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110th Congress                                                   Report
                                 SENATE
 2d Session                                                     110-410
_______________________________________________________________________

                                     

                                                       Calendar No. 866


  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2009

                               ----------                              

                              R E P O R T

                                 of the

                      COMMITTEE ON APPROPRIATIONS
                              U.S. SENATE

                                   on

                                S. 3230

                                     




                  July 8, 2008.--Ordered to be printed
  Departments of Labor, Health and Human Services, and Education, and 
          Related Agencies Appropriation Bill, 2009 (S. 3230)

                                                       Calendar No. 866
110th Congress                                                   Report
                                 SENATE
 2d Session                                                     110-410

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



 
  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2009
                                _______
                                

                  July 8, 2008.--Ordered to be printed

                                _______
                                

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

                                 REPORT

                         [To accompany S. 3230]

    The Committee on Appropriations reports the bill (S. 3230) 
making appropriations for Departments of Labor, Health and 
Human Services, and Education, and related agencies for the 
fiscal year ending September 30, 2009, and for other purposes, 
reports favorably thereon and recommends that the bill do pass.

                       Amount of budget authority
Total of bill as reported to the Senate.............    $626,463,029,000
Amount of 2008 appropriations.......................     600,467,001,000
Amount of 2009 budget estimate......................     618,683,815,000
Bill as recommended to Senate compared to--
    2008 appropriations.............................     +25,996,028,000
    2009 budget estimate............................      +7,779,214,000



                                CONTENTS

                              ----------                              
                                                                   Page

Summary of Budget Estimates and Committee Recommendations........     4
Overview.........................................................     4
Highlights of the Bill...........................................     4
Initiatives......................................................     6
Title I: Department of Labor:
    Employment and Training Administration.......................    11
    Employee Benefits Security Administration....................    23
    Pension Benefit Guaranty Corporation.........................    23
    Employment Standards Administration..........................    24
    Occupational Safety and Health Administration................    29
    Mine Safety and Health Administration........................    30
    Bureau of Labor Statistics...................................    33
    Office of Disability Employment Policy.......................    34
    Departmental Management......................................    34
    General Provisions...........................................    39
Title II: Department of Health and Human Services:
    Health Resources and Services Administration.................    41
    Centers for Disease Control and Prevention...................    69
    National Institutes of Health................................    90
    Substance Abuse and Mental Health Services Administration....   128
    Agency for Healthcare Research and Quality...................   139
    Centers for Medicare and Medicaid Services...................   142
    Administration for Children and Families.....................   147
    Administration on Aging......................................   161
    Office of the Secretary......................................   166
    General Provisions...........................................   176
Title III: Department of Education:
    Education for the Disadvantaged..............................   178
    Impact Aid...................................................   182
    School Improvement Programs..................................   184
    Indian Education.............................................   188
    Innovation and Improvement...................................   189
    Safe Schools and Citizenship Education.......................   198
    English Language Acquisition.................................   200
    Special Education............................................   201
    Rehabilitation Services and Disability Research..............   204
    Special Institutions for Persons With Disabilities:
        American Printing House for the Blind....................   210
        National Technical Institute for the Deaf................   210
        Gallaudet University.....................................   210
    Career, Technical, and Adult Education.......................   211
    Student Financial Assistance.................................   214
    Student Aid Administration...................................   215
    Higher Education.............................................   216
    Howard University............................................   227
    College Housing and Academic Facilities Loans................   227
    Historically Black College and University Capital Financing 
      Program....................................................   228
    Institute of Education Science...............................   228
    Departmental Management:
        Program Administration...................................   231
        Office for Civil Rights..................................   231
        Office of the Inspector General..........................   231
    General Provisions...........................................   232
Title IV: Related Agencies:
    Committee for Purchase from People who are Blind or Severely 
      Dis- 
      abled......................................................   233
    Corporation for National and Community Service...............   233
    Corporation for Public Broadcasting..........................   236
    Federal Mediation and Conciliation Service...................   237
    Federal Mine Safety and Health Review Commission.............   237
    Institute of Museum and Library Services.....................   237
    Medicare Payment Advisory Commission.........................   238
    National Council on Disability...............................   238
    National Labor Relations Board...............................   238
    National Mediation Board.....................................   239
    Occupational Safety and Health Review Commission.............   239
    Railroad Retirement Board....................................   239
    Social Security Administration...............................   241
Title V: General Provisions......................................   245
Compliance With Paragraph 7, Rule XVI of the Standing Rules of 
  the Sen- 
  ate............................................................   246
Compliance With Paragraph 7(C), Rule XXVI of the Standing Rules 
  of the Senate..................................................   246
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of 
  the Senate.....................................................   247
Bugetary Impact of Bill..........................................   252
Disclosure of Congressionally Directed Spending Items............   252
Comparative Statement of New Budget Authority....................   289

       SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS

    For fiscal year 2009, the Committee recommends total budget 
authority of $626,474,029,000 for the Departments of Labor, 
Health and Human Services, and Education, and Related Agencies. 
Of this amount, $153,139,000,000 is current year discretionary 
funding, including offsets.

                                OVERVIEW

    The Labor, HHS, and Education and Related Agencies bill 
constitutes the largest of the non-defense Federal 
appropriations bills being considered by Congress this year. It 
is the product of extensive deliberations, driven by the 
realization that no task before Congress is more important than 
safeguarding and improving the health and well-being of all 
Americans. This bill is made up of over 300 programs, spanning 
three Federal departments and numerous related agencies. But 
the bill is more than its component parts. Virtually every 
element of this bill reflects the traditional ideal of 
democracy: that every citizen deserves the right to a basic 
education and job skills training; protection from illness and 
want; and an equal opportunity to reach one's highest 
potential.

                         HIGHLIGHTS OF THE BILL

    Job Training.--The Committee recommends $2,994,510,000 for 
State grants for job training, an increase of $25,061,000 over 
last year and $499,054,000 more than the request. The Committee 
also recommends $1,650,516,000 for the Office of Job Corps, an 
increase of $40,010,000 over the fiscal year 2008 level and 
$85,817,000 more than the request.
    Worker Protection.--The Committee bill provides 
$851,515,000 to ensure the health and safety of workers, 
including $504,620,000 for the Occupational Safety and Health 
Administration [OSHA] and $346,895,000 for the Mine Safety and 
Health Administration. This total is $33,667,000 more than the 
fiscal year 2008 level and $17,780,000 more than the budget 
request. The Committee also has focused resources at OSHA, the 
Bureau of Labor Statistics and National Institute of 
Occupational Safety and Health on understanding the extent and 
potential causes of under-reporting of workplace injuries and 
illness.
    Child Labor.--The Committee bill includes $86,074,000 for 
activities designed to end abusive child labor. This is 
$5,000,000 above the fiscal year 2008 level.
    National Institutes of Health.--A total of $30,254,524,000 
is recommended to fund biomedical research at the 27 Institutes 
and Centers that comprise the NIH. This represents an increase 
of $1,025,000,000 over the fiscal year 2008 level and the 
budget request.
    Health Centers.--The recommendation includes $2,215,022,000 
for health centers, $150,000,000 over the fiscal year 2008 
level.
    Nursing Education.--The Committee recommends $167,652,000 
for nursing education, $11,606,000 over the fiscal year 2008 
level.
    Autism.--The Committee bill includes $63,400,000 for 
prevention of and support for families affected by autism and 
other related developmental disorders. This is an increase of 
$9,834,000 over last year's appropriation.
    Centers for Disease Control and Prevention.--A total of 
$6,507,795,000 is provided in this bill for the Centers for 
Disease Control and Prevention. This is an increase of 
$76,790,000 over the fiscal year 2008 level. This level does 
not include funding for the influenza pandemic, which is 
appropriated in the HHS Office of the Secretary.
    Colorectal Cancer.--The Committee bill provides $38,974,000 
for prevention efforts around colorectal cancer. Included in 
this amount is $25,000,000 to establish a national surveillance 
campaign, with grants to local communities to support 
colorectal screenings and polyp removal for low-income 
individuals.
    Substance Abuse and Mental Health.--The Committee bill 
provides $3,388,636,000 for substance abuse and mental health 
programs. Included in this amount is $2,163,579,000 for 
substance abuse treatment, $191,271,000 for substance abuse 
prevention and $930,383,000 for mental health programs.
    Pandemic Influenza.--The Committee recommendation includes 
$507,000,000 to prepare for and respond to an influenza 
pandemic. Funds are available for the development and purchase 
of vaccine, antivirals, necessary medical supplies, 
diagnostics, and other surveillance tools.
    Head Start.--The Committee bill includes $7,104,571,000 for 
the Head Start Program. This represents an increase of 
$226,595,000 over the 2008 comparable level.
    Title I (Education).--The Committee has provided 
$14,529,901,000 for title I grants to LEAs, an increase of 
$631,026,000 over the fiscal year 2008 appropriation, and 
$491,265,000 for school improvement grants, the same amount as 
the fiscal year 2008 level.
    Student Financial Aid.--The Committee recommends 
$18,761,809,000 for student financial assistance. The maximum 
discretionary Pell Grant Program award level is increased to 
$4,310. This funding, combined with mandatory funding provided 
in the College Cost Reduction and Access Act, would increase 
the maximum award to $4,800 for the 2009/2010 school year. The 
Committee bill includes $70,000,000 for Federal Perkins loan 
cancellations, an increase of $5,673,000.
    Higher Education Initiatives.--The Committee bill provides 
$1,856,214,000 for initiatives to provide greater opportunities 
for higher education, including $838,178,000 for Federal TRIO 
programs, an increase of $10,000,000, and $308,423,000 for GEAR 
UP, an increase of $5,000,000. The bill also provides 
$47,540,000 for Teacher Quality Enhancement Grants, an increase 
of $13,878,000.
    Education for Individuals With Disabilities.--The Committee 
bill provides $12,511,631,000 to help ensure that all children 
have access to a free and appropriate education. This amount 
includes $11,424,511,000 for Part B grants to States, an 
increase of $477,000,000 over last year and $140,000,000 more 
than the budget request. The recommended level will reverse the 
declining share of Federal resources for educating students 
with disabilities and raise it to 17.3 percent.
    Rehabilitation Services.--The bill recommends 
$3,379,109,000 for rehabilitation services. These funds are 
essential for families with disabilities seeking employment. 
The Committee restored funding for several important programs 
proposed for elimination, such as Supported Employment State 
Grants, Projects with Industry, Recreational programs and 
programs for migrant and seasonal farmworkers and rejected the 
Department's proposal to freeze State grant funding at the 
fiscal year 2008 level.
    Services for Older Americans.--For programs serving older 
Americans, the Committee recommendation includes 
$3,187,303,000. This recommendation includes $213,785,000 for 
senior volunteer programs, $571,925,000 for community service 
employment for older Americans, $361,348,000 for supportive 
services and centers, $161,316,000 for family caregiver support 
programs and $801,481,000 for senior nutrition programs. For 
the medical research activities of the National Institute on 
Aging, the Committee recommends $1,077,448,000.
    Corporation for Public Broadcasting.--The Committee bill 
recommends an advance appropriation for fiscal year 2011 of 
$430,000,000 for the Corporation for Public Broadcasting. In 
addition, the Committee bill includes $29,181,000 for 
conversion to digital broadcasting and $26,283,000 for the 
replacement project of the interconnection system in fiscal 
year 2009 funding.

                              INITIATIVES

Improving Teacher Quality
    Research has proven conclusively that improving teacher 
quality is the most important thing schools can do to help 
students succeed academically. If we are truly going to meet 
the goal of leaving no child behind, a strong teacher is needed 
in every classroom. For too many students, however, especially 
those in disadvantaged schools, good teachers are the exception 
rather than the rule. High-poverty schools are more likely to 
employ teachers who are unprepared, inexperienced and don't 
know their subject area than schools in more affluent areas. As 
a result, the students who need the best instruction--those 
students most at risk of being left behind--tend to have the 
worst teachers. This is no way to close the achievement gap.
    For the most part, local school districts bear the 
responsibility of recruiting, hiring, and retaining teachers. 
States set the rules on licensing, and the work of preparing 
most teachers is performed by colleges and universities. But 
the Federal Government also plays a key role in promoting 
teacher quality. Most notably, the No Child Left Behind Act 
requires that all public school teachers of core academic 
subjects must be ``highly qualified.''
    Congress also appropriates significant funding for 
teachers. The Committee recommendation for fiscal year 2009 
includes more than $3,645,491,000, through 14 separate 
programs, specifically for hiring teachers or improving teacher 
quality. This total doesn't include title I grants to LEAs, 
which can also be used for those purposes.
    The Committee has made it a top priority to identify and 
provide strategic increases in programs that can help schools 
improve teacher quality. They are described below.
    Teacher Quality Enhancement Grants.--Preparing teachers the 
right way will ensure they have the skills necessary and 
support required to succeed in the classroom. Unfortunately, 
one-third of new teachers leave the profession within the first 
5 years and this imposes significant costs on school systems 
throughout the United States. By investing in high-quality 
teacher preparation models, such as professional development 
schools, we can more effectively prepare and support teachers 
as they start their careers. Professional development schools 
partner universities with schools that practice state-of-the-
art approaches and train novices in the classrooms of expert 
teachers while they are completing coursework. The Committee 
recommends $47,540,000, an increase of $13,878,000 over the 
fiscal year 2008 level of $33,662,000.
    School Leadership.--Principals are the instructional 
leaders of a school and, therefore, responsible for maintaining 
high standards for their teachers and providing them with 
effective professional development. And yet very little 
attention has been paid to professional development for 
principals themselves. While this is an allowable use under the 
improving teacher quality State grants program, only a tiny 
fraction of this program's funding is used for that purpose. 
The Committee has attempted to meet the meet for better 
principals by recommending a small but significant increase for 
the school leadership program. The Committee recommendation for 
fiscal year 2009 is $19,220,000, a $4,746,000 increase over the 
fiscal year 2008 level of $14,474,000. The administration 
proposed eliminating the program.
    Advanced Credentialing.--For the same reasons as the 
increase for the school leadership program cited above, the 
Committee recommends a $1,000,000 increase to the National 
Board of Professional Teaching Standards [NBPTS] for the 
purpose of developing a new National Board certification for 
principals. The Committee hopes that the principal 
certification will prove as successful as the NBPTS's existing 
programs for teachers. The administration proposed eliminating 
the program.
    Special Education Personnel Development.--According the 
Department of Education's Interim Report on Teacher Quality 
under the No Child Left Behind Act, almost 6 out of 10 school 
districts had difficulty attracting highly qualified applicants 
in special education. Special education is an area where there 
is a problem of adequate supply and one major cause is the 
insufficient capacity to train all of the special educators 
needed. The Committee recommends $93,153,000, an increase of 
$5,000,000 over the fiscal year 2008 level to build the 
leadership programs that are needed to meet the demand for 
special educators.
    Teaching of Traditional American History.--The Committee 
recommends $120,000,000 for supporting professional development 
for teachers of American history. The fiscal year 2008 level 
was $117,904,000, and the budget request is $50,000,000.
    In addition, the Committee recommendation maintains funding 
at the fiscal year 2008 level for several programs that the 
administration proposed reducing or eliminating. They include: 
improving teacher quality State grants ($2,935,249,000), 
National Writing Project ($23,581,000), Teach for America 
($11,790,000) and two Teachers for a Competitive Tomorrow 
programs ($1,966,000).
    Finally, the Committee proposes an increase of $631,026,000 
for title I grants to LEAs, for a total of $14,529,901,000.
Mental Health Promotion and Prevention
    The Committee notes that mental illness is a major public 
health concern. Approximately one-quarter of all Americans had 
a diagnosable mental disorder within the past year, and fully a 
quarter of those had a serious mental illness that 
significantly disrupted their ability to function. Major mental 
disorders are estimated to cost the United States at least 
$317,600,000,000 each year in lost earnings, disability 
benefits and health care expenditures. In addition, mental 
disorders are the leading cause of disability in the United 
States and Canada for those between the ages of 15 and 44.
    The Committee is also aware that many of these disorders 
begin in childhood: half of all lifetime cases of mental 
illnesses begin by age 14. While effective treatments do exist, 
there can be serious delays between the age at which symptoms 
appear and when people actually seek, and receive, treatment. 
These delays can lead to a more severe, more difficult to treat 
illness, and to the development of co-occurring substance abuse 
disorders. Research has shown a strong link between early 
mental health problems and the subsequent development of 
substance abuse, school failure, risky behavior and criminal 
activity.
    The Committee believes that given the magnitude of the 
problem, our Nation must begin to take a public health approach 
to mental health. Early identification, prevention and 
treatment of mental disorders must be regarded with the same 
importance as they are for physical disorders. Fundamental to 
such an approach is promoting strategies for young children and 
their parents that reduce the risk factors involved in 
developing mental health problems, and that improve protective 
factors that serve to buffer against such problems. The 
Committee has provided $7,200,853,000, an increase of 
$255,713,000 over the fiscal year 2008 level, for programs 
across various health, education and social service systems 
that strengthen parenting, foster resilience in children, 
provide for early intervention, and promote mental wellness.
    Head Start.--The Committee has included $7,104,571,000 for 
Head Start, an increase of $226,595,000 over the 2008 
comparable level. The Head Start program provides comprehensive 
services that improve the cognitive and social development of 
children, as well as promote school readiness.
    Home Visitation.--The Committee has included $12,000,000 to 
promote evidence-based home visitation interventions. This is 
an increase of $2,000,000 above last year's level and the 
administration request. Research has shown that home visitation 
programs can reduce incidents of child abuse and neglect. These 
programs are also associated with long-term positive effects 
for mothers and their children, such as reduced substance 
abuse, fewer mental health and behavior problems, lowered 
criminal activity, greater work-force participation, and 
delayed initiation of sexual activity.
    Project Launch.--The Committee recommends $20,369,000 for 
the Project Launch program at the Substance Abuse and Mental 
Health Services Administration [SAMHSA]. This is an increase of 
$13,000,000 over last year's level. The administration proposed 
to eliminate this program, which promotes the emotional, 
physical, and emotional wellness of young children from birth 
to 8 years of age.
    Family Treatment.--The Committee recommends $17,000,000 for 
residential substance abuse treatment programs for pregnant and 
postpartum women and their children, an increase of $5,210,000 
over last year's level. The administration proposed eliminating 
this program.
    Child Traumatic Stress.--The Committee recommendation 
includes $38,000,000 for the national child traumatic stress 
initiative, an increase of $4,908,000 over last year. This 
initiative improves access to care, treatment, and services for 
children and adolescents exposed to traumatic events.
    Mental Health Integration in Schools.--The Committee 
recommendation includes $5,913,000, an increase of $1,000,000 
over the fiscal year 2008 level, for the mental health 
integration in schools program, which provides grants to 
increase student access to mental health care by linking 
schools with their local mental health systems.
    Data Collection.--The Committee recognizes the need for 
population-based sources of data on adults with serious mental 
illness and children with serious emotional disturbance. The 
Committee has included $3,000,000 above the request to improve 
surveillance activities among these groups.
Elimination of Fraud, Waste, and Abuse
    For fiscal year 2009, the Committee has increased funding 
for a variety of activities aimed at reducing fraud, waste, and 
abuse of taxpayer dollars. These program integrity initiatives 
have been shown to be a wise investment of Federal dollars 
resulting in billions of dollars of savings from Federal 
entitlement programs--unemployment insurance, Medicare and 
Medicaid, and Social Security.
    Unemployment Insurance Program Integrity.--The Committee 
recommendation includes $50,000,0000, an increase of 
$40,000,000, to conduct eligibility reviews of claimants of 
Unemployment Insurance. This increase will save an estimated 
$200,000,000 annually in inappropriate Unemployment Insurance 
payments.
    Social Security Program Integrity.--The Committee 
recommendation includes $504,000,000 for conducting continuing 
disability reviews [CDRs] and redeterminations of eligibility 
for Social Security Disability and Supplemental Security Income 
benefits. CDRs save $10 in benefit payments for every $1 spent 
to conduct these activities, while redeterminations save $7 in 
payments for every $1 for doing this work.
    Health Care Program Integrity.--In fiscal year 2006, 
Medicare and Medicaid outlays accounted for nearly $1 out of 
every $5 of the total Federal outlays. Fraud committed against 
Federal health care programs puts Americans at increased risk 
and diverts critical resources from providing necessary health 
services to some of the Nation's most vulnerable populations.
    The Committee has included $198,000,000 for Health Care 
Fraud and Abuse Control [HCFAC] activities at the Center for 
Medicare and Medicaid Services. No discretionary funds were 
provided for this activity in fiscal year 2008.
    Investment in health care program integrity more than pays 
for itself based on 10 years of documented recoveries to the 
Medicare Part A Trust Fund. The historical return on investment 
for the life of the Medicare Integrity program has been about 
13 to 1.

                  REPROGRAMMING AND TRANSFER AUTHORITY

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

                                TITLE I

                          DEPARTMENT OF LABOR

                 Employment and Training Administration

                    TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2008....................................  $3,576,268,000
Budget estimate, 2009...................................   3,060,923,000
Committee recommendation................................   3,618,556,000

    The Committee recommends $3,618,556,000 for this account, 
which provides funding primarily for activities under the 
Workforce Investment Act [WIA]. The comparable fiscal year 2008 
level is $3,576,268,000 and the administration request is 
$3,060,923,000.
    Training and employment services is comprised of programs 
designed to enhance the employment and earnings of economically 
disadvantaged and dislocated workers, operated through a 
decentralized system of skill training and related services. 
This appropriation is generally forward-funded on a July-to-
June cycle. Funds provided for fiscal year 2009 will support 
the program from July 1, 2009 through June 30, 2010. A portion 
of this account's funding, $1,772,000,000, is advance 
appropriated, yet still available for the forward-funded 
program year.
    Pending reauthorization of the Workforce Investment Act, 
the Committee is acting on a current law request, deferring 
without prejudice proposed legislative language under the 
jurisdiction of the authorizing committees. The Committee 
recommendation includes language in section 109 of the general 
provisions requiring that the Department take no action to 
amend, through regulatory or other administrative action, the 
definition established in 20 CFR 677.220 for functions and 
activities under title I of the Workforce Investment Act until 
such time as legislation reauthorizing the act is enacted. This 
language is continued from last year's bill.
    The Committee expects that, while the Workforce Investment 
Act, Wagner-Peyser Act, and Trade Adjustment Act are in the 
process of being altered and renewed, the administration also 
will refrain from unilateral changes to the administration, 
operation and financing of employment and training programs. 
Therefore, legislative language is included in section 110 of 
the general provisions that prohibits the Department from 
taking such action while Congress considers legislation 
reauthorizing these acts.
    While the Committee is interested in ensuring that more 
training is accomplished with the funds available--a stated 
concern of the Department as well--the Committee disagrees with 
the Department's proposed solutions, which are funding cuts and 
consolidation of programs. The Committee believes these policy 
solutions are not the right ones to move American workers 
forward in a competitive global marketplace.

Grants to States

    The Committee recommendation includes $2,994,510,000 for 
Training and Employment Services Grants to States. The fiscal 
year 2008 comparable amount is $2,969,449,000 and the budget 
request includes $2,495,456,000 for this purpose.
    The budget request also proposes legislative language to 
increase the amount of funds that a local workforce board may 
transfer between the adult and dislocated worker assistance 
program from the 30 percent under current law to 40 percent, 
with the approval of the Governor. The Committee bill does not 
provide the recommended increase to 40 percent and the 
Committee notes that many States report that no funds have been 
transferred under this authority while other States have 
received waivers from the Department to transfer 100 percent of 
such funds.
    The budget request also includes language allowing the 
Secretary to reallocate funds available under the Adult, Youth 
and Dislocated Worker programs if the total amount of 
unexpended balances in a State exceeds 30 percent during 
program year 2007. These funds would be reallocated using 
program year 2008 funds to States that have unexpended balances 
lower than 30 percent. The Committee recommendation does not 
include the requested language and notes that this issue is 
most appropriately addressed during the reauthorization of the 
Workforce Investment Act.
    Adult Employment and Training.--For Adult Employment and 
Training Activities, the Committee recommends $864,199,000. The 
comparable fiscal year 2008 level is $861,540,000 and the 
budget request includes $712,000,000 for this purpose. This 
program is formula-funded to States and further distributed to 
local workforce investment boards. Services for adults will be 
provided through the One-Stop system and most customers 
receiving training will use their individual training accounts 
to determine which programs and providers fit their needs. The 
act authorizes core services, which will be available to all 
adults with no eligibility requirements, and intensive 
services, for unemployed individuals who are not able to find 
jobs through core services alone.
    Funds made available in this bill support program year 2009 
activities, which occur from July 1, 2009 through June 30, 
2010. The bill provides that $152,199,000 is available for 
obligation on July 1, 2009, and that $712,000,000 is available 
on October 1, 2009. Both categories of funding are available 
for obligation through June 30, 2010.
    Youth Training.--For Youth Training, the Committee 
recommends $930,500,000. The comparable fiscal year 2008 level 
is $924,069,000 and the budget request includes $840,500,000 
for this purpose. The purpose of Youth Training is to provide 
eligible youth with assistance in achieving academic and 
employment success through improving educational and skill 
competencies and providing connections to employers. Other 
activities supported include mentoring, training, supportive 
services, and summer employment directly linked to academic and 
occupational learning, incentives for recognition and 
achievement, and activities related to leadership development, 
citizenship, and community service. Funds made available for 
youth training support program year 2009 activities, which 
occur from April 1, 2009 through June 30, 2010.
    Dislocated Worker Assistance.--For Dislocated Worker 
Assistance, the Committee recommends $1,199,811,000. The 
comparable fiscal year 2008 level is $1,183,840,000 and the 
budget request includes $942,956,000 for this purpose. This 
program is a State-operated effort that provides core and 
intensive services, training, and support to help permanently 
separated workers return to productive, unsubsidized 
employment. In addition, States use these funds for rapid 
response assistance to help workers affected by mass layoffs 
and plant closures. Also, States may use these funds to carry 
out additional statewide employment and training activities, 
which may include implementation of innovative incumbent and 
dislocated worker training, and programs such as Advanced 
Manufacturing Integrated Systems Technology.
    Funds made available in this bill support program year 2009 
activities, which occur from July 1, 2009 through June 30, 
2010. The bill provides that $351,811,000 is available for 
obligation on July 1, 2009, and that $848,000,000 is available 
on October 1, 2009. Both categories of funding are available 
for obligation through June 30, 2010.

Federally Administered Programs

    Dislocated Worker Assistance National Reserve.--The 
Committee recommends $282,092,000 for the Dislocated Worker 
National Reserve, which is available to the Secretary for 
activities such as responding to mass layoffs, plant and/or 
military base closings, and natural disasters across the 
country, which cannot be otherwise anticipated, as well as 
technical assistance and training and demonstration projects, 
including the Community-Based Job Training Initiative.
    Funds made available in this bill support program year 2009 
activities, which occur from July 1, 2009 through June 30, 
2010. The bill provides that $70,092,000 is available for 
obligation on July 1, 2009, and that $212,000,000 is available 
on October 1, 2009. Both categories of funding are available 
for obligation through June 30, 2010.
    The Committee bill continues language authorizing the use 
of funds under the dislocated workers program for projects that 
provide assistance to new entrants in the workforce and 
incumbent workers, as well as to provide assistance where there 
have been dislocations across multiple sectors or local areas 
of a State.
    The Committee appreciates the actions taken by the 
Department to address the economic diversification opportunity 
brought on by the recent closures of U.S. pineapple plantations 
and encourages the Department to consider continuing possible 
collaborations between State and statewide agricultural 
organizations that mitigate worker dislocation and help workers 
transition in a changing economy.
    Community-Based Job Training Initiative.--Within the 
Committee recommendation for the Dislocated Worker Assistance 
National Reserve, $125,000,000 is available to continue the 
Community College/Community-Based Job Training Grant 
initiative. The comparable fiscal year 2008 level is 
$122,816,000 and the budget request includes $125,000,000 for 
this purpose. Funds used for this initiative should strengthen 
partnerships between workforce investment boards, community 
colleges, and employers, to train workers for high-growth, 
high-demand industries in the new economy. The Committee 
recommendation includes a general provision requiring these 
grants to be awarded competitively.
    The Committee is particularly interested in the Department 
awarding competitive grants under this initiative for energy 
efficiency and renewable energy worker training activities 
authorized under section 171(e) of the Green Jobs Act of 2007. 
To date, very little of the grant funding has been provided for 
such activities and the Committee believes a greater training 
investment needs to be made in areas such as renewable electric 
power, biofuels, energy-efficiency assessment and 
environmentally sustainable manufacturing. Therefore, the 
Committee directs the Department to consult with the Committee 
prior to announcing a solicitation for grant applications under 
this initiative.
    Native American Programs.--For Native American programs, 
the Committee recommends $52,758,000, the same as the 
comparable fiscal year 2008 level. The budget request includes 
$45,000,000 for this purpose. This program is designed to 
improve the economic well-being of Native Americans (Indians, 
Eskimos, Aleuts, and Native Hawaiians) through the provision of 
training, work experience, and other employment-related 
services and opportunities that are intended to aid the 
participants to secure permanent, unsubsidized jobs.
    Migrant and Seasonal Farmworker Programs.--For Migrant and 
Seasonal Farmworkers, the Committee recommends $82,740,000. The 
comparable fiscal year 2008 level is $79,668,000, while the 
budget proposes to eliminate funding for this purpose. 
Authorized by the Workforce Investment Act, this program is 
designed to serve members of economically disadvantaged 
families whose principal livelihood is derived from migratory 
and other forms of seasonal farmwork, or fishing, or logging 
activities. Enrollees and their families are provided with 
employment training and related services intended to prepare 
them for stable, year-round employment within and outside of 
the agriculture industry.
    The Committee recommendation provides that $76,710,000 be 
used for State service area grants. The Committee 
recommendation also includes bill language directing that 
$5,500,000 be used for migrant and seasonal farmworker housing 
grants, of which not less than 70 percent shall be for 
permanent housing. The principal purpose of these funds is to 
continue the network of local farmworker housing organizations 
working on permanent housing solutions for migrant and seasonal 
farmworkers. The Committee recommendation also includes 
$530,000 to be used for section 167 training, technical 
assistance and related activities, including funds for migrant 
rest center activities. Finally, the Committee wishes to again 
advise the Department regarding the requirements of the 
Workforce Investment Act in selecting an eligible entity to 
receive a State service area grant under section 167. Such an 
entity must have already demonstrated a capacity to administer 
effectively a diversified program of workforce training and 
related assistance for eligible migrant and seasonal 
farmworkers.
    Women in Apprenticeship.--The Committee recommends $983,000 
for program year 2009 activities as authorized under the Women 
in Apprenticeship and Non-Traditional Occupations Act of 1992. 
The comparable fiscal year 2008 level is $983,000, while the 
budget proposes to eliminate funding for this purpose. These 
funds provide for technical assistance to employers and unions 
to assist them in training, placing, and retraining women in 
nontraditional jobs and occupations.
    YouthBuild.--The Committee recommends $58,952,000 for the 
YouthBuild program. The comparable fiscal year 2008 level is 
$58,952,000 and the budget request includes $50,000,000 for 
this purpose.
    The YouthBuild program provides the opportunity for 
eligible youth to learn construction trade skills by building 
or rehabilitating housing for low-income individuals, earn a 
high school diploma or equivalency degree, and prepare for 
postsecondary training. Personal counseling and training in 
life skills and financial management also are provided. The 
students are a part of a mini-community of adults and youth 
committed to each other's success and to improving the 
conditions in their neighborhoods.
    The Committee notes that 76,000 YouthBuild students have 
built or rehabilitated 17,000 units of affordable housing since 
1994. Construction projects range from constructing new homes 
to restoring multi-unit buildings to rebuilding entire 
neighborhoods. In particular, the Committee is aware of 
YouthBuild successes and continued potential in communities 
along the Gulf of Mexico, where recent hurricanes created a 
need for both skilled construction labor and low-income housing 
construction itself.

