members of the armed forces to obtain 
certification or licensure as elementary and secondary school 
teachers, or vocational or technical teachers. The transition 
to teachers program is based on the model of the troops to 
teachers program and would address the need of high-need school 
districts for highly qualified teachers.

Eisenhower Professional Development: State grants and national programs

    The bill does not include funding for the Eisenhower 
professional development programs. These programs have been 
consolidated into the state grants for improving teacher 
quality program by H.R. 1, as described above. The Eisenhower 
professional development state grant program was funded at 
$485,000,000 in fiscal year 2001. National programs were funded 
at $41,000,000 in fiscal year 2001.

Innovative Education Program Strategies State Grants

    The Committee recommends $385,000,000 for State grants 
under Innovative Education Program Strategies, the same as the 
fiscal year 2001 level. The President did not request funding 
for this program. This program provides funding to State and 
local educational agencies for obtaining technology and 
training in technology related to the implementation of school 
based reform; acquiring and using educational materials; 
improving educational services for disadvantaged students; 
combating illiteracy among children and adults; addressing the 
educational needs of gifted and talented children; and 
implementing school improvement and parental involvement 
activities under ESEA Title I.

Class size reduction

    The bill does not include funding for the class size 
reduction program. This program has been consolidated into the 
state grants for improving teacher quality program by H.R. 1, 
as described above. The class size reduction program was funded 
at $1,623,000,000 in fiscal year 2001.

School renovation

    The bill does not include funding for the school renovation 
grants to states. This program was funded at $1,200,000,000 in 
fiscal year 2001, but has not been reauthorized in the House 
bill. The budget did not request funding for it.

Education technology

    The bill includes $1,000,000,000 for Education Technology. 
This amount is $182,904,000 above the budget request and 
$152,404,000 above the comparable fiscal year 2001 
appropriations for federal education technology programs that 
have been consolidated under H.R. 1. Funding for education 
technology programs was previously provided under the Education 
Reform account.
    A variety of technology programs, including the technology 
literacy challenge fund, technology innovation challenge 
grants, regional technology in education consortia, teacher 
training in technology, community-based technology centers, 
technology leadership activities, and star schools, were 
previously funded by the Committee through a separate account. 
As a result of reauthorization, these federal technology 
programs are being streamlined into a single performance-based 
technology grant program to states. Under this program, states 
would be required to direct ninety-five percent of the funds to 
school districts for increasing access to technology, 
especially for high-need schools; improving and expanding 
teacher professional development in technology; and promoting 
innovative state and local initiatives using technology to 
increase academic achievement.
    The Secretary is encouraged to examine the rapidly-growing 
use of hand-held computer technology. Handheld computing is 
rapidly becoming more affordable, enhancing the cost 
effectiveness of this approach, especially when coupled with 
wireless technology.
    The Committee continues to support interactive, computer 
natural learning programs that are already being used to 
deliver textbook materials and integrate technology into 
elementary and secondary pre-algebra and algebra classrooms.

Ready to Learn, Ready to Teach

    The bill includes $16,000,000 for the Ready to Learn/Ready 
to Teach program, the same as the 2001 amount for Ready to 
Learn Television. The President's budget did not request 
funding for this program. Funding for the Ready to Learn 
program was previously provided under the Education Reform 
account.
    The Ready to Learn Television program and the 
Telecommunications Demonstration Project for Mathematics have 
been combined under a new program called Ready to Learn, Ready 
to Teach under H.R. 1 as passed by the House. Program 
objectives include the development and distribution of 
educational and instructional video programming for preschool 
and elementary school children and their parents and developing 
digital content and a national telecommunications program to 
improve the teaching of core academic subjects.

21st century community learning centers

    The bill provides $1,000,000,000 for 21st century community 
learning centers, $154,386,000 above the budget request and the 
fiscal year 2001 level. Funding for this program was previously 
provided under the Education Reform account.
    This program is being reauthorized as a formula grant to 
states. Ninety-five percent of funds would be distributed on a 
competitive basis from the state to local school districts, 
community-based organizations and other public entities and 
private organizations. Grantees must target students who attend 
low-performing schools. Funds may be used for before and after 
school activities that advance student academic achievement 
including remedial education and academic enrichment 
activities; math, science, arts, music, entrepreneurial and 
technology education; tutoring and mentoring; recreational 
activities; and expanded library service hours. The Committee 
encourages grantees to include activities which promote student 
self-esteem, with a goal of reducing the incidence of teen 
pregnancy, by working with young people to develop stronger 
perceptions of themselves and to become active participants in 
their communities.

Small, safe, and successful high schools

    The bill provides $200,000,000 for small, safe and 
successful high schools. This is an increase of $75,000,000 
over the fiscal year 2001 level. The Administration did not 
request funding for this program. Funding for this program was 
previously provided under the Education Reform account.
    These funds shall be used only for activities related to 
the redesign of large high schools enrolling 1,000 or more 
students. The Committee directs that fiscal year 2002 funds for 
Smaller Learning Communities be used for both one-year 
planning, as well as three-year implementation, grants and 
allocated giving consideration to the number of applications 
received for each type of grant, the quality of those 
applications, and the applicants' demonstrated need for 
assistance. In addition, the Committee directs the Department 
to submit prior to December 31, 2001, a plan describing how the 
Smaller Learning Communities Program will be administered 
within the Department and the planned allocation of funds for 
evaluation, technical assistance, outreach, school networks, 
and peer review. Further, the Committee expects the Department 
to consult with the Committee on the fiscal year 2002 program 
guidance for the Smaller Learning Communities Program, and to 
continue outreach and technical assistance activities during 
fiscal year 2002 to help ensure that school districts are aware 
that smaller schools and smaller learning communities are 
effective, research-based strategies to improve student safety, 
morale, retention, and academic achievement.

Safe and drug-free schools and communities

    The Committee recommends $644,250,000 for the Safe and Drug 
Free Schools and Communities Act. This funding level is the 
same as both the budget request and the fiscal year 2001 level.
            Safe and drug-free schools and communities: State grants
    The Committee bill includes $527,250,000 for the State 
grants program, $20,362,000 below the budget request and 
$88,000,000 above the fiscal year 2001 level. The program 
supports State formula grants for comprehensive, integrated 
approaches to drug and violence prevention. Local educational 
agencies must use their funds to implement a drug and violence 
prevention program for students and employees. The Committee 
notes that the Department released a list of ``promising and 
exemplary'' safe and drug free schools program models, as 
identified by an expert panel, on January 18, 2001. This list 
has subsequently caused some confusion within communities. The 
Committee notes that funding for local programs under the Safe 
and Drug Free Schools program is not restricted to models 
appearing on this list. The Committee encourages the Department 
of clarify this matter with applicants.
            Safe and drug-free schools and communities: national 
                    programs
    For the national programs under the Safe and Drug-Free 
Schools and Communities Act, the bill provides $117,000,000, 
$38,000,000 below the fiscal year 2001 amount and $20,362,000 
above the budget request. Under this program, the Secretary of 
Education administers a variety of activities to prevent the 
illegal use of drugs and violence among, and promote safety and 
discipline for, students at all educational levels, preschool 
through postsecondary. Within the amount provided for national 
programs, the Committee has included $68,150,000 for the Safe 
Schools/Healthy Students initiative. These funds will enable 
the Department to make new awards in fiscal year 2002 and to 
continue its participation, along with the Departments of 
Health and Human Services and Justice, in this interagency 
initiative to help communities adopt comprehensive and 
coordinated strategies to improve school safety.
            Safe and drug-free schools and communities: coordinator 
                    initiative
    The bill does not include funding for the coordinator 
initiative. This program was funded at $50,000,000 in fiscal 
year 2001, but has not been reauthorized as a separate line 
item in H.R. 1 as passed by the House. The budget did not 
request funding for it.

Choice and Innovation State grants

    The bill does not include $471,500,000 for this new program 
requested by the Administration. This program has not been 
authorized. Activities proposed to be funded by this program 
are funded in other programs throughout this bill.

State assessments

    The bill includes $400,000,000 for state assessments, 
$80,000,000 above the budget request. This is a new program 
which will provide states funding to develop annual assessments 
and to carry out activities related to ensuring accountability 
for results in the state's schools and school districts.

Reform and Innovation Fund

    The bill does not include funding for the reform and 
innovation fund. This is a new program for which the 
Administration requested $40,000,000. The program would reward 
states that make significant progress in academic achievement 
for students. The primary indicators of state academic programs 
will be the state assessments. However, since states are not 
required to have their assessments in place until the 2004-2005 
school year, no state will qualify for a reward in fiscal year 
2002 and funding in this fiscal year is not necessary.

Inexpensive book distribution (reading is fundamental)

    The bill provides $23,000,000 for the inexpensive book 
distribution program, the same as the fiscal year 2001 
appropriation. The Administration did not request funding for 
this program. This program makes an award to Reading is 
Fundamental, Inc., to buy inexpensive books, offer them through 
local community programs to children from low-income families, 
and motivate children to read. Federal funds provide for up to 
75 percent of the costs of the books.

Arts in education

    The bill provides $30,000,000 for the arts in education 
program. This is $2,000,000 above fiscal year 2001 and 
$30,000,000 above the budget request. This program supports 
arts programs in elementary and secondary education and 
supports demonstration programs for the involvement of disabled 
persons in the arts. Within the amount provided in the bill, 
the Committee intends that the following allocations be made: 
$7,000,000 for the Very Special Arts, $6,000,000 for the John 
F. Kennedy Center for the Performing Arts arts education 
programs; $4,000,000 for activities authorized under subpart 2 
of the Arts in Education program; and $2,000,000 for model 
professional development programs for music educators.

Magnet schools assistance

    The bill includes $110,000,000 for the magnet schools 
assistance program, the same as the budget request and the same 
as the fiscal year 2001 level. The Committee directs the 
Secretary, when allocating these funds, to give priority for 
funding to the highest-quality applications remaining from the 
previous year's competition before funding applications 
approved in a new competition. The committee includes no funds 
for a new competition for magnet schools innovative programs.
    The magnet schools assistance program awards competitive 
grants to local educational agencies for use in establishing or 
operating magnet schools that are part of a desegregation plan 
approved by a court or by the Department of Education's Office 
for Civil Rights. A magnet school is defined by the statute as 
``a school or education center that offers a special curriculum 
capable of attracting substantial numbers of students of 
different racial backgrounds.'' A funding priority is given to 
local educational agencies that have not participated during 
the most recent funding cycle.

Education for homeless children and youth

    For the education of homeless children and youth program, 
the Committee recommends $50,000,000. This level is $15,000,000 
above the budget request and the fiscal year 2001 
appropriation. Grants are allocated to States in proportion to 
the total that each State receives under the title I program. 
For local grants, at least 50 percent must be used for direct 
services to homeless children and youth, including tutoring or 
remedial or other educational services.

Women's educational equity

    The bill includes $3,000,000 for Women's Educational 
Equity. This program was funded at $3,000,000 in fiscal year 
2001. The Administration did not request funding for it. This 
program supports projects, technical assistance and 
dissemination activities to promote educational equity for 
girls and women including those who suffer multiple 
discrimination based on gender and race, ethnicity, national 
origin, disability, or age.

Training and advisory services

    The bill includes $7,334,000 for training and advisory 
services authorized by title IV-A of the Civil Rights Act. This 
amount is the same as the budget request and the fiscal year 
2001 amount. Title IV-A authorizes technical assistance and 
training services for local educational agencies to address 
problems associated with desegregation on the basis of race, 
sex, or national origin. Competitive awards are made to civil 
rights units within State educational agencies and to regional 
desegregation assistance centers. The Department awards 3-year 
grants to regional equity assistance centers (EACs) located in 
each of the 10 Department of Education regions. The EACs 
provide services to school districts upon request. Typical 
activities include disseminating information on successful 
education practices and legal requirements related to 
nondiscrimination on the basis of race, sex, and national 
origin in educational programs; training designed to develop 
educators' skills in specific areas, such as the identification 
of race and sex bias in instructional materials; increasing the 
skills of educational personnel in dealing with race-based 
confrontations such as hate crimes; and providing technical 
assistance in the identification and selection of appropriate 
educational programs to meet the needs of limited English 
proficient students.

Ellender fellowships/Close-Up

    The bill provides $1,500,000 for Ellender fellowships, the 
same as the fiscal year 2001 level and $1,500,000 above the 
budget request. The Ellender fellowship program makes an award 
to the Close-Up Foundation of Washington, D.C. This 
organization provides fellowships to students from low income 
families and their teachers to enable them to participate with 
other students and teachers for a week of seminars on 
government and meetings with representatives of the three 
branches of the Federal government.

Education for native Hawaiians

    The Committee recommends $28,000,000 for education for 
Native Hawaiians, the same as the budget request and the fiscal 
year 2001 amount. A number of programs limited to Native 
Hawaiians are supported with these funds, including a model 
curriculum project, family-based education centers, 
postsecondary education fellowships, gifted and talented 
education projects, and special education projects for disabled 
pupils.

Alaska native education equity

    The Committee recommends $15,000,000 for the Alaska native 
education equity program, the same as both the budget request 
and the fiscal year 2001 amount. These funds are used to 
develop supplemental educational programs to benefit Alaska 
natives.

Rural Education

    The bill includes $200,000,000 for a new program to provide 
rural school districts with resources. The budget did not 
request funding for this program.
    A school district would be eligible to receive services if 
the total number of students in average daily attendance at all 
the schools in the district is less than 600, and all the 
schools served by the district are designated by the Secretary 
of Education to be in a rural area. Funds would be allocated by 
formula to states and could be used for teacher recruitment and 
retention; teacher professional development; education 
technology; parental involvement activities; or programs to 
improve student academic achievement. The budget did not 
request funding for this program.

Character Education

    The bill includes $25,000,000 for character education 
programs. The President's budget requested $25,000,000 for 
these activities under a separate program. Comparable fiscal 
year 2001 funding for this activity was $7,800,000. Funds would 
be used for grants to states, school districts or a consortia 
of such agencies for the design and implementation of character 
education programs that can be integrated in state academic 
content standards and carried out in conjunction with other 
educational reform efforts.

Mentoring programs

    The bill includes $30,000,000 for a new mentoring program 
which would provide competitive grants to school districts to 
promote mentoring programs for children with the greatest need. 
The budget did not request funding for this program.
    For the last two years the Committee has provided project 
funding for school-based mentoring, which has resulted in the 
establishment of 40,000 new one-to-one, school-based mentoring 
relationships in the United States. The Committee supports this 
type of effort to serve more at-risk children.

Charter schools

    The Committee recommends $200,000,000 for support of 
charter schools, the same as the budget request and $10,000,000 
above the fiscal year 2001 amount. Charter schools are 
developed and administered by individuals or groups of 
individuals, which may include teachers, administrators, and 
parents. These groups enter into charters for operation of 
their schools, which must be granted exemptions from State and 
local rules that limit flexibility in school operation and 
management. Under this program, grants are made to State 
educational agencies in States that have charter school laws; 
the State educational agencies will in turn make sub-grants to 
authorized public chartering agencies in partnerships with 
developers of charter schools.

Charter schools homestead fund

    The bill does not include $175,000,000 for this new program 
requested by the Administration. This program has not been 
authorized.

Comprehensive regional assistance centers

    The Committee recommends $28,000,000 for comprehensive 
regional assistance centers, the same as the fiscal year 2001 
amount and the budget request. These funds are intended to 
continue the existing centers for an additional year. This 
program supports 15 comprehensive regional technical assistance 
centers for improving ESEA programs.

Advanced placement test fee program

    The Committee recommends $22,000,000 for advanced placement 
fees. This recommendation is the same as the budget request and 
the fiscal year 2001 amount. The advanced placement test fee 
program awards grants to States to enable them to cover part or 
all of the cost of advanced placement test fees of low-income 
students who are enrolled in advanced placement classes and 
plan to take the advanced placement test. This program also 
supports competitive grants to states for programs that 
encourage greater participation by low-income students in 
advanced placement courses.

                         Reading Excellence Act

    The bill does not include funding for the Reading 
Excellence Act, which was funded at $286,000,000 in fiscal year 
2001. Funding for this Act was not requested by the President. 
The Committee notes that reading activities are part of the 
reauthorization of the Elementary and Secondary Education Act, 
and are included under the Reading First State grants and Early 
Reading First programs in the Education for the Disadvantaged 
account.

                            Indian Education

    The bill includes $123,235,000 for Indian education. This 
amount is $7,735,000 above the fiscal year 2001 appropriation 
and $7,235,000 above the budget request. This account supports 
programs authorized by part A of Title IX of the Elementary and 
Secondary Education Act and section 215 of the Department of 
Education Organization Act.

Grants to local education agencies

    The bill provides $100,000,000 for grants to local 
education agencies, $7,235,000 above the budget request and the 
fiscal year 2001 amount. This program provides assistance 
through formula grants to school districts and schools 
supported or operated by the Bureau of Indian Affairs. The 
purpose of this program is to reform elementary and secondary 
school programs that serve Indian students, including preschool 
children. Grantees must develop a comprehensive plan and assure 
that the programs they carry out will help Indian students 
reach the same challenging standards that apply to all 
students. This program supplements the regular school program 
to help Indian children sharpen their academic skills, bolster 
their self-confidence, and participate in enrichment activities 
that would otherwise be unavailable.

Special programs for Indian children

    The Committee recommends $20,000,000 for special programs 
for Indian children, the same as fiscal year 2001 and the 
budget request. These programs make competitive awards to 
improve the quality of education for Indian students. This 
program also funds a new Indian Teacher Corps, which hopes to 
train over 1,000 Indian teachers over a five-year period to 
take positions in schools that serve concentrations of Indian 
children.

National activities

    The bill provides $3,235,000 for national activities, 
$500,000 above fiscal year 2001 and the same as the budget 
request. Funds under this authority support research, 
evaluation and data collection to provide information on the 
status of education for the Indian population and on the 
effectiveness of Indian education programs.

                   Bilingual and Immigrant Education

    The bill includes $700,000,000 for bilingual and immigrant 
education programs. This amount is $240,000,000 above the 
budget request and the comparable fiscal year 2001 
appropriation levels for programs that have been consolidated 
in this account under H.R. 1 as passed by the House.
    Existing bilingual and immigrant education programs have 
been consolidated into a single state grant program under the 
House reauthorization bill. This program will distribute funds 
to states based on the number of limited English proficient 
children in each states, rather than by competitive award as is 
currently the case for the bilingual education instructional 
services, support services and professional development 
programs. School districts would be able to choose the method 
of instruction they would use to teach limited English 
proficient children, and states would be required to monitor 
the progress in moving children into regular English classes.

                           Special Education

    The bill includes $8,860,076,000 for programs for children 
with disabilities authorized under the Individuals with 
Disabilities Education Act (IDEA). This funding level is 
$434,481,000 above the budget request and $1,420,128,000 above 
the fiscal year 2001 appropriation.

State Grants: Grants to States for special education

    The bill provides $7,714,685,000 for grants to States, 
which is $375,000,000 above the budget request and 
$1,375,000,000 above the fiscal year 2001 level. Out of the 
total made available for school year 2002-2003, $2,642,685,000 
is appropriated for fiscal year 2002 for obligation after July 
1, 2002 and $5,072,000,000 is appropriated for fiscal year 2003 
for obligation on, or after, October 1, 2002.
    This program provides formula grants to assist the States 
in meeting the excess costs of providing special education and 
related services to children with disabilities. In order to be 
eligible for funds, States must make free appropriate public 
education available to all children with disabilities. Starting 
in fiscal year 2000, funds are being distributed based on the 
amount that each state received from the fiscal year 1999 
appropriation, and the numbers of children in the general 
population and who live in poverty in the age range for which 
each states mandates free appropriate public education for 
children with disabilities.