National Activities

    Pilots, Demonstrations, and Research.--The Committee 
recommends $31,438,000 for pilots, demonstration and research 
authorized by section 171 of the Workforce Investment Act. The 
comparable fiscal year 2008 level is $48,508,000 and the budget 
request includes $16,000,000 for this purpose. These funds 
support grants or contracts to conduct research, pilots or 
demonstrations that improve techniques or demonstrate the 
effectiveness of programs.
    The Committee bill also includes language under section 105 
of the general provisions that requires the Department to 
submit an operating plan by July 1, 2009 which details the 
planned expenditure of these funds.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Aerospace Worker Joint Apprenticeship Training                  $500,000
 Committee [AWJATC], Seattle, WA, for skills training
 for the aerospace industry...........................
Bay Area Workforce Development Board, Green Bay, WI,             250,000
 to address re-entry planning, family reunification,
 mentoring and life skills intervention for
 incarcerated women...................................
Blackhawk Technical College, Janesville, WI, for               1,000,000
 employment and training activities...................
Brevard Workforce Development Board, Rockledge, FL,              250,000
 for retraining of aerospace industry workers.........
Central Council of Tlingit-Haida Indian Tribes of                250,000
 Alaska, Juneau, AK, for job training programs........
City of Baltimore, Baltimore, MD, for the City of              1,250,000
 Baltimore's YouthWorks summer job program............
City of Jackson, MS, for the Jackson Transitional Job            100,000
 Project for job training and employment programs for
 the Homeless.........................................
City of Lewiston, ME, for job training programs.......           350,000
City of Milwaukee, Milwaukee, WI, for youth                      400,000
 internships and occupational training in the green-
 collar employment sector.............................
City of Oakland, CA, for the Oakland Green Jobs                  300,000
 Initiative...........................................
City of Santa Ana, CA, for employment and job training           750,000
 services.............................................
Community College of Allegheny County, Pittsburgh, PA,           100,000
 for job training.....................................
Community College of Beaver County, Monaca, PA, for              100,000
 job training.........................................
Community Solutions for Clackamas County, Oregon City,           200,000
 OR, for the Working for Independence job training and
 workforce development program........................
Community Transportation Association of America,                 450,000
 Washington, DC, for the Joblinks program.............
Congreso de Latinos Unidos, Philadelphia, PA, for job            100,000
 training.............................................
Des Moines Area Community College, Des Moines, IA, for           400,000
 Project Employment...................................
Eisenhower Foundation, Washington, DC, to replicate              350,000
 and evaluate job-training and supportive services
 programs for disadvantaged workers in Des Moines,
 Iowa.................................................
Esperanza, Philadelphia, PA, for workforce development           100,000
Florida Community College at Jacksonville,                       100,000
 Jacksonville, FL, for employment, training and
 assessment programs for veterans recently returning
 to civilian life.....................................
Goodwill Industries Inc., Chicago, IL, to expand the             250,000
 Goodwill Works initiative............................
Goodwill Industries of Southeastern Wisconsin, Inc.,             300,000
 Milwaukee, WI, to provide training, employment and
 supportive services, including for individuals with
 disabilities.........................................
Groden Center, Providence, RI, for job readiness                 350,000
 training for adults with Asperger's Syndrome.........
Groundwork Providence, Providence, RI, for workforce             150,000
 training.............................................
Harrisburg Area Community College, Harrisburg, PA, for           100,000
 job training.........................................
Hawkeye Community College, Waterloo, IA, for an                  250,000
 Advanced Manufacturing Training Center...............
Healthcare Industry Grant Corporation, Dorchester, MA,           200,000
 for an incumbent health care worker skills training
 program..............................................
Hispanic Center, Pittsburgh, PA, for job training.....           100,000
Impact Services Corporation, Philadelphia, PA, for               100,000
 workforce development................................
Iowa Central Community College, Fort Dodge, IA, for              250,000
 job training activities..............................
Jobs for Maine's Graduates, Inc., Augusta, ME, for               300,000
 career development for at-risk youth.................
Kentucky Community and Technical College System,                 100,000
 Louisville, KY, for career training programs for
 disabled veterans....................................
Kershaw County, Camden, SC, for workforce training               250,000
 programs in partnership with Kershaw, Lee, and
 Central Carolina Technical College...................
Manufacturers Association of Central New York,                   300,000
 Syracuse, NY, to improve employment and training in
 the manufacturing sector.............................
Maui Community College Remote Rural Hawaii Job                 2,200,000
 Training Project, Kahului, HI, for training and
 education............................................
Maui Community College Training & Education                    2,000,000
 Opportunities, Kahului, HI, for training and
 education............................................
Maui Economic Development Board, Kihei, HI, for high             475,000
 tech training........................................
Maui Economic Development Board, Kihei, HI, for rural            300,000
 computer utilization training program................
Maui Economic Development Board, Kihei, HI, to                   150,000
 integrate job training activities in a health center.
Minnesota State Colleges and Universities, Office of           1,000,000
 the Chancellor, St. Paul, MN, to continue a statewide
 veterans re-entry education program..................
Minot State University, Minot, ND, for the Job Corps             650,000
 Executive Management Program.........................
Mississippi State University, Mississippi State, MS,             400,000
 for the Mississippi Integrated Workforce Performance
 System...............................................
Mississippi Valley State University, Itta Bena, MS,              150,000
 for training and development at the Automated
 Identification Technology [AIT]/Automatic Data
 Collection [ADC] Program.............................
Montana AFL-CIO, Helena, MT, for workforce development           200,000
 and training activities..............................
Nevada Partners for a Skilled Workforce, North Las               500,000
 Vegas, NV, for the Build Nevada Initiative...........
Nine Star Enterprises, Anchorage, AK, for a job                  125,000
 training initiative..................................
Northwestern Alaska Career and Technical Center, Nome,           200,000
 AK, for job training programs for high school
 students.............................................
NW Works--Autism Inclusion Initiative, Winchester, VA,           100,000
 for program development, training, and acquisition of
 equipment............................................
Penn Asian Senior Services, Jenkintown, PA, for job              100,000
 training.............................................
Pennsylvania Association for Individuals with                    100,000
 Disabilities, Johnstown, PA, for job training........
Philadelphia Shipyard Development Corporation,                   200,000
 Philadelphia, PA, for job training...................
Project ARRIBA, El Paso, TX, for workforce development           100,000
 and economic opportunities in the West Texas region..
Rapides Parish Police Jury Office of Economic and                300,000
 Workforce Development, Alexandria, LA, for workforce
 development, employer-based training and education
 and work-based training for out-of-school-  youth....
ReCycle North, Burlington, VT, for workforce                     500,000
 development and training activities..................
Roca, Inc., Chelsea, MA, for a transitional employment           150,000
 program for high-risk youth and young adults ages 16-
 24...................................................
Rural Opportunities Inc., Harrisburg, PA, for                    100,000
 workforce development................................
San Francisco Department of Economic and Workforce               250,000
 Development, San Francisco, CA, for the Green Jobs
 Workforce Development Training Pilot project.........
Seattle-King County Workforce Development Council,               150,000
 Seattle, WA, for demand side workforce development
 approach training....................................
Sinclair Community College, Dayton, OH, for workforce            150,000
 development and training activities..................
South Carolina Association of Community Development              300,000
 Corporation, Charleston, SC, for development of self-
 employment job centers...............................
Southwest Alaska Vocation and Education Center, King             200,000
 Salmon, AK, for workforce development and training...
United Auto Workers Region 9, Local 624, New York, for           450,000
 incumbent worker training............................
University of Maryland, Baltimore, Baltimore, MD, For          1,500,000
 the Life Sciences Workforce Training Center..........
University of Southern Mississippi, Hattiesburg, MS,             250,000
 for workforce training in Marine Composite...........
University of West Florida, Pensacola, FL, to provide            100,000
 job training programs for veterans...................
Vermont Agency of Human Services, Waterbury, VT, for           1,000,000
 an employment services program for veterans with
 disabilities.........................................
Vermont Association of Business, Industry &                      200,000
 Rehabilitation, Williston, VT, for employment
 services to at-risk populations......................
Vermont HITEC, Williston, VT, for health care training         1,000,000
Washington Technology Center, Seattle, WA, for a                  50,000
 workforce training and retention project.............
Washington State Board for Community & Technical                  75,000
 Colleges, Federal Way, WA, for training, on-the-job
 support and career development services in the long-
 term care sector in Washington State.................
Washington Workforce Association, Vancouver, WA, to              450,000
 prepare students to enter secure, local, high-demand
 occupations in Washington's workforce through job
 shadowing, internships, and scholarships.............
YouthCare, Seattle, WA, for a technology training                100,000
 program for homeless and out-of-school youth.........
------------------------------------------------------------------------

    Reintegration of Ex-offenders.--The Committee 
recommendation includes $103,493,000 to continue funding for 
the Reintegration of Ex-offenders program. The comparable 
fiscal year 2008 level is $73,493,000, while the budget request 
includes $39,600,000 for this program. The Responsible 
Reintegration of Ex-offenders program targets critical funding 
to help prepare and assist ex-offenders to return to their 
communities, such as pre-release services, mentoring, and case 
management. The program also provides support, opportunities, 
education and training to youth who are court-involved and on 
probation, in aftercare, on parole, or who would benefit from 
alternatives to incarceration or diversion from formal judicial 
proceedings.
    The Committee recommends $60,000,000 to continue a 
mentoring initiative that began in program year 2006. The 
Committee intends for these funds to be used to implement 
mentoring strategies that integrate educational and employment 
interventions and prevent youth violence. Funds shall be used 
first to continue grants, subject to additional need and 
performance, made with program year 2007 and 2008 funds. The 
balance should be used for additional grants for mentoring 
strategies serving schools with high rates of school dropout or 
identified as persistently dangerous.
    Within the Committee recommendation, sufficient funding is 
available to initiate a competitive grant program, targeting 
national community-based organizations with demonstrated 
capacity and proven track records of effectiveness in preparing 
young ex-offenders and dropouts to re-enter the workforce. The 
Committee intends for the Department to initiate such a 
competition using program year 2009 funds.
    The Committee urges the Department to award grants to 
organizations that will: (1) implement programs, practices, or 
strategies shown in well-designed randomized controlled trials 
to have sizable, sustained effects on important workforce and 
reintegration outcomes; (2) adhere closely to the specific 
elements of the proven program, practice, or strategy; and (3) 
obtain sizable matching funds for their project from other 
Federal or non-Federal sources, such as the Adult Training 
formula grant program authorized under the Workforce Investment 
Act of 1998, or State or local programs.
    Evaluation.--The Committee recommends $4,835,000 to provide 
for the continuing evaluation of programs conducted under the 
Workforce Investment Act, as well as of federally funded 
employment-related activities under other provisions of law. 
The comparable fiscal year 2008 level is $4,835,000 and the 
budget request includes $9,000,000 for this purpose.
    Community-based Job Training Grants.--The Committee 
recommends $125,000,000 for this initiative from the Dislocated 
Worker National Reserve, as described earlier in this section. 
This is the same financing arrangement provided for in last 
year's bill. The budget request includes $125,000,000 for this 
initiative. The Committee recommendation includes a general 
provision requiring these grants to be awarded competitively.
    The Committee is particularly interested in the Department 
awarding competitive grants under this initiative for energy-
efficiency and renewable energy worker training activities 
authorized under section 171(e) of the Green Jobs Act of 2007. 
To date, very little of the grant funding has been provided for 
such activities and the Committee believes a greater training 
investment needs to be made in areas such as renewable electric 
power, biofuels, energy-efficiency assessment and 
environmentally sustainable manufacturing. Therefore, the 
Committee directs the Department to consult with the Committee 
prior to announcing a solicitation for grant applications under 
this initiative.
    Denali Commission.--The Committee recommends $6,755,000 for 
the Denali Commission, as authorized in Public Law 108-7, for 
job training in connection with infrastructure building 
projects it funds in rural Alaska. The comparable fiscal year 
2008 level is $6,755,000 and the budget proposes to eliminate 
funding for this purpose. Funding will allow un- and under-
employed rural Alaskans to train for better jobs in their 
villages.
    Job Training for Employment in High Growth Industries.--The 
Committee continues to have a strong interest in the 
initiatives funded from H-1B fees for job training services and 
related capacity-building activities. The Committee is 
concerned that 90 percent of the funds made available under the 
High Growth Job Training Initiative have not been awarded on a 
competitive basis. The Committee recommendation continues 
language included in last year's bill which requires awards 
under the High Growth Job Training Initiative, Community Based 
Job Training Grants and Workforce Innovation in Regional 
Economic Development initiative to be made on a competitive 
basis.
    The Committee is particularly interested in the Department 
awarding competitive grants under this initiative for energy 
efficiency and renewable energy worker training activities 
authorized under section 171(e) of the Green Jobs Act of 2007. 
To date, very little of the grant funding has been provided for 
such activities. The Committee believes a greater training 
investment needs to be made in areas such as renewable electric 
power, biofuels, and energy-efficiency assessment and 
environmentally sustainable manufacturing. Therefore, the 
Committee directs the Department to consult with the Committee 
prior to announcing a solicitation for grant applications under 
the Job Training for Employment in High Growth Industries' 
initiative.

            COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2008....................................    $521,625,000
Budget estimate, 2009...................................     350,000,000
Committee recommendation................................     571,925,000

    The Committee recommends $571,925,000 for community service 
employment for older Americans. The comparable fiscal year 2008 
level is $521,625,000 and the budget request includes 
$350,000,000. This program, authorized by title V of the Older 
Americans Act, provides part-time employment in community 
service activities for unemployed, low-income persons aged 55 
and over. It is a forward-funded program, so the fiscal year 
2009 appropriation will support the program from July 1, 2009, 
through June 30, 2010.
    The program provides a direct, efficient, and quick means 
to assist economically disadvantaged older workers because it 
has a proven effective network in every State and in 
practically every county. Administrative costs for the program 
are low, and the vast majority of the money goes directly to 
low-income seniors as wages and fringe benefits.
    The program provides a wide range of vital community 
services that would not otherwise be available, particularly in 
low-income areas and in minority neighborhoods. Senior 
enrollees provide necessary and valuable services at Head Start 
centers, schools, hospitals, libraries, elderly nutrition 
sites, senior center, and elsewhere in the community.
    A large proportion of senior enrollees use their work 
experience and training to obtain employment in the private 
sector. This not only increases our Nation's tax base, but it 
also enables more low-income seniors to participate in the 
program.

              FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2008....................................    $888,700,000
Budget estimate, 2009...................................     958,800,000
Committee recommendation................................     958,800,000

    The Committee recommends $958,800,000 for Federal 
Unemployment Benefits and Allowances. The comparable fiscal 
year 2008 amount is $888,700,000 and the budget request 
includes $958,800,000 for this purpose. Trade adjustment 
benefit payments are expected to increase from $606,000,000 in 
fiscal year 2008 to $667,000,000 in fiscal year 2009, while 
trade training in fiscal year 2009 will amount to roughly 
$259,000,000 for an estimated 100,000 participants.
    The Trade Adjustment Assistance Reform Act of 2002 
consolidated the previous Trade Adjustment Assistance [TAA] and 
NAFTA Transitional Adjustment Assistance programs, into a 
single, enhanced TAA program with expanded eligibility, 
services, and benefits. Additionally, the act provides a 
program of Alternative Trade Adjustment Assistance for Older 
Workers.

     STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS

Appropriations, 2008....................................  $3,307,370,000
Budget estimate, 2009...................................   2,782,914,000
Committee recommendation................................   3,692,363,000

    The Committee recommends $3,692,363,000 for this account. 
The recommendation includes $3,603,028,000 authorized to be 
drawn from the Employment Security Administration account of 
the unemployment trust fund, including $40,000,000 in 
additional program integrity activities described later in this 
account, and $89,335,000 to be provided from the general fund 
of the Treasury.
    The funds in this account are used to provide 
administrative grants and assistance to State agencies which 
administer Federal and State unemployment compensation laws and 
operate the public employment service.
    The Committee bill continues language that allows States to 
pay the cost of penalty mail from funds allotted to them under 
the Wagner-Peyser Act and allows States to use funds 
appropriated under this account to assist other States if they 
are impacted by a major disaster declared by the President.
    The Committee recommends a total of $2,831,872,000 for 
unemployment insurance activities.
    For unemployment insurance [UI] State operations, the 
Committee recommends $2,782,145,000. These funds are available 
for obligation by States through December 31, 2009. However, 
funds used for automation acquisitions are available for 
obligation by States through September 30, 2011.
    The recommendation includes $10,000,000 to conduct in-
person reemployment and eligibility assessments and 
unemployment insurance improper payment reviews. In addition, 
$40,000,000 is available for this purpose through a 
discretionary cap adjustment, as provided for in the fiscal 
year 2009 budget resolution. The Committee is particularly 
interested in a portion of these funds being used for 
technology-based overpayment prevention, detection and 
collection infrastructure investments.
    These program integrity activities will save more than 
$200,000,000 annually in overpayments from the unemployment 
insurance trust fund. The Committee bill includes language 
proposed in the budget request that requires the Secretary of 
Labor to submit interim and final reports on the outcomes 
achieved through these activities, their associated estimated 
savings, and identification of best practices that may be 
replicated.
    In addition, the Committee recommendation provides for a 
contingency reserve amount should the unemployment workload 
exceed an average weekly insured claims volume of 3,487,000. 
This contingency amount would fund the administrative costs of 
the unemployment insurance workload over the level of 3,487,000 
insured unemployed per week at a rate of $28,600,000 per 
100,000 insured unemployed, with a pro rata amount granted for 
amounts of less than 100,000 insured unemployed. The 
President's budget provides for a contingency threshold level 
of 2,790,000.
    For unemployment insurance national activities, the 
Committee recommends $9,727,000. These funds are directed to 
activities that benefit the State/Federal unemployment 
insurance program, including helping States adopt common 
technology-based solutions to improve efficiency and 
performance, supporting training and contracting for actuarial 
support for State trust fund management.
    For the Employment Service allotments to States, the 
Committee recommends $703,776,000, which includes $22,883,000 
in general funds together with an authorization to spend 
$680,893,000 from the Employment Security Administration 
account of the unemployment trust fund, which is the same as 
the comparable fiscal year 2008 amounts. The budget request 
does not include any funds for this purpose. These funds are 
available for the program year of July 1, 2009 through June 30, 
2010.
    The Committee also recommends $20,026,000 for Employment 
Service national activities, the same amount as the budget 
request. The comparable fiscal year 2008 amount is $19,677,000 
for these activities.
    As proposed by the administration, the Committee recommends 
a consolidation of funding sources for foreign labor 
certification activities. While the President's budget proposed 
to create a new account for this consolidation, the Committee 
recommends funding of $70,237,000 under this account. The 
comparable fiscal year 2008 funding level is $54,004,000 and 
the President's budget includes $77,970,000 for this purpose. 
In addition, $13,000,000 is estimated to be available from H-1B 
fees for processing H-1B alien labor certification 
applications.
    The budget request also includes legislative proposals that 
would authorize fees for the PERM, H-2A and H-2B programs. The 
Committee bill defers actions on these proposals, which need to 
be considered by the appropriate committees of jurisdiction.
    The Committee urges the Department to develop and implement 
program integrity objectives and performance measures related 
to the foreign labor certification program. The Department of 
Labor Inspector General has identified this as an area of major 
concern.
    For One-Stop Career Centers and Labor Market Information, 
the Committee recommends $52,059,000, the same amount as the 
comparable fiscal year 2008 level. The budget request includes 
$48,880,000 for these activities. The Committee recommendation 
includes funding for America's Career Information Network, 
improving efficiency in labor market transactions, and 
measuring and displaying WIA performance information.
    The Committee has provided funds above the budget request 
to enable the Secretary to make competitive grants to the State 
agencies that administer the Wagner-Peyser Act and State 
unemployment insurance programs. The Committee intends that not 
less than $2,000,000 of such funds be made available for such 
agencies to, in coordination with one-stop delivery systems, 
identify job openings in the renewable energy and energy 
efficiency sector and refer workers to job openings and such 
training programs, among other activities authorized under the 
Green Jobs Act of 2007.
    The Committee recommends $14,393,000 for the Work 
Incentives Grants program, the same amount as the fiscal year 
2008 funding level. The budget request proposes to eliminate 
funding for these activities. This program helps persons with 
disabilities find and retain jobs through the One-Stop Career 
Center system mandated by the Workforce Investment Act. Funding 
will support the Disability Program Navigator initiative, which 
is intended to ensure that One-Stop systems integrate and 
coordinate mainstream employment and training programs with 
essential employment-related services for persons with 
disabilities. The Committee recommendation includes sufficient 
funding for evaluation, capacity building, training, and 
technical assistance, which continues to be needed given the 
expansion to 47 States.

        ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2008....................................    $437,000,000
Budget estimate, 2009...................................     422,000,000
Committee recommendation................................     422,000,000

    The Committee recommends $422,000,000 for this account, the 
same amount the budget request. The fiscal year 2008 funding 
level is $437,000,000 for this purpose. The appropriation is 
available to provide advances to several accounts for purposes 
authorized under various Federal and State unemployment 
compensation laws and the Black Lung Disability Trust Fund, 
whenever balances in such accounts prove insufficient. The 
Committee recommendation assumes that fiscal year 2009 advances 
will be made to the Black Lung Disability Trust Fund, as 
proposed in the budget request.
    The separate appropriations provided by the Committee for 
all other accounts eligible to borrow from this account in 
fiscal year 2009 are expected to be sufficient. Should the need 
arise, due to unanticipated changes in the economic situation, 
laws, or for other legitimate reasons, advances will be made to 
the appropriate accounts to the extent funds are available. 
Funds advanced to the Black Lung Disability Trust Fund are now 
repayable with interest to the general fund of the Treasury.

                         PROGRAM ADMINISTRATION

Appropriations, 2008....................................    $130,836,000
Budget estimate, 2009...................................     144,011,000
Committee recommendation................................     131,153,000

    The Committee recommendation includes $84,368,000 in 
general funds for this account, as well as authority to expend 
$46,785,000 from the Employment Security Administration account 
of the unemployment trust fund, for a total of $131,153,000.
    General funds in this account provide the Federal staff to 
administer employment and training programs under the Workforce 
Investment Act, the Older Americans Act, the Trade Act of 1974, 
the Denali Commission Act, the Women in Apprenticeship and Non-
Traditional Occupations Act of 1992, and the National 
Apprenticeship Act. Trust funds provide for the Federal 
administration of employment security functions under title III 
of the Social Security Act.
    The Committee believes that the public workforce system is 
strengthened by the effective participation of all of the 
stakeholders in the system and urges that the Department use a 
portion of its discretionary funds to support that 
participation through grants and contracts to 
intergovernmental, business, labor, and community-based 
organizations dedicated to training and technical assistance in 
support of Workforce Investment Boards and their members.

               Employee Benefits Security Administration


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $139,313,000
Budget estimate, 2009...................................     147,871,000
Committee recommendation................................     139,313,000

    The Committee recommends $139,313,000 for the Employee 
Benefits Security Administration [EBSA], the same amount as the 
fiscal year 2008 funding level. The budget request includes 
$147,871,000.
    The EBSA is responsible for the enforcement of title I of 
the Employee Retirement Income Security Act of 1974 [ERISA] in 
both civil and criminal areas. EBSA is also responsible for 
enforcement of sections 8477 and 8478 of the Federal Employees' 
Retirement Security Act of 1986 [FERSA]. In accordance with the 
requirements of FERSA, the Secretary of Labor has promulgated 
regulations and prohibited transactions class exemptions under 
the fiduciary responsibility and fiduciary bonding provisions 
of the law governing the Thrift Savings Plan for Federal 
employees. In addition, the Secretary of Labor has, pursuant to 
the requirement of section 8477(g)(1) of FERSA, established a 
program to carry out audits to determine the level of 
compliance with the fiduciary responsibility provisions of 
FERSA applicable to Thrift Savings Plan fiduciaries. EBSA 
provides funding for the enforcement and compliance; policy, 
regulation, and public services; and program oversight 
activities.

                  Pension Benefit Guaranty Corporation

    The Corporation's estimated obligations for fiscal year 
2009 include single employer benefit payments of 
$4,818,000,000, multi-employer financial assistance of 
$100,000,000 and administrative expenses of $444,722,000. 
Administrative expenses are comprised of three activities: (1) 
Pension insurance activities, $68,548,000; (2) pension plan 
termination expenses, $240,406,000; and (3) operational 
support, $135,768,000. Such expenditures will be financed by 
permanent authority. The budget request proposes to make these 
funds available until expended.
    The Pension Benefit Guaranty Corporation is a wholly owned 
Government corporation established by the Employee Retirement 
Income Security Act of 1974. The law places it within the 
Department of Labor and makes the Secretary of Labor the chair 
of its board of directors. The corporation receives its income 
primarily from insurance premiums collected from covered 
pension plans, assets of terminated pension plans, collection 
of employer liabilities imposed by the act, and investment 
earnings. The primary purpose of the corporation is to 
guarantee the payment of pension plan benefits to participants 
if covered defined benefit plans fail or go out of existence.
    The President's budget proposes to continue from last 
year's bill a contingency fund for the PBGC that provides 
additional administrative resources when the number of 
participants in terminated plans exceeds 100,000. When the 
trigger is reached, an additional $9,200,000 becomes available 
for every 20,000 participants in terminated plans. A trigger 
also is included for additional investment management fees for 
plan terminations or asset growth. The Committee recommendation 
includes this language to ensure that the PBGC can take 
immediate, uninterrupted action to protect participants' 
pension benefits. The Committee expects to be notified 
immediately of the availability of any funds made available by 
this provision.
    The President's budget also includes language that provides 
additional funds for investment management fees for changes in 
investment policies approved by the Board. The proposed 
language also allows PBGC additional obligation authority for 
unforeseen and extraordinary pre-termination expenses, after 
approval by the Office of Management and Budget and 
notification of the Committees on Appropriations of the House 
of Representatives and Senate. The Committee bill only includes 
the requested language related to unforeseen expenses.
    The single-employer program protects about 33.8 million 
participants in approximately 28,900 defined benefit pension 
plans. The multi-employer insurance program protects about 9.9 
million participants in more than 1,500 plans.

                  Employment Standards Administration


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $420,925,000
Budget estimate, 2009...................................     468,660,000
Committee recommendation................................     438,359,000

    The Committee recommends $438,359,000 for this account. The 
bill contains authority to expend $2,022,000 from the special 
fund established by the Longshore and Harbor Workers' 
Compensation Act; the remainder of $436,337,000 are general 
funds. In addition, an amount of $32,308,000 is available by 
transfer from the black lung disability trust fund. The 
Committee continues to recommend bill language that authorizes 
the Employment Standards Administration to assess and collect 
fees to defray the cost for processing applications for 
homeworker and special minimum wage certifications, and 
applications for registration under the Migrant and Seasonal 
Agricultural Worker Protection Act.
    The Employment Standards Administration is involved in the 
administration of numerous laws, including the Fair Labor 
Standards Act, the Immigration and Nationality Act, the Migrant 
and Seasonal Agricultural Workers' Protection Act, the Davis-
Bacon Act, the Family and Medical Leave Act, the Federal 
Employees' Compensation Act [FECA], the Longshore and Harbor 
Workers' Compensation Act, and the Federal Mine Safety and 
Health Act (black lung).
    This recommendation provides sufficient funding to offset 
the impact of inflation, and includes more than $5,000,000 to 
hire new investigators to conduct inspections and 
investigations of industries with high concentrations of low-
wage and other vulnerable workers, and industries with high 
levels of wage and hour violations, including overtime 
violations.
    The Committee requests the Department to include, as part 
of its fiscal year 2010 budget justification, a detailed report 
on its enforcement efforts aimed at low-wage industries, 
including: the measures being used to gauge compliance; the 
enforcement strategy being pursued in each of these industries; 
the number of investigators who are bilingual (and in what 
languages); the number of investigations prompted by complaints 
from workers and those initiated by the Department; the number 
of workers covered by those investigations; the employer 
practices that form the basis of complaints; and the findings 
and actions taken, including recovery of back wages.
    The Committee is concerned about the misclassification of 
employees as independent contractors, which undermines 
enforcement of the Nation's worker-protection laws. The 
Committee encourages the Wage and Hour Division to focus 
increased attention of investigative personnel and resources to 
detecting and taking enforcement actions against the illegal 
misclassification of workers and unreported cash pay. The 
Committee requests that the fiscal year 2010 budget 
justification include detailed information on the Department's 
enforcement strategy and record on misclassification and 
unreported cash pay, including: the measures established to 
gauge compliance; the number of investigations prompted by 
complaints from workers and those initiated by the Department; 
the number of workers covered by those investigations; 
descriptive data on the employer practices that form the basis 
of the complaint; and the findings and actions taken, including 
recovery of back pay, other compensatory measures, and cross-
referral of complaints to the Internal Revenue Service.
    The Committee is concerned that the proposed regulations to 
the Family and Medical Leave Act [FMLA] published on February 
11, 2008, have suggested alterations to the current regulations 
without collecting objective, high-quality data to support 
these changes. The Committee believes that the Department 
should move expeditiously to promulgate regulations to 
implement the new military leave provisions to the FMLA that 
Congress enacted in the National Defense Authorization Act of 
2008. However, the Committee also believes the Department needs 
to do more on the non-military aspect of the proposed 
regulation and should conduct an objective, comprehensive 
survey of both employers and employees, as was done in 2000, on 
the need for the proposed changes to the current rules. 
Therefore, the Committee requests the Department to withhold 
from finalizing regulations (not including rules on the 
military family leave provisions as discussed in 73 Fed. Reg. 
at 7925-33) that are not based on the survey described above, 
unless the results of such survey show an objective and 
compelling need for changes to the current regulations.
    The recommendation includes $1,000,000 to continue 
activities for the expeditious startup of a system to resolve 
claims of victims for bodily injury caused by asbestos 
exposure. This may include contracts with individuals or 
entities having relevant experience to assist in jump starting 
the program, as described in S. 852, the Fair Act of 2005. 
Activities to shorten the lead-time for implementation of 
asbestos activities encompass procedures for the processing of 
claims, including procedures for the expediting of exigent 
health claims, and planning for promulgation of regulations. 
Funds not needed for this purpose, because authorizing 
legislation has not been enacted, should be used for additional 
investigations as outlined in the budget request.
    The Committee recommendation includes a rescission of 
$63,000,000 in unexpended balances from H-1B fee receipts the 
Department has been unable to spend over the past several 
fiscal years. The budget proposes to rescind $30,000,000 of 
these balances.

                            SPECIAL BENEFITS

Appropriations, 2008....................................    $203,000,000
Budget estimate, 2009...................................     163,000,000
Committee recommendation................................     163,000,000

    The Committee recommends $163,000,000 for this account. The 
comparable fiscal year 2008 amount is $203,000,000 and the 
budget request includes $163,000,000 for this purpose. The 
appropriation primarily provides benefits under the Federal 
Employees' Compensation Act [FECA].
    The Committee recommends continuation of appropriation 
language to provide authority to require disclosure of Social 
Security account numbers by individuals filing claims under the 
Federal Employees' Compensation Act or the Longshore and Harbor 
Workers' Compensation Act and its extensions.
    The Committee recommends continuation of appropriation 
language that provides authority to use the FECA fund to 
reimburse a new employer for a portion of the salary of a newly 
reemployed injured Federal worker. The FECA funds will be used 
to reimburse new employers during the first 3 years of 
employment not to exceed 75 percent of salary in the worker's 
first year, declining thereafter.
    The Committee recommendation also continues language 
allowing carryover of unobligated balances from fiscal year 
2008 to be used in the following year.
    The Committee again includes appropriation language that 
retains the drawdown date of August 15. The drawdown authority 
enables the agency to meet any immediate shortage of funds 
without requesting supplemental appropriations. The August 15 
drawdown date allows flexibility for continuation of benefit 
payments without interruption.
    The Committee recommends continuation of appropriation 
language to provide authority to deposit into the special 
benefits account of the employees' compensation fund those 
funds that the Postal Service, the Tennessee Valley Authority, 
and other entities are required to pay to cover their fair 
share of the costs of administering the claims filed by their 
employees under FECA. The Committee concurs with requested bill 
language to allow use of fair share collections to fund capital 
investment projects and specific initiatives to strengthen 
compensation fund control and oversight.

               SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2008....................................    $208,221,000
Budget estimate, 2009...................................     188,130,000
Committee recommendation................................     188,130,000

    The Committee recommends an appropriation of $188,130,000 
in fiscal year 2009 for special benefits for disabled coal 
miners. This is in addition to the $62,000,000 appropriated 
last year as an advance for the first quarter of fiscal year 
2009. These funds are used to provide monthly benefits to coal 
miners disabled by black lung disease and to their widows and 
certain other dependents, as well as to pay related 
administrative costs.
    The Black Lung Consolidation of Administrative 
Responsibility Act, enacted on November 2, 2002, amends the 
Black Lung Benefits Act to transfer part B black lung benefits 
responsibility from the Commissioner of Social Security to the 
Secretary of Labor, thus consolidating all black lung benefit 
responsibility under the Secretary. Part B benefits are based 
on claims filed on or before December 31, 1973. The Secretary 
of Labor is already responsible for the part C claims filed 
after December 31, 1973. In fiscal year 2009, an estimated 
27,700 beneficiaries will receive benefits.
    By law, increases in black lung benefit payments are tied 
directly to Federal pay increases. The year-to-year decrease in 
this account reflects a declining beneficiary population.
    The Committee recommends an advance appropriation of 
$56,000,000 for the first quarter of fiscal year 2010, the same 
as the administration request. These funds will ensure 
uninterrupted benefit payments to coal miners, their widows, 
and dependents.

       ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM

Appropriations, 2008....................................     $49,387,000
Budget estimate, 2009...................................      49,654,000
Committee recommendation................................      49,654,000

    The Committee recommends $49,654,000 for the Energy 
Employees Occupational Illness Compensation Program [EEOICP]. 
The comparable fiscal year 2008 amount is $49,387,000 and the 
budget request includes $49,654,000 for this program.
    The objective of the EEOICP is to deliver benefits to 
eligible employees and former employees of the Department of 
Energy, its contractors and subcontractors or to certain 
survivors of such individuals, as provided in the Energy 
Employees Occupational Illness Compensation Program Act. The 
mission also includes delivering benefits to certain 
beneficiaries of the Radiation Exposure Compensation Act.
    The Department of Labor's Office of Workers' Compensation 
Programs within the Employment Standards Administration is 
responsible for adjudicating and administering claims filed by 
employees or former employees (or their survivors) under the 
act.
    The Committee recommends a direct appropriation to the 
Centers for Disease Control and Prevention/National Institute 
for Occupational Safety and Health [CDC/NIOSH] under the 
Department of Health and Human Services, as proposed in the 
budget request. Previously, the appropriations act provided the 
Department of Labor with the authority to transfer appropriated 
funds to CDC/NIOSH for authorized activities.
    In 2009, the volume of incoming claims under part B of the 
EEOICP is estimated to remain stable at about 8,500 claims from 
Department of Energy [DOE] employees or survivors, and private 
companies under contract with DOE, who suffer from a radiation-
related cancer, beryllium-related disease, or chronic silicosis 
as a result of their work in producing or testing nuclear 
weapons.
    Under part E, the Department is expected to receive 
approximately 10,000 new claims during fiscal year 2009. Under 
this authority, the Department provides benefits to eligible 
DOE contractor employees or their survivors who were found to 
have work-related occupational illnesses due to exposure to a 
toxic substance at a DOE facility.
    The Committee expects the administration to refrain from 
unilateral changes to reduce the cost of benefits for current 
or pending cohorts of atomic weapons workers with cancer under 
the Energy Employees Occupational Illness Compensation Program 
until such time as Congress approves proposed changes.

                    BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2008....................................  $1,067,644,000
Budget estimate, 2009...................................   1,071,644,000
Committee recommendation................................   1,071,644,000

    The Committee recommends $1,071,644,000 for this account in 
2009. The comparable fiscal year 2008 amount is $1,067,644,000 
and the budget request includes $1,071,644,000 for this 
purpose.
    The appropriation language continues to provide indefinite 
authority for the Black Lung Disability Trust Fund to provide 
for benefit payments. The recommendation assumes that 
$1,014,317,000 for benefit payments and interest, comprised of 
$256,317,000 for benefits payments and $758,000,000 for 
interest payments, will be paid in fiscal year 2009. In 
addition, the appropriation bill provides for transfers from 
the trust fund for administrative expenses for the following 
Department of Labor agencies: up to $32,308,000 for the 
Employment Standards Administration, up to $24,694,000 for 
Departmental Management, Salaries and Expenses, and up to 
$325,000 for Departmental Management, Inspector General. The 
bill also allows a transfer of up to $356,000 for the 
Department of Treasury.
    The trust fund pays all black lung compensation/medical and 
survivor benefit expenses when no responsible mine operation 
can be assigned liability for such benefits, or when coal mine 
employment ceased prior to 1970, as well as all administrative 
costs which are incurred in administering the benefits program 
and operating the trust fund.
    It is estimated that 31,000 individuals will receive black 
lung benefits financed through the end of the fiscal year 2009.
    The basic financing for the trust fund comes from a coal 
excise tax for underground and surface-mined coal. Additional 
funds come from reimbursement from the Advances to the 
Unemployment Trust Fund and Other Funds as well as payments 
from mine operators for benefit payments made by the trust fund 
before the mine operator is found liable. The advances to the 
fund assure availability of necessary funds when liabilities 
may exceed other income. The Omnibus Budget Reconciliation Act 
of 1987 continues the current tax structure until 2014.

             Occupational Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $486,001,000
Budget estimate, 2009...................................     501,674,000
Committee recommendation................................     504,620,000

    The Committee recommends $504,620,000 for this account. The 
comparable fiscal year 2008 amount is $486,001,000 and the 
budget request includes $501,674,000 for authorized activities. 
This agency is responsible for enforcing the Occupational 
Safety and Health Act of 1970 in the Nation's workplaces.
    In addition, the Committee has included language to allow 
OSHA to retain up to $750,000 per fiscal year of training 
institute course tuition fees to be utilized for occupational 
safety and health training and education grants in the private 
sector.
    The Committee retains language carried in last year's bill 
effectively exempting farms employing 10 or fewer people from 
the provisions of the act except those farms having a temporary 
labor camp. The Committee also retains language exempting small 
firms in industry classifications having a lost workday injury 
rate less than the national average from general schedule 
safety inspections. These provisions have been in the bill for 
many years.
    The Committee is concerned that OSHA's standard setting and 
enforcement capabilities have been diminished over the past 
several years, due in part to declining budgets. The number of 
employees covered by inspections has fallen from almost 2.1 
million in fiscal year 2000 to just more than 1.4 million in 
fiscal year 2007, a decline of almost one-third. Meanwhile, the 
pace of occupational safety and health standards setting at 
OSHA has essentially drawn to a halt, despite planned 
timetables announced in its regulatory agendas. The Committee 
recommends funding above the 2008 level to begin rebuilding 
enforcement capacity and increase the pace of standard setting 
at OSHA in fiscal year 2009.
    The Committee notes that, in 2006, there were 357,160 
serious ergonomic injuries resulting in time off the job 
reported by employers. The Committee is disturbed that the 
Department has failed to make sufficient progress on its 
comprehensive plan to address ergonomic injuries, which 
included industry-targeted guidelines and tough enforcement 
measures. Despite this commitment, the Department only issued 
one ergonomic citation over the past 3 years, 3 of 16 promised 
guidelines and almost 90 percent fewer hazard alert letters 
than the number issued in 2003. The Committee believes that 
OSHA should strengthen its efforts in this area.
    The Committee is deeply concerned that a large proportion 
of work-related injuries and illnesses are not being captured 
on the OSHA Log of Work-related Injuries and Illnesses or in 
the annual Bureau of Labor Statistics [BLS] Survey of 
Occupational Injuries and Illnesses. The Committee understands 
that several recent studies found that the BLS survey may miss 
from 25 percent to 70 percent of all nonfatal injuries and 
illnesses, when compared to State workers' compensation 
information. While there is some explanation for why these data 
systems won't match completely, the Committee believes this 
level of apparent under-reporting raises serious questions, 
particularly when firms may have economic incentives to 
underreport and workers may fear retaliation for reporting 
injuries.
    Given that complete and accurate reporting of injuries and 
illnesses is part of the foundation of the OSHA program, the 
Committee believes OSHA needs to take steps to better 
understand the completeness of employer-provided data. 
Specifically, the Committee directs OSHA to enhance oversight 
and enforcement of its recordkeeping standard to ensure 
complete and accurate recording and reporting by employers. To 
this end, the Committee has included $1,000,000 above the 
budget request for a recordkeeping enforcement initiative on 
injury and illness recording. This funding will support the 
hiring of additional staff, training of inspectors, and the 
establishment of a recordkeeping enforcement unit, which will 
enable OSHA to review the completeness and accuracy of 
individual employers' injury and illness records and determine 
whether there are policies or practices in place that cause 
incomplete reporting of injuries and illnesses by employees. 
The Committee expects OSHA to keep it updated of its actions in 
this area.
    The Committee believes that OSHA's worker safety and health 
training and education programs, including the grant program 
that supports such training, are a critical part of a 
comprehensive approach to worker protection. The Committee is 
concerned that OSHA has again cut funding to help establish 
ongoing worker safety and health training programs and has 
therefore restored the Susan Harwood training grant program to 
$9,939,000. Bill language specifies that no less than 
$3,144,000 shall be used to maintain the existing institutional 
competency building training grants, provided that grantees 
demonstrate satisfactory performance.
    The Committee included legislative language in the fiscal 
year 2008 appropriations act to require OSHA to submit 
timelines for and progress reports on the development and 
issuance of safety and health standards and took this action 
because of the lack of any progress on standards setting. The 
Committee is particularly concerned about the health effects of 
silica, where the use of silica in abrasive blasting is a well 
known cause of silicosis. In fact, the Committee understands 
that the United States Navy and 23 States have banned the use 
of silica in abrasive blasting.
    The Committee understands that OSHA will complete, in 
August 2008, a peer review risk assessment and study of health 
effects related to silica. The Committee requests a copy of 
this assessment and looks forward to OSHA announcing the next 
stages of this rulemaking.

                 Mine Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $331,847,000
Budget estimate, 2009...................................     332,061,000
Committee recommendation................................     346,895,000

    The Committee recommendation includes $346,895,000 for the 
Mine Safety and Health Administration. The comparable fiscal 
year 2008 amount is $331,847,000 and the budget request 
includes $332,061,000.
    The Committee recommendation also includes bill language 
providing up to $2,000,000 for mine rescue and recovery 
activities, the same as the fiscal year 2008 comparable level. 
It also retains the provision allowing the Secretary of Labor 
to use any funds available to the Department to provide for the 
costs of mine rescue and survival operations in the event of a 
major disaster.
    This agency insures the safety and health of the Nation's 
miners by conducting inspections and special investigations of 
mine operations, promulgating mandatory safety and health 
standards, cooperating with the States in developing effective 
State programs, and improving training in conjunction with 
States and the mining industry.
    In addition, bill language is included to allow the 
National Mine Health and Safety Academy to collect not more 
than $750,000 for room, board, tuition, and the sale of 
training materials to be available for mine safety and health 
education and training activities. Bill language also allows 
MSHA to retain up to $1,000,000 from fees collected for the 
approval and certification of equipment, materials, and 
explosives for use in mines, and may utilize such sums for such 
activities.
    The Committee recommends $154,491,000 for coal enforcement, 
which is $9,509,000 more than the budget request and $4,368,000 
more than the comparable fiscal year 2008 level. The increase, 
together with approximately $6,000,000 available in one-time 
expenditures related to the MSHA interim 100 percent plan, will 
provide a program level increase of over $10,000,000 for MSHA.
    The Committee intends for these funds to be used to 
accelerate the implementation of the MINER Act and improve the 
health and safety of miners. The Committee believes MSHA needs 
to move more aggressively in a number of areas where evidence 
reveals that insufficient progress is being made, as described 
below. The additional funds provided over the request are 
specifically directed toward ensuring MSHA is able to conduct 
and follow-up on 100 percent of its mandatory inspections; 
adequately train and hire coal mine safety enforcement 
personnel; improve the infrastructure at the National Mine 
Health and Safety Academy; accelerate the certification and 
approval of safety and health equipment, including the 
communication and tracking technologies required in the MINER 
Act; and ensure the compliance with and effectiveness of 
statutory training requirements. In each of these areas and 
others specifically required by the MINER Act, the Committee 
requests quarterly progress reports on the progress being made 
with funding provided by this Committee.
    The Committee notes that MSHA conducted 95 percent of 
mandatory inspections in the coal industry during fiscal year 
2006. In some districts, only 80 to 85 percent of mandatory 
inspections were completed. The Committee finds this 
unacceptable. These inspections form the core of the agency's 
enforcement efforts, and without them, the health and safety of 
miners is jeopardized. The Committee expects MSHA to ensure 
that no less than 100 percent of mandatory health and safety 
inspections are completed in fiscal years 2008 and 2009 and any 
follow-up actions required are taken in a timely manner.
    The Committee is concerned about the reported increases in 
respiratory illnesses in the coal miner population. Within the 
Committee recommendation, $2,000,000 shall be used by MSHA to 
increase spot inspections in the active workings of coal mines 
for the purpose of obtaining compliance with section 202 of the 
Federal Coal Mine Health and Safety Act of 1969. In addition, 
the Committee requests MSHA to provide a report, not later than 
March 31, 2009 and after consultation with the National 
Institute for Occupational Safety and Health, on the 
feasibility and efficacy of MSHA using single, full-shift 
measurements of respirable coal mine dust to ensure compliance 
with section 202 of the Federal Coal Mine Health and Safety Act 
of 1969.
    The Committee also is aware that the Government 
Accountability Office [GAO] implementation report issued in May 
2007 identified continued concerns about MSHA's preparedness 
for dealing with its future workforce needs, which are expected 
to be significant given that more than 40 percent of 
underground coal mine inspectors are eligible to retire within 
the next 5 years. Many of these retirees are highly 
experienced, which adds to the impact of these losses. GAO has 
concluded that MSHA lacks a clear and well-thought-out plan to 
address the expected turnover in its experienced workforce. The 
Committee directs MSHA to undertake a strategic planning 
process to identify goals and measures for monitoring and 
evaluating its progress on staying ahead of the retirement wave 
and meeting the needs of its enforcement workforce. The 
Committee requests a report, no later than March 30, 2009, that 
includes a 5-year succession plan and goals and measures 
related to MSHA's human capital needs.
    To help meet the demand for training of MSHA's workforce, 
the Committee recommendation includes an increase over the 
budget request of $2,000,000 to improve the infrastructure and 
expand on-line training programs at the National Mine Safety 
and Health Academy. These funds are available under the 
educational policy and development line.
    The Committee also notes MSHA's operating plan indicates 
that the Approval and Certification Center has a backlog of 
more than 400 approval actions. While additional funding 
provided in 2008 will help reduce this backlog through the 
hiring of an additional seven staff, the Committee believes 
more needs to be done to strengthen the ability of MSHA to 
review and certify equipment for use in mines. The Committee 
recommends $1,000,000 more than the budget request for 
equipment and infrastructure improvement at the Approval and 
Certification Center to make more progress on reducing this 
backlog.
    The Committee recommendation also includes $1,900,000 for 
an award to the United Mine Workers of America to provide 
classroom and simulated rescue training for mine rescue teams 
at its Beckley, West Virginia and Washington, Pennsylvania 
career centers. The Committee notes that a GAO report issued in 
May 2007 found that 81 percent of mine operators considered the 
availability of special training facilities for mine rescue 
team training in simulated environments to be a challenge.
    The Committee understands the Office of Accountability was 
established to provide focus and oversight to ensure that MSHA 
policies, enforcement procedures, and guidance are being 
complied with consistently and that the agency is accomplishing 
its mission-critical activities. The Office conducts field 
audits, recommends and monitors corrective actions and analyzes 
mining data. The Committee requests that MSHA prepare and 
provide a report to the Committee, no later than March 31, 
2009, on staffing and budget resources expended or planned for 
fiscal years 2008 and 2009; findings and recommendations of 
audits conducted to date; and corrective actions implemented.

                       Bureau of Labor Statistics


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $544,801,000
Budget estimate, 2009...................................     592,806,000
Committee recommendation................................     598,306,000

    The Committee recommends $598,306,000 for this account. The 
comparable fiscal year 2008 amount is $544,801,000 and the 
budget request includes $592,806,000 for this purpose. The 
recommendation includes $82,764,000 from the Employment 
Security Administration account of the unemployment trust fund, 
and $515,542,000 in Federal funds. Language pertaining to the 
Current Employment Survey is retained from prior year bills.
    The Bureau of Labor Statistics is the principal fact-
finding agency in the Federal Government in the broad field of 
labor economics.
    The Committee is concerned by the significant discrepancies 
found in comparisons of BLS injury and illness survey data, 
which are based on employer-reported injury logs provided to 
the Occupational Safety and Health Administration [OSHA], and 
State worker compensation information. The research identified 
that the BLS data were only capturing as few as one-third of 
injuries under certain State worker compensation systems. While 
there is some explanation for why data from State worker 
compensation systems won't match perfectly with the BLS survey 
data, the research conducted to date raises serious questions 
about the completeness of the national workplace injury 
surveillance system.
    Therefore, the Committee recommendations includes 
additional resources, which are intended to be used to: 
strengthen the current BLS examination of the differences 
between workers' compensation information and BLS survey data; 
better understand employer injury and illnesses recording 
practices and conduct a pilot study of using multiple data 
sources to capture injury and illness data. The Committee 
expects to be kept apprised of BLS work in this area.
    The Committee understands that BLS is in the process of 
converting the National Compensation Survey sample of areas to 
a list that reflects the metropolitan and micropolitan areas 
defined by the Office of Management and Budget on the basis of 
the 2000 Census of Population. The Committee further 
understands that this conversion, which is planned to take 
several years, includes initiating a survey of the Las Vegas 
metropolitan area. The Committee supports this action and has 
included sufficient funding to complete this conversion process 
in a timely basis.
    The Committee recommendation includes $1,500,000 to 
continue the Mass Layoff Statistics Program. These resources, 
together with $3,500,000 from the Employment and Training 
Administration, are sufficient to continue the program. The 
Committee recommendation also includes sufficient funding to 
continue the American Time Use Survey in its current form.

                 Office of Disability Employment Policy

Appropriations, 2008....................................     $26,679,000
Budget estimate, 2009...................................      12,441,000
Committee recommendation................................      26,679,000

    The Committee recommends $26,679,000 for this account in 
2009, the same amount as the comparable fiscal year 2008 level. 
The budget request includes $12,441,000 for this account. The 
Committee intends that at least 80 percent of these funds shall 
be used to design and implement research and technical 
assistance grants and contracts to develop policy that reduces 
barriers to employment for youth and adults with disabilities.
    Congress created the Office of Disability Employment Policy 
[ODEP] in the Department of Labor's fiscal year 2001 
appropriation. The mission of the ODEP is to provide 
leadership, develop policy and initiatives, and award grants 
furthering the objective of eliminating barriers to the 
training and employment of people with disabilities. The 
Committee strongly supports each of the components of ODEP's 
mission and, in particular, urges the Secretary to ensure that 
ODEP is properly supported in carrying out its leadership role 
with respect to Government-wide policies related to the 
training and employment of individuals with disabilities.
    The Committee recommends $500,000 for the Office of 
Disability Employment Policy to expand a structured, internship 
program for undergraduate college students with disabilities. 
The Committee continues to believe that this structured 
internship program will provide important opportunities for 
undergraduate and graduate students with disabilities to pursue 
academic and career development opportunities within the 
Department of Labor and other Federal agencies.

                        Departmental Management


                         SALARIES AND EXPENSES

Appropriations, 2008....................................    $293,952,000
Budget estimate, 2009...................................     263,483,000
Committee recommendation................................     314,340,000

    The Committee recommendation includes $314,340,000 for this 
account. The comparable fiscal year 2008 amount is $293,952,000 
and the budget request includes $263,483,000 for this purpose. 
In addition, an amount of $24,694,000 is available by transfer 
from the black lung disability trust fund.
    The primary goal of the Department of Labor is to protect 
and promote the interests of American workers. The departmental 
management appropriation finances staff responsible for 
formulating and overseeing the implementation of departmental 
policy and management activities in support of that goal. In 
addition, this appropriation includes a variety of operating 
programs and activities that are not involved in departmental 
management functions, but for which other salaries and expenses 
appropriations are not suitable.
    The Committee recommendation for the Women's Bureau 
includes funding for a competitive grant of no less than 
$600,000 in fiscal year 2009 to: develop resources and provide 
technical assistance to local women's employment and training 
programs throughout the country; develop Statewide networks to 
enhance the capacity of such employment and training programs; 
provide online and toll-free referral services to assist 
individual women in accessing such training programs; and 
conduct other activities to advance unemployed and 
underemployed women in the workforce.
    The Committee is disappointed that the Department of Labor 
has once again proposed a budget that drastically reduces 
funding for International Labor Affairs Bureau [ILAB], in 
particular, those initiatives working with the International 
Labor Organization [ILO] to combat abusive and exploitative 
child labor and implement model programs to address worker 
rights.
    The Committee strongly supports the mandate of the Office 
of Child Labor, Forced Labor, and Human Trafficking [OCFT] 
which is part of the Department of Labor's ILAB. For the past 
decade, the OCFT has responded to requests from Congress to 
investigate and report on abusive child labor around the world. 
The OCFT played a key role in the drafting of ILO's Convention 
182, which became the world's definition of the worst forms of 
child labor and their expertise in combating international 
child labor, forced labor and human trafficking issues are 
vital to formulating U.S. Government policy.
    This Committee and Congress have provided OCFT with 
significant funding to implement activities, such as research 
and technical assistance related to international child labor, 
forced labor, and human trafficking. The Committee has provided 
funding to OCFT to implement and oversee over 130 cooperative 
agreements and contracts to organizations engaged in efforts to 
eliminate exploitive child labor in more than 70 countries 
around world. In 2005, the Trafficking Victim Protection 
Reauthorization Act mandated OCFT to monitor the use of forced 
labor and child labor in violation of international standards. 
Additionally, OCFT prepares an annual report to Congress on GSP 
countries implementation of international commitments to 
eliminate the worst forms of child labor as well as those 
countries that have negotiated free trade agreements with the 
United States.
    Clearly, these programs administered by ILAB are having a 
positive impact, and the Committee feels strongly that reducing 
United States efforts to eradicate child labor or substantially 
changing the structure and leadership of those efforts would, 
at best, endanger the progress being made. At worst, 
withdrawing from these efforts could damage the Nation's 
credibility and reputation in the countries that are real 
partners to the United States in this effort.
    The Committee is aware that the administration is 
aggressively pursuing multiple trade agreements that promise 
technical assistance on labor standards, including but not 
limited to the eradication of child labor. ILAB is the division 
of the U.S. Government with the mission and authority to 
provide that assistance. Given the aggressive trade agenda and 
the recent commitment to capacity building in developing 
nations as a form of aid, the Committee is mystified by the 
Department's now annual effort to eliminate these programs, 
this year proposing an astounding 80 percent reduction.
    Therefore, the Committee recommendation includes 
$86,074,000 for the Bureau of International Labor Affairs. Of 
this amount, the Committee directs $42,784,000 be used for the 
United States contribution to expand on the successful efforts 
of the ILO's International Program for the Elimination of Child 
Labor [IPEC].
    Also included is $23,581,000 to help ensure access to basic 
education for the growing number of children removed from the 
worst forms of child labor in impoverished nations where 
abusive and exploitative child labor is most acute. The 
Committee expects the Department of Labor to work with the 
governments of host countries to eliminate school fees that 
create a barrier to education.
    The Committee believes that the oversight committee created 
in 2006 to publicly report on the progress of the 
implementation of the Harkin-Engel protocol, a public private 
partnership to eliminate the worst forms of child labor and 
adult forced labor in the cocoa sector of West Africa, has been 
beneficial to all stakeholders. Due to a delay in the 
implementation of a transparent certification system, it will 
be necessary to extend the oversight process until December 
2010. The Committee has included sufficient funds to support 
additional annual reporting through the extension period. The 
Committee intends for the additional reporting to assess 
progress made on key points of the protocol, which include 
development of a child labor monitoring system by industry, the 
elimination of the worst forms of child labor in the supply 
chain, and the development of an industry-wide, public, 
transparent certification system covering at least 50 percent 
of the growing area in the Ivory Coast and Ghana. The Committee 
requests that the annual report also include a programmatic 
review of industry and national government efforts to remediate 
children found in the worst forms of child labor and adult 
forced labor in the cocoa supply chain, as well as 
recommendations on the frequency of data collection needed in 
the field to accurately and affirmatively report on the 
incidence of the worst forms of child labor and adult forced 
labor in order to measure the decline over time of these 
abusive labor practices.
    The Committee recommends continuation of the worker rights 
technical assistance projects initiated in last year's bill. 
These projects will support the implementation of model 
programs designed to address worker rights in countries with 
which the United States has trade preference programs. The 
Committee bill earmarks $5,913,000 for this purpose and intends 
for the increase provided over last year to be targeted to the 
work that will be undertaken in Haiti.
    The Committee notes that ILAB is statutorily required to 
compile and report to the Congress annually on the extent to 
which each foreign country that has trade and investment 
agreements with the United States enforces internationally 
recognized worker rights. This report is required under 
multiple U.S. laws and promotes core labor standards as 
embodied in the ILO Declaration on Fundamental Principles and 
Rights at Work as adopted and reaffirmed in 1998. The Committee 
once again directs the Secretary to include in the 2008 report 
all former GSP recipients that have achieved a Free Trade 
Agreement with the United States over the preceding year.
    The Committee recommends $100,532,000 for the Office of the 
Solicitor. The Committee intends for the increase provided to 
support no less than an increase of five FTEs over the fiscal 
year 2008 staffing level for enforcement support for the Mine 
Safety and Health Administration.

                          OFFICE OF JOB CORPS

Appropriations, 2008....................................  $1,610,506,000
Budget estimate, 2009...................................   1,564,699,000
Committee recommendation................................   1,650,516,000

    For Job Corps, the Committee recommends $1,650,516,000. The 
comparable fiscal year 2008 amount is $1,610,506,000 and the 
budget request includes $1,564,699,000 for this purpose.
    The Senate recommendation for operations of Job Corps 
centers is $1,507,684,000, comprised of $916,684,000 in fiscal 
year 2009 funds and $591,000,000 in advance appropriations from 
last year's bill. For operations, the Committee also recommends 
advance funding of $591,000,000, which will become available on 
October 1, 2009.
    The Committee also recommends $13,960,000 in construction, 
renovation and acquisition funds, which are available from July 
1, 2009 to June 30, 2012. In addition, $100,000,000 in 
construction, rehabilitation and acquisition funds are provided 
in advance funding, which will make these funds available on 
October 1, 2009 through June 30, 2012.
    In response to this Committee's direction to competitively 
select sites for an expansion of Job Corps centers, the 
Department of Labor selected three new Job Corps center sites 
in February 2007. The Committee includes $113,960,000 within 
construction and renovation for, in part, to continue 
development of these facilities on the timelines provided to 
the Committee and selected sites in January 2007. The timeline 
for accepting students at each of the centers is: New 
Hampshire, September 2010; Iowa, November 2010; and Wyoming, 
February 2011. The Committee intends for these centers to open 
on this timeline and has provided sufficient funds to 
accomplish this objective.
    The Committee recommendation continues the Office of Job 
Corps as an independent entity reporting to the Office of the 
Secretary of Labor, retaining program functions previously 
administered by the Job Corps prior to its transfer from the 
Employment and Training Administration, and ensuring the 
support necessary for oversight and management 
responsibilities. Although the Office of the Assistant 
Secretary for Administration and Management will oversee the 
procurement process, this arrangement shall not alter the 
existing authorities, duties or activities of Job Corps as it 
existed prior to the transfer. The Office of Job Corps and the 
Assistant Secretary for Administration and Management are 
directed to maintain controls to assure the procurement 
activities are completely separate from program operations.
    In fiscal year 2008, the Committee urged the Department to 
be prepared to consider new ways to structure and announce a 
competition for additional Job Corps center sites, particularly 
in rapidly growing metropolitan areas currently without a Job 
Corps center. The Committee requests that the Office of Job 
Corps conduct outreach to identify interested communities 
meeting the priority described in the preceding sentence and 
respond to requests for technical assistance to begin a new 
process of establishing additional Job Corps centers.
    The Committee also requests the Office of Job Corps to 
provide a report, no later than March 31, 2009, containing a 
capital assessment of the Harper Ferry Job Corps Civilian 
Conservation Center.

                    VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2008....................................    $228,096,000
Budget estimate, 2009...................................     238,439,000
Committee recommendation................................     238,439,000

    The Committee recommends $238,439,000 for this account, 
including $32,971,000 in general revenue funding and 
$205,468,00 to be expended from the Employment Security 
Administration account of the unemployment trust fund.
    For State grants, the bill provides $168,894,000, which 
includes funding for the Disabled Veterans Outreach Program and 
the Local Veterans Employment Representative Program.
    For Federal administration, the Committee recommends 
$34,625,000. The Committee supports the concept of the 
Transition Assistance Program administered jointly with the 
Department of Defense, which assists soon-to-be-discharged 
service members in transitioning into the civilian workforce, 
and it includes funding to maintain this effective program.
    Individuals leaving the military may be at high risk of 
homelessness due to a lack of job skills transferable to the 
civilian sector, disrupted or dissolved family and social 
support networks, and other risk factors that preceded their 
military service. The Committee encourages the Department to 
work in coordination with the Departments of Housing and Urban 
Development and Veterans Affairs to address the needs of 
homeless veterans, including evaluating new approaches for 
preventing additional veterans from becoming homeless.
    The Committee recommends $1,949,000 for the National 
Veterans Training Institute [NVTI]. This Institute provides 
training to the Federal and State staff involved in the direct 
delivery of employment and training related services to 
veterans.
    The Committee recommends $25,620,000 for the Homeless 
Veterans Program. The Committee also recommends $7,351,000 for 
the Veterans Workforce Investment Program, the same as the 
budget request.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008....................................     $74,390,000
Budget estimate, 2009...................................      82,141,000
Committee recommendation................................      82,141,000

    The Committee recommends $82,141,000 for this account. The 
bill includes $76,326,000 in general funds and authority to 
transfer $5,815,000 from the Employment Security Administration 
account of the unemployment trust fund. In addition, an amount 
of $325,000 is available by transfer from the black lung 
disability trust fund. This level provides sufficient resources 
to cover built-in cost increases, as well as augment program 
accountability activities and expand the labor racketeering 
program.
    The Office of the Inspector General [OIG] was created by 
law to protect the integrity of departmental programs as well 
as the welfare of beneficiaries served by those programs. 
Through a comprehensive program of audits, investigations, 
inspections, and program evaluations, the OIG attempts to 
reduce the incidence of fraud, waste, abuse, and mismanagement, 
and to promote economy, efficiency, and effectiveness.

                           General Provisions

    General provision bill language is included to:
    Provide for limiting use of Job Corps funding for 
compensation of an individual that is not a Federal employee at 
a rate in excess of Executive Level I (sec. 101).
    Provide for general transfer authority (sec. 102).
    Prohibit funding for the procurement of goods and services 
utilizing forced or indentured child labor in industries and 
host countries already identified by the Labor Department in 
accordance with Executive Order 13126 (sec. 103).
    Requires the Secretary to provide transit subsidies (sec 
104).
    Require the Labor Department to report to the Committees on 
Appropriations on the projects awarded under research and 
demonstration projects (sec. 105).
    Authorize funds to be appropriated for job training for 
workers involved in construction projects funded through the 
Denali Commission (sec. 106).
    Requires that funds available under section 414(c) of the 
American Competitiveness and Workforce Improvement Act of 1998 
may only be used for training in occupations and industries for 
which employers are using H-1B visas to hire foreign workers 
(sec 107).
    Require the Secretary to award competitively funds 
available for WIRED Grants, Community-Based Job Training 
Grants, and grants for job training for employment in high 
growth industries (sec. 108).
    Prohibit the Secretary from taking any action to alter the 
procedure for redesignating local areas under subtitle B of 
title I of the Workforce Investment Act (sec. 109).
    Prohibit the Secretary from finalizing or implementing any 
proposed regulation under the Workforce Investment Act, Wagner-
Peyser Act or the Trade Adjustment Assistance Reform Act until 
such time as such legislation is enacted (sec. 110).
    Prohibit the Department of Labor from using funds under 
this or any other appropriations act to carry out a public-
private competition or direct conversion under Office of 
Management and Budget circular A-76 until 60 days after the 
Committees on Appropriations of the House of Representatives 
and Senate receive a report from the Government Accountability 
Office on the use of competitive sourcing at the Department of 
Labor (sec. 111).
    Limit compensation from Federal funds to a rate not greater 
than Executive Level II for any recipient or subrecipient of 
funds under the heading, ``Employment and Training 
Administration'' (sec. 112).

                                TITLE II

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

              Health Resources and Services Administration

                     HEALTH RESOURCES AND SERVICES

Appropriations, 2008....................................  $6,881,191,000
Budget estimate, 2009...................................   5,889,511,000
Committee recommendation................................   6,968,926,000

    The Committee provides a program level of $6,968,926,000 
for the Health Resources and Services Administration [HRSA]. 
The Committee recommendation includes $6,943,926,000 in budget 
authority and an additional $25,000,000 via transfers available 
under section 241 of the Public Health Service Act. The fiscal 
year 2008 comparable program level is $6,881,191,000 and the 
budget request for fiscal year 2009 is $5,889,511,000.
    Health Resources and Services Administration activities 
support programs to provide health care services for mothers 
and infants; the underserved, elderly, homeless; migrant farm 
workers; and disadvantaged minorities. This appropriation 
supports cooperative programs in community health, AIDS care, 
health care provider training, and health care delivery systems 
and facilities.

                     BUREAU OF PRIMARY HEALTH CARE

                        COMMUNITY HEALTH CENTERS

    The Committee provides $2,215,022,000 for the community 
health centers program. The fiscal year 2008 comparable program 
level is $2,065,022,000 and the budget request for fiscal year 
2009 is $2,091,792,000. This group of programs includes 
community health centers, migrant health centers, health care 
for the homeless, and public housing health service grants. The 
Committee continues to support strongly the ongoing effort to 
increase the number of people who have access to medical 
services at health centers.
    Within the amount provided, $62,000,000 has been allocated 
to offset the rising cost of health care at existing centers 
and to resolve specific financial situations beyond the control 
of the local community health center, such as unusual increases 
in the number of uninsured patients seeking care or unusual 
increases in underserved populations in States with universal 
health coverage. While the Committee wholeheartedly supports 
the expansion of the Health Centers program, this base grant 
adjustment funding recognizes the narrow and declining 
operating margins of most health centers.
    Within the amount provided, the Committee has provided 
$44,055,000 under the Federal Tort Claims Act for the Health 
Centers program. The Committee has included bill language 
making this funding available until expended and allowing costs 
associated with the health centers tort liability relief 
program to be paid from the fund. The Committee intends that 
the fund be used to pay judgments and settlements, occasional 
witness fees and expenses, and the administrative costs of the 
program, which include the cost of evaluating claims, defending 
claims, and conducting settlement activities.
    The Committee is pleased that HRSA has clarified that all 
States will be eligible for community health center expansion 
funding through a national competition, and that eligibility 
will no longer be restricted to specific counties. Further, the 
Committee urges HRSA to make funding available for new 
community health center sites, to increase capacity at existing 
centers, and for service expansion awards to expand access to 
mental health services, dental services, outreach to special 
populations, and pharmacy services at community health centers. 
The Committee expects HRSA to implement any new expansion 
initiative using the existing, and statutorily-required, 
proportionality for urban and rural communities, as well as 
migrant, homeless and public housing health centers. The 
Committee rejects the administration's proposed waiver of this 
proportionality requirement, outlined in section 330(r)(2)(B) 
of the Public Health Service Act.
    The Committee expects that the Secretary will continue to 
approve community health centers' proposed scope of project 
changes when necessary to ensure access to needed specialty 
services or to meet the comprehensive needs of special 
populations who may require care in other types of health care 
settings.
    The Committee urges HRSA to confirm that FTCA covers 
clinicians employed or individually contracted by community 
health centers, who treat or assist in treating non-community 
health center patients in hospitals or other settings, where 
reciprocal coverage between the community health center 
clinicians and other clinicians is customary.
    The Committee recognizes the importance of increasing the 
use of health information technology [IT] at community health 
centers. Community health centers have demonstrated improved 
access to services and improved patient outcomes by utilizing 
electronic health records and other IT tools through their 
participation in Health Center Controlled Networks [HCCNs] and 
the Health Disparities Collaboratives. Given this success, the 
Committee urges HRSA to ensure that community health centers 
have the capacity to establish and expand health IT systems in 
order to further enhance the delivery of cost-effective, 
quality health care services.
    The Committee appreciates the work HRSA has done with 
partners to expand health centers' capacity for delivery of 
medical management and treatment of hepatitis C virus [HCV] by 
implementing training and technical assistance initiatives. 
While not all patients are appropriate candidates for HCV 
treatment, the Committee is concerned with the low number of 
clients being treated despite the availability of effective 
medications. The Committee encourages HRSA to address this 
through the creation of best practices from successful efforts 
in the field, increased provider education, case manager 
capacity building and creation of educational materials for 
clients.
    The Committee continues to be concerned that community 
health center funds are often not available to small, remote 
communities because the population base is too small. Many of 
these communities have no health service providers and are 
forced to travel long distances by boat or plane even in 
emergency situations. The Committee recommends that HRSA 
examine its regulations and applications procedures to ensure 
they do not unduly burden small communities and are 
appropriately flexible to meet the needs of these communities. 
The Committee applauds the agency for its Frontier Health Plan 
initiative, and encourages the agency to continue and expand 
its efforts with this program.
    The Committee recognizes that Nurse-Managed Health Centers 
[NMHCs] serve a dual function in strengthening the health care 
safety net by providing health care to populations in 
underserved areas and by providing the clinical experiences to 
nursing students that are mandatory for professional 
development. The Committee further acknowledges that NMHCs are 
frequently the only source of health care to their patients and 
that a lack of clinical education sites for nurses is a 
contributing factor to the nationwide nursing shortage. The 
Committee appreciates the work HRSA is doing to reach out to 
NMHC's, providing technical assistance to potential applicants 
and granting these centers FQHC Look-Alike status.
    The Committee notes the important role of Community Health 
Centers in screening at-risk children for lead.
    The Committee is encouraged that health centers have 
successfully utilized those funds available through the HRSA 
Loan Guarantee Program to meet their capital needs. In order to 
maximize the utilization of all loan guarantee funds, the 
Committee urges HRSA to increase the percentages at which loan 
guarantees are provided for managed care plans, networks, and 
facilities to the highest authorized levels
    The Committee continues to support collaborative efforts 
between Federal agencies to address the demand for primary 
health care access in rural communities. The Committee is 
pleased that a number of community health centers have been 
able to address ongoing capital improvement needs using USDA 
Rural Development programs. The Committee encourages HRSA to 
work with the USDA Rural Development Office to assist more 
community health centers in accessing these resources.

Native Hawaiian Health Care

    The Committee again includes the legal citation in the bill 
for the Native Hawaiian Health Care Program. The Committee has 
included sufficient funding so that health care activities 
funded under the Native Hawaiian Health Care Program can be 
supported under the broader community health centers line. The 
Committee expects that not less than $13,952,000 be provided 
for these activities in fiscal year 2009.
    The Committee is pleased by the creation of the master's 
degree and certificate programs aimed at giving Native 
Hawaiians the skills needed to succeed as health care 
administrators. The Committee has included sufficient funding 
for these programs to continue.
    The Committee recognizes that there has been rapid growth 
in the emerging Hispanic population of Hawaii, which may 
necessitate new training requirements for healthcare providers 
and educators in areas of cultural awareness and language.

Free Clinics Medical Malpractice Coverage

    The Committee provides $39,000 in funding for payments of 
claims under the Federal Tort Claims Act to be made available 
for free clinic health professionals as authorized by U.S.C. 
title 42, section 233(o) of the Public Health Service Act. The 
fiscal year 2008 comparable level was $39,000 and the fiscal 
year 2009 budget request included $40,000 for this program. 
This appropriation continues to extend Federal Tort Claims Act 
coverage to medical volunteers in free clinics in order to 
expand access to health care services to low-income individuals 
in medically underserved areas.

National Hansen's Disease Program

    The Committee has included $16,109,000 for the National 
Hansen's Disease Program. The fiscal year 2008 comparable level 
was $15,693,000 and the budget request for fiscal year 2009 was 
$16,109,000. The program consists of inpatient, outpatient, 
long-term care, training, and research in Baton Rouge, 
Louisiana; a residential facility at Carville, Louisiana; and 
11 outpatient clinic sites in the continental United States and 
Puerto Rico.