State grants: Preschool grants

    The bill provides $390,000,000 for preschool grants, the 
same as the fiscal year 2001 level and the budget request. This 
program provides grants to States on the basis of their 
proportionate share of the total number of children in the 3 
through 5 age range and the number of these children living in 
poverty. These funds are provided in order to assist States to 
make a free appropriate education available to all children 
with disabilities in the 3 through 5 age range.

State Grants: Grants for infants and families

    The bill provides $430,000,000 for grants for infants and 
families, $46,433,000 above both the fiscal year 2001 level and 
the budget request. This formula grant program assists States 
in developing and implementing statewide systems of 
coordinated, comprehensive, multidisciplinary, interagency 
programs to make available early intervention services to all 
children with disabilities, aged birth through 2, and their 
families.

IDEA National Program: State improvement

    The bill includes $54,200,000 for State improvement, 
$5,000,000 above both the budget request and the fiscal year 
2001 appropriation. This program supports competitive grants to 
State educational agencies to assist them, in partnership with 
parents, teachers, institutions of higher education, interest 
groups, and others, to improve results for children with 
disabilities by reforming and improving their educational, 
early intervention, and transitional service systems. Among 
these systems are those for professional development, technical 
assistance, and dissemination of knowledge about best 
practices. Awards are based on State improvement plans 
developed by the States.
    The House Committee on Government Reform held a hearing 
recently looking at the challenges of special education and the 
implementation of IDEA. It was learned that the dramatic rise 
of autism rates across the country is exacerbating the shortage 
of qualified special education teachers, school nurses, 
occupational and speech therapists as well as placing a 
significant financial burden on state and local special 
education budgets. The Department is encouraged to examine how 
special education teacher development funds are being spent, 
and to examine innovative mechanisms to recruit qualified 
professionals to fill the special education needs across the 
nation.

IDEA National Program: Research and innovation

    The bill includes $70,000,000 for research and innovation, 
$7,353,000 below the fiscal year 2001 level and the same as the 
budget request. This program supports competitive awards to 
produce and advance the use of knowledge to improve services 
and results for children with disabilities. The program focuses 
on producing new knowledge, integrating research and practice 
and improving the use of knowledge.

IDEA National Program: Technical assistance and dissemination

    The bill includes $53,481,000 for technical assistance and 
dissemination, the same as the budget request and the fiscal 
year 2001 appropriation. This program provides technical 
assistance and information through competitive awards that 
support institutes, regional resource centers, clearinghouses, 
and efforts to build State and local capacity to make systemic 
changes and improve results for children with disabilities.

IDEA National Program: Personnel preparation

    The bill includes $90,000,000 for personnel preparation, 
which is $8,048,000 above the budget request and the fiscal 
year 2001 appropriation. This program supports competitive 
awards to help address State-identified needs for qualified 
personnel to work with children with disabilities, and to 
ensure that those personnel have the skills and knowledge they 
need to serve those children. Awards focus on addressing the 
need for personnel to serve low incidence populations and high 
incidence populations, leadership personnel, and projects of 
national significance.

IDEA National Program: Parent information centers

    The bill includes $26,000,000 for parent information 
centers, the same as the fiscal year 2001 level and the budget 
request. 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. Technical 
assistance is also provided under this program for developing, 
assisting and coordinating centers receiving assistance under 
this program.

IDEA National Program: Technology and media services

    The bill includes $31,710,000 for technology and media 
services, which is $5,500,000 below the fiscal year 2001 
appropriation and the same as the budget request. This program 
makes competitive awards to support the development, 
demonstration, and use of technology and educational media 
activities of educational value to children with disabilities.
    The bill includes $9,500,000 for Recording for the Blind 
and Dyslexic, the same as the amount appropriated for 2001. 
These funds support continued production and circulation of 
recorded textbooks, increased outreach activities to print-
disabled students and their teachers, and an accelerated use of 
digital technology.
    The Committee continues to recognize the importance of very 
small businesses in increasing the quality and cost-
effectiveness of the television captioning program. As this 
program transitions into a mandatory program under the 
Telecommunications Act, the Committee urges the Department to 
give full and fair consideration to the applications of very 
small businesses.

            Rehabilitation Services and Disability Research

    The bill includes $2,942,117,000 for rehabilitation 
services and disability research. This amount is $12,000,000 
above the budget request and $136,778,000 above the fiscal year 
2001 appropriation. The programs in this account are authorized 
by the Rehabilitation Act of 1973, the Helen Keller National 
Center Act, and the Assistive Technology Act of 1998.

Vocational rehabilitation grants to States

    For vocational rehabilitation State grants, the bill 
includes $2,481,383,000, $81,593,000 above fiscal year 2001 and 
the same as the budget request. This program supports basic 
vocational rehabilitation services through formula grants to 
the States. These grants support a wide range of services 
designed to help persons with physical and mental disabilities 
prepare for and engage in gainful employment to the extent of 
their capabilities. Emphasis is placed on providing vocational 
rehabilitation services to persons with the most significant 
disabilities.
    The Committee intends that, in reallocating any fiscal year 
2002 funds that become available for reallocation to states 
under the reallotment process authorized under section 110(b) 
of the Rehabilitation Act, the Department accord priority to 
states that received a formula allocation providing less than 
the cost-of-living adjustment in fiscal year 2002 and to the 
early implementation states under the Ticket to Work and Self 
Sufficiency Program that have experienced an increase in the 
number of eligible applicants as a result of the implementation 
of this program.

Client assistance

    The bill includes $11,647,000 for the client assistance 
program, the same as the budget request and the fiscal year 
2001 amount. A client assistance program is required in each 
State as a condition of receipt of a basic State grant. State 
formula grants are used to help persons with disabilities 
overcome problems with the service delivery system and improve 
their understanding of services available to them under the 
Rehabilitation Act.

Training

    For training personnel to provide rehabilitation services 
to persons with disabilities, the bill includes $39,629,000, 
the same as the budget request and the same as the fiscal year 
2001 amount. The program supports long-term and short-term 
training, in-service personnel training, and training of 
interpreters for deaf persons. Projects in a broad array of 
disciplines are funded to ensure that skilled personnel are 
available to serve the vocational needs of persons with 
disabilities.

Demonstration and training programs

    The bill includes $16,492,000 for demonstration and 
training programs, $4,600,000 below the fiscal year 2001 level 
and the same as the budget request. These programs authorize 
discretionary awards on a competitive basis to public and 
private organizations to support demonstrations, direct 
services, and related activities for persons with disabilities.

Migrant and Seasonal Farmworkers

    For programs serving migrant and seasonal farmworkers, the 
bill provides $2,350,000, which is the same as the fiscal year 
2001 amount and the budget request. This program provides 
discretionary grants to make comprehensive vocational 
rehabilitation services available to migrant and seasonal 
farmworkers with vocational disabilities. Projects emphasize 
outreach activities, specialized bilingual rehabilitation 
counseling, and coordination of vocational rehabilitation 
services with services from other sources.

Recreational programs

    For recreational programs, the bill provides $2,596,000, 
the same as the fiscal year 2001 amount and the same as the 
budget request. This program provides individuals with 
recreation and related activities to aid in their employment, 
mobility, independence, socialization, and community 
integration. Discretionary grants are made on a competitive 
basis to States, public agencies, and nonprofit private 
organizations, including institutions of higher education.

Protection and advocacy of individual rights

    For protection and advocacy for persons with severe 
disabilities, the bill provides $16,000,000, $2,000,000 above 
the budget request and the fiscal year 2001 level. Grants are 
awarded to entities that have the authority to pursue legal, 
administrative, and other appropriate remedies needed to 
protect and advocate the rights of persons with severe 
disabilities.

Projects with industry

    For projects with industry, the bill provides $22,071,000, 
the same as both the fiscal year 2001 amount and the budget 
request. This program is the primary Federal vehicle for 
promoting greater participation of business and industry in the 
rehabilitation process. The program provides training and 
experience in realistic work settings to persons with 
disabilities to prepare them for employment in the competitive 
labor market. Awards are made to a variety of agencies and 
organizations, including business and industrial corporations, 
rehabilitation facilities, labor organizations, trade 
associations, and foundations.

Supported employment State grants

    For supported employment State grants, the bill includes 
$38,152,000, which is the same as the fiscal year 2001 amount 
and the budget request. These formula grants assist States in 
developing collaborative programs with public agencies and 
nonprofit agencies for training and post-employment services 
leading to supported employment. In supported employment 
programs, persons with severe disabilities are given special 
supervision and assistance to enable them to perform a job.

Independent living: State grants

    For State grants for independent living, the bill includes 
$22,296,000. This amount is the same as both the fiscal year 
2001 amount and the budget request. This program supports 
formula grants to the States to provide services designed to 
meet the current and future needs of persons whose disabilities 
are so severe that they do not presently have the potential for 
employment, but who may benefit from services to enable them to 
live and function independently.

Independent living: centers

    For centers for independent living, the bill provides 
$63,000,000, which is $5,000,000 above the budget request and 
the fiscal year 2001 level. Discretionary grants support a 
network of consumer-controlled, nonresidential, community-based 
private nonprofit centers that provide a wide range of services 
to help persons with severe disabilities live more 
independently in family and community settings. Centers provide 
information and referral services, independent living skills 
training, peer counseling, and individual and systems advocacy.

Independent living: services for older blind persons

    For independent living services for older blind 
individuals, the bill provides $25,000,000. This amount is 
$5,000,000 above both the fiscal year 2001 amount and the 
budget request. Formula grants support services for persons 55 
years old or over whose severe visual impairment makes gainful 
employment extremely difficult to obtain, but for whom 
independent living goals are feasible.

Program improvement

    For program improvement activities, the bill provides 
$900,000, which is $1,000,000 below the fiscal year 2001 level 
and the same as the budget request. The program: (1) Provides 
technical assistance and consultative services to public and 
non-profit private agencies and organizations; (2) provides 
short-term training and technical instruction; (3) conducts 
special demonstrations; (4) collects, prepares, publishes and 
disseminates educational or informational materials, and; (5) 
carries out monitoring and conducts evaluations.

Evaluation

    The bill includes $1,000,000 for program evaluation, 
$587,000 below the fiscal year 2001 amount and the same as the 
budget request. These funds are used to evaluate the impact and 
effectiveness of individual programs authorized under the 
Rehabilitation Act. Contracts are awarded on an annual basis 
for studies to be conducted by persons not immediately involved 
in the administration of the programs authorized by the Act.

Helen Keller National Center

    For the Helen Keller National Center for Deaf-Blind Youth 
and Adults, the bill includes $8,717,000, which is the same as 
the fiscal year 2001 amount and the budget request. These funds 
are used for the operation of the national center for intensive 
services for deaf-blind individuals and their families at Sands 
Point, New York and a network of 10 regional offices for 
referral and counseling. In addition to support for the 
national and regional staff, the Helen Keller Center provides 
seed money to State and private nonprofit affiliate agencies to 
assist them in initiating programs for deaf-blind persons.

National Institute on Disability and Rehabilitation Research

    The bill includes $110,000,000 for the National Institute 
on Disability and Rehabilitation Research, the same as the 
budget request and $9,600,000 above the fiscal year 2001 level. 
The Institute supports research, demonstration and training 
activities that are designed to maximize the employment and 
integration into society of individuals with disabilities of 
all ages.
    The Committee is pleased that the National Institute on 
Disability and Rehabilitation Research has recognized chronic 
fatigue syndrome (CFS) as an unmet area of research and is 
funding a CFS research study. The Committee encourages NIDRR to 
continue to pursue CFS-related research proposals and to inform 
educators about CFS and the special educational needs required 
by students with CFS.

Assistive technology

    For assistive technology activities, the bill provides 
$60,884,000, the same as the budget request and $19,772,000 
above the fiscal year 2001 amount. Technology assistance 
activities are authorized under the Assistive Technology Act of 
1998. This Act authorizes the following activities: 
discretionary grants to the States to assist them in developing 
statewide programs to facilitate the provision of devices for, 
and services to, persons with disabilities; protection and 
advocacy services related to assistive technology; 
discretionary grants to the states for alternative financing 
programs; and technical assistance activities.

Access to telework fund

    The bill includes $20,000,000 for the access to telework 
fund, the same as the budget request and $20,000,000 above the 
fiscal year 2001 level. This program will provide grants to 
states to provide loans for individuals with disabilities to 
purchase computers and other equipment so they can telework 
from home.

           Special Institutions for Persons With Disabilities


                 american printing house for the blind

    The bill provides $13,000,000 for the American Printing 
House for the Blind, an increase of $1,000,000 above the 
comparable fiscal year 2001 appropriation and the budget 
request. This appropriation subsidizes the production of 
educational materials for legally blind persons enrolled in 
pre-college programs. The Printing House, which is chartered by 
the State of Kentucky, manufactures and maintains an inventory 
of special materials that is distributed free of charge to 
schools and States based on the number of blind students in 
each State. The Printing House also conducts research and field 
activities to inform educators about the availability of 
materials and how to use them.

               national technical institute for the deaf

    The bill provides $55,376,000 for the National Technical 
Institute for the Deaf (NTID), an increase of $2,000,000 above 
the comparable fiscal year 2001 amount and $2,806,000 above the 
request. The bill allows the NTID to transfer a portion of its 
appropriation to the endowment at its discretion. The Committee 
directs the Department to report to it within 15 days of 
executing such a transfer.
    The bill includes $5,376,000 to remain available until 
expended for construction on dormitory renovations, $806,000 
more than the budget request. The Committee notes that this 
will result in total federal funding of $14,970,000 for this 
project, which was originally projected to cost $12,400,000. In 
fiscal year 2001, the Committee directed the Department to 
waive a 15 percent matching requirement proposed for this 
construction project.
    The NTID was established by Congress in 1965 to provide a 
residential facility for postsecondary technical training and 
education for deaf persons with the purpose of promoting the 
employment of deaf individuals. The Institute also conducts 
applied research and provides training in various aspects of 
deafness. The Secretary of Education administers these 
activities through a contract with the Rochester Institute of 
Technology in Rochester, New York.

                          Gallaudet university

    The bill provides $95,600,000 for Gallaudet University, an 
increase of $6,200,000 above the comparable fiscal year 2001 
appropriation and the budget request. The bill includes a 
provision that allows Gallaudet to transfer a portion of its 
appropriation to the endowment at its discretion. The Committee 
directs the Department to report to it within 15 days of 
executing such a transfer. The Committee has provided 
additional funding above the request to assist Gallaudet in 
making campus-wide security upgrades, including the 
installation of additional outdoor lighting and emergency Blue 
Lights.
    Gallaudet is a private, non-profit educational institution 
Federally-chartered in 1864 providing elementary, secondary, 
undergraduate, and continuing education for deaf persons. In 
addition, the University offers graduate programs in fields 
related to deafness for deaf and hearing students, conducts 
various deafness research, and provides public service programs 
for deaf persons.

                     Vocational and Adult Education

    The bill includes $2,006,060,000 for vocational and adult 
education programs. This amount is $180,460,000 above the 
fiscal year 2001 appropriation and $204,400,000 above the 
budget request. This appropriation account includes vocational 
education programs authorized by the Carl D. Perkins Vocational 
and Applied Technology Education Act. The account also includes 
adult education programs originally authorized by the Adult 
Education Act and reauthorized under the Workforce Investment 
Act of 1998.

Vocational education basic grants

    This bill includes $1,250,000,000 for basic grants to 
States under the Carl D. Perkins Vocational and Applied 
Technology Education Act, which is $150,000,000 above the 
fiscal year 2001 amount and the budget request. Out of the 
total of $1,250,000,000 made available for school year 2002-
2003, $441,250,000 is appropriated for fiscal year 2002 for 
obligation after July 1, 2002 and $808,750,000 is appropriated 
for fiscal year 2003 for obligation on, or after, October 1, 
2002.
    State grants support a variety of vocational education 
programs developed in accordance with the State plan. The Act 
concentrates federal resources on institutions with high 
concentrations of low-income students. The populations assisted 
by Basic Grants range from secondary students in pre-vocational 
courses to adults who need retraining to adapt to changing 
technological and labor markets.
    The Committee is aware that the distribution of vocational 
education basic grant funding varies from state to state with 
regard to the proportion of funding distributed to secondary 
schools versus technical training institutes. The Committee 
believes that technical institutes play an important role in 
developing a highly-skilled workforce, and that these 
institutes should have equal access to vocational and technical 
education funding. Accordingly, the Committee directs the 
Secretary to submit a report within six months of the date of 
enactment of this appropriations Act, describing how much 
vocational education funding is distributed to secondary 
schools and how much is distributed to technical training 
institutes for each state receiving funding under this program.

Tech-prep

    The bill includes $110,000,000 for tech-prep, $4,000,000 
above fiscal year 2001 and the budget request. This 
appropriation includes activities under title III, part E of 
the Carl D. Perkins Vocational and Applied Technology Education 
Act. The tech-prep education program provides planning and 
demonstration grants to consortia of local educational agencies 
and postsecondary institutions to develop and operate model 
technical education programs. These programs begin in high 
school and provide students with the mathematical, science, 
communications and technological skills needed to enter a 2-
year associate degree or 2-year certificate program in a given 
occupational field, and to make a successful transition into 
further postsecondary education or begin their careers. The 
purpose of tech-prep is to develop structural links between 
secondary and postsecondary institutions that integrate 
academic and vocational education and better prepares students 
to make the transition from school to careers.

Tribally controlled postsecondary vocational institutions

    The bill includes $6,000,000 for grants for tribally 
controlled postsecondary vocational institutions, $400,000 
above the budget request and the fiscal year 2001 amount. This 
program provides grants for the operation and improvement of 
training programs to ensure continuation and expansion of 
vocational training opportunities for Indian youth.

National programs

    For national programs, the Committee provides $12,000,000, 
which is $5,500,000 below the fiscal year 2001 amount and the 
same as the budget request. This authority supports the conduct 
and dissemination of research in vocational education, and 
includes support for the National Center for Research in 
Vocational Education, six regional curriculum coordination 
centers, and other discretionary research.

Tech-Prep Education Demonstration

    The bill does not include funding for the Tech-Prep 
Education Demonstration. The President's budget did not request 
funding for it. Last year this program was funded at 
$5,000,000. The program makes competitive grants to consortia 
to establish Tech-prep programs in secondary schools located on 
the sites of community colleges.

Occupational and Employment Information Program

    The bill does not include funding for the Occupational and 
Employment Information Program. The President's budget did not 
request funding for it. Last year this program was funded at 
$9,000,000. The program provides career information and 
guidance services to students and adults through a network of 
state agencies.

State programs for adult education

    For state grants, the Committee recommends $595,000,000, 
which is $55,000,000 above the fiscal year 2001 amount and the 
budget request. State formula grants support programs to enable 
all 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.
    Grants are provided on a formula basis to States under the 
new Adult Education and Family Literacy Act. The formula 
provides an initial allotment of $25,000 for each state and 
$100,000 to each outlying area, with additional allotments 
distributed on the basis of population aged 16 through 60 who 
are without a high school diploma or equivalent who are not 
enrolled in secondary school.
    States may use 12.5% of their allotments for state 
leadership activities and may use an additional 5% or $65,000 
for state administration. States and localities must give 
priority to adult education and literacy activities that are 
built on a strong foundation of research on effective practices 
and that effectively employ technology. Funds are provided on a 
forward-funded basis.
    The Committee notes that over 40 percent of new adult 
education entrants are seeking English as-a-second language 
(ESL) services and that ESL accounts for 51 percent of all 
adults receiving adult education services and 76 percent of the 
hours of instruction received. The Committee expects that the 
funds provided in this program will be used by states with 
large concentrations of students who seek English language 
proficiency training to meet the needs of those individuals. 
The Committee bill retains language similar to that contained 
in last year's bill that guarantees a portion of the funds will 
be used to provide civics education services to new immigrants.