National Hansen's Disease Program Buildings and Facilities

    The Committee provides $100,000 for buildings and 
facilities. The fiscal year 2008 comparable level was $157,000 
and the budget request for fiscal year 2009 was $100,000 for 
this program. This funding provides for the repair and 
maintenance of buildings at the Gillis W. Long Hansen's Disease 
Center.

Payment to Hawaii for Hansen's Disease Treatment

    The Committee provides $1,976,000 for Hansen's Disease 
services. The fiscal year 2008 comparable level was $1,961,000 
and the budget request for fiscal year 2009 was $1,976,000. 
Payments are made to the State of Hawaii for the medical care 
and treatment of persons with Hansen's Disease in hospital and 
clinic facilities at Kalaupapa, Molokai and Honolulu. Expenses 
above the level of appropriated funds are borne by the State of 
Hawaii.

                      BUREAU OF HEALTH PROFESSIONS

National Health Service Corps: Field Placements

    The Committee provides $39,736,000 for field placement 
activities. The fiscal year 2008 comparable level was 
$39,736,000 and the budget request for fiscal year 2009 was 
$25,729,000. The funds provided for this program are used to 
support the activities of the National Health Service Corps in 
the field, including travel and transportation costs of 
assignees, training and education, recruitment of volunteers, 
and retention activities. Salary costs of most new assignees 
are paid by the employing entity.
    The Committee recognizes that 50 percent of National Health 
Service Corps members serve at Community, Migrant, Homeless, 
and Public Housing Health Centers. Recent efforts to expand the 
Health Centers program have made those placements increasingly 
more vital. The Committee is concerned by the more than 2,500 
community health center vacancies on the fiscal year 2008 NHSC 
Opportunities List and urges HRSA to work expeditiously to fill 
those slots.

National Health Service Corps: Recruitment

    The Committee provides $95,230,000 for recruitment 
activities. The fiscal year 2008 comparable level was 
$83,741,000 and the budget request for fiscal year 2009 was 
$95,230,000. This program provides major benefits to students 
(full-cost scholarships or sizable loan repayment) in exchange 
for an agreement to serve as a primary care provider in a high 
priority Federally designated health professional shortage 
area. These funds should support multi-year, rather than 
single-year, commitments.
    The Committee is concerned by the recent Anti-Deficiency 
Act violation and has included statutory authority to allow 
HRSA the flexibility to respond to changing tuition and fee 
rates. The Committee expects notification in each year's budget 
justification on the amount of funds allocated to adjusting 
prior year contracts.
    The Committee encourages HRSA to recruit nurses with a 
focus on reducing infant mortality, late pre-term births, and 
other complications associated with childbirth.

                           HEALTH PROFESSIONS

    The Committee provides $363,189,000 for all HRSA health 
professions programs. The fiscal year 2008 comparable level was 
$350,003,000 and the budget request for fiscal year 2009 was 
$109,853,000.

Training for Diversity

            Centers of Excellence
    The Committee provides $12,773,000 for the Centers of 
Excellence program. The fiscal year 2008 comparable level was 
$12,773,000 and the budget request for fiscal year 2009 did not 
include any funds for this program. This program was 
established to fund institutions that train a significant 
portion of the Nation's minority health professionals. Funds 
are used for the recruitment and retention of students, faculty 
training, and the development of plans to achieve institutional 
improvements. The institutions that are designated as centers 
of excellence are private institutions whose mission is to 
train disadvantaged minority students for service in 
underserved areas. Located in poor communities and usually with 
little State funding, they serve the health care needs of their 
patients, often without payment.
    Minority Centers of Excellence.--The Committee is pleased 
that HRSA has re-focused the Minority Centers of Excellence 
program on providing support to historically minority health 
professions institutions. The Committee recognizes the 
important role of this program in supporting faculty and other 
academic programs at minority institutions.
            Health Careers Opportunity Program
    The Committee provides $9,825,000 for the Health Careers 
Opportunity Program. The fiscal year 2008 comparable level was 
$9,825,000 and the budget request for fiscal year 2009 did not 
include any funds for this program. This program provides funds 
to medical and other health professions schools for recruitment 
of disadvantaged students and pre-professional school 
preparations.
    For fiscal year 2009, the Committee directs HRSA to give 
priority consideration to awarding grants to those institutions 
with a historic mission of training minorities in the health 
professions.
            Faculty Loan Repayment
    The Committee provides $1,266,000 for the Faculty Loan 
Repayment program. The fiscal year 2008 comparable level was 
$1,266,000 and the budget request for fiscal year 2009 did not 
include any funds for this program. This program provides for 
the repayment of education loans for individuals from 
disadvantaged backgrounds who are health professions students 
or graduates, and who have agreed to serve for not less than 2 
years as a faculty member of a health professions school.
            Scholarships for Disadvantaged Students
    The Committee provides $45,842,000 for the Scholarships for 
Disadvantaged Students program, the same as the fiscal year 
2008 comparable level. The budget request for fiscal year 2009 
did not include funds for this program. This program provides 
grants to health professions schools for student scholarships 
to individuals who are from disadvantaged backgrounds and are 
enrolled as full-time students in such schools.

Training in Primary Care Medicine and Dentistry

    The Committee provides $48,851,000 for Training in Primary 
Care Medicine and Dentistry programs. The fiscal year 2008 
comparable level is $47,998,000. The budget for fiscal year 
2009 did not request funding for this program. The Committee 
has included bill language funding family medicine activities, 
general dentistry and the pediatric dentistry program at no 
less than last year's level.
    Pediatric dentistry residency programs provide both 
treatments for underprivileged children and training 
opportunities to address the national shortage of pediatric 
dentists. Even though it is easily preventable, dental decay is 
the most common chronic childhood disease in the United States. 
Children with dental pain fail to function properly in school 
and their everyday lives, thus impacting their development for 
years to come. When oral infections go untreated, the proximity 
to the brain can lead to fatal conditions. The Committee has 
included bill language allowing funds to be used for faculty 
loan repayment.
    The Committee encourages HRSA to communicate clearly to 
applicants that grant funds can be utilized for faculty 
development and curriculum enhancement, as well as program 
creation or expansion.

Interdisciplinary, Community-based Linkages

            Area Health Education Centers
    The Committee provides $28,180,000 for the Area Health 
Education Centers program, the same as the fiscal year 2008 
comparable level. The budget request for fiscal year 2009 did 
not include any funds for this program. This program links 
university health science centers with community health service 
delivery systems to provide training sites for students, 
faculty, and practitioners. The program supports three types of 
projects: Core grants to plan and implement programs; special 
initiative funding for schools that have previously received 
Area Health Education Centers [AHEC] grants; and model programs 
to extend AHEC programs with 50 percent Federal funding.
            Allied Health and Other Disciplines
    The Committee provides $8,803,000 for the Allied Health and 
Other Disciplines program, the same as the fiscal year 2008 
comparable level. The budget request for fiscal year 2009 did 
not include any funds for this program. These programs seek to 
improve access, diversity, and distribution of allied health 
practitioners to areas of need. The program improves access to 
comprehensive and culturally competent health care services for 
underserved populations. The Committee recommendation is 
sufficient to continue the Chiropractic-Medical School 
Demonstration Grant, Graduate Psychology training programs, and 
the dental workforce programs authorized under section 340G of 
the Public Health Service Act at the same levels as in fiscal 
year 2008.
    Graduate Psychology Education.--The need for behavioral and 
mental health services in an integrated health care system is 
significant and well documented. With a rapidly growing 
generation of elderly and significant numbers of returning war 
veterans, the Nation's health system is certain to experience 
increased strain for years to come as individuals and their 
families increasingly turn to mental healthcare professionals 
in local communities. To help respond to this training pipeline 
need, the Committee strongly supports the Graduate Psychology 
Education Program. This grant program provides 
interdisciplinary training for health service psychologists to 
provide mental and behavioral health care services to 
underserved populations, such as older adults, children, 
chronically ill persons and victims of abuse or trauma. While 
being trained in both rural and urban communities, graduate 
psychology students also provide direct services to people who 
would otherwise not receive them. Trainees work in teams with 
health care providers from over 30 different health professions 
and medical specialties. The GPE program has achieved a 
significant increase in the rate of students entering into and 
staying to practice in underserved areas.
            Geriatric Education
    The Committee provides $30,997,000 for Geriatric Education 
programs, the same level as the fiscal year 2008 comparable 
level. The budget did not request funds for this program.
    Geriatric programs include: Geriatric Education Centers, 
the Geriatric Academic Career awards program, and the Geriatric 
Training program for Physicians, Dentists, and Behavioral/
Mental Health Professionals program. The Committee intends that 
all activities remain at last year's level.

Public Health, Preventive Medicine, and Dental Public Health Programs

    The Committee provides $9,000,000 for these programs. The 
fiscal year 2008 comparable level was $8,273,000 and the budget 
request for fiscal year 2009 did not include any funds for this 
program. This program supports awards to schools of medicine, 
osteopathic medicine, public health, and dentistry for support 
of residency training programs in preventive medicine and 
dental public health; and for financial assistance to trainees 
enrolled in such programs.

Nursing Workforce Development Programs

    The Committee provides $167,652,000 for the Nursing 
Workforce Development programs. The fiscal year 2008 comparable 
level was $156,046,000 and the budget request for fiscal year 
2009 was $109,853,000.
    The Committee recognizes that efforts to alleviate the 
Nation's shortage of Registered Nurses [RNs] must focus on 
addressing the nurse faculty shortage. According to the latest 
survey from the American Association of Colleges of Nursing, 
more than 40,000 qualified applicants were turned away from 
baccalaureate and graduate nursing programs in 2007 due 
primarily to a shortage of nurse faculty. Supporting programs 
that prepare more nurse educators is the key to stabilizing the 
nursing workforce and reversing the RN shortage.
    The Committee recommends funding for the following 
activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                            Fiscal year 2008  Fiscal year 2009      Committee
                                                               comparable      budget request    recommendation
----------------------------------------------------------------------------------------------------------------
Advanced Education Nursing................................            61,875  ................            62,975
Nurse education, practice, and retention..................            36,640            37,291            37,291
Nursing workforce diversity...............................            15,826            16,107            16,107
Loan repayment and scholarship program....................            30,512            43,744            40,000
Comprehensive geriatric education.........................             3,333             3,392             3,392
Nursing faculty loan program..............................             7,860             9,319             7,887
----------------------------------------------------------------------------------------------------------------

Children's Hospitals Graduate Medical Education Program

    The Committee has provided $310,000,000 for the Children's 
Hospitals Graduate Medical Education [GME] program. The fiscal 
year 2008 comparable level was $301,646,000 and the budget for 
fiscal year 2009 did not include funds for this program.
    The program provides support for health professions 
training in children's teaching hospitals that have a separate 
Medicare provider number (``free-standing'' children's 
hospitals). Children's hospitals are defined under Medicare as 
those whose inpatients are predominantly under the age of 18. 
The funds in this program are intended to make the level of 
Federal Graduate Medical Education support more consistent with 
other teaching hospitals, including children's hospitals that 
share provider numbers with other teaching hospitals. Payments 
are determined by formula, based on a national per-resident 
amount. Payments support training of resident physicians as 
defined by Medicare in both ambulatory and inpatient settings.

Patient Navigator

    The Committee recommendation includes $4,000,000 for the 
Patient Navigator Outreach and Chronic Disease Outreach 
program. The comparable funding level for fiscal year 2008 was 
$2,948,000 and the budget for fiscal year 2009 did not request 
funding for this program.
    The program provides demonstration grants to public or non-
profit health centers to help patients overcome barriers in the 
health care system to prompt screening, referral, diagnosis and 
treatment services.

National Practitioner Data Bank

    The Committee provides $18,900,000 for the national 
practitioner data bank. The fiscal year 2008 comparable level 
was $18,570,000 and the budget request for fiscal year 2009 was 
$18,900,000. The Committee and the budget request assume that 
full funding will be provided entirely through the collection 
of user fees and will cover the full cost of operating the data 
bank. Bill language is included to ensure that user fees are 
collected to cover all costs of processing requests and 
providing such information to data bank users.

Health Care Integrity and Protection Data Bank

    The Committee provides $3,758,000 for the health care 
integrity and protection data bank. The fiscal year 2008 
comparable level was $3,758,000 and the administration did not 
request funding for this program in fiscal year 2009. The 
Committee assumes that full funding will be provided entirely 
through the collection of user fees and will cover the full 
cost of operating the data bank. The data bank is intended to 
collect, maintain, and report on certain actions taken against 
health care providers, suppliers, and practitioners.

                    MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant

    The Committee provides $664,268,000 for the maternal and 
child health [MCH] block grant, the same as the fiscal year 
2008 comparable level and the budget request for fiscal year 
2009.
    The Committee has moved funding for the newborn and child 
heritable disorders screening program from the SPRANS set aside 
to a new line in order to fully implement the new authorization 
in section 1109 of the Newborn Screening Saves Lives Act of 
2008. The Committee does not intend to cut grants to States or 
the grants for community integrated service systems. Therefore, 
the Committee has included a statutory provision to hold 
harmless both of these grant programs.
    The Maternal and Child Health Block Grant program provides 
a flexible source of funding that allows States to target their 
most urgent maternal and child health needs through development 
of community-based networks of preventive and primary care that 
coordinate and integrate public and private sector resources 
and programs for pregnant women, mothers, infants, children, 
and adolescents. The program supports a broad range of 
activities including prenatal care, well child services and 
immunizations, reducing infant mortality, preventing injury and 
violence, expanding access to oral health care, addressing 
racial and ethnic disparities and providing comprehensive care 
for children, adolescents, and families through clinics, home 
visits and school-based health programs.
    The Committee has included bill language identifying 
$97,287,000 for the SPRANS set-aside. Within that total, the 
Committee recommends the following activities in the following 
amounts:

----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Oral Health.....................................................      $4,718,109      $4,718,000      $4,718,000
Community-based Sickle Cell Outreach............................       3,773,898       3,774,000       3,774,000
Doula program...................................................       1,509,166       1,509,000       1,509,000
Epilepsy........................................................       2,830,669       2,831,000       2,831,000
Fetal Alcohol Syndrome..........................................         972,705         973,000         973,000
First-time Motherhood...........................................       4,912,650       4,913,000       4,913,000
----------------------------------------------------------------------------------------------------------------

    The Committee intends that Doula demonstration funding 
continue to be allocated evenly among urban and rural settings, 
with an emphasis on breastfeeding initiation and retention.
    The Committee recognizes the critical role that Maternal 
and Child Health Centers for Leadership in Pediatric Dentistry 
Education provide in preparing dentists with dual training in 
pediatric dentistry and dental public health. Dentists in the 
three currently funded programs concentrate on working with 
Federal, State, and local programs that provide services for 
vulnerable populations including low-income children and women 
and children with special health care needs. Dentists trained 
through these centers provide State and community leadership in 
maternal and child oral health programs, and become future 
faculty and policy leaders specializing in pediatric dentistry 
and maternal and child health. The Committee encourages HRSA to 
explore mechanisms to augment center support with foundation 
and corporate funds.
    The Committee continues to encourage HRSA to expand support 
of State oral health programs that increase access to oral 
health services for women and children through sustainable, 
well integrated, statewide programs. The Committee also 
recognizes the importance of building partnerships between the 
public and private sectors to assure an adequate workforce to 
meet the needs of those children and their families most 
vulnerable to oral disease. The Committee intends that funds 
provided within the MCH SPRANS program be used to support 
integration of health systems in States and partnerships with 
national organizations and foundations that focus on early 
interventions to prevent oral disease. HRSA is encouraged to 
utilize grants and contracts to accomplish this and formalize 
relationships with other Federal agencies to prevent childhood 
caries to avoid the need for more costly care.
    The Committee applauds HRSA's support of comprehensive 
thalassemia treatment centers and encourages HRSA to coordinate 
thalassemia treatment center funding with the Thalassemia 
Clinical Research Network at NIH and the blood safety 
surveillance program at CDC.

Sickle Cell Anemia Program

    The Committee provides $3,500,000 for the sickle cell 
anemia demonstration program. The fiscal year 2008 comparable 
level was $2,653,000 and the budget request for fiscal year 
2009 was $2,184,000. The Sickle Cell Service Demonstration 
Program provides grants and contracts to help coordinate 
service delivery for individuals with sickle cell disease, 
including genetic counseling and testing; training of health 
professionals; and identifying and establishing other efforts 
related to the expansion and coordination of education, 
treatment, and continuity of care programs for individuals with 
sickle cell disease.

Traumatic Brain Injury Program

    The Committee provides $8,754,000 for the traumatic brain 
injury program, the same as the fiscal year 2008 comparable 
level. The budget request for fiscal year 2009 did not include 
any funding for this program. The program supports 
implementation and planning grants to States for coordination 
and improvement of services to individuals and families with 
traumatic brain injuries as well as protection and advocacy. 
Such services can include: pre-hospital care, emergency 
department care, hospital care, rehabilitation, transitional 
services, education, employment, and long-term support. The 
Committee includes no less than last year's funding level for 
protection and advocacy services, as authorized under section 
1305 of Public Law 106-310.

Autism and Other Developmental Disorders

    The Committee provides $42,000,000 for the autism and other 
developmental disorders initiative. The fiscal year 2008 
comparable level and the budget request for fiscal year 2009 
are $36,354,000. The program supports surveillance, early 
detection, education and intervention activities on autism and 
other developmental disorders, as authorized in the Combating 
Autism Act of 2006.
    Within the funding provided for autism and other related 
developmental disorders, an increase of no less than $2,000,000 
is provided to continue and expand research on evidence-based 
practices for interventions for individuals with autism and 
other developmental disabilities, for development of guidelines 
for those interventions, and for information dissemination. In 
addition, an increase of no less than $2,000,000 is provided to 
continue and expand the Leadership Education in 
Neurodevelopmental and Related Disabilities program.

Newborn Screening for Heritable Disorders

    The Committee provides $1,887,000 for the newborn heritable 
disorders screening program, as described in section 1109 of 
the Newborn Screening Saves Lives Act of 2008, the same as the 
fiscal year 2008 comparable level and the fiscal year 2009 
budget request. The Committee notes that this program was 
previously funded through the SPRANS program. Newborn screening 
is an essential public health function provided to all newborns 
in the United States. The Committee is aware that the number of 
conditions and the quality of programs varies from State to 
State. The Committee encourages HRSA to guide States by 
providing current information on the panel of conditions for 
which infants should be screened and to improve health provider 
and public education.

Congenital Disabilities Program

    The Committee has provided $1,000,000 to establish the 
congenital disabilities program. The purpose of the program is 
to provide information and support services to families 
receiving a positive test diagnosis for down syndrome, spina 
bifida, dwarfism, or other prenatally and postnatally diagnosed 
conditions. Grants may be made to States, Territories, 
localities, and non-governmental organizations with expertise 
in prenatally and postnatally diagnosed conditions.
    Funding may be used to collect and disseminate current 
evidence-based information and to coordinate the provision of 
supportive services to parents who receive a positive diagnosis 
prenatally, at birth, or up to 1 year after the affected 
child's birth. These services may include the expansion and 
further development of national and local peer-support 
programs; the creation of a telephone hotline which would 
provide parents with information on the physical, 
developmental, educational, and psychosocial aspects of the 
condition; and awareness and education programs for the 
healthcare providers who provide, interpret, and inform parents 
of the results of positive test diagnoses for congenital 
disabilities.

Healthy Start

    The Committee provides $99,744,000 for the healthy start 
infant mortality initiative, the same as the fiscal year 2008 
comparable level and the budget request for fiscal year 2009.
    The healthy start initiative was developed to respond to 
persistently high rates of infant mortality in this Nation. The 
initiative was expanded in fiscal year 1994 by a special 
projects program, which supported an additional seven urban and 
rural communities to implement infant mortality reduction 
strategies and interventions. The Children's Health Act of 2000 
fully authorized this initiative as an independent program. The 
Committee urges HRSA to give preference to current and former 
grantees with expiring or recently expired project periods.

Universal Newborn Hearing Screening and Early Intervention

    The Committee provides $11,790,000 for universal newborn 
hearing screening and early intervention activities, the same 
as the fiscal year 2008 comparable level. The budget request 
for fiscal year 2009 did not include any funds for this 
program.
    The Committee expects HRSA to coordinate projects funded 
with this appropriation with projects related to early hearing 
detection and intervention by the National Center on Birth 
Defects and Developmental Disabilities, the National Institute 
on Deafness and Other Communication Disorders, the National 
Institute on Disability and Rehabilitation Research, and the 
Office of Special Education and Rehabilitative Services.

Emergency Medical Services for Children

    The Committee provides $20,000,000 for emergency medical 
services for children. The fiscal year 2008 comparable level 
was $19,454,000 and the budget request for fiscal year 2009 did 
not include funds for this program. The program supports 
demonstration grants for the delivery of emergency medical 
services to acutely ill and seriously injured children.

Family-To-Family Health Information Centers

    The Committee has not provided funding for the Family-To-
Family Health Information Centers program. The fiscal year 2008 
comparable level was $4,000,000 and the budget request for 
fiscal year 2009 included no funding for this initiative. The 
Committee notes that the Deficit Reduction Act of 2005 
appropriated $5,000,000 for this activity for fiscal year 2009.

                            HIV/AIDS BUREAU

                  ACQUIRED IMMUNE DEFICIENCY SYNDROME

Ryan White AIDS Programs

    The Committee provides $2,173,306,000 for Ryan White AIDS 
programs. The recommendation includes $25,000,000 in transfers 
available under section 241 of the Public Health Service Act. 
The fiscal year 2008 comparable level was $2,166,792,000 and 
the budget request for fiscal year 2009 was $2,167,912,000.
    Next to the Medicaid program, the Ryan White AIDS programs 
are the largest Federal investment in the care and treatment of 
people living with HIV/AIDS in the United States. These 
programs provide a wide range of community-based services, 
including primary and home health care, case management, 
substance abuse treatment, mental health services, and 
nutritional services.
    Within the total provided, the Committee intends that Ryan 
White AIDS activities that are targeted to address the growing 
HIV/AIDS epidemic and its disproportionate impact upon 
communities of color, including African-Americans, Latinos, 
Native Americans, Asian Americans, Native Hawaiians, and 
Pacific Islanders continue with at least the level of funding 
provided in fiscal year 2008.
    The Committee is aware that over 30 percent of HIV-infected 
persons in the United States are chronically infected with the 
hepatitis C virus [HCV]. The Committee recognizes the materials 
and conferences HRSA has engaged in on this subject and 
supports the effort to adjust the ADAP formulary to reduce the 
morbidity and mortality of this population. In addition, the 
Committee encourages HRSA to highlight best practices regarding 
treatment of co-infected patients.
    The Ryan White HIV/AIDS Treatment Modernization Act 
requires that not less than 75 percent of appropriated funds 
under parts A through C must be spent on core medical services. 
The Committee is aware that HRSA has recognized food and 
nutrition as medically important in fighting HIV/AIDS disease 
and in helping the body process complex HIV/AIDS medications.

Emergency Assistance

    The Committee provides $619,424,000 for emergency 
assistance grants to eligible metropolitan areas 
disproportionately affected by the HIV/AIDS epidemic. The 
fiscal year 2008 comparable level was $627,149,000 and the 
budget request for fiscal year 2009 included $619,424,000. 
These funds are provided to metropolitan areas meeting certain 
criteria. Two-thirds of the funds are awarded by formula and 
the remainder is awarded through supplemental competitive 
grants.
    The Committee notes that the fiscal year 2008 comparable 
level included a one-time provision directing funds to 
particular metropolitan areas facing dramatic cuts as a result 
of the changes to the Ryan White formula.

Comprehensive Care Programs

    The Committee provides $1,209,487,000 for HIV health care 
and support services. The fiscal year 2008 comparable level was 
$1,195,248,000 and the budget request for fiscal year 2009 was 
$1,209,487,000. These funds are awarded to States to support 
HIV service delivery consortia, the provision of home and 
community-based care services for individuals with HIV disease, 
continuation of health insurance coverage for low-income 
persons with HIV disease and support for State AIDS drug 
assistance programs [ADAP].
    The Committee continues to be encouraged by the progress of 
anti-retroviral therapy in reducing the mortality rates 
associated with HIV infection and in enhancing the quality of 
life of patients on medication. The Committee includes bill 
language providing $800,422,000 for AIDS medications in the 
AIDS Drug Assistance Program [ADAP]. The fiscal year 2008 
comparable level was $794,376,000 and the budget request for 
fiscal year 2009 was $814,546,000. The Committee has provided 
this increase to address the long-standing problem of State 
waiting lists for HIV/AIDS medications without unfairly 
punishing States that have provided their own resources to make 
up funding shortfalls.

Early Intervention Services

    The Committee provides $198,754,000 for early intervention 
grants, the same as the fiscal year 2008 comparable level and 
the budget request for fiscal year 2009. These funds are 
awarded competitively to primary health care providers to 
enhance health care services available to people at risk of HIV 
and AIDS. Funds are used for comprehensive primary care, 
including counseling, testing, diagnostic, and therapeutic 
services.

Children, Youth, Women, and Families

    The Committee provides $73,690,000 for grants for 
coordinated services and access to research for women, infants, 
children, and youth, the same as the fiscal year 2008 
comparable level and the budget request for 2009. Funds are 
awarded to community health centers, family planning agencies, 
comprehensive hemophilia diagnostic and treatment centers, 
Federally qualified health centers under section 1905(1)(2)(B) 
of the Social Security Act, county and municipal health 
departments and other nonprofit community-based programs that 
provide comprehensive primary health care services to 
populations with or at risk for HIV disease.

AIDS Dental Services

    The Committee provides $12,857,000 for AIDS Dental 
Services, the same as the fiscal year 2008 comparable level and 
the budget request for fiscal year 2009. This program provides 
grants to dental schools, dental hygiene schools, and 
postdoctoral dental education programs to assist with the cost 
of providing unreimbursed oral health care to patients with HIV 
disease.

AIDS Education and Training Centers

    The Committee provides $34,094,000 for the AIDS education 
and training centers [AETC's]. The fiscal year 2008 comparable 
level was $34,094,000 and the budget request for fiscal year 
2009 included $28,700,000. AIDS education and training centers 
train health care practitioners, faculty, and students who care 
for AIDS patients outside of the traditional health professions 
education venues, and support curriculum development on 
diagnosis and treatment of HIV infection for health professions 
schools and training organizations.

                       HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation

    The Committee provides $25,049,000 for organ donation and 
transplantation activities. The fiscal year 2008 comparable 
level was $22,646,000 and the budget request for fiscal year 
2009 was $23,049,000. These funds support a scientific registry 
of organ transplant recipients and the National Organ 
Procurement and Transplantation Network to match donors and 
potential recipients of organs. A portion of the appropriated 
funds may be used for education of the public and health 
professionals about organ donations and transplants, and to 
support agency staff providing clearinghouse and technical 
assistance functions.
    The Committee is aware that individuals with Alpha-1 
Antitrypsin Deficiency (Alpha-1) exhibit symptoms of advanced 
emphysema between 25 and 65 years of age, even in the absence 
of tobacco use and that Alpha-1 is a major cause of lung 
transplantation in adults and a leading cause of liver 
transplantation in children and adults. The Committee 
encourages UNOS to continue to review the methodology used to 
determine transplant eligibility for individuals with Alpha-1 
and to engage in additional dialogue with the Alpha-1 lay and 
scientific communities.
    The Committee commends HRSA and the United Network for 
Organ Sharing [UNOS] for working with the pulmonary 
hypertension [PH] community to address concerns regarding the 
allocation of lungs for transplantation in PH patients. The 
Committee encourages UNOS to continue its dialogue with the PH 
community to monitor concerns regarding the methodology used to 
determine transplantation eligibility for PH patients.

National Cord Blood Inventory

    The Committee has provided $12,000,000 for the National 
Cord Blood Inventory, which is the successor of the National 
Cord Blood Stem Cell Bank program. The fiscal year 2008 
comparable level was $8,843,000 and the budget request for 
fiscal year 2009 was $11,966,000. The purpose of this program 
is to provide funds to cord blood banks to build an inventory 
of the highest quality cord blood units for transplantation.

C.W. Bill Young Cell Transplantation Program

    The Committee provides $23,517,000 for the C.W. Bill Young 
Cell Transplantation Program, which is the successor of the 
National Bone Marrow Donor Registry. This is the same level as 
the fiscal year 2008 comparable level for the Registry and the 
budget request for fiscal year 2009 was $22,701,000.
    The Committee recognizes the importance of this life-saving 
program and the continued need to increase cell transplantation 
through the use of cord blood, bone marrow, peripheral blood 
stem cells, and other sources of stem cells that may be 
available in the future. The Committee applauds the National 
Marrow Donor Program [NMDP] for its expansion of the national 
registry, which now lists more than 6.5 million potential 
volunteer donors and more than 72,000 cord blood units. While 
acknowledging this effort, the Committee recognizes the need to 
continue to increase the size of the registries to assure 
access for all Americans and encourages the continued efforts 
to increase awareness about transplantation and donation 
outreach among minority and medically underserved populations. 
The Committee supports continued innovative, technological, and 
scientific advances in cell therapies that have the potential 
to help Americans with leukemia or other life threatening blood 
diseases. In addition, the Committee encourages the NMDP to 
continue to conduct and support research to improve the 
availability, efficiency, safety, and cost of transplants and 
the effectiveness of program operations.

Office of Pharmacy Affairs

    The Committee provides $2,940,000 for the Office of 
Pharmacy Affairs. The budget request for fiscal year 2009 did 
not request funding for this program. The Office of Pharmacy 
Affairs promotes access to clinically and cost effective 
pharmacy services among safety-net clinics and hospitals that 
participate in the 340B Drug Pricing program. Section 340B of 
the Public Health Service Act requires drug manufacturers to 
provide discounts or rebates to a specified set of HHS assisted 
programs and hospitals that meet the criteria in the Social 
Security Act for serving a disproportionate share of low income 
patients. These funds will be used to help resolve deficiencies 
that could not be addressed within resources available for the 
normal operations of the office. Specifically, these 
deficiencies include non-compliance with the 340B pricing 
requirements and errors and omissions in the office's covered 
entity database.
    The Committee is concerned that the proposed guidelines on 
the definition of the term ``patient'' for 340(B) drug 
discounts will dramatically change the degree to which safety 
net facilities are able to participate in this important 
program. The Committee strongly supports a definition of 
patient that protects program integrity while ensuring that the 
Nation's health care safety net is not further weakened. The 
Committee continues to urge HRSA to move forward with portions 
of the proposed guidance that enjoy wide support and issue a 
new proposed guidance on the question of patient eligibility, 
which would allow for additional public comment on issues such 
as patient records, health care provider relationships with 
covered entities, referral services and hospital discharge 
prescriptions.

Poison Control Centers

    The Committee provides $26,528,000 for Poison Control 
Center activities, the same as the fiscal year 2008 comparable 
level. The budget request for fiscal year 2009 was $10,000,000. 
The Poison Control program currently supports a mix of 
grantees: most grantees serve entire States; a few grantees 
serve multi-State regions; and, in a handful of cases, more 
than one grantee serves a single State. In allocating funds, 
the Committee has provided sufficient resources to continue the 
current approach of allocating funding to all certified centers 
based on service population.

                         RURAL HEALTH PROGRAMS

Rural Health Care Services Outreach Grants

    The Committee provides $51,434,000 for rural health 
outreach grants. The fiscal year 2008 comparable level was 
$48,031,000 and the budget request for fiscal year 2009 did not 
include funds for this program. This program supports projects 
that demonstrate new and innovative models of outreach in rural 
areas such as integration and coordination of health services.
    The Committee understands that many primary care clinics in 
isolated, remote locations are providing extended stay services 
and are not receiving appropriate compensation to provide this 
service. The Committee encourages HRSA to continue its support 
for a demonstration project authorized in the Medicare 
Modernization Act to evaluate the effectiveness of a new type 
of provider, the ``Frontier Extended Stay Clinic,'' to provide 
expanded services in remote and isolated primary care clinics 
to meet the needs of seriously ill or injured patients who 
cannot be transferred quickly to acute care referral centers, 
and patients who require monitoring and observation for a 
limited time.

Rural Health Research

    The Committee provides $9,000,000 for the Rural Health 
Research program. The fiscal year 2008 comparable level was 
$8,584,000. The budget request for fiscal year 2009 was 
$8,737,000. The funds provide support for the Office of Rural 
Health Policy to be the focal point for the Department's 
efforts to improve the delivery of health services to rural 
communities and populations. Funds are used for rural health 
research centers, the National Advisory Committee on Rural 
Health, and a reference and information service. The Committee 
has included additional resources to support data collection 
and trend analysis on rural health delivery, including gaps in 
care.

Rural Hospital Flexibility Grants

    The Committee provides $39,200,000 for rural hospital 
flexibility grants. The fiscal year 2008 comparable level was 
$37,865,000 and the budget request for fiscal year 2008 did not 
include funds for this program.
    Under this program, HRSA works with the States to provide 
support and technical assistance to Critical Access Hospitals 
to focus on quality and performance improvement and to 
integrate emergency medical services. Of the amount provided, 
the Committee includes $15,000,000 to continue the Small Rural 
Hospital Improvement Grant Program, as authorized by section 
1820(g)(3) of the Social Security Act and Public Law 107-116 
and outlined in House Report 107-342. The program provides 
support for small rural hospitals and focuses on quality 
improvement and adoption of health information technology.

Delta Health Initiative

    The Committee has included $25,000,000 for the Delta Health 
Initiative as authorized in section 219 of division G of Public 
Law 110-161.

Rural and Community Access to Emergency Devices

    The Committee provides $1,461,000 for rural and community 
access to emergency devices, the same as the fiscal year 2008 
comparable level. The budget request for fiscal year 2009 did 
not include funding for this program. This appropriation 
provides funding for both the rural program under section 413 
of the Public Health Service Act and the community access 
demonstration under section 313. The Committee expects that 
fiscal year 2009 funding be equally divided between urban and 
rural communities.
    Funding will be used to purchase and place automated 
external defibrillators in public areas where cardiac arrests 
are likely to occur.

State Offices of Rural Health

    The Committee provides $7,999,000 for the State Offices of 
Rural Health, the same as the fiscal year 2008 comparable 
level. The budget request for fiscal year 2009 was $8,141,000. 
The State Offices of Rural Health program helps the States 
strengthen rural heath care delivery systems by allowing them 
to better coordinate care and improve support and outreach in 
rural areas.

Black Lung Clinics

    The Committee provides $7,200,000 for black lung clinics. 
The fiscal year 2008 comparable level was $5,788,000 and the 
budget request for fiscal year 2009 was $5,886,000. This 
program funds clinics that treat respiratory and pulmonary 
diseases of active and retired coal miners, steel mill workers, 
agricultural workers, and others with occupationally related 
respiratory and pulmonary impairments. These clinics reduce the 
incidence of high-cost inpatient treatment for these 
conditions.