National Programs--National Leadership Activities

    The Committee provides $9,500,000 for national leadership 
activities. This amount is $4,500,000 below the fiscal year 
2001 level and the same as the budget request.
    Through applied research, development, dissemination, 
evaluation, and program improvement activities, this program 
assists State efforts to improve the quality of adult 
education. The funds support such projects as evaluations on 
the status and effectiveness of adult education programs, 
national and international adult literacy surveys, and 
technical assistance on using technology to improve instruction 
and administration that show promise of contributing to the 
improvement and expansion of adult education.

National Institute for Literacy

    For the National Institute for Literacy, the bill provides 
$6,560,000, which is $60,000 above the fiscal year 2001 amount 
and the same as the budget request. The Institute supports 
research and development projects, tracks progress made toward 
national literacy goals, supports research fellowships, 
disseminates information through a national clearinghouse, and 
coordinates literacy information data from national and State 
sources.
    The Committee continues to support the work of the National 
Reading Panel (NRP), and encourages continuing efforts to 
disseminate the NRP findings and similar evidence-based reading 
research findings relating to children, adolescents, and 
adults. The Committee supports continuation of the NRP work 
through a national panel to be established by the National 
Institute for Literacy (NIFL) that will apply the criteria 
developed by the NRP to research that has been published since 
the release of the NRP report. This effort should identify 
additional evidence-based reading research that would be 
disseminated in support of the Reading Excellence Act and the 
Reading First Initiative and should include coordination within 
the Partnership for Reading, which includes the NIFL, the 
National Institute of Child Health and Human Development 
(NICHD), and the U.S. Department of Education.
    The National Institute for Literacy also disseminates 
information on evidence-based reading research under the 
Reading Excellence Act and its successor program, Reading 
First. The Committee intends that the Institute use no more 
than five percent of the funds provided through the Reading 
Excellence Act and the Reading First legislation to pay for 
administrative costs associated with implementing such 
legislation.

State grants for incarcerated youth offenders

    The bill includes $17,000,000 for state grants for 
incarcerated youth offenders, $5,000,000 below the fiscal year 
2001 level and the budget request. This program makes grants to 
state correctional agencies to assist and encourage 
incarcerated youths to acquire functional literacy skills and 
life and job skills.

                      Student Financial Assistance

    The bill provides $12,410,100,000 for student financial 
assistance programs, an increase of $1,736,100,000 over the 
comparable fiscal year 2001 appropriation and $736,100,000 
above the budget request.

Pell grants

    The bill increases the maximum Pell Grant to $4,000, $150 
above the President's request and $250 above the comparable 
fiscal year 2001 amount, providing the highest maximum grant 
ever awarded.
    The bill provides $10,458,100,000 in new budget authority 
for the Pell Grant program, $702,100,000 above the request and 
$1,702,100,000 above the comparable fiscal year 2001 amount. 
Because of changing economic conditions, estimates for funds 
needed in the Pell grant program are subject to change. The 
Committee considers this program to be among the highest 
priorities under its jurisdiction. Pell Grants are provided to 
postsecondary students who may use them at any of over 6,000 
eligible schools.
    The Committee is aware that many postsecondary institutions 
are struggling to make the most efficient use possible of their 
facilities as they prepare for enrollments that will grow by 
more than two million students over the next decade. Under the 
Department of Education's current practice, however, the 
Committee understands that students may receive only one Pell 
grant in a calendar year, limiting low-income students' ability 
to enroll year-round. The Committee requests the Department to 
submit a report, not later than March 1, 2002, to the House and 
Senate Committees on Appropriations, the House Committee on 
Education and the Workforce, and the Senate Committee on 
Health, Education, Labor, and Pensions, on the feasibility of 
conducting a demonstration program under Section 487A(b) of the 
Higher Education Act to provide two Pell grants in one calendar 
year to students at selected institutions of higher education. 
The report shall address how this pilot program could be 
implemented and its budgetary implications.

Federal Supplemental Educational Opportunity Grants

    The bill provides $725,000,000 for federal supplemental 
educational opportunity grants, $34,000,000 above the request 
and the fiscal year 2001 level. The SEOG program provides 
grants through postsecondary institutions to qualified students 
who demonstrate exceptional financial need. Institutions have 
broad flexibility within the eligibility criteria for awarding 
these grants with the exception that priority must be given to 
Pell Grant recipients.

Work-study

    The bill provides $1,011,000,000 for the work-study 
program, the same as the comparable fiscal year 2001 
appropriation and the budget request. Funding for this program 
is provided through institutions to students who work part-time 
to meet the cost of education. Institutions receive funding 
according to a statutory formula and may allocate it for job 
location and job development centers.

Perkins loans capital contributions

    The Committee bill provides $100,000,000 in funding for new 
capital contributions to federal Perkins revolving loan funds, 
the same as the budget request and the comparable fiscal year 
2001 appropriation.

Perkins loans cancellations

    The bill provides $60,000,000 for federal Perkins loans 
cancellations, the same as the budget request and the fiscal 
year 2001 amount. The Federal Government reimburses 
institutional Perkins revolving loan funds for loan 
cancellations permitted under Federal law. Loans may be 
canceled when the borrower pursues a career in one of 12 
statutorily-designated professions including corrections, 
medical technical work, and peace corps or VISTA service.

Leveraging educational assistance partnership

    The bill includes $55,000,000 for the leveraging 
educational assistance partnership (LEAP) program, the same as 
the fiscal year 2001 level and the budget request. LEAP 
provides dollar-for-dollar matching funds to States as an 
incentive for providing need-based grant and work study 
assistance to eligible postsecondary students. Federally 
supported grants and job earnings are limited to $5,000 per 
award year for full-time students. By law, each State's 
allocation is based on its relative share of the total national 
population of students eligible to participate in the programs, 
except that no state is to receive less than it received in 
1979, when the appropriation was $76,750,000. If LEAP amounts 
are below this level, each State is allocated an amount 
proportional to the amount of funds it received in 1979. If a 
state does not use all of its allocation, the excess funds are 
distributed to other States in the same proportion as the 
original distribution. States must, at a minimum, match LEAP 
grants dollar for dollar with state funds provided through 
direct state appropriations for this purpose.

Loan Forgiveness for Child Care

    The bill includes $1,000,000 for loan forgiveness for child 
care, the same as the fiscal year 2001 amount and the budget 
request. This program was designed to retain and encourage more 
highly trained individuals to enter into the early childcare 
profession. Under this program, borrowers who have earned a 
degree in early childhood education and who work for two full 
years as a child care provider in a low-income community may 
have a portion of their loan obligation forgiven. Additional 
forgiveness is awarded for each additional consecutive year of 
service, up to a total of 100 percent of the borrower's 
outstanding balance after five full years.

                 Federal Family Education Loan Program

    The bill provides $49,636,000 for administration of the 
federal family education loan (FFEL) program, $1,636,000 above 
the fiscal year 2001 level and the same as the budget request. 
This discretionary administrative funding is provided in the 
FFEL appropriation account rather than under the Department's 
Salaries and Expenses account pursuant to a requirement of the 
Federal Credit Reform Act of 1990. These funds support Federal 
administrative activities including processing payments and 
claims, reducing loan default costs, and program monitoring. 
FFEL loans are financed with private capital and reinsured by 
the Federal Government against borrower default, death, 
disability and bankruptcy. Federal costs include payments for 
such insurance claims as well as support for borrower interest 
benefits. FFEL loans have supported over $150,000,000,000 in 
loans to student and parent borrowers since their inception. 
This account includes discretionary Federal administrative 
costs only. Additional amounts for new FFEL subsidies and 
mandatory administrative expenses for fiscal year 2001 are 
provided under permanent legislative authority.

                            Higher Education

    The bill provides $1,906,401,000 for higher education 
programs, a decrease of $5,309,000 below the fiscal year 2001 
appropriation and $183,178,000 above the budget request.

Strengthening institutions

    The bill provides $73,000,000 for the regular strengthening 
institutions program, the same as the budget request and the 
fiscal year 2001 level. This program provides general operating 
subsidies to institutions with low average educational and 
general expenditures per student and significant percentages of 
low-income students. Awards may be used for faculty and 
academic program development, management, joint use of 
libraries and laboratories, acquisition of equipment, and 
student services.

Hispanic serving institutions

    The bill provides $81,500,000 for the Hispanic serving 
institutions (HSI) program, $9,000,000 above the budget request 
and $13,000,000 above the fiscal year 2001 level. The HSI 
program provides operating subsidies to schools that serve at 
least 25 percent Hispanic students of whom at least half are 
low-income students.

Strengthening historically black colleges and universities

    The bill provides $215,000,000 for strengthening 
historically black colleges and universities (HBCUs), 
$30,000,000 above the fiscal year 2001 appropriation and 
$18,000,000 above the budget request.
    This program provides operating subsidies to accredited, 
legally authorized HBCUs established prior to 1964 whose 
principal mission is the education of Black Americans. Funds 
may be used to support both programs and management and are 
distributed through a formula grant based on the enrollment of 
Pell Grant recipients, number of graduates, and the number of 
graduates entering graduate or professional schools in which 
blacks are underrepresented. The minimum grant is $500,000.

Strengthening historically black graduate institutions

    The bill provides $50,000,000 for the strengthening 
historically black graduate institutions program, $5,000,000 
above the fiscal year 2001 appropriation and $2,000,000 above 
the budget request.
    The program provides 5-year grants to the following 18 
post-secondary institutions that are specified in section 
326(e)(1) of the Higher Education Act: Morehouse School of 
Medicine, Meharry Medical School, Charles R. Drew Postgraduate 
Medical School, Clark-Atlanta University, Tuskegee University 
School of Veterinary Medicine, Xavier University School of 
Pharmacy, Southern University School of Law, Texas Southern 
University Schools of Law and Pharmacy, Florida A&M; University 
School of Pharmaceutical Sciences, North Carolina Central 
University School of Law, Morgan State University qualified 
graduate program, Hampton University qualified graduate 
program, Alabama A&M; qualified graduate program, University of 
Maryland Eastern Shore qualified graduate program, Jackson 
State qualified graduate program, Norfolk State University and 
Tennessee State University. Of the amount appropriated, the 
first $21,600,000 is used to make grants to the first 16 
institutions listed above. Any amount appropriated in excess of 
$21,600,000 but less than $28,600,000 is used to make grants to 
Norfolk State University and Tennessee State University and any 
remaining appropriation is made available to each of the 18 
institutions based on a formula. Awards may be used for 
building endowments as well as the same purposes for which the 
strengthening HBCU grants may be used.

Strengthening Alaska Native and Native Hawaiian-serving institutions

    The Committee recommends $6,000,000 for strengthening 
Alaska Native and Native Hawaiian-serving institutions, the 
same as both the fiscal year 2001 level and the budget request.

Strengthening tribally controlled colleges and universities

    The Committee recommends $17,000,000 for the strengthening 
tribally controlled colleges and universities program, 
$2,000,000 above the budget request and the fiscal year 2001 
level.

Fund for the improvement of postsecondary education

    The Committee recommends $52,400,000 for the fund for the 
improvement of postsecondary education (FIPSE), $1,200,000 
above the budget request and $94,287,000 below the fiscal year 
2001 amount. FIPSE awards grants and contracts to a variety of 
postsecondary institutions and other organizations to improve 
the quality and delivery of postsecondary education.
    The Committee is aware of the University of South Florida's 
work in educational research and development as a member of the 
Globalization Research Centers Consortium. The Center has 
developed special expertise in projects involving the Caribbean 
basin and Central and South America. The Committee is also 
aware of and encourages efforts by the State of Florida, 
working in conjunction with the University of South Florida's 
Globalization Center, to conduct a preliminary site analysis in 
connection with the proposal to locate the Permanent 
Secretariat of the Free Trade Area of the Americas in Miami, 
Florida.
    The Committee is aware that the Department has awarded 
$865,080 over three years from this account to create new 
opportunities for low-income students at urban high schools and 
community colleges to earn bachelor's degrees at participating 
historically black colleges and universities, Hispanic-serving 
institutions, and tribal colleges. Because low-income and 
minority students are more likely than other students to 
initially enroll at community colleges, the Committee believes 
that creating and promoting opportunities to transfer to four-
year colleges is vital to closing gaps in educational 
attainment. Therefore, the Committee urges the Department to 
consider providing additional funding for this project as it 
becomes available.

Minority science improvement

    The bill provides $8,500,000 for the minority science 
improvement program (MSIP), the same as the fiscal year 2001 
appropriation and the budget request.
    The MSIP program awards grants to improve mathematics, 
science, and engineering programs at institutions serving 
primarily minority students and to increase the number of 
minority students who pursue advanced degrees and careers in 
those fields. The Committee encourages the Department to 
develop specific numerical goals and baseline data for this 
program.

International education and foreign languages studies

            Domestic Programs
    The bill provides $80,000,000 for the domestic activities 
of the international education and foreign languages studies 
programs, $13,000,000 above both the fiscal year 2001 
appropriation and the budget request. The program assists 
graduate and undergraduate foreign language and area studies 
programs and students at institutions of postsecondary 
education. Programs include national resource centers, foreign 
language and area studies fellowships, undergraduate 
international studies and foreign language programs, 
international research and studies projects, business and 
international education projects, international business 
education centers, language resource centers, and American 
overseas research centers and technological innovation and 
cooperation for foreign information access. In general, the 
Secretary has discretion to allocate funding among these 
various activities.
    The Committee is aware of the urgent need to strengthen 
instruction in foreign languages and related area studies that 
are less commonly taught. The Committee believes that foreign 
language skills and international expertise are essential 
factors in national security readiness. Ensuring U.S. security, 
foreign policy leadership, economic competitiveness, an our 
ability to solve global problems that affect the nation's well 
being depend on Americans who have an understanding of and 
ability of function effectively in other cultural, business and 
value systems, as well as foreign language proficiency. The 
Committee intends that the increase of $13,000,000 for the 
Title VI domestic programs be used first to strengthen foreign 
language training and related area studies in areas that are 
vital to our national security, including Central and South 
Asia, the Middle East, Russia, and the Independent States of 
the former Soviet Union. Further, the Committee urges the 
Department to place greater priority on requesting adequate 
funding for the international education and foreign language 
programs and on setting program goals and objectives that 
address national needs. In addition, the Committee urges the 
Department to review the organizational structures within the 
Department to (1) strengthen the staff and support systems as 
international education programs and responsibilities grow; (2) 
increase outreach activities and information about funding 
opportunities; (3) provide greater national accessibility by 
government agencies, businesses, the media, and education 
institutions to the expertise and knowledge these programs 
produce; and (4) increase coordination among all international 
education activities and programs within the Department.
            Overseas programs
    The bill provides $11,500,000 for the overseas programs in 
international education and foreign language studies authorized 
under the Mutual Educational and Cultural Exchange Act of 1961, 
popularly known as the Fulbright-Hays Act. The appropriation is 
$1,500,000 above the budget request and the fiscal year 2001 
appropriation. Funding for these programs supports group 
projects abroad, faculty research abroad, special bilateral 
projects, and doctoral dissertation research abroad.
    The Committee intends that the increase of $1,500,000 for 
the Fulbright overseas programs be used first to strengthen 
foreign language training and related areas studies in areas 
that are vital to our national security, including Central and 
South Asia, the Middle East, Russia, and the Independent States 
of the former Soviet Union.

Institute for International Public Policy

    The bill provides $1,500,000 for the Institute for 
International Public Policy, $478,000 above the budget request 
and the fiscal year 2001 appropriation. This program provides a 
grant to the United Negro College Fund to operate the Institute 
through sub-grantees chosen among minority serving 
institutions.

Interest subsidy grants

    The bill provides $5,000,000 for interest subsidy grants 
authorized under section 702 of the Higher Education Act, the 
same amount requested in the budget and $5,000,000 below the 
fiscal year 2001 appropriation. This program provides loan 
subsidies to higher education institutions for facilities 
acquisition, construction and renovation loans taken prior to 
1974. All loans will terminate by the fiscal year 2013. The 
authority to initiate new loan subsidy commitments was repealed 
in the 1992 amendments to the Higher Education Act. Interest 
subsidies provide institutions the difference between the 
interest they pay on commercially-obtained loans and 3 percent 
of the loan balance. The bill provides funding sufficient to 
meet the Federal Government's commitments on the 124 loans 
expected to be in repayment status in fiscal year 2002.

TRIO

    The bill provides $800,000,000 for the six TRIO programs, 
an increase of $20,000,000 above the budget request and 
$70,000,000 above the fiscal year 2001 appropriation. The TRIO 
programs provide a variety of outreach and support services to 
encourage low-income, potential first-generation college 
students to enter and complete college. Discretionary grants of 
up to four or five years are awarded competitively to 
institutions of higher education and other agencies. At least 
two-thirds of the eligible participants in TRIO must be low-
income, first-generation college students.
    The Committee believes that technical institutes play an 
important role in developing a highly-skilled workforce, and 
that minority and disadvantaged students participating in the 
TRIO programs should be counseled regarding the availability 
and benefits of technical training programs. Accordingly, the 
Committee directs the Secretary to submit a report within six 
months after the date of enactment of this appropriations Act, 
describing how the Department will ensure that TRIO students 
are informed of these options.

GEAR UP

    The bill includes $285,000,000 for the GEAR UP program, 
$58,000,000 above the budget request and $10,000,000 below the 
fiscal year 2001 level.
    The Committee is aware that the Department, in 
administering the fiscal year 2001 funding for the GEAR UP 
program, decided to fund new GEAR UP projects by providing all 
five years of funding in the first year of the award, rather 
than the traditional practice of providing funding one year at 
a time over a five-year period subject to the availability of 
appropriations. This decision resulted in a funding a small 
number of new grantees. The Committee is concerned that it was 
not consulted in advance of this decision, given that the 
Department's actions represent a departure from the proposed 
allocation of fiscal year 2001 funds indicated in the 
Department's budget justifications. It is the Committee's 
intent that, in administering GEAR UP funding in fiscal year 
2002, the Department provide continuation grants to the fiscal 
year 1999 and 2000 grantees at the levels contemplated in their 
initial grant awards. Further, the Committee strongly urges the 
Secretary to provide funding to new grantees for the first year 
of five-year grant periods, with subsequent year funding to be 
provided subject to the availability of appropriations.
    GEAR UP provides grants to states and partnerships of low-
income middle and high schools, institutions of higher 
education and community organizations to target entire grades 
of students and give them the skills and encouragement to 
successfully pursue postsecondary education.

Byrd scholarships

    The bill includes $41,001,000 for the Byrd scholarships 
program, the same as the budget request and the fiscal year 
2001 appropriation. The Byrd scholarship program provides 
formula grants to States to award four-year, $1,500 
scholarships to students who demonstrate academic excellence in 
high school.

Javits fellowships

    The Committee recommends $10,000,000 for the Javits 
fellowship program, the same as the budget request and the 
fiscal year 2001 appropriation. Under the Javits program, 
institutions receive Federal support to make fellowship awards 
of up to $15,000 to students pursuing doctoral study in the 
arts, humanities, and social sciences.

Graduate assistance in areas of national need program

    The Committee recommends $31,000,000 for the graduate 
assistance in areas of national need (GAANN) program, the same 
as both the budget request and the fiscal year 2001 
appropriation. The GAANN program awards grants to institutions 
of higher education to provide fellowships of up to five years 
and $15,000 to economically disadvantaged students who have 
demonstrated academic excellence and who are pursuing graduate 
education in designated areas of national need.

Learning anytime anywhere

    The Committee recommends no funding for learning anytime 
anywhere partnerships. The President's budget did not request 
funding for this program. The program was funded at $30,000,000 
in fiscal year 2001.
    This program supports grants of up to 5 years for regional 
or national partnerships aimed at widening the availability of 
new forms of distance education, as well as improving 
instructional and program quality.

Teacher quality enhancement grants

    The Committee recommends $100,000,000 for teacher quality 
enhancement grants, $46,000,000 above the budget request and 
$2,000,000 above the fiscal year 2001 appropriation. Teacher 
quality enhancement grants have three components: state grants, 
partnership grants and recruitment grants. By statute, state 
and partnership grants each receive 45 percent of the 
appropriation, and recruitment grants receive 10 percent.
    Under the state grant component, states apply to receive up 
to three years of funding to improve the quality of their 
teaching force through promoting reform activities such as 
teacher licensing and certification, accountability for high 
quality teacher preparation and professional development and 
recruiting teachers for high-need schools. States must match 50 
percent of the federal award.
    Under the partnership component, partnerships apply to 
receive a five-year grant to strengthen the capacity of K-12 
educators in designing and implementing effective teacher 
education programs, and by increasing collaboration among these 
practitioners and departments of arts and sciences and schools 
of education at institutions of higher education. Partnerships 
must match 25 percent of the federal grant in the first year, 
35 percent in the second year, and 50 percent for the remaining 
years.
    The recruitment component supports the efforts to reduce 
shortages of qualified teachers in high-need school districts. 
States or partnerships may apply to receive these grants.

Child care access means parents in school

    The Committee recommends $25,000,000 for child care access 
means parents in school program, the same as the budget request 
and the fiscal year 2001 appropriation. Under this program, 
institutions may receive discretionary grants of up to four 
years to support or establish a campus-based childcare program 
primarily serving the needs of low-income students enrolled at 
the institution. Priority is given to childcare programs that 
leverage significant local or institutional resources and 
utilize a sliding fee scale. Grants can only be used to 
supplement childcare services or start new programs.

Demonstration projects to ensure quality higher education for students 
        with disabilities

    The Committee includes $6,000,000 for demonstration 
projects to ensure quality higher education for students with 
disabilities. The President's budget did not request funding 
for this program. The program was funded at $6,000,000 in 
fiscal year 2001.
    This program provides discretionary grants for three years 
to support model demonstration projects that provide technical 
assistance and professional development activities for faculty 
and administrators in institutions of higher education in order 
to provide students with disabilities a high-quality 
postsecondary education. The Committee notes that fiscal year 
2001 marks the completion of the first cycle of grantees in 
this program.

Underground railroad program

    The Committee includes $1,750,000 for the underground 
railroad program, the same as the fiscal year 2001 
appropriation. The budget did not request funding for this 
program. The underground railroad program provides grants to 
non-profit institutions to research, display, interpret and 
collect artifacts relating to the history of the underground 
railroad.

Web-Based education commission

    The bill does not include funding for the web-based 
education commission. This commission received $250,000 in 
fiscal year 2001 to complete its work and issue its 
recommendations. The budget request did not include funding for 
it.

GPRA data/HEA program evaluation

    The Committee recommends $1,000,000 for program evaluation 
and development of data required under the Government 
Performance and Results Act for Higher Education programs 
administered by the Department. This is the same as the budget 
request and $2,000,000 below the fiscal year 2001 
appropriation.
    The Committee understands that for many higher education 
programs, baseline and performance indicator data is sparse, 
nonexistent or difficult to collect. Funding under this 
activity will support the Department in developing high-quality 
data as required under the Government Performance and Results 
Act and the teacher quality evaluation.

Thurgood Marshall scholarships

    The bill includes $5,000,000 for Thurgood Marshall 
scholarships. The President's budget did not request funding 
for this program. The program was funded at $4,000,000 in 
fiscal year 2001. This program provides a single award to the 
Council on Legal Education Opportunity (CLEO) to provide 
minority, low-income or disadvantaged college students with the 
information, preparation and financial assistance needed to 
gain access to and complete law school.

Olympic scholarships

    The bill includes $1,000,000 for Olympic scholarships, the 
same as the fiscal year 2001 level and $1,000,000 above the 
budget request. This program provides financial assistance to 
athletes who are training at the U.S. Olympic Education Center 
or one of the U.S. Olympic Training Centers and who are 
pursuing a postsecondary education at an institution of higher 
education.

                           Howard University

    The bill provides $242,474,000 for Howard University, 
$10,000,000 above the budget request and the fiscal year 2001 
appropriation. The budget request earmarks a minimum of 
$3,600,000 for the endowment, which is the same as the current 
level. The Committee bill concurs with this recommendation. The 
Committee is aware of Howard University's planned construction 
of an Interdisciplinary Science and Engineering Center, 
including a Middle School of Math and Science. The Committee is 
also aware of Howard University's public television station, 
WHUT, and its required conversion from analog to digital 
broadcasting. The Committee notes that funding in this account 
is available to support such activities at the University's 
discretion.
    Howard University is a ``Research I'' university located in 
the District of Columbia. Direct appropriations for Howard 
University are authorized by 20 U.S.C. 123, originally enacted 
in 1867. Howard University provides undergraduate liberal arts, 
graduate and professional instruction to approximately 11,000 
students from all 50 States. Masters degrees are offered in 
over 55 fields and Doctor of Philosophy degrees in 26 fields.

         College Housing and Academic Facilities Loans Program

    The bill provides $762,000 for the Federal administration 
of the college housing and academic facilities loan (CHAFL) 
program, the Higher Educational Facilities Loans program and 
the College Housing Loans program, the same as the budget 
request and the same as the fiscal year 2001 appropriation.

Historically Black College and University Capital and Financing Program

Federal administration

    The bill provides $208,000 for the administration of the 
historically black college and university capital financing 
program authorized under part D of title III of the Higher 
Education Act, the same as the fiscal year 2001 appropriation 
and the budget request. The program is intended to make capital 
available for repair and renovation of facilities at 
historically black colleges and universities. In exceptional 
circumstances, capital provided under the program can be used 
for construction or acquisition of facilities.

Bond subsidies

    Under the HBCU capital program, a private, for-profit 
``designated bonding authority'' issues construction bonds to 
raise capital for loans to historically black colleges and 
universities for construction projects. The Department provides 
insurance for these bonds, guaranteeing full payment of 
principal and interest to bond holders. Federally insured bonds 
and unpaid interest are limited by statute to $375,000,000. The 
letter of credit limitation establishes the total amount of 
bonds which can be issued by the designated bonding authority. 
The credit limitation must be explicitly stated in an 
appropriation Act according to the authorizing legislation.

            Education Research, Statistics, and Improvement

    The bill includes $445,620,000 for education research, 
statistics, and improvement programs. This amount is 
$63,500,000 above the budget request, and $276,528,000 below 
the fiscal year 2001 level. This account supports education 
research authorized under the Educational Research, 
Development, Dissemination, and Improvement Act of 1994; the 
National Center for Education Statistics; title II-B and C, 
title IV A and title VII-A of the Elementary and Secondary 
Education Act as reauthorized by the House; and the National 
Assessment of Educational Progress authorized by the National 
Education Statistics Act of 1994, and title VI of P.L. 103-382.

Research

    This bill includes $147,567,000 for educational research, 
$24,500,000 above the budget request and $27,000,000 above the 
fiscal year 2001 level. The Office of Educational Research and 
Improvement conducts research and development activities, which 
are authorized under the Educational Research, Development, 
Dissemination, and Improvement Act of 1994. The 1994 Act 
established a National Educational Research Policy and 
Priorities Board within the Office of Educational Research and 
Improvement, and authorizes five new national research 
institutes for the following subject areas: (1) student 
achievement, curriculum, and assessment; (2) education of at-
risk students; (3) educational governance, finance, 
policymaking, and management; (4) early childhood development 
and education; and (5) postsecondary education, libraries, and 
lifelong learning. The Assistant Secretary is authorized to 
support activities to increase the participation of minority 
researchers and institutions as well as research and 
development centers, in order to support the objectives of the 
national research institutes. Within the amount included in the 
bill for research and development activities, the Committee has 
included funding to continue all existing grants and contracts 
for comprehensive school reform research and development, 
capacity, and dissemination activities including the national 
clearinghouse for comprehensive school reform. Within the 
amount the Committee has also included $10,000,000 for the 
National Board for Professional Teaching Standards.

Regional educational laboratories

    The Committee has included $70,000,000 for the regional 
educational laboratories. This amount is $5,000,000 above the 
fiscal year 2001 level and the budget request. The Committee 
reiterates its intent, expressed in the Conference Report on 
the fiscal year 1996 bill (Report No. 104-537) that all work of 
the Regional Education Laboratories be based on the priorities 
established by their regional governing boards. The Committee 
commends the work of the regional educational laboratories in 
developing new products, conducting research, evaluating 
programs, and providing technical assistance and training to 
states, districts and schools in support of the Comprehensive 
School Reform Demonstration Program. The bill includes an 
increase of $5,000,000 over fiscal year 2001 to enable the 
laboratories to address the increased demand for technical 
assistance from states, districts and schools interested in 
implementing comprehensive school reforms.

Statistics

    This bill includes $85,000,000 for the activities of the 
National Center for Education Statistics, exclusive of the 
National Assessment of Educational Progress. This amount is the 
same as the budget request and $5,000,000 above the fiscal year 
2001 level.
    Statistics activities are authorized under the National 
Education Statistics Act of 1994, title VI of P.L. 103-382. The 
Center collects, analyzes, and reports statistics on all levels 
of education in the United States. Activities are carried out 
directly and through grants and contracts. Major publications 
include ``The Condition of Education'' and ``Digest of 
Education Statistics.'' Other products include projections of 
enrollments, teacher supply and demand, and educational 
expenditures. Technical assistance to state and local education 
agencies and postsecondary institutions is provided. 
International comparisons are authorized.

Assessment

    This bill includes $111,553,000 for the National Assessment 
of Educational Progress, $2,500,000 above the budget request, 
and $71,553,000 above the fiscal year 2001 level. The 
Assessment is authorized under section 411 of the National 
Education Statistics Act of 1994, and is the only nationally 
representative survey of educational ability and achievement of 
American students. The primary goal of the Assessment is to 
determine and report the status and trends of the knowledge and 
skills of students, subject by subject. Subject areas assessed 
in the past have included reading, writing, mathematics, 
science, and social studies, as well as citizenship, 
literature, art, and music. The Assessment is operated by 
contractors through competitive awards made by the National 
Center for Education Statistics; a National Assessment 
Governing Board formulates the policy guidelines for the 
program. Within the amounts provided, $4,053,000 is for the 
National Assessment Governing Board.
    Within the funds provided for the National Assessment of 
Educational Progress, the Committee has included $2,500,000 to 
conduct a study in up to five voluntarily participating large 
urban school districts of the feasibility for a Trial Urban 
Assessment as a component of the National Assessment of 
Educational Progress. In carrying out this initiative, results 
shall not be used to meet the requirements of any Federal law, 
including requirements under Title I of the Elementary and 
Secondary Education Act of 1965, as amended, and no personally 
identifiable data shall be maintained.

Fund for the improvement of education

    The bill does not include funding for the fund for the 
improvement of education, which was $338,781,000 in fiscal year 
2001. Funding for this program was not requested by the 
President. The fund for the improvement of education has a 
broad portfolio of activities related to the national education 
goals and systemic education reform. Under the fund, the 
Secretary of Education supports activities that identify and 
disseminate innovative educational approaches. The Committee 
notes that activities currently carried out under this program 
can be done in other programs funded in this bill.

International education exchange

    The bill does not include funding for the international 
education exchange program, which was $10,000,000 in fiscal 
year 2001. Funding for this program was not requested by the 
President. The International Education Exchange program 
provides support for education exchange activities in civics 
and government education and economic education between the 
United States and eligible countries in Central and Eastern 
Europe, the Commonwealth of Independent States, and any country 
that was formerly a republic of the Soviet Union. The Committee 
will continue to review the need for continued funding for this 
program in fiscal year 2002 throughout the appropriations 
process.

Civic education

    The bill includes $12,000,000 for the civic education 
program, the same as the fiscal year 2001 level. Funding for 
this program was not requested by the President. The Civic 
Education program funds the Center for Civic Education to 
educate students about the history and principles of the 
Constitution of the United States and foster civic competence 
and responsibility. This purpose is accomplished primarily 
through the Center's program ``We the People . . . The Citizen 
and the Constitution.''

Eisenhower professional development national activities

    The bill does not include funding for Eisenhower 
professional development national activities, which were 
$23,300,000 in fiscal year 2001. Funding for this program was 
not requested by the President. The Committee notes that 
activities currently carried out under this program can be 
funded in other programs in this bill.

Eisenhower regional mathematics and science education consortia

    The bill does not include funding for Eisenhower regional 
mathematics and science education consortia, which was 
$15,000,000 in fiscal year 2001. Funding for this program was 
not requested by the President. The Committee notes that 
activities currently carried out under this program can be done 
in other programs funded in this bill.

Javits gifted and talented education

    The bill includes $7,500,000 for Javits gifted and talented 
education, the same as in fiscal year 2001. Funding for this 
program was not requested by the President. The purpose of this 
program is to build nationwide capability to meet the special 
educational needs of gifted and talented students. The program 
functions through support for research, demonstration projects, 
teacher training, and other activities.

National writing project

    The bill provides $12,000,000 for the National Writing 
Project, $2,000,000 above the fiscal year 2001 level. The 
President's budget did not request funding for this program. 
Funds are provided to the National Writing Project, a nonprofit 
educational organization that supports teacher training 
programs in the effective teaching of writing, and supports 
classroom-level research on teaching writing that documents 
effectiveness in terms of student performance. To provide these 
services, the National Writing Project contracts with numerous 
institutions of higher education and nonprofit education 
providers to operate small teacher training programs. Federal 
funds support 50 percent of the costs of these programs, and 
recipients must contribute an equal amount.

                        departmental management

    The bill includes $545,866,000 for departmental management 
(salaries and expenses) at the Department of Education. This 
amount is $21,437,000 above the fiscal year 2001 appropriation 
and $3,000,000 more than the budget request. Within the funds 
provided, the Committee assumes a 4.6 percent pay increase. 
These activities are authorized by the Department of Education 
Organization Act, P.L. 96-88, and include costs associated with 
the management and operations of the Department as well as 
separate costs associated with the Office for Civil Rights and 
the Office of the Inspector General.
    The Committee is very concerned that the Department has 
``front loaded'' new grants in several programs (provided all 
years of proposed funding in the first year of the award, 
rather than the traditional practice of providing funding one 
year at a time over a multi-year period) without prior 
consultation with or notification of Congress. The Committee 
believes that this practice should be limited and utilized only 
when strongly justified by programmatic considerations. The 
Committee therefore directs the Secretary to provide 
notification and justification to the Committee at least 60 
days in advance of any grant awards if such decisions are 
contemplated in the future for any grant program. This 
notification and justification may be provided in the 
Department's operating plan or in the Congressional 
justifications.
    The Committee continues to be pleased with the emphasis the 
Department's senior management team has placed on complying 
with the Government Performance and Results Act. The Committee 
expects the Department to continue to develop and refine GPRA 
measures for all programs, focusing particularly on student 
achievement outcomes.
    The Committee requests the Secretary to prepare a report 
describing current policy and practice barriers to access and 
utilization of targeted and mainstream Federal education 
programs by homeless people and recommendations for removing 
such impediments and strengthening such programs. The report 
should include recommendations from all appropriate offices 
within the Department, including the Office of Elementary and 
Secondary Education, the Office of Special Education and 
Rehabilitative Services, and the Office of Vocational and Adult 
Education and should reflect consultations with homeless 
people, advocates for the homeless, and other appropriate 
educational and governmental representatives. The Secretary 
should submit this report to the Committees on Appropriations 
of both the House and Senate, and to the House Committee on 
Education and the Workforce and the Senate Committee on Health, 
Education, Labor and Pensions no later than September 30, 2002.
    The Committee encourages the Secretary to work with States 
and school districts to provide information to the public that 
explains their distribution of educational resources, including 
per pupil expenditures, accessibility of technology, and range 
and quality of curriculum, among local educational agencies and 
schools. The Committee believes that such information could 
prove useful in educating parents and taxpayers on the nature 
of the State's educational investments, in addition to student 
academic performance data that is already reported.

Program administration

    The bill includes $427,212,000 for program administration. 
This amount is $15,016,000 above the fiscal year 2001 
appropriation and $3,000,000 above the budget request. These 
funds support the staff and other costs of administering 
programs and activities at the Department. Items include 
personnel compensation and health, retirement and other 
benefits as well as travel, rent, telephones, utilities, 
postage fees, data processing, printing, equipment, supplies, 
technology training, consultants and other contractual 
services.

Office for Civil Rights

    The bill includes $79,934,000 for the salaries and expenses 
of the Office for Civil Rights. This amount is $4,112,000 above 
the fiscal year 2001 appropriation and the same as the budget 
request. This Office is responsible for enforcing laws that 
prohibit discrimination on the basis of race, color, national 
origin, sex, disability, and age in all programs and 
institutions that receive funds from the Department. These laws 
extend to 50 State educational agencies, 16,000 local 
educational agencies, 3,500 institutions of higher education, 
as well as to proprietary schools, State rehabilitation 
agencies, libraries, and other institutions receiving Federal 
funds.

Office of the Inspector General

    The bill includes $38,720,000 for the Office of the 
Inspector General. This amount is $2,309,000 above the fiscal 
year 2001 appropriation and the same as the budget request. 
This Office has authority to inquire into all program and 
administrative activities of the Departments as well as into 
related activities of grant and contract recipients. It 
conducts audits and investigations to determine compliance with 
applicable laws and regulations, to check alleged fraud and 
abuse, efficiency of operations, and effectiveness of results.
    The Committee expects the Inspector General to continue 
reporting to the Committee on actual collections, offsets and 
funds put to better use as a result of the Office's actions and 
investigations as required by the fiscal year 2001 House report 
(105-635) and as agreed upon by the Committee and the Office of 
the Inspector General. The Committee encourages the Secretary 
and the Inspector General to continue efforts to root out such 
waste, fraud, and abuse. The Secretary should be prepared to 
report in his fiscal year 2003 testimony on the steps taken to 
increase financial record keeping in the Department. 
Specifically, the Secretary should be prepared to testify on 
the number of active investigations; the amount of waste, fraud 
and abuse identified; the savings to taxpayers from these 
investigations; the number of referrals for prosecution by the 
Department; and suggestions for laws that will improve anti-
waste, fraud and abuse efforts.