Radiation and Exposure Screening and Education Program

    The Committee provides $2,000,000 for activities authorized 
by the Radiation Exposure Compensation Act. The fiscal year 
2008 comparable level was $1,884,000 and the budget request for 
fiscal year 2009 was $1,904,000. This program provides grants 
for the education, prevention, and early detection of 
radiogenic cancers and diseases resulting from exposure to 
uranium during its mining and milling at nuclear test sites.

Native and Rural Alaskan Health Care

    The Committee provides $39,283,000 for the Denali 
Commission. The fiscal year 2008 comparable level was 
$38,597,000 and the budget request for fiscal year 2009 did not 
include funding for this program. These funds support the 
construction and renovation of health clinics, hospitals and 
social service facilities in rural Alaska, as authorized by 
Public Law 106-113, to help remote communities in Alaska 
develop critically needed health and social service 
infrastructure for which no other funding sources are 
available, thereby providing health and social services to 
Alaskans in remote rural communities as they are in other 
communities throughout the country. The Committee expects the 
Denali Commission to allocate funds to a mix of rural hospital, 
clinic, long-term care and social service facilities, rather 
than focusing exclusively on clinic funding.

Family Planning

    The Committee provides $299,981,000 for the title X family 
planning program, the same level as the fiscal year 2008 
comparable level and the budget request.
    Title X grants support primary health care services at 
clinics nationwide. About 85 percent of family planning clients 
are women at or below 150 percent of poverty level. Title X of 
the Public Health Service Act, which established the family 
planning program, authorizes the provision of a broad range of 
acceptable and effective family planning methods and preventive 
health services to individuals, regardless of age or marital 
status. This includes FDA-approved methods of contraception.
    The Committee remains concerned that programs receiving 
title X funds ought to have access to these resources as 
quickly as possible. The Committee again instructs the 
Department to distribute to the regional offices all of the 
funds available for family planning services no later than 60 
days following enactment of this bill. The Committee intends 
that the regional offices should retain the authority for the 
review, award and administration of family planning funds, in 
the same manner and timeframe as in fiscal year 2006. The 
Committee intends that at least 90 percent of funds 
appropriated for title X activities be for clinical services 
authorized under section 1001 of the act. The Committee further 
expects the Office of Family Planning to spend any remaining 
year-end funds in section 1001 activities.

Health Care-related Facilities and Activities

    The Committee provides $170,597,000 for the construction 
and renovation (including equipment) of health care-related 
facilities and other health care-related activities. In fiscal 
year 2008, $304,475,000 was provided and the budget request for 
fiscal year 2009 did not include funding for these activities. 
The Committee expects HRSA to use no more than 1 percent of the 
funds allocated for projects for agency administrative 
expenses. These funds are to be used for the following projects 
and in the following amounts:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Access Community Health Network, Chicago, IL, for               $500,000
 construction at Holy Cross Hospital..................
Access to Healthcare Network, Reno, NV, to expand the            600,000
 Access to Healthcare Network into Northern NV rural
 counties.............................................
Adams State College, Alamosa, CO, for construction of            150,000
 a health education facility..........................
Advocate Lutheran General Hospital, Park Ridge, IL,              300,000
 for construction.....................................
Advocates for a Healthy Community, Springfield, MO,            1,500,000
 for construction, renovation and equipment...........
Alaska Brain Injury Network, Anchorage, AK, for brain            100,000
 injury programs and outreach services................
Alaska Native Tribal Health Consortium, Anchorage, AK,         1,500,000
 for a statewide electronic medical records and health
 information system...................................
Alaska Native Tribal Health Consortium, Anchorage, AK,         1,500,000
 for parallel development of an e-Health electronic
 Network..............................................
Allegheny General Hospital, Pittsburgh, PA, for                  100,000
 construction, renovation and equipment...............
Allen Institute for Brain Science, Seattle, WA, for              500,000
 equipment............................................
Allen Memorial Hospital, Waterloo, Iowa, for                     250,000
 construction, renovation and equipment...............
Allied Services Foundation, Clarks Summit, PA, for               100,000
 renovations and equipment............................
Altoona Regional Health System, Altoona, PA, for                 100,000
 renovation and equipment.............................
Anchorage Neighborhood Health Center, Anchorage, AK,             400,000
 for construction, renovation and equipment...........
Association of Utah Community Health, Salt Lake City,            500,000
 UT, for an electronic health records system for Utah
 Community Health Centers.............................
AtlantiCare Regional Medical Center, Egg Harbor                  400,000
 Township, NJ, for construction of the Cancer Care
 Institute............................................
Barnes-Kasson County Hospital, Susquehanna, PA, for              100,000
 renovations and equipment............................
Bartlett Regional Hospital, Juneau, AK, for renovation           500,000
 and equipment........................................
Bayside Family Healthcare, North Kingstown, RI, to               100,000
 implement the NextGen Practice Management System and
 Electronic Health Records............................
Beebe Medical Center, Lewes, DE, for the construction            500,000
 of a new School of Nursing...........................
Benefis Healthcare Foundation, Great Falls, MT, for              150,000
 health information technology in critical access
 hospitals............................................
Bethune Cookman University, Daytona Beach, FL, for               100,000
 equipping a nurse-managed health facility............
Billings Clinic, Billings, MT, for equipment..........           150,000
Bingham Memorial Hospital, Blackfoot, ID, for                    200,000
 construction, renovation and equipment...............
Bi-State Primary Care Association, Concord, NH, for              250,000
 renovation and equipment.............................
Bi-State Primary Care Association, Montpelier, VT, for           550,000
 construction, renovation and equipment...............
Bloomsburg Hospital, Bloomsburg, PA, for construction,           100,000
 renovation and equipment.............................
Blue Mountain Diagnostic Imaging, Inc. (BMDI),                   100,000
 Pendleton, OR, for equipment.........................
Bois Forte Reservation Tribal Council, Tower, MN, for            300,000
 renovation and equipment.............................
Boston Foundation for Sight, Needham Heights, MA, for            150,000
 the acquisition of medical equipment.................
Boston Medical Center, Boston, MA for facilities and             350,000
 equipment for the J. Joseph Moakley Medical Services
 Building.............................................
Boulder City Hospital, Boulder City, NV, for                     500,000
 construction of an emergency department..............
Boys Town National Research Hospital, Omaha, NE, for             500,000
 construction, renovation and equipment...............
Bradford Regional Medical Center, Bradford, PA, for              100,000
 renovation and equipment.............................
Broadlawns Medical Center, Des Moines, IA, for                   500,000
 equipment............................................
Bucknell University Geisinger Health System,                     150,000
 Lewisburg, PA, for the training of health
 professionals........................................
Butler Health System, Butler, PA, for renovation and             100,000
 equipment............................................
Caring Health Center, Inc., Springfield, MA, for                 200,000
 construction.........................................
Carnegie Mellon University, Washington, DC, for                  100,000
 renovation and equipment.............................
Carolinas HealthCare System, Charlotte, NC, for                  100,000
 construction, renovation and equipment...............
Catholic Health System, Buffalo, NY, for equipment....           150,000
Centenary College of Louisiana, Shreveport, LA, for            1,000,000
 construction, renovation and equipment of a health
 training facility....................................
Center for Asbestos Related Disease, Libby, MT, for              200,000
 construction, renovation and equipment...............
Central Carolina Technical College, Sumter, SC, for              250,000
 construction, renovation and equipment...............
Central Wyoming College, Riverton, WY, for                       450,000
 construction, renovation and equipment...............
Central Wyoming College, Riverton, WY, for the Virtual           200,000
 Medical Skills Center for Training Nurses in Rural
 Health Care..........................................
Charles Cole Memorial Hospital, Coudersport, PA, for             100,000
 rural training assistance............................
Chester County Hospital, West Chester, PA, for                   100,000
 construction renovation and equipment................
Chiesman Foundation for Democracy, Inc., Rapid City,             750,000
 SD, to establish a Center for Fetal Alcohol Spectrum
 Disorders............................................
Children's Health Fund, New York, NY, to provide                 250,000
 comprehensive primary care to medically underserved
 children at elementary schools in the Austin, TX
 Independent School District..........................
Children's Institute of Pittsburgh, Pittsburgh, PA,              200,000
 for treating children and adolescents with Autism
 Spectrum Disorders...................................
Children's Home Society of Idaho, Boise, ID, for                 100,000
 construction, renovation and equipment...............
Children's Hospital of Philadelphia, Philadelphia, PA,           100,000
 for renovation and equipment.........................
Children's Hospital of Pittsburgh, Pittsburgh, PA, for           100,000
 construction, renovation and equipment...............
Children's Hospitals & Clinics, Minneapolis, MN, for             250,000
 equipment............................................
Children's Medical Center, Dallas, TX, for                       150,000
 construction, renovation and equipment...............
Children's Medical Research Institute, Oklahoma City,            100,000
 OK, for renovation and equipment.....................
Children's Memorial Hospital, Chicago, IL, for                   500,000
 construction, renovation and equipment...............
Children's Mercy Hospitals and Clinics, Kansas City,           1,000,000
 MO, for construction, renovation and equipment.......
Children's Square, Council Bluffs, IA, for                       500,000
 construction, renovation, and equipment..............
CHOICE Regional Health Network, Olympia, WA, for the             350,000
 Emergency Department Care Coordination Program.......
Christ Hospital, Jersey City, NJ, for the Emergency              300,000
 Department Renovation and Equipment Project..........
Christiana Care Health System, Wilmington, DE, to                300,000
 renovate and expand Wilmington Hospital's Emergency
 Department...........................................
CHRISTUS Santa Rosa Hospital, San Antonio, TX, for               150,000
 renovation and equipment.............................
CHRISTUS St. Francis Cabrini Hospital, Shreveport, LA,           100,000
 for construction, renovation and equipment...........
City Finance Office dba Community Memorial Hospital,             300,000
 Redfield, SD, for facility renovation and
 construction.........................................
City of Baltimore, Baltimore, MD, for construction for         1,250,000
 Healthcare for the Homeless center...................
City of Newark, Newark, NJ, for an electronic medical            150,000
 record system........................................
City of San Jose, San Jose, CA, for a healthcare for             500,000
 the homeless program, including equipment............
Clarian Health, Indianapolis, IN, for construction,              100,000
 renovation and equipment.............................
Clarion Health System, Clarion, PA, for renovation and           100,000
 equipment............................................
Clearfield Hospital, Clearfield, PA, for construction,           100,000
 renovation and equipment.............................
Coffeyville Regional Medical Center, Coffeyville, KS,            350,000
 for construction, renovation and equipment...........
Cold Spring Harbor Laboratory, Cold Spring Harbor, NY,           750,000
 for The Women's Cancer Genomics Center...............
College of St. Scholastica, Inc., Duluth, MN, for a              250,000
 rural health and technology demonstration project....
Colorado Community Health Network, Denver, CO, for               200,000
 equipment............................................
Commonwealth Medical Education, Scranton, PA, for              1,000,000
 equipment and construction...........................
Communicare Inc., Columbia, SC, for automated pharmacy           200,000
 equipment............................................
Community Care Network, Montgomery, AL, for the                  100,000
 purchase of a mobile medical unit and acquisition of
 equipment............................................
Community Colleges of Spokane, Spokane, WA, for                  285,000
 renovation and equipment for allied health educa-
 tion.................................................
Community Health and Social Services, Detroit, MI, to            500,000
 construct a health clinic............................
Community Health Care, Inc., Davenport, IA, for                  200,000
 equipment............................................
Community Health Center of Fort Dodge, IA, for                   150,000
 equipment............................................
Community Health Center of the Black Hills, Rapid                200,000
 City, SD, for facilities and equipment...............
Community Health Centers of Southeastern Iowa,                   200,000
 Burlington, IA, for construction, renovation and
 equipment............................................
Community Health Centers of Southern Iowa, Leon, IA,             130,000
 for equipment........................................
Community HealthCare Association of the Dakotas,                 200,000
 Bismarck, ND, for Electronic Medical Record
 Implementation.......................................
Community HealthCare Association of the Dakotas, Sioux           250,000
 Falls, SD, for an electronic medical records system..
Community HealthCare Association of the Dakotas, Sioux           200,000
 Falls, SD, for rural health and dental services in a
 mobile dental unit...................................
Community Medical Center, Missoula, MT, for equipment.           100,000
Community Medical Center, Scranton, PA, for renovation           100,000
 and equipment........................................
Comprehensive Community Action, Cranston, RI, to                 300,000
 implement an integrated electronic health record and
 practice management system...........................
Concord Hospital, Concord, NH, for construction,                 300,000
 renovation and equipment.............................
Cook Children's Medical Center, Fort Worth, TX, for              150,000
 renovation and equipment.............................
Cornerstone Care Inc., Burgettstown, PA, for                     100,000
 construction, renovation and equipment...............
Council Bluffs Community Health Center, Council                  200,000
 Bluffs, IA, for construction, renovation and equip-
 ment.................................................
Creighton University, Omaha, NE, for construction,               100,000
 renovation and equipment.............................
Crescent Community Health Center, Dubuque, IA, for               200,000
 construction, renovation and equipment...............
Crider Health Center, Wentzville, MO, for                      1,000,000
 construction, renovation and equipment...............
Crozer-Chester Medical Center, Upland, PA, for                   100,000
 renovation and equipment.............................
Delaware Valley Community Health, Philadelphia, PA,              100,000
 for renovation and equipment.........................
Delta State University, Cleveland, MS, for                       250,000
 construction, renovation and equipment, including
 design...............................................
Denver Health and Hospital Authority, Denver, CO, for            150,000
 construction.........................................
Driscoll Children's Hospital, Corpus Christi, TX, for            150,000
 renovation and equipment.............................
DuBois Regional Medical Center, DuBois, PA, for                  100,000
 renovation and equipment.............................
East Carolina University, Greenville, NC, for                    200,000
 construction, renovation and equipment...............
Eastern Shore Rural Health System, Nassawadox, VA, to            300,000
 construct the Onley Community Health Center..........
Ed Roberts Campus, Berkeley, CA, for construction,               250,000
 renovation and equipment.............................
Elk Regional Health Center, St. Marys, PA, for                   100,000
 renovation and equipment.............................
Elliot Health System, Manchester, NH, for an                     225,000
 electronic medical records system....................
Endless Mountains Health Systems, Montrose, PA, for              100,000
 construction, renovation and equipment...............
Ephrata Hospital, Ephrata, PA, for renovation and                100,000
 equipment............................................
Excela Health, Latrobe, PA, for construction,                    100,000
 renovation and equipment.............................
Family Medicine Residency of Idaho, Boise, ID, to                100,000
 recruit family physicians to rural Idaho.............
Fletcher Allen Health Care, Burlington, VT, for                  200,000
 construction and equipment...........................
Fletcher Allen Health Care, Burlington, VT, for                  500,000
 training.............................................
Fox Chase Cancer Center, Philadelphia, PA, for                   100,000
 renovation and equipment.............................
Franklin Pierce University, Rindge, NH, for nurse                400,000
 training outreach programs, including renovation and
 equipment............................................
Free Clinic of Pierce and Saint Croix, River Falls,              160,000
 WI, to expand care in rural areas....................
Free Clinics of Iowa, Des Moines, IA, to support a               400,000
 network of free clinics..............................
Friendship House, Scranton, PA, to create an advanced            150,000
 Regional Center for Autism Spectrum Disorders........
Fulton County Medical Center, McConnellsburg, PA, for            100,000
 construction, renovation and equipment...............
Gadsden County, Quincy, FL, for repairs and                      100,000
 renovations of the Gadsden County Community Hospital.
Garfield Memorial Hospital, Panguitch, UT, for                   100,000
 renovation and equipment.............................
Geisinger Health System, Harrisburg, PA, for post                100,000
 traumatic stress disorder related activities.........
Generations, Inc., Camden, NJ, for construction and              100,000
 operations of the Nex Generation Health Services
 Center...............................................
Georgia Southern University, Statesboro, GA, for rural           100,000
 health outreach and training.........................
Georgia State University, Atlanta, GA, for health                100,000
 outreach and training................................
Good Samaritan Health Services Foundation, Lebanon,              100,000
 PA, for renovation and equipment.....................
Good Shepherd Home, Inc., Allentown, PA, for                     100,000
 renovation and equipment.............................
Goodall Hospital, Sanford, ME, for an electronic                 300,000
 health records system................................
Grady Memorial Hospital, Atlanta, GA, for renovation             100,000
 and equipment........................................
Grand View Hospital, Inc., Sellersville, PA, for                 100,000
 renovation and equipment.............................
Great Brook Valley Health Center, Worcester, MA, for             150,000
 new facility construction............................
Greater Hudson Valley Family Health Center, Inc.,                400,000
 Newburgh, NY, for construction, renovation and
 equipment............................................
Greater Sioux Community Health Center, Sioux Center,             100,000
 IA, for equipment....................................
Gundersen Lutheran Hospital, La Crosse, WI, for health           300,000
 care IT improvements.................................
Hamot Medical Center, Erie, PA, for construction,                100,000
 renovation and equipment.............................
Hampton University, Hampton, VA, for construction and            400,000
 equipment for the development of a new proton beam
 therapy facility to treat cancer.....................
Harrington Memorial Hospital, Southbridge, MA, for the           200,000
 acquisition of medical equipment.....................
Harris County Hospital District, Houston, TX, for                150,000
 renovation and equipment.............................
Hazleton General Hospital--Health Corp (Northeastern             100,000
 PA), Hazleton, PA, for renovation and equip-  ment...
Health and Hospital Corporation of Marion County,                150,000
 Indianapolis, IN, for facility planning,
 construction, renovation and equipment...............
Health Care of Southeastern Massachusetts, Brockton,             150,000
 MA, for equipment....................................
HealthEast Care System, St. Paul, MN, for                        325,000
 construction, renovation and equipment...............
HealthPoint Kentucky, Newport, KY, for an electronic             100,000
 medical records system...............................
HealthShare Montana, Bozeman, MT, for equipment and              750,000
 training.............................................
Hickman Community Hospital, Centerville, TN, for                 550,000
 construction and renovation and equipment............
Holy Redeemer Health System, Huntington Valley, PA,              100,000
 for construction, renovation and equipment...........
Holy Spirit Healthcare System, Camp Hill, PA, for                100,000
 renovation and equipment.............................
Hormel Institute, Mower, MN, for biomedical equipment.           100,000
Horn Memorial Hospital, Ida Grove, IA, for equipment..           250,000
Indiana Regional Medical Center, Indiana, PA, for                100,000
 renovation and equipment.............................
Intermountain Healthcare, Salt Lake City, UT, for an             300,000
 electronic medical records and pharmacy bar coding
 systems..............................................
Inova Health System--The Claude Moore Health Education           100,000
 Center's Simulation Center, Falls Church, VA, for
 construction, renovation and equipment...............
Iowa Caregivers Association, Des Moines, IA, for                 350,000
 training and support of certified nurse assistants...
Iowa Dental Foundation, Johnston, IA, for portable               250,000
 dental equipment.....................................
Iowa Nebraska Primary Care Association, Des Moines,              260,000
 IA, for health information technology equipment and
 coordination of programs.............................
Iowa State University, Ames, IA, for construction of a           500,000
 biosafety level 3 lab................................
Jackson State University, Jackson, MS, for the                   500,000
 Institute of Epidemiology and Health Services
 Research.............................................
Jameson Memorial Hospital, New Castle, PA, for                   100,000
 construction, renovation and equipment...............
JC Blair Memorial Hospital, Huntingdon, PA, for                  100,000
 renovation and equipment.............................
Jefferson Regional Medical Center, Pittsburgh, PA, for           100,000
 construction, renovation and equipment...............
Jersey Shore Hospital, Jersey Shore, PA, for                     100,000
 renovation and equipment.............................
Jewish Renaissance Medical Center, Perth Amboy, NJ,              100,000
 for construction of the Medical Arts Building........
Joseph Richey House, Inc., Baltimore, MD, for                    750,000
 construction of Dr Bob's Place Children's Hospice....
Kadlec Health System, Richland, WA, for construction             150,000
 and equipment........................................
Kane Community Hospital, Kane, PA, for construction,             100,000
 renovation and equipment.............................
King's Daughters Regional Medical Center, Brookhaven,            500,000
 MS, for an electronic medical records system,
 including renovation and equipment...................
La Clinica de Familia, Inc., Las Cruces, NM, for                 775,000
 construction of the Chaparral Dental Center..........
Lahey Clinic, Burlington, MA, for the expansion and              200,000
 renovation of emergency and trauma care facili-  ties
Lane County, Eugene, OR, for construction of the                 100,000
 Springfield Community Health Center..................
Laramie County Community College, Cheyenne, WY, for              400,000
 renovation, equipment and training...................
Lawndale Christian Health Center, Chicago, IL, for               400,000
 construction and equipment...........................
Lehigh Valley Hospital, Allentown, PA, to provide                100,000
 healthcare access....................................
Lewis-Clark State College, Lewiston, ID, to prepare              100,000
 nursing students for careers in nursing..............
Lincoln County, Newport, OR, for an electronic medical           250,000
 records system, including equipment acquisition and
 renovation...........................................
Linn Community Care, Cedar Rapids, IA, for                       262,000
 construction, renovation and equipment...............
Lou Ruvo Brain Institute, Las Vegas, NV, for                     600,000
 construction, renovation and equipment...............
Lourdes Health System, Camden, NJ, for equipment......           100,000
Lowell General Hospital, Lowell, MA, for construction            150,000
 of new medical facilities............................
Lower Brule Sioux Tribe, Lower Brule, SD, for the                200,000
 Community Health Representative program..............
Manchester Community Health Center, Manchester, NH,              200,000
 for construction, renovation and equipment...........
Marian Community Hospital, Carbondale, PA, for                   100,000
 renovation and equipment.............................
Marillac Center, Overland Park, KS, for construction,            200,000
 renovation and equipment.............................
Marquette University, Milwaukee, WI, for a dental                250,000
 health outreach program..............................
Marshall University in Huntington, WV, for the                 3,500,000
 Translational Genomic Research Institute.............
Maui Community Health Center, Kahului, HI, for                   200,000
 construction, renovation and equipment...............
Maui Medical Center, Maui, HI, for equipping a                   200,000
 robotics and nurse training lab......................
Meadville Medical Center, Meadville, PA, for                     100,000
 construction, renovation and equipment...............
Meharry Medical College, Nashville, TN, for                      600,000
 construction, renovation and equipment...............
Memorial Hospital at Gulfport, Gulfport, MS, for                 500,000
 construction, renovation and equipment...............
Memorial Hospital, Carthage, IL, for equipment........           400,000
Memorial Hospital, York, PA, for renovation and                  100,000
 equipment............................................
Mercy Health Foundation, Durango, CO, for renovation             150,000
 and equipment........................................
Mercy Health Partners, Scranton, PA, for renovation              100,000
 and equipment........................................
Mercy Memorial Health Center, Ardmore, OK, for                   100,000
 construction, renovation and equipment...............
Mercy Philadelphia Hospital, Philadelphia, PA, for               100,000
 construction, renovation and equipment...............
Meridian Health, Neptune, NJ, for the Jersey Shore               350,000
 University Medical Center Comprehensive Expansion and
 Renovation Project...................................
Messiah College, Grantham, PA, for renovation and                100,000
 equipment............................................
Methodist University, Fayetteville, NC, for                      175,000
 construction, renovation and equipment...............
Miami Jewish Home and Hospital, Miami, FL, for health             75,000
 education for those living in the Little Haiti area..
Mid Valley Hospital, Peckville, PA, for renovation and           100,000
 equipment............................................
Middletown Regional Health System, Franklin, OH, for             200,000
 construction of a nursing school.....................
Midwest Community Clinic, Midwest, WY, for                       300,000
 construction, renovation, and equipment..............
Miles Community College, Miles City, MT, to expand the           100,000
 Healthcare Connections to Career Pathways program....
Miles Perret Cancer Services, Lafayette, LA, for                 300,000
 purchase and equipping of a mobile unit for use in
 rural areas..........................................
Mind Research Network [MRN], Albuquerque, NM, for              3,000,000
 construction, renovation and equipment...............
Minot State University, Minot, ND, for the Great                 750,000
 Plains Autism Treatment Program......................
Misericordia University, Dallas, PA, for construction,           100,000
 renovation and renovation............................
Mississippi Primary Health Care Association, Jackson,            250,000
 MS, for construction, renovation and equipment.......
Molokai Community Health Center, Molokai, HI, to                 250,000
 construct facilities.................................
Monongahela Valley Hospital, Monongahela, PA, for                100,000
 renovation and equipment.............................
Monroe Clinic, Monroe, WI, for critical health care IT           280,000
 improvements, including an electronic medical records
 system, in South Central Wisconsin...................
Montgomery College, Rockville, MD, for equipment for             750,000
 the biotechnology laboratory.........................
Moses Taylor Hospital, Scranton, PA, for renovation              100,000
 and equipment........................................
Mount Nittany Medical Center, State College, PA, for             100,000
 renovation and construction..........................
Myrna Brind Center for Integrative Medicine,                     100,000
 Philadelphia, PA, to develop three models of
 integrative programs of clinical excellence..........
Nationwide Children's Hospital Research Institute,               100,000
 Columbus, OH, for construction, renovation and
 equipment............................................
Nazareth Hospital, Philadelphia, PA, for renovation              100,000
 and equipment........................................
Nebraska Hospital Association, Lincoln, NE, to expand            100,000
 the Nebraska Statewide Telehealth Network, including
 renovation and equipment.............................
Neurosciences Institute, Morgantown, WV, for                   5,000,000
 construction, renovation and equipment...............
Nevada System of Higher Education, Las Vegas, NV, for          1,000,000
 equipment purchase for nursing and medical clinical
 skills labs..........................................
New Mexico State University, Las Cruces, NM, for                 100,000
 Graduate Psychology Education........................
New York University Medical Center, New York, NY, for            750,000
 construction, renovation and equipment at the
 emergency department.................................
New York-Presbyterian Hospital, NY, for cardiac care             250,000
 telemetry............................................
Newark Beth Israel Medical Center, Newark, NJ, for               300,000
 construction, equipment and renovation...............
Newton Memorial Hospital, Newton, NJ, for equipment...           200,000
Niagara University, Niagara Falls, NY, for the Nursing           100,000
 Leadership project...................................
Norman Regional Health System, Norman, OK, for a                 100,000
 medical health records system, including acquisition
 of equipment.........................................
Northeast Regional Cancer Institute, Scranton, PA, for           100,000
 cancer epidemiology research programs................
Northwest Hospital and Medical Center, Seattle, WA,            1,000,000
 for construction and equipment to support the
 establishment of a Community Health Education and
 Simulation Center....................................
Northwest Kidney Centers, Seattle, WA, for equipment..           200,000
Norton Community Hospital Women's Center/Technology              100,000
 Enhancement Project, Norton, VA, for renovation and
 equipment............................................
Nova Southeastern University, Ft. Lauderdale, FL, for             75,000
 nurse education and training.........................
Nugen's Ranch Substance Abuse Treatment Facility,                300,000
 Wasilla, AK, for construction, renovation and
 equipment............................................
Oglala Lakota College, Kyle, SD, for a nursing                   600,000
 education program....................................
Ohio Valley General Hospital, McKees Rocks, PA, for              100,000
 renovation and equipment.............................
Ohio Valley Medical Center, Wheeling, WV, for                  6,000,000
 construction, renovation and equipment...............
Oklahoma Medical Research Foundation, Oklahoma City,             150,000
 OK, for renovation and equipment.....................
Oklahoma State University Center for Health Sciences,            100,000
 Tulsa, OK, to purchase and equip a mobile health unit
Olympic Medical Center, Port Angeles, WA, for an                 650,000
 electronic medical records/practice management system
Orange County, Orlando, FL, for the renovation at the            100,000
 Primary Care Access Network..........................
Ottumwa Regional Health Center, Ottumwa, IA, for                  60,000
 equipment............................................
Palmer College of Chiropractic in Davenport, IA, and             400,000
 the Myrna Brind Center of Integrative Medicine in
 Philadelphia, PA, to develop a model integrative
 health care program for the treatment of pain........
Paoli Hospital, Paoli, PA, for construction,                     100,000
 renovation and equipment.............................
Parkland Health & Hospital System, Dallas, TX, to                250,000
 purchase and equip a mobile health unit..............
Parkland Health & Hospital System, Dallas, TX, for               150,000
 renovation and equipment.............................
Penn State Hershey Medical Center, Hershey, PA, for              100,000
 healthcare services..................................
Pennsylvania Psychiatric Institute, Harrisburg, PA,              100,000
 for equipment........................................
Peoples Community Health Clinic, Waterloo, IA, for                60,000
 equipment............................................
Philadelphia University, Philadelphia, PA, for                   100,000
 equipment............................................
Phoebe Putney Memorial Hospital, Albany, GA, to                  100,000
 partner with the Dougherty County School System to
 implement health programs for school children........
Pinnacle Health System, Harrisburg, PA, for                      100,000
 construction, renovation and equipment...............
Pioneer Valley Life Science Institute, Springfield,              400,000
 MA, for the construction and continued development of
 biomedical research facilities.......................
Pocono Medical Center, Stroudsburg, PA, for                      100,000
 construction, renovation and equipment...............
Pottsville Hospital, Pottsville, PA, for construction,           100,000
 renovation and equipment.............................
Primary Care Association of Hawaii, Honolulu, HI, to           1,100,000
 provide service enhancements and outreach............
Primary Health Care, Inc, Des Moines, IA, for                    200,000
 construction, renovation and equipment...............
Prince George's County, Upper Marlboro, MD, for dental           500,000
 equipment............................................
Provena Covenant Medical Center, Urbana, IL, for                 200,000
 construction, renovation and equipment...............
Providence Community Health Center, Providence, RI, to           100,000
 install an electronic health records system..........
Providence Health System, Anchorage, AK, for physician         1,000,000
 recruitment and retention............................
Providence Health System, Olympia, WA, to create a               100,000
 Nursing Education to Practice Bridge Program.........
Public Health Foundation of Columbia County, Portland,           250,000
 OR, for construction and equipment...................
Reading Hospital and Medical Center, Reading, PA, for            100,000
 renovation and equipment.............................
RelateNow, New Glarus, WI, to provide online treatment           300,000
 services for rural families of children with autism..
Resurrection Health Care, Oak Park, IL, to expand                300,000
 nursing programs.....................................
Rhode Island College Foundation, Providence, RI, to              300,000
 upgrade the School of Nursing clinical laboratory....
Rice University, Houston, TX, for construction,                  400,000
 renovation and equipment.............................
Richardton Memorial Hospital and Health Center,                  850,000
 Richardton, ND, for planning, renovation and
 equipment............................................
River Hills Community Health Center, Ottumwa, IA, for            200,000
 equipment............................................
Riverside Healthcare, Kankakee, IL, for a patient                300,000
 safety program, including equipment..................
Robert Morris University, Moon Township, PA, for                 100,000
 renovation and equipment.............................
Rosebud Sioux Tribe, Rosebud, SD, for medical                    200,000
 equipment............................................
Sac and Fox Tribe of the Mississippi, Tama, IA, for a            650,000
 Tribal Health Care Clinic............................
Sacred Heart Hospital of Allentown, Allentown, PA, for           100,000
 renovation and equipment.............................
Saint Ambrose University, Davenport, IA, for the                 500,000
 construction of a Center for Health Sciences Educa-
 tion.................................................
Saint Bernard Parish, Chalmette, LA, for construction,           850,000
 renovation and equipment of a medical facility.......
Saint Clare Hospital, Madison, WI, for equipment......           350,000
Saint Francis Hospital Foundation, Wilmington, DE, to            300,000
 make capital infrastructure improvements to St
 Francis Hospital.....................................
Saint Joseph Health Services, North Providence, RI,              650,000
 for renovations to the emergency room................
Saint Joseph Hospital, Nashua, NH, for electronic                425,000
 medical records technology, including renovation and
 equipment............................................
Saint Luke's Episcopal Hospital, Houston, TX, for                150,000
 renovation and equipment.............................
Saint Luke's Hospital Allentown Campus, Allentown, PA,           100,000
 for renovation and equipment.........................
Saint Mary Medical Center, Langhorne, PA, for                    100,000
 renovations and construction.........................
Saint Mary's Hospital, Madison, WI, for equipment at             300,000
 the Sun Prairie Emergency Center.....................
Saint Patrick Hospital and Health Sciences Center,               150,000
 Missoula, MT, for construction, renovation and
 equipment............................................
Saint Vincent Health Center, Erie, PA, for renovation            100,000
 and equipment........................................
Saint Vincent Healthcare Foundation, Billings, MT, for           150,000
 equipment for the Pediatric Project..................
San Francisco Community Clinic Consortium, San                   500,000
 Francisco, CA, for facilities and equipment..........
Seattle Biomedical Research Institute, Seattle, WA,              250,000
 for equipment........................................
Seattle Cancer Care Alliance, Seattle, WA, for                   800,000
 construction, renovation and equipment...............
Sedgwick County Government, Wichita, KS, for the                 150,000
 Healthy Babies Program...............................
Sharon Regional Health System, Sharon, PA, for                   100,000
 construction, renovation and equipment...............
Shawnee Mission Medical Center, for renovation and               200,000
 equipment............................................
Shelby County, Memphis, TN, for construction,                    500,000
 renovation and equipment.............................
Sinai Health System, Chicago, IL, for equipment.......           500,000
Siouxland Community Health Center, Sioux City, IA, for           200,000
 construction, renovation and equipment...............
Sisters of Providence Health System, Springfield, MA,            200,000
 for construction of a new health clinic..............
Soldiers + Sailors Memorial Hospital, Wellsboro, PA,             100,000
 for renovations and equipment........................
Somerset Hospital, Somerset, PA, for renovation and              100,000
 equipment............................................
South County Hospital, Wakefield, RI, for electronic             900,000
 health record project................................
South Lane Mental Health, Cottage Grove, OR, for                 150,000
 construction, renovation and equipment...............
South Shore Regional Health Information Organization,            150,000
 Quincy, MA, for the continued development and
 deployment of an electronic medical recordkeeping
 system...............................................
Southern Methodist University, Dallas, TX, for                   200,000
 construction, renovation and equipment...............
Southern New Hampshire Medical Center, Nashua, NH, for           425,000
 electronic medical records technology, including
 renovation and equipment.............................
Southern Utah University, Cedar City, UT, for                    400,000
 construction, renovation and equipment...............
Southern Vermont College, Bennington, VT, for a                  250,000
 patient navigator program............................
Southwestern Mental Health Center, Inc., Luverne, MN,            200,000
 for construction, renovation and equipment...........
Sparks Regional Medical Center, Fort Smith, AR, to             1,000,000
 obtain equipment for the cancer center...............
Spokane County Medical Society Foundation, Spokane,              100,000
 WA, for Project Access...............................
State of New Mexico, Santa Fe, NM, to collect and                100,000
 analyze data about the need and potential locations
 for a dental school within the State.................
Staten Island University Hospital, Staten Island, NY,            500,000
 for construction, renovation and equipment for the
 emergency department.................................
Stoughton Hospital, Stoughton, WI, for installation of           300,000
 a comprehensive electronic health records sys-  tem..
Straub Hospital Burn Center, Honolulu, HI, for                   100,000
 equipment............................................
Sullivan County Medical Center, Laporte, PA, for                 100,000
 renovation and equipment.............................
Sumter Regional Hospital, Americus, GA, for                      100,000
 construction, renovation and equipment...............
Susquehanna Health, Williamsport, PA, for renovation             100,000
 and equipment........................................
Swope Health Quindaro, KS, for an electronic medical             250,000
 records system, including equipment acquisition and
 renovation...........................................
Systems Unlimited, Inc., Iowa City, IA, for                      250,000
 construction, renovation, and equipment..............
Tabitha, Inc., d.b.a., Tabitha Health Care Services,             800,000
 Lincoln, NE, for equipment...........................
Temple University Health System, Philadelphia, PA, for           100,000
 renovations and equipment............................
Tennessee Tech University, Cookeville, TN, for                   500,000
 construction and renovation..........................
Texas A&M; University, College Station, TX, for                   200,000
 renovation and equipment.............................
Texas Children's Hospital, Houston, TX, for                      150,000
 construction, renovation and equipment...............
Texas Health Institute, Austin, TX, for renovation and           200,000
 equipment............................................
The Lakes Community Health Center, Iron River, WI, for           300,000
 construction, renovation and equipment...............
The Manor, Jonesville, MI, for construction of a                 600,000
 Treatment and Counseling Center......................
Thomas Jefferson University Hospital, Philadelphia,              100,000
 PA, for renovation and equipment.....................
Thomas Jefferson University, Philadelphia, PA, for               100,000
 renovation and equipment.............................
Thundermist Health Center, West Warwick, RI, for                 350,000
 construction, renovation and equipment...............
Tougaloo College, Tougaloo, MS, for renovation and               245,000
 equipment............................................
Touro University Nevada, Henderson, NV, for                      400,000
 construction of a Gerontology Center.................
Towson University, Baltimore, MD, for a Center for               500,000
 Adults with Autism Spectrum Disorders................
Trinity Health, Minot, ND, for the Rural Radiology               850,000
 Outreach Initiative, including equipment.............
Tri-Town Community Economic Opportunity Committee,               350,000
 Johnston, RI, for construction, equipment and
 renovation of health care facilities.................
Tufts New England Medical Center, Boston, MA, for                200,000
 construction, renovation and equipment...............
Tyrone Hospital, Tyrone, PA, for construction,                   100,000
 renovation and equipment.............................
UMass Memorial Healthcare, Boston, MA, for upgrades to           250,000
 information technology...............................
United Community Health Center, Storm Lake, IA, for              200,000
 construction, renovation and equipment...............
University Medical Center at Brackenridge, Austin, TX,           150,000
 for renovation and equipment.........................
University of Alabama, Tuscaloosa, Tuscaloosa, AL, for         9,400,000
 construction, renovation and equipment...............
University of Alabama, Tuscaloosa, Tuscaloosa, AL, for           250,000
 physician recruitment programs.......................
University of Delaware, Newark, DE, for the Delaware             200,000
 Biotechnology Institute, including equipment.........
University of Dubuque, Dubuque, IA, for construction             500,000
 of a community wellness center.......................
University of Georgia, Athens, GA, for construction,             100,000
 renovation and equipment.............................
University of Hawaii at Hilo, Honolulu, HI, for a                150,000
 nurse training program...............................
University of Iowa, Iowa City, IA, for the Iowa                2,000,000
 Institute for Biomedical Discovery...................
University of Iowa, Iowa City, IA, for the School of           1,000,000
 Public Health........................................
University of Kansas Medical Center, Kansas City, KS,            300,000
 for renovation and equipment.........................
University of Kentucky Research Foundation, Lexington,         2,000,000
 KY, for construction, renovation, and equipment at
 the University of Kentucky College of Nursing........
University of Kentucky Research Foundation, Lexington,         1,500,000
 KY, for renovation and equipment.....................
University of Kentucky Research Foundation, Lexington,         1,000,000
 KY, to establish a program to reduce the risk of
 hearth disease in rural areas........................
University of Louisiana at Monroe, Monroe, LA, to                400,000
 purchase a mobile dental unit for use in rural
 Louisiana............................................
University of Louisville Research Foundation,                  1,000,000
 Louisville, KY, for construction, renovation, and
 equip-  ment.........................................
University of Louisville Research Foundation,                  6,000,000
 Louisville, KY, for construction, renovation, and
 equipment to expand cardiovascular facilities........
University of Louisville Research Foundation,                  2,000,000
 Louisville, KY, for renovation and equipment to
 support the computational biology initiative.........
University of Minnesota, Minneapolis, MN, for                    100,000
 equipment for the Virginia Regional Medical Center...
University of Mississippi Medical Center, Jackson, MS,         3,000,000
 for construction, renovation and equipment for the
 Arthur C. Guyton Laboratory Building.................
University of Mississippi School of Pharmacy, Oxford,          6,000,000
 MS, for construction, renovation and equipment.......
University of Mississippi, National Center for Natural         1,000,000
 Products Research, MS, for construction, renovation
 and equipment for Phase II of the National Center for
 Natural Products Research--Drug Development,
 Construction.........................................
University of Mississippi, Oxford, MS, for the Center            250,000
 for Pharmaceutical Marketing and Management..........
University of Mississippi, Oxford, MS, for the Center            650,000
 for Thermal Pharmaceutical Processing................
University of Nevada School of Medicine, Reno, NV, for           500,000
 the Center for Molecular Medicine, including
 equipment............................................
University of New England, Biddeford, ME, for                    350,000
 technology upgrades, including the purchase of
 equipment............................................
University of North Carolina at Wilmington,                      175,000
 Wilmington, NC, for construction, renovation and
 equip-  ment.........................................
University of North Texas, Denton, TX, for                       250,000
 construction, renovation and equipment...............
University of Oklahoma, Norman, OK, for renovation and           150,000
 equipment............................................
University of Pennsylvania School of Medicine,                   100,000
 Philadelphia, PA, for construction, renovation and
 equipment............................................
University of Pittsburgh (Simmons Center), Pittsburgh,           100,000
 PA, for construction, renovation and equipment.......
University of Pittsburgh Cancer Institute, Pittsburgh,           100,000
 PA, for construction, renovations, and equipment.....
University of Pittsburgh Medical Center, Pittsburgh,             100,000
 PA, for renovation and equipment.....................
University of South Dakota, Vermillion, SD, for                  300,000
 construction and equipment...........................
University of Southern Mississippi, Hattiesburg, MS,           1,600,000
 for construction, renovation and equipment, including
 design...............................................
University of Texas at Dallas, Dallas, TX, for                   400,000
 renovation and equipment.............................
University of Texas Health Science Center at Houston,            300,000
 Houston, TX, for construction, renovation and
 equipment............................................
University of Texas Health Science Center at Tyler,              250,000
 Tyler, TX, for renovation and equipment..............
University of Texas M.D. Anderson Cancer Center,                 200,000
 Houston, TX, for renovation and equipment............
University of Texas M.D. Anderson Cancer Center,                 250,000
 Houston, TX, for renovation and equipment for the
 center for targeted therapy..........................
University of Washington, Seattle, WA, for the Bothell           100,000
 nursing consortium...................................
University of Wisconsin-Eau Claire, Eau Claire, WI, to           280,000
 expand the Campus Autism Program, including
 facilities...........................................
University of Wyoming, Center for Rural Health                   250,000
 Research and Education, Laramie, WY, for health
 information technology...............................
Utah Department of Health, Salt Lake City, UT, for               400,000
 health education and screening for citizens exposed
 to uranium mill tailings.............................
Utah Department of Health, Salt Lake City, UT, for               300,000
 renovation and equipment.............................
Vermont Information Technology Leaders, Montpelier,            1,000,000
 VT, for the implementation of a statewide electronic
 medical record system................................
Volunteers of America, Dakotas, Sioux Falls, SD, for             750,000
 construction and program expansion of residential
 drug treatment.......................................
Wake County, Raleigh, NC, for construction, renovation           200,000
 and equipment........................................
Washington County, Plymouth, NC, for construction,               125,000
 renovation and equipment.............................
Washington State University, Spokane, WA, to support           1,000,000
 distance learning at the Nursing College.............
Wayne Memorial Hospital, Honesdale, PA, for                      100,000
 renovations and equipment............................
Wayne Memorial Hospital, Jesup, GA, for construction,            100,000
 renovation and equipment.............................
Weber County, Ogden, UT, for renovation and equipment            200,000
 to improve health literacy...........................
Wentworth-Douglass Hospital, Dover, NH, for electronic           425,000
 medical records technology, including renovation and
 equipment............................................
Wesley College, Dover, DE, for renovation and                    350,000
 equipping of the nursing school......................
West Virginia University, Morgantown, WV, for                  3,500,000
 construction of a Multiple Sclerosis Center..........
WestCare Nevada, Inc., Las Vegas, NV, for construction           150,000
 and renovation at the Community Triage Cen-  ter.....
Westchester County Department of Labs & Research,                750,000
 Valhalla, NY, for construction, renovation and
 equipment............................................
Westminster College, Salt Lake City, UT, for                     300,000
 renovation and equipment.............................
Westside Healthcare Association, Milwaukee, WI, for              300,000
 construction at the Lisbon Avenue Health Center......
White River Medical Center, Batesville, AR, for                1,000,000
 construction, renovation and equipment...............
Whittier Street Health Center, Roxbury, MA, for                  200,000
 construction of a new medical facility...............
William Penn University, Oskaloosa, IA, for the                  500,000
 Nursing and Sciences Teaching Laboratories...........
Wills Eye Health System, Philadelphia, PA, for                   100,000
 renovation and equipment.............................
Windemere Rehabilitation Center, Oak Bluffs, MA, for             250,000
 construction, renovation, and equipment..............
Wistar Institute, Philadelphia, PA, for renovation and           100,000
 equipment............................................
Wolfson Children's Hospital, Jacksonville, FL, to                250,000
 purchase equipment...................................
World Impact's Good Samaritan Clinic, Wichita, KS, for           150,000
 construction, renovation and equipment...............
Wyoming Valley Health Care System Hospital, Wilkes-              100,000
 Barre, PA, for renovation and equipment..............
Xavier University, New Orleans, LA, for design and               400,000
 construction for the Industry Center for
 Pharmaceutical Bioscience/Biotech Infrastructure.....
Yukon-Kuskokwin Health Corporation, Bethel, AK, for            1,550,000
 renovation and equipment.............................
------------------------------------------------------------------------