                           general provisions

    Sec. 301. The Committee continues a provision which 
prohibits funds under this Act from being used for the 
transportation of students or teachers in order to overcome 
racial imbalances or to carry out a plan of racial 
desegregation.
    Sec. 302. The Committee continues a provision which 
prohibits funds under this Act from being used to require the 
transportation of any student to a school other than the school 
which is nearest the student's home in order to comply with 
title VI of the Civil Rights Act of 1964.
    Sec. 303. The Committee continues a provision which 
prohibits funds under this Act from being used to prevent the 
implementation of programs of voluntary prayer and meditation 
in public schools.
    Sec. 304. The Committee continues a provision which allows 
up to 1 percent of any discretionary funds appropriated for the 
Department of Education to be transferred between 
appropriations accounts, provided that no appropriation is 
increased by more than 3 percent by any such transfer. This 
provision requires the Secretary to notify the Appropriations 
Committees of both Houses of Congress at least 15 days in 
advance of a transfer.

                       TITLE IV--RELATED AGENCIES


                      Armed Forces Retirement Home

    The bill provides authority to expend $71,440,000 from the 
Armed Forces Retirement Home Trust Fund for operations and 
capital activities at the United States Soldiers' and Airmen's 
Home and the United States Naval Home, an increase of 
$1,608,000 above the comparable fiscal year 2001 authority and 
the same as the budget request.

Operations

    The bill provides authority to expend $61,628,000 from the 
Armed Forces Retirement Home Trust Fund for operations of the 
United States Soldiers' and Airmen's Home and the United States 
Naval Home, an increase of $1,628,000 above the comparable 
fiscal year 2001 authority and the same as the budget request.

Capital outlay

    The bill provides authority to expend $9,812,000 from the 
Armed Forces Retirement Home Trust Fund for capital activities 
at the Soldiers' and Airmen's Home and the United States Naval 
Home, a decrease of $20,000 below the comparable fiscal year 
2001 authority and the same as the budget request.

             Corporation for National and Community Service


                  domestic volunteer service programs

    The bill provides $324,450,000 for the Domestic Volunteer 
Service Programs that are administered by the Corporation for 
National and Community Service. The recommended amount is 
$20,600,000 above the comparable fiscal year 2001 appropriation 
and $7,600,000 above the budget request. Appropriations for 
these programs are not authorized in law for fiscal year 2002. 
Funding for the Americorps program that is also administered by 
the Corporation for National and Community Service is provided 
in the VA/HUD and Independent Agencies appropriations bill.
    The Committee directs the Corporation not to reduce funding 
for traditional VISTA and senior volunteer programs below the 
amounts allocated for fiscal year 2001. In addition, the 
Committee directs the Corporation not to reduce the number of 
traditional VISTAs or senior volunteers below fiscal year 2001 
levels.

VISTA

    The bill provides $83,074,000 for the Volunteers in Service 
to America (VISTA) program, the same as fiscal year 2001 and 
$1,000,000 above the budget request. The VISTA program supports 
individuals who recruit volunteers and organize community 
volunteer activities but who do not provide direct volunteer 
services.

National Senior Volunteer Corps

    The bill provides a total of $209,147,000 for the National 
Senior Volunteer Corps, $20,600,000 above fiscal year 2001 and 
$6,600,000 above the budget request.
    The bill provides $109,468,000 for the Foster Grandparents 
program, $10,600,000 above fiscal year 2001 levels and 
$6,600,000 above the budget request. This program provides 
volunteer service opportunities for low-income people aged 60 
and over. The Committee intends that this increase be used to 
increase the stipend for Foster Grandparent volunteers by $0.10 
per hour.
    The bill provides $44,395,000 for the Senior Companion 
program, $4,000,000 above the fiscal year 2001 appropriation 
and the same as the budget request. The program provides 
project grants to private, non-profit organizations and State 
and local public agencies to offer volunteer service 
opportunities to low-income individuals aged 60 and over. These 
volunteers assist older adults with physical, mental or 
emotional impairments that put them at risk for 
institutionalization.
    The bill provides $54,884,000 for the Retired Senior 
Volunteer Program (RSVP), $6,000,000 above the fiscal year 2001 
appropriation and the same as the budget request. This program 
provides part-time volunteer service opportunities for low-
income individuals aged 55 and over to recruit volunteers and 
organize volunteer activities relating to a variety of social 
needs.
    The bill includes $400,000 for senior demonstration 
programs, the same as the fiscal year 2001 level and the budget 
request. The Committee intends this funding to be used to carry 
out evaluations and to provide recruitment, training and 
technical assistance to local projects particularly in the area 
of outcome-based programming.

Program administration

    The bill provides $32,229,000 for program administration, 
the same as the fiscal year 2001 appropriation and the budget 
request.

                  Corporation for Public Broadcasting

    The bill provides $365,000,000 in advance funding for 
fiscal year 2004 for the Corporation for Public Broadcasting 
(CPB), the same as the comparable appropriation for fiscal year 
2003. The Committee is concerned that the basic support to the 
Independent Television Service has not risen comparable to the 
overall increases for CPB funding. The committee encourages the 
CPB to increase baseline funding to ITVS.
    The bill includes language providing an additional 
$25,000,000 for digitalization, if specifically authorized by 
subsequent legislation.

               Federal Mediation and Conciliation Service

    The bill provides $39,482,000 for the Federal Mediation and 
Conciliation Service (FMCS), an increase of $1,282,000 above 
the comparable fiscal year 2001 authority and the same as the 
budget request.
    The FMCS attempts to prevent and minimize labor-management 
disputes having a significant impact on interstate commerce or 
national defense, except in the railroad and airline 
industries. The agency convenes boards of inquiry appointed by 
the President in emergency disputes and conducts dispute 
mediation, preventive mediation, and arbitration. In addition, 
the Service offers alternative dispute resolution services and 
training to other Federal agencies to reduce litigation costs 
and speed Federal administrative proceedings.
    The bill also includes provisions first enacted in the 
fiscal year 1996 Appropriations Act granting the agency the 
authority to accept gifts and to charge fees for certain 
services.

            Federal Mine Safety and Health Review Commission

    The bill provides $6,939,000 for the Federal Mine Safety 
and Health Review Commission, $619,000 above the fiscal year 
2001 level and the same as the budget request. The Commission 
is responsible for reviewing the enforcement activities of the 
Secretary of Labor under the Federal Mine Safety and Health 
Act. The Commission's administrative law judges hear and decide 
cases initiated by the Secretary of Labor, mine operators, or 
miners. The five-member Commission hears appeals from 
administrative law judge decisions, rules on petitions for 
discretionary review, and may direct, of its own initiative, 
review of cases that present unusual questions of law.

                Institute of Museum and Library Services

    The Committee recommends $168,078,000 for the Institute of 
Museum and Library Services, the same as the budget request. 
The Institute makes state formula grants for library services 
and discretionary national grants for joint library and museum 
projects.

                  Medicare Payment Advisory Commission

    The Committee recommends $8,000,000 for the Medicare 
Payment Advisory Commission, the same as the comparable fiscal 
year 2001 level and the budget request. The Commission advises 
Congress on matters of physician and hospital reimbursement 
under the Medicare and Medicaid programs.

        National Commission on Libraries and Information Science

    The Committee provides $1,000,000 for the National 
Commission on Libraries and Information Science, $495,000 below 
the comparable fiscal year 2001. The budget request did not 
include funding for the Commission. The Committee encourages 
the Commission to utilize this year's funding to complete 
ongoing projects.

                     National Council on Disability

    The bill provides $2,830,000 for the National Council on 
Disability (NCD), $215,000 above the fiscal year 2001 level and 
the same as the budget request. The Council monitors 
implementation of the Americans with Disabilities Act and makes 
recommendations to the President, the Congress, the 
Rehabilitation Services Administration, and the National 
Institute on Disability and Rehabilitation Research on public 
policy issues of concern to individuals with disabilities.

                     National Education Goals Panel

    The Committee does not recommend funding for the National 
Education Goals Panel. The Panel was funded at $1,500,000 in 
fiscal year 2001 and the budget requested $2,000,000 for it in 
fiscal year 2002. the Panel was established in 1990 following 
the National Education Summit held in September 1989. The 
Committee notes that the Goals Panel has been repealed in H.R. 
1, the No Child Left Behind Act of 2001.

                     National Labor Relations Board

    The bill provides $221,438,000 for the National Labor 
Relations Board, $5,000,000 more than the fiscal year 2001 
level and the same as the budget request. The NLRB receives, 
investigates, and prosecutes unfair labor practice charges 
filed by businesses, labor unions, and individuals. It also 
schedules and conducts representation elections. The five-
member Board considers cases in which administrative law judge 
decisions are appealed.

                        National Mediation Board

    The bill provides $10,635,000 for the National Mediation 
Board (NMB), $235,000 above the comparable fiscal year 2001 
authority and the same as the budget request. The NMB mediates 
labor disputes between employees and railroad and airline 
carriers subject to the Railway Labor Act. The Board also 
resolves representation disputes involving labor organizations 
seeking to represent railroad or airline employees.

            Occupational Safety and Health Review Commission

    The bill provides $8,964,000 for the Occupational Safety 
and Health Review Commission (OSHRC), $244,000 above the fiscal 
year 2001 level and the same as the budget request. The 
Commission adjudicates contested citations issued by the 
Occupational Safety and Health Administration (OSHA) against 
employers for violations of safety and health standards. The 
Commission's administrative law judges settle and decide cases 
at the initial level of review. The agency's three appointed 
Commissioners also review cases, issue rulings on complicated 
issues, and may direct review of any decision by an 
administrative law judge.

                       Railroad Retirement Board


                         dual benefits account

    The bill provides $146,000,000 for dual benefits, the same 
as the request and a reduction of $14,000,000 below the 
comparable fiscal year 2001 appropriation. These funds are used 
to pay dual benefits to those retirees receiving both railroad 
retirement and social security benefits. The bill includes a 
provision permitting a portion of these funds to be derived 
from income tax receipts on dual benefits as authorized by law. 
The Railroad Retirement Board estimates that approximately 
$9,000,000 may be derived in this manner.

           federal payment to the railroad retirement account

    The bill provides $150,000 for the interest earned on 
unnegotiated checks, the same as the budget request and the 
comparable amount provided for fiscal year 2001.

                      limitation on administration

    The bill provides a consolidated limitation of $97,700,000 
on the expenditure of railroad retirement and railroad 
unemployment trust funds for administrative expenses of the 
Railroad Retirement Board, $2,700,000 above the comparable 
fiscal year 2001 authority and the same as the budget request. 
The bill includes a provision from the fiscal year 1999 
Appropriations Act prohibiting the transfer of resources 
formerly identified in a Memorandum of Understanding from the 
RRB to the Inspector General.
    The Railroad Retirement Board (RRB) administers 
comprehensive retirement-survivor and unemployment-sickness 
insurance benefit programs for 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 RRB for administrative expenses.
    The Committee is pleased with the management of the Board 
and reiterates its interest in quickly and comprehensively 
implementing the Government Performance and Results Act.

             limitation on the office of inspector general

    The bill provides authority to expend $6,042,000 from the 
railroad retirement and railroad unemployment insurance trust 
funds for the Office of Inspector General. This amount is 
$342,000 above the comparable fiscal year 2001 limitation. This 
account provides funding for the Inspector General to conduct 
and supervise audits and investigations of programs and 
operations of the Board.
    The Committee complements the work of the Office of the 
Inspector General of the Railroad Retirement Board for their 
work in obtaining information on actual collections, offsets, 
and funds put to better use as required in House Report 105-
635. This information is of great use to the Committee and the 
Committee understands the difficulty encountered by the OIG in 
obtaining it. The Committee expects that the Office of 
Inspector General will continue to report the information to 
it.

                     Social Security Administration


                payments to social security trust funds

    The bill provides $434,400,000 for mandatory payments 
necessary to compensate the Old Age and Survivors Insurance 
(OASI) and Disability Insurance (DI) Trust Funds for special 
payments to certain uninsured persons (for which no payroll tax 
is received), costs incurred for administration of pension 
reform activities and interest lost on the value of benefit 
checks issued but not negotiated. This appropriation restores 
the trust funds to the position they would have been in had 
they not borne these costs properly charged to the general 
funds.

               special benefits for disabled coal miners

    The bill provides $332,840,000 for special benefits for 
disabled coal miners, the same as the budget request. This 
amount does not include $114,000,000 in funding advanced in the 
prior year. The appropriation provides cash benefits to miners 
who are disabled because of black lung disease and to widows 
and children of such miners. The Social Security Administration 
was responsible for taking, processing, and paying claims for 
miners' benefits filed from December 30, 1969 through June 30, 
1973. Since that time, SSA has continued to take claims but 
forwards most to the Department of Labor for adjudication and 
payment. The SSA will continue to be responsible for paying 
benefits and maintaining the beneficiary roll for the lifetime 
of all persons who filed during its jurisdiction.

                  supplemental security income program

    The bill provides $21,570,412,000 for the Supplemental 
Security Income (SSI) program, not including $10,470,000,000 in 
fiscal year 2002 funding provided in the fiscal year 2001 
Appropriations Act. The bill provides $10,790,000,000 in 
advance funding for the first quarter of fiscal year 2003. In 
addition to Federal benefits, SSA administers a program of 
supplementary State benefits for those States that choose to 
participate. The funds are also used to reimburse the trust 
funds for the administrative costs of the program. The SSI 
appropriation includes $37,412,000 for beneficiary services, 
the same as the budget request. This funding reimburses State 
vocational rehabilitation services agencies for successful 
rehabilitation of SSI recipients.
    Within the appropriation for SSI, the Committee provides 
$30,000,000 for research and demonstration activities conducted 
under section 1110 of the Social Security Act, the same as the 
request.
    The bill provides an additional $200,000,000 to process 
continuing disability reviews (CDRs) related to the SSI 
caseload as authorized by P.L. 104-121, the same as the budget 
request.

                 limitation on administrative expenses

    The bill provides a limitation on administrative expenses 
for the Social Security Administration (SSA) of $7,035,000,000 
to be funded from the Social Security and Medicare trust funds. 
The bill provides that not less than $1,800,000 within the 
limitation on administration shall be available for the Social 
Security Advisory Board, the same as the budget request and the 
comparable fiscal year 2001 amount.
    The Committee is pleased that SSA officials have continued 
to educate adjudicators at all levels of the SSA process about 
the April 1999 CFS ruling (99-2p). The Committee encourages SSA 
to continue these educational efforts, as many SSA employees 
remain unfamiliar with or misinformed about CFS and the 
functional limitations it imposes. Finally, the Committee 
encourages SSA to continue examining obstacles to benefits for 
persons with CFS, to assess the impact of the ruling on CFS 
patients' access to benefits, and to keep medical information 
updated throughout all levels of the application and review 
process.
    The Committee requests the Commissioner to prepare and 
submit to this committee and the authorization committees with 
jurisdiction over SSA programs by September 30, 2002 a report 
that describes current policy and practice barriers to access 
and utilization of Supplemental Security Income and Social 
Security Disability Insurance programs by homeless people and 
recommendations for removing such impediments and strengthening 
such programs.

User fees

    In addition to other amounts provided in the bill, the 
Committee recommends an additional limitation of $100,000,000 
for administrative activities funded from user fees. This is 
the same as the request.

Continuing disability reviews

    The bill provides $433,000,000 for continuing disability 
reviews (CDRs). This activity is funded both by the regular 
Limitation on Administrative Expenses account and by provisions 
of the Personal Responsibility and Work Opportunity 
Reconciliation Act of 1996 (P.L. 104-193).

                      office of inspector general

    The bill provides $19,000,000 for the Office of the 
Inspector General, $2,056,000 more than the comparable fiscal 
year 2001 appropriation and the same as the budget request. The 
bill also provides authority to expend $56,000,000 from the 
Social Security trust funds for activities conducted by the 
Inspector General, the same as the budget request.

                    United States Institute of Peace

    The bill provides $15,000,000 for the United States 
Institute of Peace, the same as the fiscal year 2001 level and 
$207,000 below the budget request. The Institute was created in 
1984 to provide education and training, basic and applied 
research, and information services to promote conflict 
resolution.

                      TITLE V--GENERAL PROVISIONS

    Sec. 501. The Committee continues a provision to allow the 
Secretaries of Labor, Health and Human Services, and Education 
to transfer unexpended balances of prior appropriations to 
accounts corresponding to current appropriations to be used for 
the same purpose and for the same periods of time for which 
they were originally appropriated.
    Sec. 502. The Committee continues a provision to prohibit 
the obligation of funds beyond the current fiscal year unless 
expressly so provided.
    Sec. 503. The Committee continues a provision to prohibit 
appropriated funds to be used to support or defeat legislation 
pending before the Congress or any State legislature, except in 
presentation to the Congress or any State legislature itself.
    Sec. 504. The Committee continues a provision to limit the 
amount available for official reception and representation 
expenses for the Secretaries of Labor and Education, the 
Director of the Federal Mediation and Conciliation Service, and 
the Chairman of the National Mediation Board.
    Sec. 505. The Committee continues a provision to prohibit 
funds to be used to carry out a needle distribution program.
    Sec. 506. The Committee continues a Sense of the Congress 
provision related to buy American-made products.
    Sec. 507. The Committee continues a provision to require 
grantees receiving Federal funds to clearly state the 
percentage of the total cost of the program or project which 
will be financed with Federal money.
    Sec. 508. The Committee continues a provision to prohibit 
appropriated funds to be used for any abortion.
    Sec. 509. The Committee continues a provision to provide 
exceptions for Sec. 508.
    Sec. 510. The Committee continues a provision to prohibit 
the use of funds in the Act concerning research involving human 
embryos. However, this language should not be construed to 
limit federal support for research involving human embryonic 
stem cells listed on an NIH registry and carried out in 
accordance with policy outlined by the President.
    Sec. 511. The Committee continues a provision to prohibit 
the use of funds for any activity that promotes the 
legalization of any drug or substance included in schedule I of 
the schedules of controlled substances.
    Sec. 512. The Committee continues a provision related to 
annual reports to the Secretary of Labor.
    Sec. 513. The Committee continues a provision to prohibit 
the use of funds to promulgate or adopt any final standard 
providing for a unique health identifier until legislation is 
enacted specifically approving the standard.

             TITLE VI--EXTENSION OF MARK-TO-MARKET PROGRAM

    The bill includes the Mark-to-Market Extension Act of 2001. 
This bill provides for a three-year extension of the Mark-to-
Market program.

                        constitutional authority

    Clause 3(d)(1) of rule XIII of the Rules of the House of 
Representatives states that:

          Each report of a committee on a public bill or public 
        joint resolution shall contain the following: (1) A 
        statement citing the specific powers granted to 
        Congress in the Constitution to enact the law proposed 
        by the bill or joint resolution.

    The Committee on Appropriations bases its authority to 
report this legislation on Clause 7 of Section 9 of Article I 
of the Constitution of the United States of America which 
states:

          No money shall be drawn from the Treasury but in 
        consequence of Appropriations made by law * * *.

    Appropriations contained in this Act are made pursuant to 
this specific power granted by the Constitution.

                   comparison with budget resolution

    Clause 3(c)(2) of rule XIII of the Rules of the House of 
Representatives requires an explanation of compliance with 
section 308(a)(1)(A) of the Congressional Budget Act of 1974 
(Public Law 93-344), as amended, which requires that the report 
accompanying a bill providing new budget authority contain a 
statement detailing how the authority compares with the report 
submitted under section 302 of the Act for the most recently 
agreed to concurrent resolution on the budget for the fiscal 
year. This information follows:

                                            [In millions of dollars]
----------------------------------------------------------------------------------------------------------------
                                                            Sec. 302(b)                      This bill
                                                 ---------------------------------------------------------------
                                                      Budget                          Budget
                                                     authority        Outlays        authority        Outlays
----------------------------------------------------------------------------------------------------------------
Discretionary...................................         119,725         106,224         123,371         106,828
Mandatory.......................................         272,347         272,702         272,347        272,702
----------------------------------------------------------------------------------------------------------------
Note.--Pursuant to 314 of the Congressional Budget Act of 1974, as amended, increases to the Committee's Sec.
  302(a) allocation are mandated for funding in the reported bill for continuing disability reviews under the
  heading ``Limitation on Administrative Expenses'' for the Social Security Administration, for adoption
  incentive payments under the heading ``Children and Families Services Programs'' in the Administration for
  Children and Families, and for amounts provided and designated as emergency requirements under the heading
  ``Low Income Home Energy Assistance.'' After the bill is reported to the House, the Committee will receive an
  increased Sec. 302(a) allocation consistent with the funding provided in the bill, and the Committee will
  increase the suballocation accordingly.

    In accordance with the Congressional Budget Act of 1974 
(Public Law 93-344), as amended, the following information was 
provided to the Committee by the Congressional Budget Office:

                         Five-Year Projections

    In compliance with section 308(a)(1)(B) of the 
Congressional Budget Act of 1974 (Public Law 93-344), as 
amended, the following table contains five-year projections 
associated with the budget authority provided in the 
accompanying bill:

                        [In millions of dollars]

Budget authority in the bill............................         327,513
Outlays:
    2002................................................         257,118
    2002................................................          87,817
    2003................................................          18,200
    2004................................................           3,508
    2005................................................             999

          financial assistance to state and local governments

    In accordance with section 308(a)(1)(C) of the 
Congressional Budget Act of 1974 (Public Law 93-344), as 
amended, the financial assistance to State and local 
governments is as follows:

                        [In millions of dollars]

Budget authority........................................         164,853
Fiscal year 2002 outlays resulting therefrom............         132,223

                           transfer of funds

    Pursuant to clause 3(f)(2), rule XIII of the Rules of the 
House of Representatives, the following table is submitted 
describing the transfers of funds provided in the accompanying 
bill.
    The table shows, by Department and agency, the 
appropriations affected by such transfers.

                                 APPROPRIATION TRANSFERS RECOMMENDED IN THE BILL
----------------------------------------------------------------------------------------------------------------
                                                                 Account from which transfer is
    Account to which transfer is to be made         Amount                 to be made                 Amount
----------------------------------------------------------------------------------------------------------------
Department of Labor:                                            Department of Labor:
    Special Benefits..........................           (\1\)      Postal Service..............           (\1\)
    Employment Standards Administration--          $31,443,000      Black Lung Disability Trust      $31,443,000
     Salaries and Expenses.                                      Fund.
Departmental Management:
    Salaries and Expenses.....................      22,590,000      Black Lung Disability Trust       22,590,000
                                                                 Fund.
    Office of Inspector General...............         328,000      Black Lung Disability Trust          328,000
                                                                 Fund.
Department of Health and Human Services:
    National Institutes of Health:                              International Assistance
                                                                 Programs:
        National Institute of Allergy and                up to      Global Fund to Fight HIV/              up to
         Infectious Diseases.                      $25,000,000   AIDS,.                             $100,000,000
                                                                      Malaria, and Tuberculosis.
        Buildings and Facilities..............           up to
                                                   $75,000,000
Related Agencies:                                                 Related Agencies:
        Social Security Administration: Office      56,000,000  Social Security Administration:       56,000,000
         of Inspector General.                                   Limitation on Administrative
                                                                 Expenses.
----------------------------------------------------------------------------------------------------------------
\1\ Such sums.

                              rescissions

    Pursuant to clause 3(f)(2), rule XIII of the Rules of the 
House of Representatives, the following table is submitted 
describing the rescissions recommended in the accompanying 
bill.

                  rescissions recommended in the bill

Department of Health and Human Services: Children and 
    Families Services Programs..........................     $21,000,000

          Compliance With Rule XIII, Cl. 3(e) (Ramseyer Rule)

  In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italic, existing law in which no change is 
proposed is shown in roman):

   MULTIFAMILY ASSISTED HOUSING REFORM AND AFFORDABILITY ACT OF 1997

TITLE V--HUD MULTIFAMILY HOUSING REFORM

           *       *       *       *       *       *       *


SEC. 510. SHORT TITLE.

  This title may be cited as the ``Multifamily Assisted Housing 
Reform and Affordability Act of 1997''.

   Subtitle A--FHA-Insured Multifamily Housing Mortgage and Housing 
                        Assistance Restructuring

SEC. 511. FINDINGS AND PURPOSES.

  (a) Findings.--Congress finds that--
          (1) * * *

           *       *       *       *       *       *       *

          (12) the authority and duties of the Secretary, not 
        including the control by the Secretary of applicable 
        accounts in the Treasury of the United States, may be 
        delegated to State, local or other entities at the 
        discretion of the Secretary, to the extent the 
        Secretary determines, and for the purpose of carrying 
        out this [Act] title, so that the Secretary has the 
        discretion to be relieved of processing and approving 
        any document or action required by these reforms.

           *       *       *       *       *       *       *


SEC. 512. DEFINITIONS.

  In this subtitle:
          (1) * * *
          (2) Eligible multifamily housing project.--The term 
        ``eligible multifamily housing project'' means a 
        property consisting of more than 4 dwelling units--
                  (A) * * *

           *       *       *       *       *       *       *

        Such term does not include any project with an expiring 
        contract described in paragraph (1) or (2) of section 
        524(e), but does include a project described in section 
        524(e)(3). Notwithstanding any other provision of this 
        title, the Secretary may treat a project as an eligible 
        multifamily housing project for purposes of this title 
        if (I) the project is assisted pursuant to a contract 
        for project-based assistance under section 8 of the 
        United States Housing Act of 1937 renewed under section 
        524 of this Act, (II) the owner consents to such 
        treatment, and (III) the project met the requirements 
        of the first sentence of this paragraph for eligibility 
        as an eligible multifamily housing project before the 
        initial renewal of the contract under section 524.

           *       *       *       *       *       *       *

          (19) Office.--The term ``Office'' means the Office of 
        Multifamily Housing Assistance Restructuring 
        established under section 571.

SEC. 513. AUTHORITY OF PARTICIPATING ADMINISTRATIVE ENTITIES.

  (a) Participating Administrative Entities.--
          (1) * * *
          (2) Portfolio restructuring agreements.--Each 
        portfolio restructuring agreement entered into under 
        this subsection shall--
                  (A) * * *

           *       *       *       *       *       *       *

                  (I) include, where appropriate, incentive 
                agreements with the participating 
                administrative entity to reward superior 
                performance in meeting the purposes of this 
                [Act] title.

           *       *       *       *       *       *       *

  (b) Selection of Participating Administrative Entity.--
          (1) * * *

           *       *       *       *       *       *       *

          (3) Partnerships.--For the purposes of any 
        participating administrative entity applying under this 
        subsection, participating administrative entities are 
        encouraged to develop partnerships with each other and 
        with nonprofit organizations, if such partnerships will 
        further the participating administrative 
        entity's ability to meet the purposes of this [Act] 
        title.

           *       *       *       *       *       *       *


SEC. 514. MORTGAGE RESTRUCTURING AND RENTAL ASSISTANCE SUFFICIENCY 
                    PLAN.

  (a) * * *

           *       *       *       *       *       *       *

  (f) Tenant and Other Participation and Capacity 
Building.--
          (1) * * *

           *       *       *       *       *       *       *

          (3) Funding.--
                  (A) In general.--The [Secretary may provide 
                not more than $10,000,000 annually in funding] 
                Secretary shall make available not more than 
                $10,000,000 annually in funding, which amount 
                shall be in addition to any amounts made 
                available under this subparagraph and carried 
                over from previous years, from which the 
                Secretary may make obligations to tenant 
                groups, nonprofit organizations, and public 
                entities for building the capacity of tenant 
                organizations, for technical assistance in 
                furthering any of the purposes of this subtitle 
                (including transfer of developments to new 
                owners), for technical assistance for 
                preservation of low-income housing for which 
                project-based rental assistance is provided at 
                below market rent levels and may not be renewed 
                (including transfer of developments to tenant 
                groups, nonprofit organizations, and public 
                [entities), and for tenant services,] 
                entities), for tenant services, and for tenant 
                groups, nonprofit organizations, and public 
                entities described in section 517(a)(5), from 
                those amounts made available under 
                appropriations Acts for implementing this 
                subtitle or previously made available for 
                technical assistance in connection with the 
                preservation of affordable rental housing for 
                low-income persons.
                  (B) Manner of providing.--Notwithstanding any 
                other provision of law restricting the use of 
                preservation technical assistance funds, the 
                Secretary may provide any funds made available 
                under subparagraph (A) through existing 
                technical assistance programs pursuant to any 
                other Federal law, including the Low-Income 
                Housing Preservation and Resident Homeownership 
                Act of 1990 and the Multifamily Housing 
                Property Disposition Reform Act of 1994, or 
                through any other means that the Secretary 
                considers consistent with the purposes of this 
                subtitle, without regard to any set-aside 
                requirement otherwise applicable to those 
                funds.
  (g) Rent Levels.--
          (1) * * *
          (2) Exceptions.--
                  (A) In general.--A contract under this 
                section may include rent levels that exceed the 
                rent level described in paragraph (1) at rent 
                levels that do not exceed 120 percent of the 
                fair market rent for the market area (except 
                that the Secretary may waive this limit for not 
                more than five percent of all units subject to 
                [restructured mortgages in any fiscal year] 
                portfolio restructuring agreements, based on a 
                finding of special need), if the participating 
                administrative entity--
                          (i) * * *

           *       *       *       *       *       *       *

  (h) Exemptions From Restructuring.--The following 
categories of projects shall not be covered by a mortgage 
restructuring and rental assistance sufficiency plan if--
          (1) the primary financing or mortgage insurance for 
        the multifamily housing project that is covered by that 
        expiring contract was provided by a unit of State 
        government or a unit of general local government (or an 
        agency or instrumentality of a unit of a State 
        government or unit of general local government) and the 
        financing involves mortgage insurance under the 
        National Housing Act, such that the implementation of a 
        mortgage restructuring and rental assistance 
        sufficiency plan under this subtitle is in conflict 
        with applicable law or agreements governing such 
        financing;
          (2) the project is a project financed under section 
        202 of the Housing Act of 1959 or section 515 of the 
        Housing Act of 1949, or refinanced pursuant to section 
        811 of the American Homeownership and Economic 
        Opportunity Act of 2000 (12 U.S.C. 1701q note); or

           *       *       *       *       *       *       *


SEC. 515. SECTION 8 RENEWALS AND LONG-TERM AFFORDABILITY COMMITMENT BY 
                    OWNER OF PROJECT.

  (a) * * *

           *       *       *       *       *       *       *

  (c) Determination of Whether To Renew With Project-Based or 
Tenant-Based Assistance.--
          (1) Mandatory renewal of project-based assistance.--
        Section 8 assistance shall be renewed with project-
        based 
        assistance, if--
                  (A) * * *
                  (B) a predominant number of the units in the 
                project are occupied by elderly families, 
                disabled families, or elderly and disabled 
                families; or

           *       *       *       *       *       *       *


SEC. 516. PROHIBITION ON RESTRUCTURING.

  (a) * * *

           *       *       *       *       *       *       *

  (d) Displaced Tenants.--[Subject to]
          (1) Notice to certain residents.--The Office shall 
        notify any tenant that is residing in a project or 
        receiving assistance under section 8 of the United 
        States Housing Act of 1937 (42 U.S.C. 1437f) at the 
        time of rejection under this section, of such 
        rejection, except that the Office may delegate the 
        responsibility to provide notice under this paragraph 
        to the participating administrative entity.
          (2) Assistance and moving expenses.--Subject to the 
        availability of amounts provided in advance in 
        appropriations Acts, for any low-income tenant that is 
        residing in a project or receiving assistance under 
        section 8 of the United States Housing Act of 1937 at 
        the time of rejection under this section, that tenant 
        shall be provided with tenant-based assistance and 
        reasonable moving expenses, as determined by the 
        Secretary.

SEC. 517. RESTRUCTURING TOOLS.

  (a) Mortgage Restructuring.--
          (1) In this subtitle, an approved mortgage 
        restructuring and rental assistance sufficiency plan 
        shall include restructuring mortgages in accordance 
        with this subsection to provide--
                  (A) a restructured or new first mortgage that 
                is sustainable at rents at levels that are 
                established in section 514(g); and
                  (B) a second mortgage that is in an amount 
                equal to [no more than the] not more than the 
                greater of--
                          (i) the full or partial payment of 
                        claim made under this subtitle; or
                          (ii) the difference between the 
                        restructured or new first mortgage and 
                        the indebtedness under the existing 
                        insured mortgage immediately before it 
                        is restructured or refinanced, provided 
                        that the amount of the second mortgage 
                        shall be in an amount that the 
                        Secretary or participating 
                        administrative entity determines can 
                        reasonably be expected to be repaid.

           *       *       *       *       *       *       *

          (5) The Secretary may modify the terms of the second 
        mortgage, assign the second mortgage to the acquiring 
        organization or agency, or forgive all or part of the 
        second mortgage if the Secretary holds the second 
        mortgage and if the project is acquired by a tenant 
        organization or tenant-endorsed community-based 
        nonprofit or public agency, pursuant to guidelines 
        established by the Secretary.

           *       *       *       *       *       *       *

  (b) Restructuring Tools.--In addition to the requirements of 
subsection (a) and to the extent these actions are consistent 
with this section and with the control of the Secretary of 
applicable accounts in the Treasury of the United States, an 
approved mortgage restructuring and rental assistance 
sufficiency plan under this subtitle may include one or more of 
the following actions:
          (1) Full or partial payment of claim.--[making] 
        Making a full payment of claim or partial payment of 
        claim under section 541(b) of the National Housing Act, 
        as amended by section 523(b) of this Act. Any payment 
        under this paragraph shall not require the approval of 
        a mortgagee[;].
          (2) Refinancing of debt.--[refinancing] Refinancing 
        of all or part of the debt on a project. If the 
        refinancing involves a mortgage that will continue to 
        be insured under the National Housing Act, the 
        refinancing shall be documented through amendment of 
        the existing insurance contract and not through a new 
        insurance contract[;].
          (3) Mortgage insurance.--[providing] Providing FHA 
        multifamily mortgage insurance, reinsurance or other 
        credit enhancement alternatives, including multifamily 
        risk-sharing mortgage programs, as provided under 
        section 542 of the Housing and Community Development 
        Act of 1992. The Secretary shall use risk-shared 
        financing under section 542(c) of the Housing and 
        Community Development Act of 1992 for any mortgage 
        restructuring, rehabilitation financing, or debt 
        refinancing included as part of a mortgage 
        restructuring and rental assistance sufficiency plan if 
        the terms and conditions are considered to be the best 
        available financing in terms of financial savings to 
        the FHA insurance funds and will result in reduced risk 
        of loss to the Federal Government. Any limitations on 
        the number of units available for mortgage insurance 
        under section 542 shall not apply to eligible 
        multifamily housing projects. Any credit subsidy costs 
        of providing mortgage insurance shall be paid from the 
        Liquidating Accounts of the General Insurance Fund or 
        the Special Risk Insurance Fund and shall not be 
        subject to any limitation on appropriations[;].
          (4) Credit enhancement.--[providing] Providing any 
        additional State or local mortgage credit enhancements 
        and risk-sharing arrangements that may be established 
        with State or local housing finance agencies, the 
        Federal Housing Finance Board, the Federal National 
        Mortgage Association, and the Federal Home Loan 
        Mortgage Corporation, to a modified or refinanced first 
        mortgage[;].
          (5) Compensation of third parties.--[consistent] 
        Consistent with the portfolio restructuring agreement, 
        entering into agreements, incurring costs, or making 
        payments, including incentive agreements designed to 
        reward superior performance in meeting the purposes of 
        this Act, as may be reasonably necessary, to compensate 
        the participation of participating administrative 
        entities and other parties in undertaking actions 
        authorized by this subtitle. Upon request to the 
        Secretary, participating administrative entities that 
        are qualified under the United States Housing Act of 
        1937 to serve as contract administrators shall be the 
        contract administrators under section 8 of the United 
        States Housing Act of 1937 for purposes of any 
        contracts entered into as part of an approved mortgage 
        restructuring and rental assistance sufficiency plan. 
        Subject to the availability of amounts provided in 
        advance in appropriations Acts for administrative fees 
        under section 8 of the United States Housing Act of 
        1937, such amounts may be used to compensate 
        participating administrative entities for compliance 
        monitoring costs incurred under section 519[;].
          (6) Use of project accounts.--[applying] Applying any 
        residual receipts, replacement reserves, and any other 
        project accounts not required for project operations, 
        to maintain the long-term affordability and physical 
        condition of the property or of other eligible 
        multifamily housing projects. The participating 
        administrative entity may expedite the acquisition of 
        residual receipts, replacement reserves, or other such 
        accounts, by entering into agreements with owners of 
        housing covered by an expiring contract to provide an 
        owner with a share of the receipts, not to exceed 10 
        percent, in accordance with guidelines established by 
        the Secretary[; and].
  (c) Rehabilitation Needs and Addition of Significant 
Features.--
          [(7)] (1) Rehabilitation needs.--
                  (A) In general.--Rehabilitation may be paid 
                from the residual receipts, replacement 
                reserves, or any other project accounts not 
                required for project operations, or, as 
                provided in appropriations Acts and subject to 
                the control of the Secretary of applicable 
                accounts in the Treasury of the United States, 
                from budget authority provided for increases in 
                the budget authority for assistance contracts 
                under section 8 of the United States Housing 
                Act of 1937, the rehabilitation grant program 
                established under section 236 of the National 
                Housing Act, as amended by section 531 of 
                subtitle B of this Act, or through the debt 
                restructuring transaction. Rehabilitation under 
                this paragraph shall only be for the purpose of 
                restoring the project to a non-luxury standard 
                adequate for the rental market intended at the 
                original approval of the project-based 
                assistance.
                  (B) Contribution.--Each owner or purchaser of 
                a project to be rehabilitated under an approved 
                mortgage restructuring and rental assistance 
                sufficiency plan shall contribute, from non-
                project resources, not less than 25 percent of 
                the amount of rehabilitation assistance 
                received, except that the participating 
                administrative entity may provide an exception 
                from the requirement of this subparagraph for 
                housing cooperatives.
          (2) Addition of significant features.--
                  (A) Authority.--An approved mortgage 
                restructuring and rental assistance sufficiency 
                plan may require the improvement of the project 
                by the addition of significant features that 
                are not necessary for rehabilitation to the 
                standard provided under paragraph (1), such as 
                air conditioning, an elevator, and additional 
                community space. The Secretary shall establish 
                guidelines regarding the inclusion of 
                requirements regarding such additional 
                significant features under such plans.
                  (B) Funding.--Significant features added 
                pursuant to an approved mortgage restructuring 
                and rental assistance sufficiency plan may be 
                paid from the funding sources specified in the 
                first sentence of paragraph (1)(A).
                  (C) Limitation on owner contribution.--An 
                owner of a project may not be required to 
                contribute from non-project resources, toward 
                the cost of any additional significant features 
                required pursuant to this paragraph, more than 
                25 percent of the amount of any assistance 
                received for the inclusion of such features.
                  (D) Applicability.--This paragraph shall 
                apply to all eligible multifamily housing 
                projects, except projects for which the 
                Secretary and the project owner executed a 
                mortgage restructuring and rental assistance 
                sufficiency plan on or before the date of the 
                enactment of the Mark-to-Market Extension Act 
                of 2001.
  [(c) Role of FNMA and FHLMC.--Section 1335 of the Federal 
Housing Enterprises Financial Safety and Soundness Act of 1992 
(12 U.S.C. 4565) is amended--
          [(1) in paragraph (3), by striking ``and'' at the 
        end;
          [(2) paragraph (4), by striking the period at the end 
        and inserting ``; and'';
          [(3) by striking ``To meet'' and inserting the 
        following:
  [``(a) In General.--To meet''; and
          [(4) by adding at the end the following:
          [``(5) assist in maintaining the affordability of 
        assisted units in eligible multifamily housing projects 
        with expiring contracts, as defined under the 
        Multifamily Assisted Housing Reform and Affordability 
        Act of 1997.
  [``(b) Affordable Housing Goals.--Actions taken under 
subsection (a)(5) shall constitute part of the contribution of 
each entity in meeting its affordable housing goals under 
sections 1332, 1333, and 1334 for any fiscal year, as 
determined by the Secretary.''.]

           *       *       *       *       *       *       *


SEC. 520. REPORTS TO CONGRESS.

  (a) * * *
  (b) Semiannual Review.--Not less than semiannually during the 
2-year period beginning on the date of the enactment of this 
Act and not less than annually thereafter, the Secretary shall 
submit reports to the Committee on [Banking and] Financial 
Services of the House of Representatives and the Committee on 
Banking, Housing, and Urban Affairs of the Senate stating, for 
such periods, the total number of projects identified by 
participating administrative entities under each of clauses (i) 
and (ii) of section 515(c)(2)(C).

           *       *       *       *       *       *       *


SEC. 524. RENEWAL OF EXPIRING PROJECT-BASED SECTION 8 CONTRACTS.

  (a) In General.--
          (1) * * *

           *       *       *       *       *       *       *

          (4) Renewal rents.--Except as provided in subsection 
        (b), the contract for assistance shall provide 
        assistance at the following rent levels:
                  (A) * * *

           *       *       *       *       *       *       *

                  (C) Rents not exceeding market rents.--In the 
                case of a project that is not subject to 
                subparagraph (A) or (B), at rent levels that--
                          (i) * * *

           *       *       *       *       *       *       *

                In determining the rent level for a contract 
                under this subparagraph, the Secretary shall 
                approve rents sufficient to cover budget-based 
                cost increases and shall give greater 
                consideration to providing rent at a level up 
                to comparable market rents for the market area 
                based on the number of the criteria under 
                clauses (i) through (iii) of subparagraph (D) 
                that the project meets. Notwithstanding any 
                other provision of law, the Secretary shall 
                include in such budget-based cost increases 
                costs relating to the project as a whole 
                (including costs incurred with respect to units 
                not covered by the contract for assistance), 
                but only (I) if inclusion of such costs is 
                requested by the owner or purchaser of the 
                project, (II) if inclusion of such costs will 
                permit capital repairs to the project or 
                acquisition of the project by a nonprofit 
                organization, and (III) to the extent that 
                inclusion of such costs (or a portion thereof) 
                complies with the requirement under clause 
                (ii).

           *       *       *       *       *       *       *

  (e) Contractual Commitments Under Preservation Laws.--Except 
as provided in subsection (a)(2) and notwithstanding any other 
provision of this subtitle, the following shall apply:
          (1) * * *

           *       *       *       *       *       *       *

          (3) Mortgage restructuring and rental assistance 
        sufficiency plans.--Notwithstanding paragraph (1), the 
        owner of the project may request, and the Secretary may 
        consider, mortgage restructuring and rental assistance 
        sufficiency plans to facilitate sales or transfers of 
        properties under this subtitle, subject to an approved 
        plan of action under the Emergency Low Income Housing 
        Preservation Act of 1987 (12 U.S.C. 1715l note) or the 
        Low-Income Housing Preservation and Resident 
        Homeownership Act of 1990 (12 U.S.C. 4101 et seq.), 
        which plans shall result in a sale or transfer of those 
        properties.

           *       *       *       *       *       *       *


SEC. 525. CONSISTENCY OF RENT LEVELS UNDER ENHANCED VOUCHER ASSISTANCE 
                    AND RENT RESTRUCTURINGS.

  (a) In General.--The Secretary shall examine the standards 
and procedures for determining and establishing the rent 
standards described under subsection (b). Pursuant to such 
examination, the Secretary shall establish procedures and 
guidelines that are designed to ensure that the amounts 
determined by the various rent standards for the same dwelling 
units are reasonably consistent and reflect rents for 
comparable unassisted units in the same area as such dwelling 
units.
  (b) Rent Standards.--The rent standards described in this 
subsection are as follows:
          (1) Enhanced vouchers.--The payment standard for 
        enhanced voucher assistance under section 8(t) of the 
        United States Housing Act of 1937 (42 U.S.C. 1437f(t)).
          (2) Mark-to-market.--The rents derived from 
        comparable properties, for purposes of section 514(g) 
        of this Act.
          (3) Contract renewal.--The comparable market rents 
        for the market area, for purposes of section 524(a)(4) 
        of this Act.

           *       *       *       *       *       *       *


 Subtitle D--Office of Multifamily Housing Assistance Restructuring

           *       *       *       *       *       *       *


SEC. 572. DIRECTOR.

  [(a) Appointment.--The Office shall be under the management 
of a Director, who shall be appointed by the President by and 
with the advice and consent of the Senate, from among 
individuals who are citizens of the United States and have a 
demonstrated understanding of financing and mortgage 
restructuring for affordable multifamily housing. Not later 
than 60 days after the date of the enactment of this Act, the 
President shall submit to the Senate a nomination for initial 
appointment to the position of Director.
  [(b) Vacancy.--A vacancy in the position of Director shall be 
filled in the manner in which the original appointment was made 
under subsection (a).]
  (a) Appointment.--The Office shall be under the management of 
a Director, who shall be appointed by the President from among 
individuals who are citizens of the United States and have a 
demonstrated understanding of financing and mortgage 
restructuring for affordable multifamily housing.
  (b) Vacancy.--A vacancy in the position of Director shall be 
filled by appointment in the manner provided under subsection 
(a). The President shall make such an appointment not later 
than 60 days after such position first becomes vacant.

           *       *       *       *       *       *       *


SEC. 573. DUTY AND AUTHORITY OF DIRECTOR.

  (a) * * *
  (b) Authority.--The Director is authorized to make such 
determinations, take such actions, issue such regulations, and 
perform such functions assigned to the Director under law as 
the Director determines necessary to carry out such functions, 
subject to the review and approval of the Secretary. The 
Director shall semiannually submit a report to the [Secretary] 
Assistant Secretary of the Department of Housing and Urban 
Development who is the Federal Housing Commissioner regarding 
the activities, determinations, and actions of the Director.

           *       *       *       *       *       *       *

  (d) Independence in Providing Information to Congress.--
          (1) * * *
          (2) Requirement.--If the Director determines at any 
        time that the Secretary is taking or has taken any 
        action that interferes with the ability of the Director 
        to carry out the duties of the Director under this Act 
        or that affects the administration of the program under 
        subtitle A of this Act in a manner that is inconsistent 
        with the purposes of this Act, including any proposed 
        action by the Director, in the discretion of the 
        Director, that is overruled by the Secretary, the 
        Director shall immediately report directly to the 
        Committee on [Banking and] Financial Services of the 
        House of Representatives and the Committee on Banking, 
        Housing, and Urban Affairs of the Senate regarding such 
        action. Notwithstanding subsection (a) or (b), any 
        determination or report under this paragraph by the 
        Director shall not be subject to prior review or 
        approval of the Secretary.

           *       *       *       *       *       *       *


SEC. 576. LIMITATION ON SUBSEQUENT EMPLOYMENT.

  Neither the Director nor any former officer or employee of 
the Office who, while employed by the Office, was compensated 
at a rate in excess of the lowest rate for a position 
classified higher than GS-15 of the General Schedule under 
section 5107 of title 5, United States Code, may, during the 
[2-year] 1-year period beginning on the date of separation from 
employment by the Office, accept compensation from any party 
(other than a Federal agency) having any financial interest in 
any mortgage restructuring and rental assistance sufficiency 
plan under subtitle A or comparable matter in which the 
Director or such officer or employee had direct participation 
or supervision.

           *       *       *       *       *       *       *


[SEC. 578. SUSPENSION OF PROGRAM BECAUSE OF FAILURE TO APPOINT 
                    DIRECTOR.

  [(a) In General.--If, upon the expiration of the 12-month 
period beginning on the date of the enactment of this Act, the 
initial appointment to the office of Director has not been 
made, the 
operation of the program under subtitle A shall immediately be 
suspended and such provisions shall not have any force or 
effect during the period that ends upon the making of such 
appointment.
  [(b) Interim applicability of demonstration program.--
Notwithstanding any other provision of law, during the period 
referred to in subsection (a), the Secretary shall carry out 
sections 211 and 212 of the Departments of Veterans Affairs and 
Housing and Urban Development, and Independent Agencies 
Appropriations Act, 1997. For purposes of applying such 
sections pursuant to the authority under this section, the term 
``expiring contract'' shall have the meaning given in such 
sections, except that such term shall also include any contract 
for project-based assistance under section 8 of the United 
States Housing Act of 1937 that expires during the period that 
the program is suspended under subsection (a).]

SEC. 578. OVERSIGHT BY FEDERAL HOUSING COMMISSIONER.

  All authority and responsibilities assigned under this 
subtitle to the Secretary shall be carried out through the 
Assistant Secretary of the Department of Housing and Urban 
Development who is the Federal Housing Commissioner.

SEC. 579. TERMINATION.

  [(a) Repeal.--Subtitle A (except for section 524) and 
subtitle D (except for this section) are repealed effective 
October 1, 2001.]
  (a) Repeals.--
          (1) Mark-to-market program.--Subtitle A (except for 
        section 524) is repealed effective October 1, 2006.
          (2) OMHAR.--Subtitle D (except for this section) is 
        repealed effective October 1, 2004.
  (b) Exception.--Notwithstanding the repeal under subsection 
(a), the provisions of subtitle A (as in effect immediately 
before such repeal) shall apply with respect to projects and 
programs for which binding commitments have been entered into 
under this Act before October 1, [2001] 2006.
  (c) Termination of Director and Office.--The Office of 
Multifamily Housing Assistance Restructuring and the position 
of Director of such Office shall terminate [upon September 30, 
2001] at the end of September 30, 2004.
  [(d) Transfer of Authority.--Effective upon the termination 
under subsection (c), any authority and responsibilities 
assigned to the Director that remain applicable after such date 
pursuant to subsection (b) are transferred to the Secretary.]
  (d) Transfer of Authority.--Effective upon the repeal of 
subtitle D under subsection (a)(2) of this section, all 
authority and responsibilities to administer the program under 
subtitle A are transferred to the Secretary.
                              ----------                              


                SECTION 223 OF THE NATIONAL HOUSING ACT

                    miscellaneous housing insurance

    Sec. 223. (a) Notwithstanding any of the provisions of this 
Act and without regard to limitations upon eligibility 
contained in any section or title of this Act, other than the 
limitation in section 203(g), the Secretary is authorized upon 
application by the mortgagee, to insure or make commitments to 
insure under any section or title of this Act any mortgage--
          (1) * * *

           *       *       *       *       *       *       *

          (7) given to refinance an existing mortgage insured 
        [under this Act: Provided, That the principal] under 
        this Act, or an existing mortgage held by the Secretary 
        that is subject to a mortgage restructuring and rental 
        assistance sufficiency plan pursuant to the Multifamily 
        Assisted Housing Reform and Affordability Act of 1997 
        (42 U.S.C. 1437f note), provided that--
                  (A) the principal amount of any such 
                refinancing mortgage shall not exceed the 
                original principal amount or the unexpired term 
                of such existing mortgage and shall bear 
                interest at such rate as may be agreed upon by 
                the mortgagor and the mortgagee, except that 
                [(A)] (i) the principal amount of any such 
                refinancing mortgage may equal the outstanding 
                balance of an existing mortgage insured 
                pursuant to section 245, if the amount of the 
                monthly payment due under the refinancing 
                mortgage is less than that due under the 
                existing mortgage for the month in which the 
                refinancing mortgage is executed; [(B)] (ii) a 
                mortgagee may not require a minimum principal 
                amount to be outstanding on the loan secured by 
                the existing mortgage; [(C)] (iii) in any case 
                involving the refinancing of a loan in which 
                the Secretary determines that the insurance of 
                a mortgage for an additional term will inure to 
                the benefits of the applicable insurance fund, 
                taking into consideration the outstanding 
                insurance liability under the existing insured 
                mortgage, such refinancing mortgage may have a 
                term not more than twelve years in excess of 
                the unexpired term of such existing insured 
                mortgage; and [(D)] (iv) any multifamily 
                mortgage that is refinanced under this 
                paragraph shall be documented through 
                amendments to the existing insurance contract 
                and shall not be structured through the 
                provisions of a new insurance contract[: 
                Provided further, That a mortgage]; and
                  (B) a mortgage of the character described in 
                paragraphs (1) through (6) of this subsection 
                shall have a maturity and a principal 
                obligation not in excess of the maximums 
                prescribed under the applicable section or 
                title of this Act, except that in no case may 
                the principal obligation of a mortgage referred 
                to in paragraph (5) of this subsection exceed 
                90 per centum of the appraised value of the 
                mortgage property, and shall bear interest at 
                such rate as may be agreed upon by the 
                mortgagor and the mortgagee; [or]
                  (C) a mortgage that is subject to a mortgage 
                restructuring and rental assistance sufficiency 
                plan pursuant to the Multifamily Assisted 
                Housing Reform and Affordability Act of 1997 
                (42 U.S.C. 1437f note) and is refinanced under 
                this paragraph may have a term of not more than 
                30 years; or

           *       *       *       *       *       *       *

                              ----------                              


   SECTION 105 OF THE HOUSING AND COMMMUNITY DEVELOPMENT ACT OF 1974

                          eligible activities

  Sec. 105. (a) Activities assisted under this title may 
include only--
          (1) * * *

           *       *       *       *       *       *       *

          (8) provision of public services, including but not 
        limited to those concerned with employment, crime 
        prevention, child care, health, drug abuse, education, 
        energy conservation, welfare or recreation needs, if 
        such services have not been provided by the unit of 
        general local government (through funds raised by such 
        unit, or received by such unit from the State in which 
        it is located) during any part of the twelve-month 
        period immediately preceding the date of submission of 
        the statement with respect to which funds are to be 
        made available under this title, and which are to be 
        used for such services, unless the Secretary finds that 
        the discontinuation of such services was the result of 
        events not within the control of the unit of general 
        local government, except that not more that 15 per 
        centum of the amount of any assistance to a unit of 
        general local government (or in the case of nonentitled 
        communities not more than 15 per centum statewide) 
        under this title including program income may be used 
        for activities under this paragraph unless such unit of 
        general local government used more than 15 percent of 
        the assistance received under this title for fiscal 
        year 1982 or fiscal year 1983 for such activities 
        (excluding any assistance received pursuant to Public 
        Law 98-8), in which case such unit of general local 
        government may use not more than the percentage or 
        amount of such assistance used for such activities for 
        such fiscal year, whichever method of calculation 
        yields the higher amount, except that of any amount of 
        assistance under this title (including program income) 
        in each of fiscal years 1993 through [2001] 2003 to the 
        City of Los Angeles and County of Los Angeles, each 
        such unit of general government may use not more than 
        25 percent in each such fiscal year for activities 
        under this paragraph, and except that of any amount of 
        assistance under this title (including program income) 
        in each of fiscal years 1999, 2000, and 2001, to the 
        City of Miami, such city may use not more than 25 
        percent in each fiscal year for activities under this 
        paragraph;

           *       *       *       *       *       *       *

                              ----------                              


           SECTION 8 OF THE UNITED STATES HOUSING ACT OF 1937

                    lower income housing assistance

  Sec. 8. (a) * * *

           *       *       *       *       *       *       *

  (t) Enhanced Vouchers.--
          (1) * * *
          (2) Eligibility event.--For purposes of this 
        subsection, the term ``eligibility event'' means, with 
        respect to a multifamily housing project, the 
        prepayment of the mortgage on such housing project, the 
        voluntary termination of the insurance contract for the 
        mortgage for such housing project (including any such 
        mortgage prepayment during fiscal year 1996 or a fiscal 
        year thereafter or any insurance contract voluntary 
        termination during fiscal year 1996 or a fiscal year 
        thereafter), the termination or expiration of the 
        contract for rental assistance under section 8 of the 
        United States Housing Act of 1937 for such housing 
        project (including any such termination or expiration 
        during fiscal years after fiscal year 1994 prior to the 
        effective date of the Departments of Veterans Affairs 
        and Housing and Urban Development, and Independent 
        Agencies Appropriations Act, 2001), or the transaction 
        under which the project is preserved as affordable 
        housing, that, under paragraphs (3) and (4) of section 
        515(c), section 524(d) of the Multifamily Assisted 
        Housing Reform and Affordability Act of 1997 (42 U.S.C. 
        1437f note), section 223(f ) of the Low-Income Housing 
        Preservation and Resident Homeownership Act of 1990 (12 
        U.S.C. 4113(f )), or section 201(p) of the Housing and 
        Community Development Amendments of 1978 (12 U.S.C. 
        1715z-1a(p)), results in tenants in such housing 
        project being eligible for enhanced voucher assistance 
        under this subsection.

           *       *       *       *       *       *       *

                              ----------                              


SECTION 811 OF THE AMERICAN HOMEOWNERSHIP AND ECONOMIC OPPORTUNITY ACT 
                                OF 2000

SEC. 811. PREPAYMENT AND REFINANCING.

  (a) * * *

           *       *       *       *       *       *       *

  [(e) Budget Act Compliance.--This section shall be effective 
only to extent or in such amounts that are provided in advance 
in appropriation Acts.]
                              ----------                              


       SECTION 101 OF THE McKINNEY-VENTO HOMELESS ASSISTANCE ACT

                          (Public Law 100-77)

SECTION 101. SHORT TITLE AND TABLE OF CONTENTS.

  [(a) Short Title.--This Act may be cited as the ``Stewart B. 
McKinney Homeless Assistance Act''.]
  (a) Short Title.--This Act may be cited as the ``McKinney-
Vento Homeless Assistance Act''.

           *       *       *       *       *       *       *


                 Changes in Application of Existing Law

    Pursuant to clause 3, rule XIII of the Rules of the House 
of Representatives, the following statements are submitted 
describing the effect of provisions in the accompanying bill 
which may directly or indirectly change the application of 
existing law.
    In some instances the bill includes appropriations for 
certain ongoing programs which are not yet authorized for 
fiscal year 2002.
    The bill provides that appropriations shall remain 
available for more than one year for some programs for which 
the basic authorizing legislation does not presently authorize 
such extended availability.
    In various places in the bill, the Committee has earmarked 
funds within appropriation accounts in order to fund specific 
sections of a law. Whether these actions constitute a change in 
the application of existing law is subject to individual 
interpretation, but the Committee felt that this fact should be 
mentioned.
    In several instances, the bill provides advance 
appropriations for fiscal year 2003 for programs for which such 
advances are not authorized by law.

                      TITLE I--DEPARTMENT OF LABOR


                    Training and Employment Services

    Language prohibiting the use of funds from any other 
appropriation to provide meal services at or for Job Corps 
centers.

     State Unemployment Insurance and Employment Service Operations

    Language allowing the use of funds for amortization 
payments to States which had independent retirement plans in 
their State employment service agencies prior to 1980.
    Language allowing the Labor Department to withhold from 
State allotments funds available for penalty mail under the 
Wagner-Peyser Act.
    Language providing that funds in this Act for one-stop 
career centers and unemployment insurance national activities 
may be used for contracts, grants or agreements with non-State 
entities.
    Language providing that funds in this Act may be used by 
the States for integrated Employment Service and Unemployment 
Insurance automation efforts.

                  Employment Standards Administration


                         salaries and expenses

    Language authorizing the Secretary of Labor to accept and 
spend all sums of money ordered to be paid to the Secretary, in 
accordance with the terms of a Consent Judgment in U.S. 
District Court for the Northern Mariana Islands.
    Language authorizing the Secretary of Labor to collect user 
fees for processing certain applications and issuing certain 
certificates and registrations under the Fair Labor Standards 
Act and the Migrant and Seasonal Agricultural Worker Protection 
Act.

                            special benefits

    Language providing funds may be used under the Federal 
Employees' Compensation Act in which the Secretary of Labor may 
reimburse an employer, who is not the employer at the time of 
injury, for portions of the salary of a reemployed, disabled 
beneficiary.
    Language allowing the Secretary of Labor to transfer 
certain administrative funds from the Postal Service fund and 
certain other government corporations and agencies related to 
the administration of the Federal Employees' Compensation Act.
    Language allowing the Secretary of Labor to require any 
person filing a claim for benefits under the Federal Employees' 
Compensation Act or the Longshore and Harbor Workers' 
Compensation Act to provide such identifying information as the 
Secretary may require, including a Social Security number.

             Occupational Safety and Health Administration


                         salaries and expenses

    Language establishing a maximum amount available for grants 
to States under the Occupational Safety and Health Act, which 
grants shall be no less than 50 percent of the costs of State 
programs required to be incurred under plans approved by the 
Secretary under section 18 of the Act.
    Language authorizing the Occupational Safety and Health 
Administration to retain and spend up to $750,000 of training 
institute course tuition fees for training and education 
grants.
    Language allowing the Secretary of Labor to collect and 
retain fees for services provided to Nationally Recognized 
Testing Laboratories.

                 Mine Safety and Health Administration


                         salaries and expenses

    Language allowing the Mine Safety and Health Administration 
to collect up to $750,000 at the National Mine Health and 
Safety Academy for room, board, tuition, and the sale of 
training materials, otherwise authorized by law to be 
collected, to be available for mine safety and health education 
and training activities, notwithstanding 31 U.S.C. 3302.
    Language allowing the Mine Safety and Health Administration 
to purchase and bestow certificates and trophies in connection 
with mine rescue and first-aid work; to accept land, buildings, 
equipment, and other contributions from public and private 
sources; to prosecute projects in cooperation with other 
agencies, Federal, State, or private; and to promote health and 
safety education and training in the mining community through 
cooperative programs with States, industry, and safety 
associations.
    Language 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 major disasters.

                        Departmental Management


                         salaries and expenses

    Language providing that no funds made available by this Act 
may be used by the Solicitor of Labor to participate in a 
review in any United States court of appeals of any decision 
made by the Benefits Review Board under section 21 of the 
Longshore and Harbor Workers' Compensation Act where such 
participation is precluded by the decision of the Supreme Court 
in Director, Office of Workers' Compensation Programs v. 
Newport News Shipbuilding, 115 S. Ct.1278 (1995), 
notwithstanding any provisions to the contrary contained in 
Rule 15 of the Federal Rules of Appellate Procedure.
    Language providing that any decision under the Longshore 
Act pending before the Benefits Review Board for more than one 
year shall be considered affirmed by the Board and shall be 
considered the final order of the Board.

           TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES


              Health Resources and Services Administration


                     health resources and services

    Language providing that $35,000,000 from general revenues, 
not-withstanding Sec. 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program under section 1820 of such Act.
    Language providing that in addition to fees authorized by 
Sec. 427(b) of the Health Care Quality Improvement Act of 1986, 
fees shall be collected for the full disclosure of information 
under the Act sufficient to recover the full costs of operating 
the National Practitioner Data Bank, and shall remain available 
until expended to carry out that Act.
    Language providing that all pregnancy counseling under the 
family planning program shall be nondirective.
    Language identifying a specific amount for maternal and 
child health SPRANS activities, notwithstanding current law.

               Centers for Disease Control and Prevention

    Language permitting the Centers for Disease Control and 
Prevention to insure official motor vehicles in foreign 
countries.
    Language providing that collections from user fees may be 
credited to the Centers for Disease Control and Prevention 
appropriation.
    Language making amounts under Sec. 241 of the Public Health 
Service Act available to carry out the National Center for 
Health Statistics surveys.
    Language allowing the Director of the Centers for Disease 
Control and Prevention to redirect certain funds appropriated 
under Public Law 101-502.

                     National Institutes of Health


         National Institute of Allergy and Infectious Diseases

    Language allowing the Director of NIH to transfer up to 
$25,000,000 to International Assistance Programs, ``Global Fund 
to Fight HIV/AIDS, Malaria, and Tuberculosis,'' to remain 
available until expended.

                      national library of medicine

    Language providing that the National Library of Medicine 
may enter into certain personal services contracts.

                         office of the director

    Language providing that the National Institutes of Health 
is authorized to collect third party payments for the cost of 
the clinical services that are incurred in NIH research 
facilities and that such payments shall be credited to the NIH 
Management Fund and shall remain available for one fiscal year 
after they are deposited.
    Language providing the Director of NIH authority to 
transfer funds between appropriation accounts in this or any 
other Act.

                        Buildings and Facilities

    Language allowing the Director of NIH to transfer up to 
$75,000,000 to International Assistance Programs, ``Global Fund 
to Fight HIV/AIDS, Malaria, and Tuberculosis,'' to remain 
available until expended.

               Agency for Healthcare Research and Quality

    Language is included to permit the Agency for Healthcare 
Research and Quality to retain and expend amounts received from 
Freedom of Information Act fees, reimbursable and interagency 
agreements and the sale of data tapes.
    Language making amounts under section 241 of the Public 
Health Service Act available to carry out agency activities.

               Centers for Medicare and Medicaid Services


                     Grants to States for Medicaid

    A provision that in the administration of title XIX of the 
Social Security Act, payments to a state for any quarter may be 
made with respect to a State plan or plan amendment in effect 
during any such quarter, if submitted in, or prior to, such 
quarter and approved in that or any such subsequent quarter.

                           program management

    A provision that all funds collected in accordance with 
section 353 of the Public Health Service Act, together with 
such sums as may be collected from authorized user fees, 
administrative fees collected relative to Medicare overpayment 
recovery activities, and the sale of data, shall be available 
for expenditure by the Health Care Financing Administration.
    Language allowing fees charged in accordance with 31 U.S.C. 
9701 to be credited to the Health Care Financing Administration 
administrative account.
    Language limiting the amount of funds available from the 
Health Care Fraud and Abuse Control Account of the Federal 
Hospital Insurance Trust Fund.

                Administration for Children and Families


  payments to states for child support enforcement and family support 
                                programs

    Language providing that the sum of the amounts available to 
a State with respect to expenditures under title IV-A of the 
Social Security Act in fiscal year 1997 under this 
appropriation and under such title IV-A as amended by the 
Personal Responsibility and Work Opportunity Reconciliation Act 
of 1996 shall not exceed the limitations under Sec. 116(b) of 
such Act.

                      Social Services Block Grant

    Language providing that States may transfer up to 10 
percent of Temporary Assistance for Needy Family funds to the 
Social Services Block Grant.

                children and families services programs

    Language providing that unexpended Community Services Block 
Grant funds may be carried over to the next fiscal year by 
local grantees.
    Language reducing the funds appropriated from mandatory 
accounts for research activities under the Social Security Act.

                        Office of the Secretary


                    office of the inspector general

    Language limiting the amount of funds available from the 
Health Care Fraud and Abuse Control Account of the Federal 
Hospital Insurance Trust Fund.

            Public Health and Social Services Emergency Fund

    Language allowing the funds available for the National 
Pharmaceutical Stockpile to remain available until expended.

                   TITLE III--DEPARTMENT OF EDUCATION


            rehabilitation services and disability research

    Language allocating funds under title I of the Assistive 
Technology (AT) Act of 1998 notwithstanding section 105(b)(1) 
of the AT Act.
    Language providing $50,000 to each state for activities 
under section 102 of the AT Act.
    Language providing that funds shall be used for grants 
under title III of the AT Act, and specifying Federal shares of 
such grants.

               National Technical Institute for the Deaf


                          gallaudet university

    The bill includes language providing that the National 
Technical Institute for the Deaf and Gallaudet University may 
use funds for their endowment programs at their discretion.

                     vocational and adult education

    Language stating that a portion of the amount provided for 
Adult Education State Grants shall be for integrated English 
literacy and civics education services to immigrants and other 
limited English proficient populations, and specifying the 
distribution of such funds.

                      student financial assistance

    The bill includes language providing that the maximum Pell 
grant a student may receive in the 2002-2003 academic year 
shall be $4,000.
    The bill includes language providing that notwithstanding 
section 401(g) of the Higher Education Act of 1965, if the 
Secretary determines, prior to publication of the payment 
schedule for award year 2001-2002, that the funds included 
within this appropriation for Pell Grant awards for award year 
2001-2002, and any funds available from the FY 2000 
appropriation for Pell Grant awards, are insufficient to 
satisfy fully all such awards for which students are eligible, 
as calculated under section 401(b) of the Act, the amount paid 
for each such award shall be reduced by either a fixed or 
variable percentage, or by a fixed dollar amount, as determined 
in accordance with a schedule of reductions established by the 
Secretary for this purpose.

                            Higher Education

    The bill includes language providing that funds are 
available to fund fellowships for academic year 2003-2004 under 
part A, subpart 1 of title VII of the Higher Education Act of 
1965, under the terms and conditions of part A, subpart 1.

                           howard university

    The bill includes language providing that Howard University 
shall use not less than $3,600,000 for the endowment program 
pursuant to the Howard University Endowment Act.

            education research, statistics, and improvement

    Language providing that $77,500,000 of the funds provided 
for the national education research institutes shall be 
allocated notwithstanding Sec. 912(m)(1)(B-F) and subparagraphs 
(B) and (C) of Sec. 931(c)(2) of Public Law 103-227.

                       TITLE IV--RELATED AGENCIES


                      Armed Forces Retirement Home

    Language providing that notwithstanding any other provision 
of law, a single contract or related contracts for development 
and construction, to include construction of a long-term care 
facility at the United States Naval Home, may be employed which 
collectively include the full scope of the project and 
providing that the solicitation and contract shall contain the 
clause ``availability of funds'' found at 48 CFR 52.232-18 and 
252.232-7007, Limitation of Government Obligations.

               Federal Mediation and Conciliation Service


                         salaries and expenses

    The bill includes language specifying that notwithstanding 
31 U.S.C. 3302, fees charged by the Federal Mediation and 
Conciliation Service, up to full-cost recovery, for special 
training activities and for arbitration services shall be 
credited to and merged with its administrative account, and 
shall remain available until expended; that fees for 
arbitration services shall be available only for education, 
training, and professional development of the agency workforce; 
and that the Director of the Service is authorized to accept on 
behalf of the United States gifts of services and real, 
personal, or other property in the aid of any projects or 
functions within the Director's jurisdiction.

                     National Labor Relations Board


                         salaries and expenses

    The bill includes a provision requiring that appropriations 
to the NLRB shall not be available to organize or assist in 
organizing agricultural laborers or used in connection with 
investigations, hearings, directives, or orders concerning 
bargaining units composed of agricultural laborers as referred 
to in Sec. 2(3) of the Act of July 5, 1935 (29 U.S.C. 152), and 
as amended by the Labor-Management Relations Act, 1947, as 
amended, and as defined in Sec. 3(f) of the Act of June 25, 
1938 (29 U.S.C. 203), and including in said definition 
employees engaged in the maintenance and operation of ditches, 
canals, reservoirs, and waterways, when maintained or operated 
on a mutual non-profit basis and at least 95 per centum of the 
water stored or supplied thereby is used for farming purposes.

                       Railroad Retirement Board


                     dual benefits payments account

    The bill includes language providing that the total amount 
provided for railroad retirement dual benefits shall be 
credited to the Dual Benefits Payments Account in 12 
approximately equal amounts on the first day of each month in 
the fiscal year.

                      limitation on administration

    The bill includes language providing that the Railroad 
Retirement Board shall determine the allocation of its 
administrative budget between the railroad retirement accounts 
and the railroad unemployment insurance administration fund.

                     Social Security Administration


                 limitation on administrative expenses

    Language providing that unobligated balances at the end of 
fiscal year 2002 shall remain available until expended for the 
agency's information technology and telecommunications hardware 
and software infrastructure, including related equipment and 
non-payroll administrative expenses associated solely with this 
information technology and telecommunications infrastructure; 
language authorizing the use of up to $35,000 for official 
reception and representation expenses; and language providing 
that reimbursement to the trust funds under this heading for 
expenditures for official time for employees of the Social 
Security Administration pursuant to Sec. 7131 of title 5, 
United States Code, and for facilities or support services for 
labor organizations pursuant to policies, regulations, or 
procedures referred to in 7135(b) of such title shall be made 
by the Secretary of the Treasury, with interest, from amounts 
in the general fund not otherwise appropriated, as soon as 
possible after such expenditures are made.
    Language providing that funds may be derived from 
administration fees collected pursuant to 1616(d) of the Social 
Security Act or 212(b)(3) of Public Law 93-66 and that, to the 
extent that the amounts collected pursuant to such sections in 
fiscal year 2002 exceed $100,000,000, the amounts shall be 
available in fiscal year 2003 only to the extent provided in 
advance in appropriations Acts.
    Language providing that unobligated funds at the end of 
fiscal year 2001 previously appropriated to continue Federal-
State partnerships to evaluate a means to promote Medicare buy-
in programs shall remain available.

                      office of inspector general

    Language permitting the transfer of a certain amount of 
funds into this account from the SSA administrative account 
provided that the Appropriations Committees are promptly 
notified.

                            policy research

    Language making amounts under section 241 of the Public 
Health Service Act available to carry out agency activities.

                           General Provisions

    Sections 102, 201, 202, 204, 205, 206, 207, 208, 209, 210, 
211, 212, 213, 214, 215, 301, 302, 303, 304, 501, 504, 507, 
508, 509, 510, 511, 512 and 513 of the bill are general 
provisions, most of which have been carried in previous 
appropriations acts, which place limitations on the use of 
funds in the bill or authorize or require certain activities, 
and which might, under some circumstances, be construed as 
changing the application of existing law.

              Definition of program, project, and activity

    During fiscal year 2002 for purposes of the Balanced Budget 
and Emergency Deficit Control Act of 1985 (Public Law 99-177), 
as amended, the following information provides the definition 
of the term ``program, project, and activity'' for departments 
and agencies under the jurisdiction of the Labor, Health and 
Human Services, and Education and Related Agencies 
Subcommittee. The term ``program, project, and activity'' shall 
include the most specific level of budget items identified in 
the Departments of Labor, Health and Human Services, and 
Education, and Related Agencies Appropriations Act, 2002, the 
accompanying House and Senate Committee reports, the conference 
report and accompanying joint explanatory statement of the 
managers of the committee of conference.

         Statement of General Performance Goals and Objectives

    Pursuant to clause 3(c)(4) of rule XIII of the Rules of the 
House of Representatives, the following is a statement of 
general performance goals and objectives for which this measure 
authorizes funding:
    The Committee on Appropriations considers program 
performance, including a program's success in developing and 
attaining outcome-related goals and objectives, in developing 
funding recommendations.

                  Appropriations Not Authorized by Law

    Pursuant to clause 3 of rule XIII of the Rules of the House 
of Representatives, the following table lists the 
appropriations in the accompanying bill which are not 
authorized by law:

                          DEPARTMENT OF LABOR

Employment and Training Administration
        Training and Employment Services
                Skills Standards
        Community Service Employment for Older Americans

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration
        Health Resources and Services
                Community Health Centers
                National Health Service Corps:
                        Field placements
                        Recruitment
                Other HRSA Programs:
                        Organ Transplantation
                        Rural Outreach
                        Telemedicine
                        Rural Health Research
                        Nursing loan repayment for shortage 
                        area service
                Family Planning
Centers for Disease Control
        Preventive Health and Health Services Block Grant
                Salaries and Expenses
        Sexually Transmitted Diseases
        Program
                Salaries and Expenses
        Injury Control
                Program
                Salaries and Expenses
National Institutes of Health
        National Cancer Institute
        National Heart, Lung, and Blood Institute
        National Institute of Dental Research
        National Institute Of Diabetes & Digestive & Kidney 
        Diseases
        National Institute of Neurological Disorders and Stroke
        National Institute of Allergy and Infectious Diseases
        National Institute of General Medical Sciences
        National Institute of Child Health and Human 
        Development
        National Eye Institute
        National Institute of Environmental Health Sciences
        National Institute on Aging
        National Institute on Arthritis & Musculoskeletal & 
        Skin Diseases
        National Institute on Deafness & Other Comm. Disorders
        National Institute of Nursing Research
        National Institute on Alcohol Abuse & Alcoholism
        National Institute on Drug Abuse
        National Institute of Mental Health
        National Human Genome Research Institute
        National Center for Research Resources
        National Library of Medicine
Administration for Children and Families
        Developmental Disabilities Program
        Domestic Violence Hotline
        Battered Women's Shelters
        Promoting Safe and Stable Families
Administration on Aging: Aging Services Programs
Office of the Secretary
        General Departmental Management
    Adolescent family life (Title XX)

                        DEPARTMENT OF EDUCATION

School Improvement Programs
        Educational Technology
        21st Century Community Learning Centers
    Innovative Education (Education Block Grant)
    Safe and Drug Free Schools:
    Inexpensive Book Distribution (RIF)
    State Grants for Improving Teacher Quality
    Transition to Teaching/Troops to Teachers
    Small, Safe and Successful High Schools
    State Assessments
        Arts in Education
        Magnet Schools Assistance
        Education for Homeless Children & Youth
        Women's Educational Equity
        Ellender Fellowships/Close Up
        Education for Native Hawaiians
        Alaska Native Education Equity
        Comprehensive Regional Assistance Centers
        Rural Education
        Character Education
        Mentoring Programs
        Elementary School Counseling
        Charter Schools
Education for the Disadvantaged
    Grants to Local Educational Agencies (LEAs)
        Reading First
        Capital Expenses for Private School Children
        Even Start
        State Agency Programs
        Evaluation
        Comprehensive School Reform Demonstration
Impact Aid
Indian Education
Bilingual and Immigrant Education
Education Research, Statistics, and Improvement
        Research and Statistics
        Civic Education
        Javits Gifted and Talented Education
        National Writing Project

                            RELATED AGENCIES

Corporation for National and Community Service:
        Domestic Volunteer Service Programs, Operating Expenses
Cooperation for Public Broadcasting:
        FY 2004 Regular Appropriation

                          Full Committee Votes

    There were no Full Committee rollcall votes.