Telehealth

    The Committee provides $8,000,000 for telehealth 
activities. The fiscal year 2008 comparable level was 
$6,700,000 and the budget request for fiscal year 2009 was 
$6,819,000. The telehealth program funded through the Office 
for the Advancement of Telehealth promotes the effective use of 
technologies to improve access to health services for people 
who are isolated from healthcare and distance education for 
health professionals.
    The Committee has included additional funding to support 
telehealth network grants, telehealth demonstrations, and 
telehomecare pilot projects; and to facilitate cooperation 
between health licensing boards or various States to develop 
and implement policies that will reduce statutory and 
regulatory barriers to telehealth.

Parklawn Replacement

    The Committee recommends $5,000,000 for the replacement of 
HRSA's facilities at the Parklawn campus. No funds were 
included for this purpose in fiscal year 2008 and the fiscal 
year 2009 budget included $36,062,000. The current lease 
expires on July 31, 2010. The Parklawn building currently 
houses 2,484 HHS employees and has been continually occupied 
for over 40 years. The Committee is aware that a short-term 
extension of the lease is already necessary due to the lack of 
any administration request for fiscal year 2008, and is 
disappointed to note that this omission has already increased 
the cost to taxpayers. The Committee is aware that other 
committees of the Congress were consulted in time for 
authorizing legislation to be signed in September 2006, so the 
lack of a request in fiscal years 2007 and 2008 is 
inexplicable.

Program Management

    The Committee provides $141,087,000 for program management 
activities for fiscal year 2009, the same as the fiscal year 
2008 comparable level and the budget request for fiscal year 
2009.
    The Committee is concerned that the February 29, 2008, 
Federal Register Notice of Proposed Rulemaking for 
``Designation of Medically Underserved Populations and Health 
Professional Shortage Areas'' will have far-reaching 
implications for the allocation of resources in dozens of 
Federal programs. For that reason, the proposal deserves robust 
analysis requiring extensive time for States to analyze and 
offer informed comments upon the changes. The Committee urges 
the Secretary to keep the comment period open until States' 
questions, concerns and clarifications have been completely 
answered and addressed. The Committee requests that HRSA report 
to the Committee prior to issuing a final rule on: (1) a State 
by State analysis of the number of people living in, and 
physicians practicing in, areas that will gain and lose 
geographic HPSA designations; and (2) a list of currently 
designated HPSAs that shift between the highest and lowest 
quartiles due to the new methodology. In particular, the 
Committee is disturbed that HRSA has not released the scoring 
methodology for the safety net facility (Tier III) designation. 
The Committee urges HRSA to release the scoring methodology in 
time for the public to comment on this important designation.

                   HEALTH EDUCATION ASSISTANCE LOANS

    The Committee provides $1,000,000 to liquidate obligations 
from loans guaranteed before 1992, the same level as the fiscal 
year 2008 comparable level and the budget request for fiscal 
year 2009. For administration of the HEAL program including the 
Office of Default Reduction, the Committee provides $2,847,000, 
the same level as the fiscal year 2008 comparable level. The 
budget request for fiscal year 2009 was $2,906,000.
    The HEAL program insures loans to students in the health 
professions. The Budget Enforcement Act of 1990, changed the 
accounting of the HEAL program. One account is used to pay 
obligations arising from loans guaranteed prior to 1992. A 
second account was created to pay obligations and collect 
premiums on loans guaranteed in 1992 and after. Administration 
of the HEAL program is separate from administration of other 
HRSA programs.

              NATIONAL VACCINE INJURY COMPENSATION PROGRAM

    The Committee provides that $264,424,000 be released from 
the vaccine injury compensation trust fund in fiscal year 2009, 
of which $7,000,000 is for administrative costs. The total 
fiscal year 2008 comparable level was $124,404,000 and the 
total budget request for fiscal year 2009 was $261,952,000.
    The National Vaccine Injury Compensation program provides 
compensation for individuals with vaccine-associated injuries 
or deaths. Funds are awarded to reimburse medical expenses, 
lost earnings, pain and suffering, legal expenses, and a death 
benefit. The vaccine injury compensation trust fund is funded 
by excise taxes on certain childhood vaccines.

               Centers for Disease Control and Prevention


                 DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2008....................................  $6,431,005,000
Budget estimate, 2009...................................   5,956,026,000
Committee recommendation................................   6,507,795,000

    The Committee provides a program level of $6,507,795,000 
for the Centers for Disease Control and Prevention [CDC]. The 
Committee recommendation includes $6,369,032,000 in budget 
authority and an additional $138,763,000 via transfers 
available under section 241 of the Public Health Service Act. 
The fiscal year 2008 comparable program level is $6,431,005,000 
and the program level budget request for fiscal year 2009 is 
$5,956,026,000.
    The activities of the CDC focus on several major 
priorities: provide core public health functions; respond to 
urgent health threats; monitor the Nation's health using sound 
scientific methods; build the Nation's health infrastructure to 
insure our national security against bioterrorist threats; 
assure the Nation's preparedness for emerging infectious 
diseases and potential pandemics; promote women's health; and 
provide leadership in the implementation of nationwide 
prevention strategies to encourage responsible behavior and 
adoption of lifestyles that are conducive to good health.

                          INFECTIOUS DISEASES

    The Committee recommends $1,909,536,000 for infectious 
disease related programs at the CDC. The fiscal year 2008 
comparable level was $1,904,536,000 and the comparable budget 
request level for fiscal year 2009 was $1,869,977,000. The 
Committee recommendation includes $12,794,000 in transfers 
available under section 241 of the Public Health Service Act.
    The Coordinating Center for Infectious Disease reorganized 
in fiscal year 2007. The new four center structure includes: 
Zoonotic, Vector Borne, and Enteric Diseases; Preparedness, 
Detection and Control of Infectious Diseases; HIV/AIDS, Viral 
Hepatitis, STD and TB Prevention; and Immunization and 
Respiratory Diseases.

Zoonotic, Vector Borne, and Enteric Diseases

    The Committee has included $67,846,000 for fiscal year 2009 
for this center, the same as the fiscal year 2008 level. The 
2009 budget request was $60,632,000. This Center provides 
outbreak investigation, infection control and scientific 
evaluations of zoonotic, vector borne and enteric diseases; and 
conducts food-borne illness surveillance and investigation.
    The Committee has included funding to continue the chronic 
fatigue syndrome activities at no less than last year. The 
Committee is deeply concerned by reports that 80-90 percent of 
CFS patients have not been correctly diagnosed and are not 
receiving proper medical care for their illness. Despite years 
of research, the cause of CFS is still unknown. Recent research 
suggests a much higher level prevalence of the disease than 
previously understood. For those reasons, the Committee 
strongly supports a robust CFS research program, but is 
concerned by the diminished number of research findings being 
published by the CDC on this subject. The Committee directs the 
CDC to conduct a peer review of the CFS program including a 
program performance evaluation by November 1, 2008 and report 
the result of such review to the Committee no later than 
February 1, 2009. In addition, the Committee directs the CDC to 
include in its annual budget justification an itemized 
expenditure of funds for each CFS research project or activity 
in the following five functional expense categories: 
surveillance and epidemiology; clinical assessment and 
evaluation; objective diagnosis and pathophysiology; treatment 
and intervention; and education, including the CFS marketing 
campaign and health care provider education.
    Food Safety.--The Committee has included no less than last 
year for food safety activities.

Preparedness, Detection and Control of Infectious Diseases

    The Committee has included $154,926,000 for fiscal year 
2009 for this Center. The comparable level for fiscal year 2008 
was $149,926,000 and the budget request for fiscal year 2009 
was $122,843,000. This Center builds epidemiology and 
laboratory capacity and provides technical assistance to 
identify and monitor infectious diseases.
    Antimicrobial Resistance.--The Committee is concerned by 
the emergence of life-threatening antimicrobial resistant 
pathogens in hospital and community settings. The Committee 
encourages CDC to explore the model of ``sentinel'' 
surveillance to describe and confirm regional outbreaks.
    Blood Safety Surveillance.--The Committee understands that 
CDC's Division of Healthcare Quality Promotion is adding to the 
National Healthcare Safety Network [NHSN] the collection and 
analysis of data on medical errors and adverse events occurring 
during blood donation and transfusion. The Committee encourages 
CDC to consider mapping out how a blood safety surveillance 
system would work, the active role of the national blood 
collection and transfusion community, and the appropriate 
Federal role.
    Prevention Epicenter Program.--The Committee applauds CDC's 
support for the Prevention Epicenter Program and its work 
addressing patient safety issues.
    Syringe Re-use.--The Committee is deeply troubled by recent 
outbreaks of hepatitis caused in some part by the re-use of 
syringes in outpatient settings. These outbreaks are entirely 
preventable with well-known infection control practices. The 
Committee intends that the increased funding provided be used 
to respond to outbreaks and to ensure that infection control 
measures are adhered to broadly, including provider education 
and patient awareness activities. The Committee encourages the 
CDC to partner with industry and university researchers to 
identify the best interventions to reduce the possibility of 
disease transmission in the healthcare setting.

HIV, Viral Hepatitis, STD, and TB Prevention

    The Committee has included $1,002,130,000 for the 
activities at this Center in fiscal year 2009. The fiscal year 
2008 level was $1,002,130,000 and the 2009 budget request was 
$1,000,037,000. The Committee has included funding for the 
following activities at the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
HIV/AIDS, Research and Domestic.................................         691,860         691,147         691,860
Viral Hepatitis.................................................          17,582          17,504          17,582
Tuberculosis [TB]...............................................         140,359         139,735         140,359
----------------------------------------------------------------------------------------------------------------

    Hepatitis Testing.--The Committee encourages CDC to 
formulate a plan for significant testing for hepatitis, 
including the implementation of rapid testing technology as a 
means of ascertaining the prevalence of hepatitis and taking 
steps to prevent and treat this disorder. In particular, the 
Committee encourages CDC to validate interventions focused on 
preventing mother-child transmission and other efforts targeted 
to the prevention of HBV, especially in the Asian American 
community.
    HIV/AIDS.--Within the amount made available for HIV/AIDS, 
all activities are funded at the fiscal year 2008 comparable 
level.
    HIV Testing.--The Committee recognizes that the domestic 
HIV/AIDS testing initiative has resulted in increased testing 
among African American populations. The Committee encourages 
CDC to expand this program to additional jurisdictions and 
recommends that CDC consider a similar campaign among other 
high risk populations. The Committee is supportive of CDC's 
promotion of rapid HIV tests in its HIV/AIDS testing 
activities.
    The Committee notes that in fiscal year 2008, six States 
were awarded incentive grants under the Early Diagnosis and 
Screening program authorized in section 2625 of the Public 
Health Service Act. The Committee has provided $30,000,000 in 
fiscal year 2009 for this program within the HIV testing 
funding. The funds may be awarded to States newly eligible for 
the program in fiscal year 2009. No State may be eligible for 
more than $1,000,000. The Committee intends that the amounts 
that have not been awarded by May 31, 2009 shall be awarded for 
other HIV testing programs.
    Microbicides.--The Committee requests the CDC include 
information in the fiscal year 2010 budget justification on the 
amount of anticipated and actual funding it allocates to 
activities related to research and development of microbicides 
for HIV prevention.
    Tuberculosis Control.--The Committee is pleased that the 
CDC increased the proportion of funding distributed based on a 
new funding formula within the TB Elimination and Laboratory 
Cooperative Agreements. The Committee supports the CDC 
distribution formula that would award funds in proportion to 
the number and complexity of TB cases in a jurisdiction. 
However, the proportion of funds distributed through the 
formula remains low (35 percent) and substantial inequities in 
tuberculosis funding persist. The Committee urges CDC to 
increase substantially the proportion distributed through the 
formula for the 2010-2014 Cooperative Agreement funding cycle. 
The Committee recognizes that some base level of funding 
outside of the formula should be maintained for jurisdictions 
with few cases in order to sustain a level of detection 
throughout the country. The Committee directs CDC to create a 
plan identifying the optimal proportion that should be 
distributed under the new funding formula. This report should 
be transferred to the Committee by March 1, 2009, prior to the 
Cooperative Agreement competitive renewal announcement for 
2010-2014.
    The Committee recognizes that tuberculosis [TB] rates 
remain disproportionally high among African Americans and lower 
socio-economic groups and that TB in the foreign-born 
population continues to increase. The Committee encourages the 
CDC to develop and implement a new national plan to meet this 
continuing public health challenge.

Immunization and Respiratory Diseases

    The Committee has included a program level of $684,634,000 
for the activities of this Center in fiscal year 2009, the same 
as the comparable level for fiscal year 2008. The budget 
request included $686,465,000 for this Center. The Committee 
recommendation includes $12,794,000 in transfers available 
under section 241 of the Public Health Service Act.
    The Committee recommendation includes funding for the 
following activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Section 317 Immunization Program................................         465,901         465,002         465,901
    Vaccine Purchase Grants.....................................         261,528         261,023         261,528
    State Operations/Infrastructure Grants......................         204,373         203,979         204,373
                                                                 ===============================================
Program Operations..............................................          61,458          61,366          61,458
    Vaccine Tracking............................................           4,738           4,731           4,738
    Prevention Activities.......................................          56,720          56,635          56,720
        Vaccine Safety..........................................          16,858          16,825          16,858
        National Immunization Survey............................          12,794          12,794          12,794
        All Other Prevention Activities.........................          27,068          27,016          27,068
                                                                 ===============================================
Influenza.......................................................         157,275         160,097         157,275
    Seasonal Influenza..........................................           2,643           2,638           2,643
    Pandemic Influenza..........................................         154,632         157,459         154,632
----------------------------------------------------------------------------------------------------------------

    The Committee is pleased that CDC has moved forward to 
provide funding to States or local organizations that receive 
section 317 immunization grant funds to develop community 
adolescent and adult immunization planning demonstrations to 
achieve 90 percent immunization coverage for vaccines routinely 
recommended for adolescents and adults, and encourages CDC to 
continue to support these efforts, including adult immunization 
coordinators, regional public health advisors, coverage 
monitoring, education/promotion programs for adolescent and 
adult immunizations, and vaccine purchase. These models should 
include existing and new efforts planned within existing 
resources; new activities needed and estimates for those needs. 
The Committee expects a status report by February 1, 2009, on 
these demonstrations.
    The Committee is also pleased with the report on estimated 
funding needs of the section 317 immunization program that CDC 
provided, and requests that the report be updated and submitted 
next year by February 1, 2009, to reflect fiscal year 2010 cost 
estimates. The updated report also should include an estimate 
of optimum State and local operations funding as well as CDC 
operations funding needed relative to current levels to conduct 
and support childhood, adolescent and adult programs. This 
estimate should include the cost of vaccine administration; 
surveillance and assessment of changes in immunization rates; 
vaccine storage, handling and quality assurance; implementation 
of centralized vaccine distribution and other vaccine business 
improvement practices; needs to support provider and public 
outreach and education on new vaccines; identification of 
barriers to immunization and strategies to address such 
barriers; maintenance, utilization, and enhancement of 
Immunization Information Systems including integration with 
public health preparedness and other public health information 
technology systems; innovative strategies to increase coverage 
rates in hard-to-reach populations and geographic pockets of 
need; vaccine safety and other non-vaccine resource needs of a 
comprehensive immunization program. Each of these activities is 
critical to ensuring the delivery of life-saving vaccines to 
our Nation. While the Committee understands that the 317 
program does not pay administration fees, it is nonetheless an 
authorized expenditure, and the Committee expects this estimate 
to be included.
    The Committee encourages CDC to continue to close the 
vaccine gap for adults by continuing to support states in their 
use of section 317 vaccine funds to provide hepatitis B 
vaccinations to high-risk adults in settings such as STD 
clinics, HIV counseling and testing sites, correctional 
facilities and drug treatment clinics.

                            HEALTH PROMOTION

    The Coordinating Center for Health Promotion includes the 
National Center for Chronic Disease Prevention, Health 
Promotion and Genomics and the National Center for Birth 
Defects and Developmental Disabilities.

       CHRONIC DISEASE PREVENTION, HEALTH PROMOTION AND GENOMICS

    The Committee has recommended $855,661,000 for chronic 
disease prevention, health promotion and genomics. The 
comparable level for fiscal year 2008 was $833,827,000 and the 
budget request for 2008 was $805,321,000. Within the total 
provided, the following amounts are available for the following 
categories of funding:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Heart Disease and Stroke........................................          50,101          48,838          51,701
Diabetes........................................................          62,711          62,454          62,711
                                                                 ===============================================
Cancer Prevention and Control...................................         309,486         301,773         334,486
    Breast and Cervical Cancer..................................         200,832         200,004         200,832
        WISEWOMAN (non-add).....................................          18,598          18,521          18,598
    Cancer Registries...........................................          46,366          46,176          46,366
    Colorectal Cancer...........................................          13,974          13,917          38,974
    Comprehensive Cancer........................................          16,348          16,281          16,348
        National Education Campaign for gynecologic cancer (non-              96              96              96
         add)...................................................
    Johannas Law................................................           6,466  ..............           6,466
    Ovarian Cancer..............................................           5,269           5,247           5,269
    Prostate Cancer.............................................          13,245          13,191          13,245
    Skin Cancer.................................................           1,876           1,868           1,876
    Geraldine Ferraro Cancer Education Program..................           4,331           4,313           4,331
    Cancer Survivorship Resource Center.........................             779             776             779
                                                                 ===============================================
Arthritis and Other Chronic Diseases............................          23,915          23,817          25,303
    Arthritis...................................................          13,037          12,984          13,537
    Epilepsy....................................................           7,766           7,734           7,766
    National Lupus Patient Registry.............................           3,112           3,099           4,000
                                                                 ===============================================
Tobacco.........................................................         104,164         103,737         106,164
                                                                 ===============================================
Nutrition, Physical Activity and Obesity........................          42,191          42,018          44,191
    Micronutrient Malnutrition..................................           6,422           6,396           6,422
        5-A Day Program (non-add)...............................           2,310           2,301           2,310
    All Other Nutrition/PA/Obesity..............................          35,769          35,622          37,769
                                                                 ===============================================
Health Promotion................................................          28,977          24,210          26,253
    Behavioral Risk Factor Surveillance System..................           7,299           7,269           7,299
    Community Health Promotion..................................           6,412           6,386           6,412
    Mind-Body Institute.........................................           1,719  ..............           1,719
    Glaucoma....................................................           3,344           3,330           3,344
    Visual Screening Education..................................           2,389           2,379           2,389
    Alzheimers Disease..........................................           1,576           1,570           1,800
    Inflammatory Bowel Disease..................................             667             664             667
    Interstitial Cystitis.......................................             658             655             658
    Chronic Kidney Disease......................................           1,965           1,957           1,965
                                                                 ===============================================
School Health...................................................          54,323          53,612          54,323
    Food Allergies (non-add)....................................             491  ..............             491
                                                                 ===============================================
Safe Motherhood/Infant Health...................................          42,347          42,174          42,347
    Sudden Infant Death Syndrome (non-add)......................             207             206             207
                                                                 ===============================================
Oral Health.....................................................          12,422          12,371          12,422
Prevention Centers..............................................          29,131          29,012          31,131
Steps to a Healthier U.S........................................          25,158          15,541          15,541
Racial and Ethnic Approach to Community Health [REACH]..........          33,860          33,721          33,860
                                                                 ===============================================
Genomics........................................................          12,093          12,043          12,280
    Primary Immune Deficiency Syndrome..........................           2,913           2,901           3,100
    Public Health Genomics......................................           9,180           9,142           9,180
                                                                 ===============================================
Demonstration Project for Teen Pregnancy........................           2,948  ..............           2,948
----------------------------------------------------------------------------------------------------------------

    Alzheimer's Disease.--Studies have indicated that 
cumulative risks for vascular disease and diabetes also 
increase the risk of cognitive decline and Alzheimer's disease. 
In 2005, the Committee called upon CDC to launch an Alzheimer's 
specific segment of the Healthy Aging Program, to educate 
aggressively the public and health professionals about ways to 
reduce the risks of developing Alzheimer's by maintaining a 
healthy lifestyle. The Committee encourages CDC to support the 
evaluation of existing population-based surveillance systems, 
with a view toward developing a population-based surveillance 
system for cognitive decline, including Alzheimer's disease and 
dementia.
    Colorectal Cancer.--The Committee has included $25,000,000 
to launch a nationwide colorectal screening program. The 
Committee notes that colorectal cancer is the second leading 
cause of cancer-related death in the Nation. Colorectal cancer 
first develops with few, if any, symptoms and 75 percent of 
colorectal cancers occur in people with no known risk factors. 
For those reasons, colorectal screening is a vital tool in 
saving lives. The CDC estimates that if every American were 
screened regularly, up to 60 percent of the over 55,000 annual 
deaths from this disease could be prevented. Since 2005, the 
CDC has conducted five community-based pilot programs to 
provide colorectal screening and diagnostic follow-up for 
Americans 50 years of age and older with little or no health 
coverage. The Committee believes that an investment in this 
kind of prevention is critical at a time when our Nation is 
aging and the cost of treatment is prohibitive for many. Funds 
should be made available for screening and diagnostic follow-up 
care.
    Chronic Kidney Disease.--The Committee supports continued 
planning for capacity and infrastructure at CDC for a kidney 
disease program and a CKD surveillance system. The Committee is 
pleased that CDC convened an expert panel on CKD, and 
encourages CDC to prioritize and begin implementation of the 
recommendations.
    Chronic Obstructive Pulmonary Disease.--The Committee is 
pleased that the CDC has taken initial steps to collect COPD-
related data in the National Health and Nutrition Examination 
Survey. The committee encourages CDC to consider expanding the 
data collection effort to other survey instruments including 
the Behavioral Risk Factor Surveillance Survey and the National 
Health Interview Survey.
    The Committee is aware that Alpha-1 Antitrypsin Deficiency 
(Alpha-1) is the major identified genetic risk factor for 
developing COPD. The Committee encourages the development of a 
COPD program that considers genetic related COPD risk factors 
such as Alpha-1.
    Diabetes.--The Committee encourages CDC to expand the 
National Diabetes Education Program with the goal of expanding 
the availability of public awareness campaign to reach the 
millions of individuals and high risk populations who have 
unmanaged diabetes.
    Diabetes Epidemiology and Genetics.--The Committee supports 
the SEARCH for Diabetes in Youth Study and the Genetics of 
Kidneys in Diabetes [GoKinD] Study, both of which have 
generated unique and valuable collections of biological samples 
from diabetic patients and their relatives. The Committee 
encourages the CDC to continue to ensure the availability and 
accessibility of the SEARCH and GoKinD biosample collections.
    Eating Disorders.--The Committee is pleased that the CDC 
has made data on eating disorders publicly available. In 
particular, the Committee appreciates the inclusion of NHANES 
data on eating behaviors and encourages the CDC to expand their 
analysis of those data to include disability estimates. The 
Committee is aware of several studies reporting a 6-10 percent 
mortality rate for Americans with eating disorders and urges 
the CDC to collaborate with eating disorders researchers in 
order to better understand the disparity between these studies 
and CDC reported morbidity and mortality, focusing on obtaining 
a clear picture of what might be barriers to the detection and 
reporting of eating disorders.
    Epilepsy.--The Committee supports the CDC's extramural 
program to train first-responders, educators, school nurses, 
employers, family caregivers and other health care 
professionals in the recognition, diagnosis and treatment of 
seizures. The Committee encourages the CDC to promote public 
awareness of research efforts for improving care and 
alleviating the effects of epilepsy. In addition, the Committee 
encourages the CDC to study the true impact the condition has 
on employment, school, social life, and general well being. 
Work should include the critical areas of research related to 
quality of life issues, help families understand the 
relationship of medications and co-morbid conditions to the 
disease, and will build a platform for a national call to 
action for additional training for schools, employers and adult 
day care providers.
    Food Allergy and Anaphylaxis Information.--Food allergy is 
the leading cause of anaphylaxis, a severe, potentially life-
threatening allergic reaction. Virtually all of these severe 
reactions can be prevented with proper education. In fiscal 
year 2008, the Committee encouraged CDC and included funding to 
create an information center on food allergy and anaphylaxis. 
The Committee requests a report from the CDC no later than 
April 1, 2009 outlining the status of the food allergy and 
anaphylaxis information center.
    Heart Disease and Stroke.--The Committee supports the CDC's 
effort to work collaboratively with States to establish a 
cardiovascular disease surveillance system to monitor and track 
these disorders at the National, State, and local levels.
    The Mississippi Delta Region experiences some of the 
Nation's highest rates of chronic diseases, such as diabetes, 
hypertension, obesity, heart disease, and stroke. The Committee 
recognizes CDC's expertise in implementing research and 
programs to prevent the leading causes of death and disability. 
The Committee has provided a total of $3,000,000 to expand 
CDC's background community assessment of health and related 
social and environmental conditions in the Delta.
    Inflammatory Bowel Disease.--The Committee continues to 
support for CDC's inflammatory bowel disease epidemiology study 
and encourages the CDC to consider the establishment of a 
pediatric patient registry.
    Interstitial Cystitis.--The Committee has included funding 
to continue education outreach activities to healthcare 
providers.
    Lupus.--The Committee remains committed to the objective of 
developing reliable epidemiological data on the incidence and 
prevalence of all forms of lupus among various ethnic and 
racial groups. The Committee has included additional funding to 
continue to expand the CDC National Lupus Patient Registry and 
address the epidemiological gaps among Hispanics/Latinos, Asian 
Americans, and Native Americans.
    National Youth Fitness and Health Study.--Physical fitness, 
regular physical activity, and sound eating habits are 
essential for health and performance across the age span. 
However, little information is available on the current 
physical fitness levels, physical activity behaviors, and 
dietary habits of American youth. In fact, the last 
comprehensive assessment of the fitness and physical activity 
behaviors of American youth--the National Children and Youth 
Fitness Study [NCYFS]--was conducted more than 20 years ago and 
did not include assessment of dietary behaviors. Since then, 
the prevalence of obesity in children as well as adults has 
increased dramatically. Prior to the NCYFS in the mid-1980s, 
the United States had conducted decennial, national fitness 
studies in the mid-1950s, mid-1960s, and mid-1970s. After a 
more than 20 year gap, the Committee believes that repeating 
and enhancing this survey could be a critical effort towards 
improving the health of our nation's youth. The Committee 
encourages CDC to consider conducting this survey, and submit a 
plan with objectives and resource requirements to accomplish 
this study.
    Nutrition, Physical Activity, and Obesity.--The Committee 
recognizes that food manufacturers, health organizations, 
foreign governments, and others have developed food-rating 
systems that use symbols on the fronts of food packages or on 
supermarket shelves to encourage consumers to choose healthier 
foods. The committee is concerned, however, that a 
proliferation of systems is contributing to consumer confusion. 
The Committee has provided $1,000,000 for a study by the 
Institute of Medicine [IOM] that will examine and provide 
recommendations regarding front-of-package nutrition symbols. 
These should include, but not be limited to, a review of 
systems being used by manufacturers, supermarkets, health 
organizations, and governments in the United States and abroad 
and the overall merits of front-label nutrition icons, the 
advantages and disadvantages of various approaches, and the 
potential benefits to consumers of a single, standardized 
front-label food guidance system regulated by the FDA. Based 
upon its work, the IOM should recommend one or several of the 
systems, along with means of maximizing the use and 
effectiveness of front-label symbols, that it has identified as 
best at promoting consumers' health.
    Office of Smoking and Health.--The Committee recognizes 
that efforts to reduce smoking and the health consequences of 
tobacco use are among the most effective and cost effective 
investments in prevention that can be made. The Committee is 
pleased with the work underway to expand the Environmental 
Health Laboratory's effort to analyze tobacco products and 
cigarette smoke based on the increase provided in fiscal year 
2008. Because this work is an essential underpinning of efforts 
to protect the public from the health consequences of tobacco 
use, the Committee has provided an increase of $2,000,000 to 
expand the transfer to the Environmental Health Laboratory that 
supports this important work. The Committee notes that this 
increase is to be provided by OSH to the lab in a manner that 
supplements and in no way replaces existing funding for 
tobacco-related activities.
    Oral Health.--The Committee recognizes that to reduce 
disparities in oral disease will require additional and more 
effective efforts at the Federal, State, and local levels. The 
Committee has provided sufficient funding to continue grants to 
States that strengthen their capacities to assess the 
prevalence of oral diseases and the associated health burden; 
to target resources and interventions--including proven 
preventive strategies like school-linked sealant programs--to 
the underserved; and to evaluate changes in policies and 
programs. The Committee encourages the CDC to advance efforts 
to reduce the health disparities and burden from oral diseases, 
including those that are linked to chronic diseases such as 
diabetes and heart disease.
    Steps to a Healthier U.S.--The Committee supports the CDC's 
new model for the Steps to a Healthier U.S. program. Within the 
program, the Committee has included $3,000,000 for a community 
based grant program focusing on poor nutrition and physical 
inactivity. Priority in funding should go to applicants with a 
high degree of collaboration among community organizations, 
schools, county and municipal governments and business leaders.
    Underage Drinking Risk Monitoring Program.--The Committee 
supports the recommendations of the Surgeon General's Call to 
Action on Underage Drinking, including the call for ongoing 
independent monitoring of youth exposure to alcohol 
advertising. The Committee recognizes the importance of 
monitoring risk factors which science has demonstrated 
contribute to youth drinking, and therefore urges the Centers 
for Disease Control and Prevention to develop and continue its 
work to monitor and report on the level of risk faced by youth 
from exposure to alcohol advertising.

    BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITY AND HEALTH

    The Committee has included $133,905,000 for birth defects, 
developmental disabilities, disability and health in fiscal 
year 2009. The comparable level for 2008 was $127,366,000 and 
the 2009 budget request was $126,752,000.
    Within the total provided, the following amounts are 
provided for the following categories of funding:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Birth Defects and Developmental Disabilities....................          37,580          37,398          41,559
    Birth Defects Base..........................................          13,683          13,615          14,683
    Craniofacial Malformation...................................           1,550           1,543           1,750
    Fetal Death.................................................             844             840             844
    Down Syndrome...............................................             918             914             918
    Alveolar Capillary Dysplasia................................             246             246             246
    Fetal Alcohol Syndrome......................................          10,112          10,063          10,112
    Folic Acid..................................................           2,221           2,210           3,300
    Infant Health...............................................           8,006           7,967           8,006
                                                                 ===============================================
Human Development and Disability................................          70,349          70,010          74,609
    Human Development and Disability Base.......................          16,428          16,349          16,428
    Tourette Syndrome...........................................           1,718           1,710           1,718
    Early Hearing Detection and Intervention....................           9,871           9,823           9,871
    Muscular Dystrophy..........................................           6,177           6,147           6,177
    Healthy Athletes............................................           5,437           5,411           5,437
    Paralysis Resource Center...................................           5,727           5,699           5,727
    Attention Deficit Hyperactivity Disorder....................           1,746           1,738           1,746
    Fragile X...................................................           1,828           1,819           1,900
    Spina Bifida................................................           5,205           5,180           5,205
    Autism......................................................          16,212          16,134          20,400
        Autism Epidemiology & Surveillance......................          13,741          13,675          17,929
        Autism Awareness Campaign...............................           2,471           2,459           2,471
                                                                 ===============================================
Hereditary Blood Disorders......................................          19,437          19,344          19,437
    Blood Disorders Base........................................          17,061          16,979          17,061
    Thallasemia.................................................           1,860           1,851           1,860
    Diamond Blackfan Anemia.....................................             516             514             516
----------------------------------------------------------------------------------------------------------------

    Autism.--Within the funds provided for autism surveillance 
and research programs, the Committee has included sufficient 
funding to restore the non-CADDRE Phase I Autism Development 
Disabilities Monitoring Centers.
    Birth Defects Surveillance.--The Committee notes the CDC's 
support of States to continue birth defects surveillance 
systems, programs to prevent birth defects and activities to 
improve access to health services for children with birth 
defects. The Committee encourages the CDC to expand the birth 
defects studied in the National Birth Defects Prevention Study 
to include single gene disorders, such as Fragile X.
    Blood Disorders.--The Committee is interested in CDC's 
efforts to develop a surveillance system on Deep Vein 
Thrombosis [DVT], blood clots in the leg that can cause 
significant morbidity and mortality, and notes that the CDC is 
working with partners to hold a workshop in 2008 to determine 
the elements of such a system. The Committee requests an update 
on the recommendations of the workshop and the resources needed 
to implement a national thrombosis surveillance system.
    Craniofacial Malformation.--The Committee intends that the 
increase provided be used first for the development of web-
based continuing medical education for healthcare professionals 
that interface with patients with cleft lip and palate and 
their families. Second, the funds should be used for the 
planning and hosting of a national scientific conference to 
draft best practices guidelines for diagnosis, treatment and 
long-term management of children with craniosynostosis and 
deformational plagiocephaly. Finally, the funds should be used 
to disseminate the guidelines, and to develop a reporting 
instrument to evaluate the care of children with 
craniosynostosis.
    Duchenne and Becker Muscular Dystrophy.--The Committee 
requests a report by April 1, 2009 on the outcomes and findings 
to date of the Muscular Dystrophy Surveillance Tracking and 
Research Network regarding early diagnostic symptoms, 
incidence, racial and ethnic differences, medical care and 
services, and related issues for individuals with DBMD.
    Folic Acid.--The Committee is concerned about the disparity 
in the rates of folic acid intake and neural tube defects, 
particularly in the Hispanic population. Within the funds 
provided, the Committee intends that the folic acid education 
campaign be continued at the same level as in fiscal year 2008. 
The Committee encourages CDC to inform as many women as 
possible, particularly nonpregnant Hispanic women and women 
between the ages of 18 and 24, as well as healthcare providers 
about the benefits of folic acid. In addition, the Committee is 
aware of research being done in the United Kingdom which 
appears to dispel some of the basis for earlier hesitation to 
expand folic acid fortification into corn-based food products 
consumed at a higher rate by the Hispanic community. The 
Committee has included additional funding for the CDC to 
explore the scientific benefits and concerns about expanding 
fortification in the United States. The Committee urges the CDC 
to work closely with the National Institutes of Health, the 
Surgeon General and the Food and Drug Administration.
    Fragile X.--The Committee has provided additional funding 
to support CDC's continuation of public health activities 
related to Fragile X. The Committee is concerned that 
previously allocated funds may have been used for general 
purposes rather than Fragile X-specific priorities. The 
Committee urges CDC to focus its efforts on creating positive 
outcomes for families by increasing epidemiological research, 
surveillance, and screening efforts to ensure the timely 
screening, diagnosis, and introduction of early interventions 
for individuals living with Fragile X.
    Hydrocephalus.--The Committee encourages CDC to increase 
awareness of the medical issues, prevalence, and societal cost 
associated with hydrocephalus.
    Marfan Syndrome.--The Committee continues to be interested 
in Marfan syndrome, a degenerative connective tissue disorder 
that can result in sudden loss of life from aortic aneurysms. 
Many individuals affected by Marfan syndrome are undiagnosed or 
misdiagnosed until they experience a cardiac complication. The 
Committee encourages CDC to increase awareness of this disease 
among the general public and health care providers. Further, 
the Committee requests that CDC coordinate with the National 
Heart, Lung, and Blood Institute to ensure that patients and 
health care providers are aware of the most cutting edge 
treatments and interventions available to them.
    Spina Bifida.--The Committee encourages the CDC to continue 
to collaborate with the Agency for Healthcare Research and 
Quality to develop a national spina bifida patient registry.

                     HEALTH INFORMATION AND SERVICE

    The Coordinating Center for Health Information and Services 
includes the National Center for Health Statistics [NCHS], a 
National Center for Health Marketing, and a National Center for 
Public Health Informatics.
    The Committee recommends a program level of $284,355,000 
for Health Information and Service related activities at the 
CDC, the same as the 2009 budget request. The fiscal year 2008 
comparable program level was $276,777,000. The Committee 
intends that all activities be funded at the budget request 
level.

Health Statistics

    CDC's statistics give context and perspective on which to 
base important public health decisions. By aggregating the 
experience of individuals, CDC gains a collective understanding 
of health, collective experience with the health care system, 
and public health challenges. NCHS data are used to create a 
basis for comparisons between population groups or geographic 
areas, as well as an understanding of how trends in health 
change and develop over time.
    The Committee commends the NCHS for fulfilling its mission 
as the Nation's premier health statistics agency and for 
ensuring the credibility and integrity of the data it produces. 
In particular, the Committee congratulates the agency for its 
timely release of critical data and encourages it to continue 
making information, including data from the National Health and 
Nutrition Examination Survey [NHANES] and the National Health 
Interview Study [HIS], accessible to the public as soon as 
possible.
    Data Disaggregation.--The Committee is concerned that 
certain ethnic minority populations in the United States, 
particularly the Asian American, Native Hawaiian and Pacific 
Islander communities, may be under-represented in data 
collection efforts. The Committee encourages NCHS where 
statistically possible to develop baseline and disaggregated 
health information on our Asian American, Native Hawaiian and 
Pacific Islander communities.
    Hypertension.--The Committee encourages the CDC to support 
the measurement of central blood pressure and arterial 
stiffness both in children and adults in the next National 
Health and Nutrition Examination Survey. This type of 
measurement may provide a more accurate understanding of the 
prevalence of hypertension and lead to more effective campaigns 
to treat this disease and prevent the onset of related chronic 
conditions.
    Nutritional Monitoring.--The Committee strongly supports 
national nutrition monitoring activities, continuously 
conducted jointly between the CDC and the Agricultural Research 
Service at USDA. This data collection supports management 
decisionmaking and research needed to address and improve the 
crisis of obesity, nutrition-related diseases, physical 
inactivity, food insecurity, and the poor nutritional quality 
of the American diet, as well as provide the data needed to 
protect the public against environmental pathogens and 
contaminants.
    Vital Statistics.--The Committee again encourages CDC to 
develop a plan to support directly jurisdictions as they 
implement electronic systems that will improve the timeliness, 
quality, and security of birth and death data, and report back 
to the Committee on the plan.

Public Health Informatics

    Information systems and information technology are critical 
to the practice of public health. CDC activities reflect 
ongoing efforts to build a national network of public health 
information systems that will enhance public health partner 
capabilities in detection and monitoring, surveillance, data 
analysis and interpretation, and other public health 
activities.

Health Marketing

    CDC links directly with the people whose health it is 
trying to improve. This activity uses commercial, nonprofit, 
and public service marketing practices to better understand 
people's health-related needs and preferences; to motivate 
changes in behaviors; and to enhance CDC's partnerships with 
public and private organizations to more effectively accomplish 
health protection and improvement.

               ENVIRONMENTAL HEALTH AND INJURY PREVENTION

    The Coordinating Center for Environmental Health and Injury 
Prevention includes the National Center for Environmental 
Health, the Agency for Toxic Substances and Disease Registry, 
and the National Center for Injury Prevention and Control.
    The Committee recommends $293,502,000 for environmental 
health and injury prevention related activities at the CDC. The 
fiscal year 2008 comparable level was $289,323,000 and the 
budget request for fiscal year 2009 was $270,872,000.

Environmental Health

    Many of the public health successes that were achieved in 
the 20th century can be traced to innovations in environmental 
health practices. However, emerging pathogens and environmental 
toxins continue to pose risks to our health and significant 
challenges to public health. The task of protecting people's 
health from hazards in their environment requires a broad set 
of tools. First among these tools are surveillance and data 
collection to determine which substances in the environment are 
getting into people and to what degree. It also must be 
determined whether or not these substances are harmful to 
humans, and at what level of exposure. The Committee recommends 
$156,665,000 for Environmental Health in fiscal year 2009. The 
fiscal year 2008 comparable funding level is $154,486,000 and 
the budget request for fiscal year 2009 is $136,606,000. The 
Committee recommendation includes funding for the following 
activities:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Environmental Health Laboratory.................................          33,797          26,110          33,797
    Newborn Screening Quality Assurance Program (non-add).......           6,878  ..............           6,878
    Newborn Screening for Severe Combined Immunodeficiency                   983  ..............             983
     Diseases (non-add).........................................
                                                                 ===============================================
Environmental Health Activities.................................         120,689         110,496         122,868
    Arctic Health...............................................             292             289             292
    Safe Water..................................................           7,199  ..............           7,199
    Volcanic Emissions..........................................              98              97              98
    Environmental and Health Outcome Tracking Network...........          23,831          23,608          23,831
    Amyotrophic Lateral Sclerosis Registry [ALS]................           2,821             863           5,000
    All Other Environmental Health Activities...................          86,448          85,639          86,448
----------------------------------------------------------------------------------------------------------------

    Amyotrophic Lateral Sclerosis Registry.--The Committee is 
pleased with CDC's work toward developing a nationwide ALS 
registry that will estimate the incidence and prevalence of the 
disease, promote a better understanding of the disease, and 
provide data that will be useful for research on improving 
disease management and developing standards of care. The 
Committee believes that a registry that includes other 
neurodegenerative disorders will provide a key resource for 
efforts to understanding the biology and epidemiology of ALS. 
The Committee intends that funds be used to design a registry 
that will be of use to biomedical researchers working in the 
field.
    Asthma.--The Committee applauds the CDC for convening the 
2007 asthma policy meeting to facilitate the coordination of 
Federal initiatives on asthma treatment and prevention. The 
Committee encourages the CDC to develop evidence-based best 
practices for policy interventions that will reduce asthma 
morbidity and mortality, with specific emphasis on indoor and 
outdoor air pollution. In addition, the Committee is pleased 
with the efforts that the CDC has taken to monitor lung 
function and other asthma interventions for Native Hawaiian 
children.
    Biomonitoring.--The Committee applauds the CDC's 
biomonitoring efforts. CDC's National Report on Human Exposure 
to Environmental Chemicals is a significant information 
database that provides invaluable information for setting 
research priorities and for tracking trends in human exposures 
over time. The Committee encourages the CDC to implement the 
July 2006 recommendations of the National Research Council of 
the National Academy of Sciences with regard to enhancement of 
efforts to communicate biomonitoring results in context. Among 
other activities, CDC should develop communications principles, 
guidelines and case studies that can be applied both within CDC 
and to biomonitoring efforts at the State level.
    Nontuberculous Mycobacteria [NTM].--The Committee 
encourages the CDC to identify the internal leadership and CDC 
staff responsible for analyzing research and epidemiology 
studies regarding NTM prevalence, geographic, demographic and 
host specific data.

Injury Prevention and Control

    CDC is the lead Federal agency for injury prevention and 
control. Programs are designed to prevent premature death and 
disability and reduce human suffering and medical costs caused 
by: fires and burns; poisoning; drowning; violence; lack of 
bicycle helmet use; lack of seatbelt and proper baby seat use; 
and other injuries. The national injury control program at CDC 
encompasses non-occupational injury and applied research in 
acute care and rehabilitation of the injured. Funds are 
utilized for both intramural and extramural research as well as 
assisting State and local health agencies in implementing 
injury prevention programs. The Committee recognizes the vital 
role CDC serves as a focal point for all Federal injury control 
activities.
    The Committee recommends $136,837,000 for injury prevention 
and control activities at the CDC. The comparable fiscal year 
2008 funding level is $134,837,000 The budget request for 2009 
was $134,266,000. The Committee recommendation includes funding 
for the following activities:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Intentional Injury..............................................         100,134          99,710         102,134
    Domestic Violence and Sexual Violence.......................          27,046          26,931          27,046
        DV and SV Base..........................................          19,216          19,134          19,216
        Child Maltreatment......................................           7,086           7,056           7,086
        DV and SV NVDRS.........................................             744             741             744
    Youth Violence Prevention...................................          23,268          23,169          24,268
        Youth Violence NVDRS (non-add)..........................           2,477           2,466           2,477
    Domestic Violence Community Projects........................           5,021           5,000           5,021
    Rape Prevention.............................................          42,016          41,838          43,016
    All Other Intentional Injury................................           2,783           2,772           2,783
                                                                 ===============================================
Unintentional Injury............................................          34,703          34,556          34,703
    Traumatic Brain Injury [TBI]................................           5,709           5,685           5,709
    All Other Unintentional Injury..............................          28,994          28,871          28,994
----------------------------------------------------------------------------------------------------------------

    Domestic Violence.--The Committee is pleased with the work 
of the community-based Domestic Violence Prevention Enhancement 
and Leadership Through Alliances [DELTA] program and encourages 
CDC to continue this important program.
    Falls Prevention.--The Committee is pleased that CDC has 
developed a strong falls prevention and safety program to teach 
older Americans how to prevent falls and that it is also 
working to prevent traumatic brain injury among older adults.
    National Violent Death Reporting System.--The Committee 
urges the CDC to continue to work with private health and 
education agencies as well as State agencies in the development 
and implementation of this injury reporting system.
    Trauma Centers.--The Committee encourages CDC to develop 
and disseminate best practice guidelines in the field of acute 
trauma care.

                     OCCUPATIONAL SAFETY AND HEALTH

    The Committee recommends a program level of $390,788,000 
for occupational safety and health programs. The fiscal year 
2008 program level was $437,313,000 and the budget request for 
fiscal year 2009 was $326,411,000. The Committee recommendation 
includes $94,969,000 in transfers available under section 241 
of the Public Health Service Act and $55,358,000 in mandatory 
funding. Sufficient funding has been provided to maintain 
staffing levels at the Morgantown facility and increase 
research funding at that facility.
    The CDC's National Institute for Occupational Safety and 
Health [NIOSH] is the only Federal agency responsible for 
conducting research and making recommendations for the 
prevention of work-related illness and injury. The NIOSH 
mission spans the spectrum of activities necessary for the 
prevention of work-related illness, injury, disability, and 
death by gathering information, conducting scientific 
biomedical research (both applied and basic), and translating 
the knowledge gained into products and services that impact 
workers in settings from corporate offices to construction 
sites to coal mines. The Committee recommendation includes 
funding for the following activities at the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Education and Research Centers..................................          21,425          19,234          23,425
Personal Protective Technology..................................          12,804          12,353          15,000
Healthier Workforce Centers.....................................           2,500  ..............           4,000
National Occupational Research Agenda [NORA]....................         107,389          99,235         107,389
Energy Employees Occupational Illness Compensation Program        ..............  ..............          55,358
 [mandatory]....................................................
World Trade Center..............................................          51,583          25,000          51,583
Mining Research.................................................          49,126          37,064          50,000
    Mining Safety Supplemental (non-add)........................  ..............  ..............  ..............
Other Occupational Safety and Health Research...................          80,627          78,167          83,033
    Miners Choice (non-add).....................................             641             621             641
    National Mesothelioma Registry and Tissue Bank (non-add)....             989             959             989
----------------------------------------------------------------------------------------------------------------

    Energy Employees Occupational Illness Compensation Program 
Act [EEOICPA].--The Committee has adopted the administration's 
proposal to eliminate the transfer of funds from the Department 
of Labor and fund the NIOSH responsibilities under the Energy 
Employees Occupational Illness program directly in fiscal year 
2009. The Committee intends that the Advisory Board on 
Radiation and Worker Health be funded at no less than last 
year's level.
    Pandemic Influenza.--The Committee has included an 
additional $1,000,000 for NIOSH research on modes of 
transmission of influenza and to develop the next generation of 
effective personal protective equipment for healthcare workers 
and first responders. The Institute of Medicine, at the request 
of the Secretary, has conducted a study on the personal 
protective equipment needed by healthcare workers in the event 
of an influenza pandemic and concluded that the current paucity 
of knowledge on influenza transmission is hindering prevention 
efforts and requires expeditious research.
    Worker Injury Statistics.--The Committee strongly supports 
the work NIOSH is doing to supplement the National Health 
Information Survey to gain an understanding of the extent and 
potential causes of worker illness and injuries that go 
unreported in the Federal occupational injury reports. The 
Committee recommendation includes an additional $500,000 to do 
follow-up studies on the National Hospital Ambulatory Medical 
Care Survey. The Committee is particularly concerned with 
injuries experienced in the self-employed population. In 
addition, the Committee notes that while there is much 
attention paid to acute injuries and illnesses at work places, 
there is less focus on how chronic illnesses intersect with 
workplaces. The Committee encourages NIOSH to consider 
developing a research agenda with this in mind. Finally, the 
Committee encourages NIOSH to continue to work with the Bureau 
of Labor Statistics to improve the statistics that direct 
Federal enforcement and compliance efforts aimed at preventing 
illness and injury at our Nation's workplaces.
    Worklife Initiative.--The Committee strongly supports the 
CDC's decision to begin this important research with the 
awarding of the three new Centers of Excellence to Promote a 
Healthier Workforce. This network is designed to facilitate the 
integration of health protection and health promotion in the 
workplace. The Committee has included sufficient resources to 
fully fund the existing centers and expand this network 
dedicated to research, education and translation programs. As 
this network begins to focus on chronic illness in the 
workplace, the Committee encourages researchers to collaborate 
with other parts of NIOSH to explore the best methods for 
improving our Nation's workplace illness surveillance systems 
with respect to less acute illnesses.
    World Trade Center Health Monitoring.--The Committee 
strongly supports treatment services for residents, students, 
and other non-responders whose health has been adversely 
affected as a result of the September 11, 2001 terrorist 
attacks on the World Trade Center. The Committee is concerned 
that these individuals may not be receiving the treatment 
provided for in previous appropriations. The Committee directs 
the Secretary of Health and Human Services, within 90 days of 
the date of enactment of this act, to provide a report to the 
Committee detailing the activities and services provided to 
residents, students, and other non-responders.

                             GLOBAL HEALTH

    The Committee recommends $312,301,000 for global health-
related activities at the CDC in fiscal year 2009. The fiscal 
year 2008 comparable level was $302,371,000 and the budget 
request for fiscal year 2009 was $302,025,000. The Office of 
Global Health leads and coordinates CDC's global programs to 
promote health and prevent disease in the United States and 
abroad, including ensuring rapid detection and response to 
emerging health threats. The Committee recommendation includes 
funding for the following activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Global AIDS Program.............................................         118,863         118,727         118,863
                                                                 ===============================================
Global Immunization Program.....................................         139,851         139,691         143,826
    Polio Eradication...........................................          98,025          97,913         102,000
    Other Global/Measles........................................          41,826          41,778          41,826
                                                                 ===============================================
Global Disease Detection........................................          31,445          31,409          36,000
Global Malaria Program..........................................           8,696           8,686          10,096
Other Global Health.............................................           3,516           3,512           3,516
----------------------------------------------------------------------------------------------------------------

    Global Disease Detection.--The Committee is pleased with 
work of the Global Disease Detection Centers and has included 
additional funding for new centers.
    Global Health Programs.--The Committee commends the efforts 
of the CDC's Global AIDS and Global Malaria Programs in 
implementing PEPFAR and the President's Malaria Initiative 
[PMI]. The Committee encourages global AIDS and malaria program 
activities beyond PEPFAR and PMI countries.
    Global Malaria.--The Committee commends the CDC's 
contribution to global fight against malaria and recognizes 
that CDC supports prevention and control of malaria throughout 
the world working in local, State, Federal, and international 
partnerships. As the United States increases its investment in 
malaria prevention and control, CDC's technical expertise and 
experience in program implementation is increasingly more 
vital. Insecticide resistance and drug resistance have the real 
potential to compromise global malaria efforts and point to the 
need for the development and testing of new technologies and 
materials for insecticide treated nets and new anti-malarial 
therapies. The Committee encourages the CDC to expand these 
research efforts, including the areas of Insecticide Treated 
Bed Nets and Intermittent Preventative Treatment in pregnancy. 
The Committee also urges the CDC to expand its technical 
assistance, monitoring and evaluation efforts, in particular 
its assistance to the President's Malaria Initiative, the World 
Bank, the Global Fund to Fight AIDS, Tuberculosis, and Malaria, 
and other malaria control initiatives. These programs are in 
need of greater expertise and capacity in monitoring and 
evaluation to support documentation of impact of efforts. 
Finally, the Committee is concerned that while there have been 
much-need increases in funding for malaria efforts in Africa, 
that there must also be attention paid to malaria control 
efforts in Asia and the Americas. CDC should play an active 
role in these efforts.
    In addition, the Committee encourages CDC to continue its 
ongoing support of research and development toward new anti-
malarial drugs.

                               TERRORISM

    The Committee provides $1,508,123,000 for CDC terrorism 
preparedness activities. The comparable fiscal year 2008 level 
was $1,479,454,000 and the administration requested 
$1,419,264,000 for these activities in fiscal year 2009. The 
Committee recommendation includes funding for the following 
activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Upgrading State and Local Capacity..............................         746,039         609,385         746,039
    Bioterrorism Cooperative Agreement..........................         700,465         570,903         700,465
    Centers for Public Health Preparedness......................          28,555          28,501          28,555
    Advanced Practice Centers...................................           5,261  ..............           5,261
    All Other State and Local Capacity..........................          11,758           9,981          11,758
Upgrading CDC Capacity..........................................         120,744         131,071         120,744
Anthrax.........................................................           7,882           7,867           7,882
                                                                 ===============================================
Biosurveillance Initiative......................................          53,281         100,634          63,151
    BioSense....................................................          34,389          49,905          34,389
    Quarantine..................................................           9,870          43,273          19,740
    Real-time Lab Reporting.....................................           9,022           7,456           9,022
Strategic National Stockpile....................................         551,509         570,307         570,307
----------------------------------------------------------------------------------------------------------------

    State and Local Capacity.--The Committee continues to 
recognize that bioterrorism events and other public health 
emergencies will occur at the local level and will require 
local capacity, preparedness and initial response. The 
Committee notes that HHS' cooperative agreement guidance now 
includes explicit requirements for local concurrence with State 
spending plans for public health emergency preparedness and 
urges CDC to monitor and enforce these requirements. The 
Committee is concerned that some current performance measures 
may overlook the distinctive responsibilities of local health 
departments and their communities. The Committee urges the 
Department to assure that performance metrics intended to 
measure public health preparedness include evidence-based 
measures that can be scaled to measure the performance of local 
health departments in the context of their own communities' 
emergency management systems.

                         PUBLIC HEALTH RESEARCH

    Public Health Research.--The Committee has provided 
$31,000,000 to fund the Public Health Research program. The 
fiscal year 2008 comparable level and 2009 budget request were 
also $31,000,000. The Committee is strongly supportive of 
public health and prevention research, which bridges the gap 
between medical research discoveries and behaviors that people 
adopt by identifying the best strategies for detecting new 
diseases, assessing the health status of populations, 
motivating healthy lifestyles, communicating effective health 
promotion messages, and acquiring and disseminating information 
in times of crisis.

                PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

    The Committee provides $203,448,000 for public health 
improvement and leadership activities at the CDC. The fiscal 
year 2008 comparable level was $224,899,000 and the budget 
request for fiscal year 2009 was $182,143,000. The Committee 
recommendation includes funding for the following activities in 
the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                    Fiscal year
                            Activity                                   2008         Fiscal year      Committee
                                                                    comparable      2009 budget   recommendation
----------------------------------------------------------------------------------------------------------------
Leadership and Management.......................................         158,255         149,332         149,332
Director's Discretionary Fund...................................           5,895  ..............           5,895
Public Health Workforce Development.............................          34,009          32,811          34,009
----------------------------------------------------------------------------------------------------------------

    In addition, the Committee has included sufficient funding 
for the following projects in the following amounts for fiscal 
year 2009:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
A Voice for All, Wilmington, DE, for speech and                 $400,000
 language evaluations for persons with disabilities...
Albert Einstein Healthcare Network, Philadelphia, PA,            100,000
 for a college student health screening program.......
Boys and Girls Club of Alaska, Anchorage, AK, for a              750,000
 rural Alaska youth fitness initiative................
Cascade AIDS, Portland, OR, for HIV/AIDS education,              200,000
 outreach and prevention services.....................
Clearbrook, Inc., Wilkes Barre, PA, for substance                100,000
 abuse and treatment program..........................
Community Health Centers in Hawaii for Childhood Rural           175,000
 Asthma Project, Honolulu, HI, for childhood rural
 asthma project.......................................
Cornelia de Lange Syndrome Foundation, Avon, CT, for             250,000
 awareness and education activities...................
Drexel University School of Public Health,                       262,000
 Philadelphia, PA, to investigate a polycythemia vera
 cluster in Northeast, Pennsylvania...................
Eastern Maine Healthcare Systems, Brewer, ME, for a              300,000
 childhood obesity program............................
Friends of the Congressional Glaucoma Caucus                     100,000
 Foundation, Lake Success, NY, for the New Jersey
 Mobile Glaucoma Screening Program....................
Grinnell Regional Medical Center, Grinnell, IA, for a            250,000
 wellness initiative..................................
Hackensack University Medical Center, Hackensack, NJ,            100,000
 for a study on possible environmental factors of
 autism and neurodevelopmental disorders in New Jersey
Healthy Northeast Pennsylvania Initiative, Clarks                100,000
 Summit, PA, for obesity prevention and education
 programs.............................................
International Rett Syndrome Foundation [IRSF],                   150,000
 Richmond, VA, for a health education program.........
Iowa Chronic Care Consortium, Des Moines, Iowa, for a            200,000
 preventative health demonstration program............
Iowa Department of Public Health, Des Moines, IA, to           1,000,000
 continue the Harkin Wellness Grant program...........
Kaweah Delta Hospital Foundation, Visalia, CA, for a             100,000
 comprehensive asthma management program..............
La Crosse County Health Department, La Crosse, WI, for           350,000
 a program to prevent childhood obesity...............
Latino Leadership Alliance Foundation, New Brunswick,            200,000
 NJ, to establish a Latino Leadership Alliance Health
 Initiative that will educate and inform the Latino
 Community on the importance of proper preventive
 health care..........................................
Mary Bird Perkins Cancer Center, Baton Rouge, LA, to             300,000
 expand early detection cancer screenings.............
Mount Sinai, New York, NY, for firefighter and                   400,000
 emergency responder health monitoring program in
 Louisiana............................................
Nevada Cancer Institute, Las Vegas, NV, for equipment            400,000
 and screening services...............................
New England Coalition for Health Promotion and Disease           100,000
 Prevention, Providence, RI, for continued development
 of obesity and disease prevention programs...........
Oglala Sioux Tribe, Pine Ridge, SD, for the Oyate Bli            400,000
 Helya diabetes program...............................
Ohio Patient Safety Institute, Columbus, OH, for                 200,000
 patient safety programs..............................
Pennsylvania Breast Cancer Coalition, Ephrata, PA, for            50,000
 breast cancer awareness outreach.....................
Providence Health Care System, Portland, OR, for a               200,000
 multiple sclerosis registry..........................
Rich Center for Autism/Youngstown State University,              100,000
 Youngstown, OH, to improve outreach and early
 treatment interventions for children with autism.....
Saint Elizabeth's Hospital of Wabasha, Inc., Wabasha,            100,000
 MN, to expand primary prevention services and chronic
 disease management programs..........................
Shelburne Farms, Shelburne, VT, for nutritional                  500,000
 educational programming..............................
South Dakota State University, Brookings, SD, for                300,000
 multidisciplinary research on health promotion.......
Southeastern Center for Emerging Biologic Threats,               100,000
 Emory University, Atlanta, GA, for programs related
 to bioterrorism and emerging biologic threats........
Southern Nevada Health District, Las Vegas, NV, for              550,000
 management of the hepatitis C outbreak in Southern
 Nevada...............................................
St. Louis Regional Asthma Consortium, St. Louis, MO,             750,000
 for asthma management for at-risk children...........
State of Alaska Department of Health and Social                  500,000
 Services, Anchorage, AK, for a program to prevent,
 control, and reduce incidence of obesity.............
Texas Tech University Health Sciences Center, El Paso,           300,000
 TX, for the Center for Border Health Research........
University of North Carolina-Chapel Hill in                      325,000
 conjunction with East Carolina University, Chapel
 Hill, NC, to study racial disparities in
 cardiovascular disease...............................
University of Wisconsin--Milwaukee, Milwaukee, WI, to            300,000
 support and expand public health training programs...
Wheeling Jesuit University, Wheeling, WV, for the              3,000,000
 Mining and Industry Safety Technology and Training
 Innovation Center....................................
Yale New Haven Health System, New Haven, CT, for                 250,000
 emergency preparedness education and training
 activities at the Connecticut Center for Public
 Health Preparedness..................................
------------------------------------------------------------------------

    Leadership and Management Savings.--The Committee strongly 
believes that as large a portion as possible of CDC funding 
should go to programs and initiatives that improve the health 
and safety of Americans. To facilitate this goal, any savings 
in leadership and management may be reallocated to the 
Director's Discretionary Fund upon notification of the 
Committee.

           PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

    The Committee has provided $97,270,000 for the Preventive 
Health and Health Services Block grant. The fiscal year 2008 
comparable level was $97,270,000 and the administration did not 
request any funding for this program in fiscal year 2009.
    The block grant provides funding for primary prevention 
activities and health services that address urgent health 
problems in local communities. This flexible source of funding 
can be used to target concerns where other funds do not exist 
or where they are inadequate to address the extent of the 
health problem. The grants are made to the 50 States, the 
District of Columbia, 2 American Indian tribes, and 8 U.S. 
territories.

                        BUILDINGS AND FACILITIES

    The Committee has provided $150,000,000 for the 
continuation of CDC's Buildings and Facilities Master Plan in 
Atlanta, Georgia. The fiscal year 2008 comparable level was 
$55,022,000 and the budget request or fiscal year 2009 did not 
include funds for this activity.
    The Committee has again provided bill language to allow CDC 
to enter into a single contract or related contracts for the 
full scope of development and construction of facilities and 
instructs CDC to utilize this authority, when necessary, in 
constructing the Atlanta facilities.
    The Committee intends that $30,000,000 be used for 
nationwide repairs and improvements; $71,300,000 shall be for 
the completion of Building 24 on the Royball campus; $1,500,000 
for facilities and equipment at the CDC lab in Ft. Collins, 
Colorado; and the remainder shall be to begin planning and 
construction of Buildings 107 and 108 on the Chamblee campus.

                     BUSINESS SERVICES AND SUPPORT

    The Committee provides $337,906,000 for business services 
support functions at the CDC. The fiscal year 2008 comparable 
level was $371,847,000 and the administration requested 
$337,906,000 for fiscal year 2009. These funds will be used to 
support CDC-wide support functions. The Committee instructs the 
CDC not to tap programs to make up for the cuts to this 
function.

                     National Institutes of Health

    The Committee has sounded the alarm for more Federal 
biomedical research funding for several years, and the 
situation is now at a crisis point. Since the end of the 5-year 
doubling effort, in fiscal year 2003, funding for the National 
Institutes of Health [NIH] has declined, in real terms, by 12.3 
percent. The average researcher now has a less than 1 in 5 
chance of getting an NIH grant application approved, and the 
average age at which researchers receive their first RO1 grant 
has risen to 42. It is little wonder that many young scientists 
are balking at a career in biomedical research, putting our 
Nation at risk of losing a generation of talented investigators 
who could pursue treatments and cures. Meanwhile, several other 
countries are ramping up their investments in biomedical 
research and threatening the leadership of the United States in 
this field.
    Regrettably, the administration's budget ignores these 
warning signs and proposes to freeze NIH funding at the fiscal 
year 2008 level of $29,229,524,000. Under this plan, the 
success rate for research project grants would fall to 18 
percent, the lowest level on record. In real terms, NIH funding 
would be reduced by more than $1,000,000,000. The Bush budget 
also proposes eliminating all funding for the National 
Children's Study, for which Congress has already appropriated 
approximately $212,300,000 since fiscal year 2004.
    The Committee rejects the administration's approach and 
instead recommends an overall NIH funding increase of 
$1,025,000,000, for a total of $30,254,524,000. That amount 
would allow NIH funding to keep up with the biomedical 
inflation rate (3.5 percent) for the first time in 6 years. It 
would also increase the estimated number of new, competing 
research project grants to 10,471--the most ever at NIH. The 
recommended level includes $192,300,000, an increase of 
$81,400,000 over the fiscal year 2008 appropriation of 
$110,900,000, for the National Children's Study, to ensure that 
the study's implementation stays on track. The Committee also 
fully funds the budget request of $300,000,000 for transfer to 
the Global Fund to Fight AIDS, Tuberculosis and Malaria. The 
fiscal year 2008 transfer was $294,759,000.
    The Committee recommends $568,119,000 for the Common Fund. 
The fiscal year 2008 level was $495,608,000, and the budget 
request is $533,877,000. The Committee intends that much of the 
increase will be used to support new investigators and high 
risk/high reward research, as described later in this report 
under the section on the Office of the Director.
    Report Language Format.--The Committee made changes to the 
report language format this year with the goal of reducing the 
overall length and consolidating the Committee's 
recommendations for individual diseases and conditions in a 
limited number of locations. For example, report language for 
some items is now located entirely in the Office of the 
Director rather than distributed among multiple Institutes and 
Centers [ICs]. The purpose of this change is to streamline the 
report, not to imply that the Office of the Director bears the 
total responsibility for addressing the Committee's 
recommendations. ICs are advised, therefore, that language 
which is relevant to their missions may be found in sections 
other than their own, and that they should give all relevant 
language the same weight regardless of where it is located in 
the report.

                       NATIONAL CANCER INSTITUTE

Appropriations, 2008....................................  $4,805,088,000
Budget estimate, 2009...................................   4,809,819,000
Committee recommendation................................   4,958,594,000

    Much progress has been made in the fight against cancer, 
yet the disease continues to exact an enormous toll. In 2008, 
it is estimated that cancer will claim over 565,000 Americans--
1,500 a day. The annual costs for cancer care in this country 
exceed $200,000,000,000. And while cancer death rates have 
declined for each of the past 3 years, cancer remains the 
leading cause of death for Americans under the age of 85. 
Therefore, the Committee recommendation for the NIH includes a 
special emphasis on cancer research.
    The Committee recommends an appropriation of $4,958,594,000 
for the National Cancer Institute [NCI]. The budget request was 
$4,809,819,000. The fiscal year 2008 appropriation was 
$4,805,088,000.
    Bone Cancer.--The NCI is encouraged to enhance its research 
program in osteosarcoma biology through exploratory and other 
grant mechanisms emphasizing the following priorities: 
development of suitable genetic and orthotopic models, studies 
on the role the tumor microenvironment plays in tumor 
progression, the identification of tumor progenitor cells and 
the biology of tumor invasion. The NCI is also urged to support 
research on the development of clinically relevant experimental 
models of tumor dormancy, studies on dormant tumor cells and 
their interaction with the microenvironment, and identification 
of factors that trigger dormancy of invasive tumor cells or 
activation of dormant cells.
    Decisionmaking.--The Committee applauds the NCI for 
supporting research on decisionmaking processes as they relate 
to cancer, which will help people make better informed choices 
about cancer prevention and screening.
    Health Communication.--The Committee encourages the NCI to 
continue its investment in the Health Information National 
Trends Survey [HINTS], and to consider expanding the survey to 
track how public information campaigns may influence attitudes 
about cancer screening and vaccines.
    Liver Cancer.--The Committee continues to urge the NCI to 
develop a comprehensive research program to slow the incidence 
of primary liver cancer and to develop viable treatment options 
that will improve survivability. The Committee urges more 
programs aimed at the discovery of new interventions for the 
early detection, management and treatment of cancer associated 
with hepatitis. The Early Detection Research Network continues 
to be an impressive and productive programmatic model.
    Lung Cancer.--The Committee encourages the NCI to expand 
its research to improve lung cancer diagnosis and treatment and 
undertake additional research to better understand the role 
gender plays in this disease.
    Melanoma.--The Committee is aware of the ongoing dialogue 
between the NCI and the advocacy and extramural research 
community on prioritizing NIH-funded melanoma research, most 
recently with the 2007 ``Community-Oriented Strategic Action 
Plan for Melanoma Research.'' The Committee encourages the NCI 
to better target its funds in three categories: targeted 
therapies in melanoma; host response in melanoma; and 
prevention, including exploring the feasibility of a randomized 
trial of screening for melanoma.
    NCI Community Cancer Centers Program.--The Committee 
commends the NCI for launching the NCI Community Cancer Centers 
Program [NCCCP] early in 2007. The NCCCP, now in a 3-year pilot 
phase, seeks to bring more Americans into a system of high-
quality cancer care, increase participation in clinical trials, 
reduce cancer healthcare disparities, and improve information 
sharing among community cancer centers. The program encourages 
collaboration of private-practice medical, surgical, and 
radiation oncologists as well as providing links to NCI 
research and the NCI-designated Cancer Centers. The Committee 
supports these goals and encourages the NCI to continue 
supporting this program.
    Neuroblastoma.--The Committee urges the NCI to 
significantly expand its research portfolio on neuroblastoma, 
with a focus on clinical trials for high-risk patients. Given 
the poor survival rates for children with advanced disease, the 
Committee encourages the NCI to prioritize support for all 
promising neuroblastoma research in this population, both 
inside and outside of the Children's Oncology Group.
    Pancreatic Cancer.--The Committee notes that less than 2 
percent of NCI's budget is devoted to pancreatic cancer 
research, even though this form of cancer is the fourth leading 
cause of cancer-related death. The Committee strongly urges the 
NCI to assign more resources to launch a pancreatic cancer-
specific research and training initiative, including the 
establishment of a prioritized research plan that includes 
exception funding for grants that are pancreatic cancer 
focused, strengthening and expanding the SPOREs, and 
instituting training mechanisms designed to stimulate clinical 
and translational career development. The Committee expects the 
NCI to be prepared to provide a detailed accounting of 
resources targeted principally on pancreatic cancer research 
before the fiscal year 2010 budget hearing.
    Pediatric Cancer.--The Committee urges the NCI to expand 
and intensify pediatric cancer research, including laboratory 
research to identify and evaluate potential therapies, 
preclinical testing, and clinical trials through cooperative 
clinical trials groups. Such research should include research 
on the causes, prevention, diagnosis, recognition, treatment, 
and late effects of pediatric cancer.
    Prostate Cancer Imaging.--The Committee is aware of the 
potential of prostate imaging to improve early diagnosis and 
minimally invasive treatment of prostate cancer, and it 
encourages the NCI to provide additional funding for research 
and the development of technologies for prostate cancer 
detection and treatment, comparable to state-of-the-art 
mammograms.
    Vaccine Research.--The Committee recognizes that aspects of 
science surrounding an HIV vaccine and cancer vaccines contain 
many similarities and synergies. Therefore, the Committee urges 
the NCI to incorporate the development of an HIV vaccine into 
cancer vaccine research efforts. The Committee also supports 
new partnerships between the NCI and Institutes that are 
capable of supporting a joint HIV/cancer vaccine program. In 
addition, the Committee urges the OAR to increase HIV/AIDS 
funding at the NCI.

               NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2008....................................  $2,922,112,000
Budget estimate, 2009...................................   2,924,942,000
Committee recommendation................................   3,006,344,000

    The Committee recommendation includes $3,006,344,000 for 
the National Heart, Lung, and Blood Institute [NHLBI]. The 
fiscal year 2008 appropriation was $2,922,112,000 and the 
budget request is $2,924,942,000.
    Alpha-1 Antitrypsin Deficiency.--The Committee encourages 
the NHLBI to work with the Office of Rare Disorders to 
establish a treatment algorithm for Alpha-1 antitrypsin-related 
disease to help assist physicians in correctly diagnosing it.
    Bleeding and Clotting Disorders.--The Committee encourages 
the NHLBI to continue its commitment to research in bleeding 
and clotting disorders by focusing on improved and novel 
therapies and maintaining its collaborative relationship with 
patient advocacy groups and the scientific and medical research 
community.
    Cardiovascular Diseases.--The Committee applauds the NHLBI 
for the development and launch of its Institute-wide strategic 
plan and believes that research on heart disease and other 
cardiovascular diseases must be a top priority within the 
Institute. The Committee supports an increase in funding and 
resources for cardiovascular research, including support of 
current studies to enhance the prevention, diagnosis, and 
treatment of cardiovascular diseases and research to explore 
new and promising scientific opportunities.
    Chronic Obstructive Pulmonary Disease [COPD].--The 
Committee applauds the NHLBI for implementing the COPD 
Awareness Campaign and increasing its investment in COPD 
research. The Committee is concerned about the growing number 
of women dying from COPD, and it encourages additional research 
on the role that gender plays in this disease.
    Congenital Heart Disease.--The Committee continues to urge 
the NHLBI to work with patient associations, other appropriate 
NIH Institutes, and the CDC to develop education and research 
initiatives targeted to the life-long needs of congenital heart 
defect survivors.
    Diamond-Blackfan Anemia [DBA].--The Committee encourages 
the NHLBI to continue and expand its research initiative into 
DBA.
    Lymphangioleiomyomatosis [LAM].--The Committee supports 
both intramural and extramural means of expanding research on 
LAM and urges the NHLBI to use all available mechanisms as 
appropriate, including support of state-of-the-science 
symposia, requests for applications, and access to human 
tissues, to stimulate a broad range of clinical and basic LAM 
research. The Committee commends the NHLBI for supporting the 
MILES trial, and encourages the support of phase I and phase II 
clinical treatment trials to capitalize on the LAM patient 
populations that the NHLBI and the Rare Lung Disease Consortium 
has assembled. The Committee is also aware of the potential 
benefit of establishing regional LAM centers, and suggests the 
NHLBI consider supporting these activities.
    Marfan Syndrome.--The Committee commends NHLBI for its 
strong support of research on Marfan syndrome, particularly the 
Pediatric Heart Network clinical trial focused on the drug 
losartan. The Committee encourages the Institute to work with 
the Marfan syndrome community on strategies for establishing 
specialized treatment centers.
    Myelodysplasia.--The Committee urges the NHLBI, working in 
collaboration with the NCI and NIA, to establish a sustainable 
research program on myelodysplasia, a bone marrow failure 
disorder that primarily affects the elderly and individuals who 
have undergone chemotherapy and/or radiation therapy. The 
Committee requests a response in the fiscal year 2010 
congressional budget justification.
    Omega-3 Fatty Acids.--The Committee urges the NHLBI and the 
Office of Dietary Supplements in collaboration with the CDC, 
through the Heart Disease and Stroke Prevention Program, to 
develop and implement an education and awareness campaign for 
the public, patients and providers about the overall health 
benefits of consuming omega-3 fatty acids.
    Pulmonary Fibrosis.--The Committee continues to urge the 
NHLBI to increase funding for lung research, particularly in 
the area of pulmonary fibrosis, and to convene a consensus 
conference of experts and other stakeholders to lay the 
groundwork for a formal pulmonary fibrosis disease action plan 
for prevention and control of this deadly disease.
    Pulmonary Hypertension [PH].--The Committee encourages the 
Institute to work with the PH community to support the 
establishment of a clinical research network that would provide 
for expanded clinical trials and facilitate collaboration and 
data sharing among PH investigators.
    Sickle Cell Disease.--The Committee commends the NHLBI for 
developing a strategic plan, with input from public 
stakeholders, to enhance its research program on sickle cell 
disease and asks that the final research plan and proposed 
implementation steps be provided to the Committee when 
completed.
    Sleep Disorders.--The Committee continues to encourage the 
National Center on Sleep Disorders Research to work with other 
partners to implement a sleep education and public awareness 
project.
    Thalassemia.--The Thalassemia Clinical Research Network 
[TCRN] is a core program that has advanced physicians' 
understanding of how to diagnose, treat and manage this fatal 
genetic blood disease. The Committee urges additional 
protocols, particularly related to gene therapy, to advance the 
field further and lead to a cure in the shortest possible time.
    Women and Heart Disease.--The Committee requests the NHLBI 
to place a higher priority on: the best strategies for 
assessing, preventing, and treating heart disease in women; why 
women receive significantly fewer referrals for rehabilitation 
programs, advanced diagnostic testing and treatments for heart 
disease than men, and how the referral rate for women can be 
increased; the most effective methods and treatments for 
diastolic heart failure; the biological differences between men 
and women in the location, type, and heart disease risk level 
associated with fat deposits; the role of inflammation in heart 
disease in women; how sex differences in the regulation of 
heart rhythm affect risk of heart disease and response to 
treatment; why women ages 50 and younger are more likely to die 
following a heart attack than men of the same age; and how the 
heart disease diagnosis and care disparities between women of 
different races can be eliminated.

         NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2008....................................    $390,158,000
Budget estimate, 2009...................................     390,535,000
Committee recommendation................................     401,405,000

    The Committee recommendation includes $401,405,000 for the 
National Institute of Dental and Craniofacial Research [NIDCR]. 
The fiscal year 2008 appropriation was $390,158,000 and the 
budget request is $390,535,000.
    Behavioral Research.--The Committee supports the 
Institute's planned research into developing complex models of 
behavior and oral health.
    Early Childhood Caries.--The Committee notes the urgent 
need to eradicate early childhood caries among American Indian/
Alaska Native [AI/AN] populations. The Committee urges the 
NIDCR, in collaboration with the Indian Health Service, to 
increase support for clinical research to find effective anti-
caries preventions, including new education and intervention 
modalities.
    Temporomandibular Joint Disorders [TMJDs].--The Committee 
encourages the NIDCR, along with the NIAMS and NIBIB, to put a 
higher priority on using noninvasive imaging technologies to 
establish, validate, and standardize clinical diagnostic 
criteria for TMJDs and to better understand the etiology and 
mechanisms underlying the symptoms of biomechanical pain and 
dysfunction. The Committee also calls on the NIDCR to initiate 
interdisciplinary partnerships within the NIH on chronic pain 
that is associated not only with TMJDs but other conditions as 
well. To address these collaborations extramurally, the 
Committee urges NIDCR to follow the recommendation of the 
Fourth Scientific Meeting of the TMJ Association calling for 
the establishment of regional centers of excellence. Finally, 
the Committee calls upon the TMJ Interagency Working Group to 
step up its level of activities and work more effectively to 
assess the state of science of TMJDs and their co-morbidities, 
and to develop short- and long-range research plans.

    NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES

Appropriations, 2008....................................  $1,706,684,000
Budget estimate, 2009...................................   1,708,487,000
Committee recommendation................................   1,755,881,000

    The Committee recommends an appropriation of $1,755,881,000 
for the National Institute of Diabetes and Digestive and Kidney 
Diseases [NIDDK]. The fiscal year 2008 appropriation was 
$1,706,684,000 and the administration's request is 
$1,708,487,000.
    Acute Liver Failure.--The Committee supports the 
Institute's plan to renew funding for the Acute Liver Failure 
Study Group for an additional 5 years, and it urges the NIDDK 
to provide additional resources in this area.
    Alpha-1 Antitrypsin Deficiency.--The Committee encourages 
the NIDDK to maintain its support of Alpha-1 research and to 
collaborate with the NCI and other Institutes on this effort.
    Beta Cell Biology.--The NIDDK is urged to extend and expand 
its vigorous support of the Beta Cell Biology Consortium, which 
promotes collaborative research relevant to understanding and 
treating both type 1 and type 2 diabetes. Particularly 
important is the creation of diabetes research resources and 
reagents that can be accessed by the entire diabetes research 
community. In addition, the Committee asks the NIDDK to work 
with the NCRR to ensure the viability of the regional Islet 
Cell Resources Centers or equivalent infrastructure that can 
efficiently produce and distribute purified human islets for 
beta cell biology research.
    Biosamples for Type 1 Diabetes Research.--The Committee 
commends the NIDDK for establishing biorepositories to house 
data and biological specimens collected by studies such as the 
international Type 1 Diabetes Genetics Consortium [T1DGC], The 
Environmental Determinants of Diabetes in the Young [TEDDY] 
Study, and the natural history study of TrialNet. The Committee 
urges the NIDDK to widely advertise the availability of samples 
to the diabetes research community, ensure that the 
biorepositories implement efficient procedures to rapidly 
disseminate those samples to qualified researchers, and develop 
policies to expedite the availability of samples from other 
clinical trials in type 1 diabetes.
    Chronic Pediatric Kidney Disease.--Translational and 
clinical research to understand the mechanisms involved in 
kidney injury and progression are crucial to develop and test 
new therapies in children. The Committee urges the NIDDK to 
initiate two new prospective multicenter pediatric nephrology 
translational studies or treatment trials over the next 2 
years.
    Diamond-Blackfan Anemia [DBA].--The Committee is aware of 
important breakthroughs in DBA research and the link with a 
ribosomal protein defect. The Committee understands that the 
NIDDK is planning a workshop regarding the implications of 
ribosome biogenesis in hematological diseases. The Committee 
commends the NIDDK for its attention to DBA and encourages 
cross-Institute research initiatives related to ribosomal 
protein defects found in DBA and their implication in disease 
areas important to the NIDDK.
    Digestive Diseases.--The Committee looks forward to the 
recommendations of the National Commission on Digestive 
Diseases and encourages the NIDDK to consider them strongly. 
The Committee notes that the draft plan lacked specificity, and 
it urges the NIDDK to identify the programs, structures and 
resources that are necessary to implement a long-range plan.
    Glomerular Disease Research.--The Committee commends the 
Institute for the recent release of a program announcement on 
glomerular diseases, and it encourages the establishment of a 
patient registry in this area.
    Hematology.--The Committee commends NIDDK--and its partners 
in this effort, the NCI, NHLBI, and NIA--for issuing a program 
announcement on the anemia of inflammation of chronic disease.
    Hepatitis B Network.--The Committee supports the 
Institute's plan to fund and create a network of hepatitis B 
clinical research centers and urges that these centers be 
established to address the major research questions identified 
by the upcoming Hepatitis B Consensus Conference and the 
priorities identified for hepatitis B in the NIH Liver Disease 
Research Action Plan. The Committee expects to be kept informed 
on the outcome of the October 21, 2008, conference.
    Hepatitis C.--The Committee continues to strongly support 
the HALT-C clinical study on hepatitis C. The Committee also 
understands that nearly one-half of all persons with hemophilia 
have contracted the hepatitis C virus, and many of these 
individuals are co-infected with HIV. The NIDDK is encouraged 
to pursue research initiatives on co-infection and the 
progression of liver disease in this population.
    Incontinence.--The Committee is pleased that the NIDDK 
collaborated with the NICHD and the Office of Medical 
Applications of Research on the recent state-of-the-science 
conference on incontinence, and it urges the Institute to 
prioritize the recommendations of this conference.
    Inflammatory Bowel Disease [IBD].--The Committee encourages 
the Institute to increase support for genetic and clinical IBD 
research and other opportunities outlined in the research 
agenda, ``Challenges in Inflammatory Bowel Disease.'' The 
Committee particularly encourages the NIDDK to expand support 
for pediatric IBD research.
    Interstitial Cystitis [IC].--The Committee is concerned by 
the projected declines in research funding for IC at the NIDDK. 
It urges the Institute to provide enough funding to implement 
the goals of the MAPP initiative and to support more basic 
research on the etiology, pathogenesis and pathophysiology of 
IC. In addition, the Committee notes the growing body of 
scientific evidence documenting the overlap between IC and 
vulvodynia, two highly prevalent, distressing conditions 
characterized by chronic pelvic and urogenital pain. The 
Committee, therefore, urges the NIDDK to establish a center for 
research and education on urologic/urogenital chronic pelvic 
pain syndromes that will focus specifically on IC and 
vulvodynia, and related comorbid disorders, and will establish 
collaborative initiatives among the ORWH, NIAID, NIAMS, NINDS, 
and NICHD.
    Non-alcoholic Fatty Liver Disease.--The Committee 
encourages the NIDDK to renew and expand its research network 
for non-alcoholic fatty liver disease, increase the involvement 
of non-Federal funding sources, and include adult and pediatric 
patients in research and clinical trials.
    Pediatric Liver Disease.--The Committee is pleased with the 
progress of the Biliary Atresia Clinical Research Consortium 
and the Cholestatic Liver Disease Consortium, and it urges the 
NIDDK to renew funding for these two 10-center consortia that 
conduct research on biliary atresia, the most common cause of 
liver transplantation in children, and other rare liver 
diseases affecting infants and children. The Committee is also 
pleased that the Consortia have added a special focus on 
additional neonatal liver diseases.
    Polycystic Kidney Disease [PKD].--The Committee urges the 
NIDDK to work through the NIH Program on Public-Private 
Partnerships to support the establishment of PKD diagnostic and 
clinical treatment centers for treating PKD patients and 
overseeing clinical trials. The Committee urges that these 
centers work in collaboration with General Clinical Research 
Centers, Clinical and Translational Science Awards and PKD 
Centers of Excellence to ensure that PKD families receive the 
best diagnostic tests and therapeutic treatments and the 
opportunity to participate in promising clinical trials and 
pilot studies. The Committee also encourages the NIDDK to 
facilitate the establishment of a centralized facility for the 
volumetric analysis of kidney images, PKD genotyping and 
surrogate marker analysis.
    Sickle Cell Disease.--The Committee commends the NHLBI for 
its plans to restructure the sickle cell disease research 
program to expand funding of investigator-initiated grants and 
to develop a new Clinical Trials Research Network, which will 
open participation in clinical research to a larger number of 
researchers and patients with sickle cell disease. The 
Committee asks to be updated on the progress being made in 
implementing the sickle cell disease research plan as part of 
the Institute's budget justification for fiscal year 2010.
    Thalassemia.--The Committee urges the NIDDK to play a 
larger role in the Thalassemia Clinical Research Network 
[TCRN], as the iron chelation and non-invasive iron measurement 
issues addressed by the Institute are essential to the quality 
of life of thalassemia patients.
    Urological Research.--The Committee encourages the NIDDK to 
establish a urological disease research branch and requests a 
response in the fiscal year 2010 budget justification. The 
Committee also urges the Institute to prepare a trans-NIH 
action plan for urological disease research.

        NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2008....................................  $1,543,901,000
Budget estimate, 2009...................................   1,545,397,000
Committee recommendation................................   1,588,405,000

    The Committee recommends an appropriation of $1,588,405,000 
for the National Institute of Neurological Disorders and Stroke 
[NINDS]. The fiscal year 2008 appropriation was $1,543,901,000 
and the budget request is $1,545,397,000.
    Charcot-Marie-Tooth [CMT].--The Committee commends the 
NINDS for issuing a program announcement to solicit grant 
applications on CMT with the goal of identifying and validating 
therapeutic targets for use in CMT and other peripheral 
neuropathies. The Committee requests an update on CMT and CMT-
related research, and on the progress achieved by the program 
announcement, in the fiscal year 2010 budget justification.
    Duchenne and Becker Muscular Dystrophy [DBMD] Conference.--
The Committee commends the NIH for reconvening a conference 
focused on translational research opportunities for DBMD in the 
spring of 2009. Pursuant to this conference, the Committee is 
pleased that the Muscular Dystrophy Coordinating Committee will 
be updating the MD action plan to reflect accomplishments 
related to the five broad categories in the plan, and supports 
continued efforts to track research goals, NIH-funded grants 
and areas of unmet opportunity for DBMD translational research.
    Dystonia.--The Committee continues to support the expansion 
of research and treatment developments regarding dystonia. The 
Committee also notes that the intramural program at NIH 
continues to advance research activity in dystonia, and more 
support is encouraged.
    Fibromyalgia.--Whereas fibromyalgia has traditionally been 
considered a musculoskeletal disorder, the Committee notes that 
substantial evidence implicates pathology within the central 
nervous system in the development and expression of 
fibromyalgia symptoms, including abnormal brain activity, 
abnormal concentrations of a variety of neurochemicals in 
cerebrospinal fluid, dysautonomia and neuroendocrine 
dysfunction. The Committee, therefore, urges the NINDS to 
collaborate with the NIAMS in convening an international 
symposium to elucidate the state of the science with regard to 
fibromyalgia, and publish a consensus document within 1 year 
establishing a roadmap for future fibromyalgia research. The 
Committee also encourages the NINDS to support basic research 
into animal models of the disorder.
    Headache Disorders.--The Committee encourages intensified 
efforts to understand the causes, prevention, treatment, and 
eventual cure of headache disorders, including migraine, 
cluster headache, and chronic daily headache. Research on these 
disorders, to date, has not received funding commensurate with 
their prevalence or their costs to the economy. Therefore, the 
Committee strongly urges the NINDS to solicit grant 
applications in this area; encourage new investigators with 
career training and transition awards; provide fair peer review 
by headache scientists of submitted headache research grant 
applications; and collaborate with the research community to 
develop ``Headache Disorders Research Benchmarks.''
    Hydrocephalus.--The Committee continues to place a high 
priority on increasing research on hydrocephalus, and it urges 
the NINDS to expand its research through program announcements 
or requests for applications. The Committee also urges the 
NINDS to collaborate with other Institutes to advance 
hydrocephalus research priorities, including the NIA, NICHD, 
NEI, NIBIB, and ORD, and requests an update on the progress of 
such collaborative efforts in the fiscal year 2010 budget 
justifications.
    Mucopolysaccharidosis [MPS].--The Committee commends the 
NINDS for taking the lead role supporting the scientific 
meeting on the clinical progress of MPS. The Committee 
encourages the NINDS to expand research into MPS, and to 
implement the recommendations from the meeting, including the 
need to collect natural history data to move novel therapies 
into the clinic, and to combine therapeutic modalities to 
increase efficacy.
    Parkinson's Disease.--The Committee encourages the NINDS to 
update the program announcement for the Udall Centers of 
Excellence for Parkinson's Disease Research Program to include 
the recommendations of the committee that evaluated the centers 
and to continue to fund and support this important program. The 
Committee also commends the NINDS for working to establish and 
make public lay-language research summaries for each Udall 
Center, which should be considered as a possible model for 
other NIH centers of excellence programs.
    Stroke.--The Committee commends the NINDS for its work in 
developing an Institute-wide strategic plan and supports the 
involvement of stroke scientists and/or clinicians in every 
aspect of this initiative. The Committee continues to support 
the comprehensive and timely implementation of its Stroke 
Progress Review Group Report. The Committee also urges the 
NINDS to devote additional funding for stroke prevention, 
diagnosis, treatment, rehabilitation, and research to explore 
new and promising scientific opportunities. In addition, the 
Committee acknowledges studies suggesting significant gender 
differences concerning stroke; for example, women often receive 
fewer diagnostic tests and intervention procedures. The 
Committee encourages the NINDS to increase research in this 
area in order to understand the differences in treatment 
options for men and women and provide a means to optimize 
stroke care.
    Stroke Rehabilitation.--The Committee is pleased that the 
NINDS will convene an expert panel to discuss issues related to 
stroke treatment and recovery and how people reintegrate into 
their daily lives following a stroke.

         NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2008....................................  $4,560,655,000
Budget estimate, 2009...................................   4,568,778,000
Committee recommendation................................   4,688,828,000

    The Committee recommends an appropriation of $4,688,828,000 
for the National Institute of Allergy and Infectious Diseases 
[NIAID]. The fiscal year 2008 appropriation was $4,560,655,000 
and the budget request is $4,568,778,000. Included in these 
funds is $300,000,000 to be transferred to the Global Fund to 
Fight HIV/ AIDS, Malaria, and Tuberculosis. The fiscal year 
2008 transfer amount was $294,759,000.
    Antimicrobial Resistance.--The Committee encourages the 
NIAID to strengthen clinical, translational, and basic research 
addressing antimicrobial resistant infections, with emphasis on 
health care-acquired bacterial infections in hospitals, long-
term care facilities, etc. Clinical trials should aim to define 
natural histories of infection for common bacterial diseases 
and determine optimal implementation of existing agents and 
therapeutic strategies. Translational research should emphasize 
antibiotic development, vaccine development, novel 
antibacterial agents and therapies, and new diagnostics. 
Particular attention should be given to multi-drug resistant 
gram negative bacterial infections and methicillin-resistant 
staphylococcus aureus [MRSA] infections. The Committee further 
encourages the NIAID to accelerate its basic research 
activities to advance the understanding of mechanisms of 
resistance and how resistant microbes impact human health.
    Asthma.--The Committee applauds the NHLBI for its support 
of the Asthma Clinical Research Network to advance basic, 
translational and clinical research understanding of asthma to 
improve asthma care.
    Career Development in Asthma and Allergic Diseases.--The 
Committee encourages the NIAID to work with private sector 
organizations to develop programs for the training and career 
development of researchers focused on allergic diseases.
    Food Allergy and Anaphylaxis.--The Committee commends the 
NIAID for its support of research to find a cure for food 
allergy and anaphylaxis, and it continues to urge the highest 
possible level of funding for this research. The Committee is 
aware that food allergy and anaphylaxis has recently been 
linked to asthma, eczema, type I diabetes, multiple sclerosis, 
and inflammatory bowel syndrome, and it requests the NIAID to 
provide a report to the Committee by May 1, 2009, on the common 
link among these conditions and the steps the Institute will be 
taking to investigate the underlying causation. In addition, 
the Committee encourages a greater effort to facilitate and 
promote investigator-initiated research on food allergy and 
anaphylaxis. The Committee commends the NIAID for its research 
initiative ``Exploratory Investigations in Food Allergy,'' 
which will support innovative pilot studies and developmental 
research on the mechanisms of food allergy, with a goal of 
attracting additional investigators to the field of food 
allergy research, and urges the continuation of this 
initiative.
    Hepatitis B.--The Committee supports the Institute's plans 
to fund experimental models of hepatitis B and to continue 
support for the woodchuck model of hepatitis virus. The 
Committee urges more work in the area of new intervention 
discovery for the treatment and management of this disease.
    Hepatitis C.--The Committee encourages the continued 
development of standardized terminology to describe anti-viral 
drug resistance, as well as studies of the mechanism of 
resistance and methods to overcome it.
    Inflammatory Bowel Disease [IBD].--The Committee encourages 
the NIAID to expand its inflammatory bowel disease research 
portfolio and explore partnerships with the IBD community aimed 
at fostering greater research on the role of the immune system 
in the development and progression of IBD in both adult and 
pediatric populations.
    Liver Transplants.--The Committee urges expanded research 
on the immune system reaction to liver transplants in children.
    Lupus.--The Committee urges the NIAID to expand and 
intensify genetic, clinical and basic research and related 
activities with respect to lupus, with particular focus on the 
identification of biomarkers and addressing the apparent health 
disparities associated with this disease.
    Malaria.--The Committee commends the NIAID for its malaria 
research efforts, especially in basic research. While progress 
in malaria research has been encouraging, the Committee is 
concerned about the spread of malaria in areas where malaria 
had previously been controlled and about the contribution of 
drug-resistant parasites to this problem. To support and 
sustain the global efforts to control and eliminate malaria, 
the Committee urges the NIAID to allocate additional resources 
for research to increase the understanding of the complex 
interactions among malaria parasites, mosquito vectors and 
humans, for development of new diagnostics, drugs, vaccines, 
and vector management, and for continuation of its 
collaboration with global public-private partnerships to 
leverage malaria research efforts.
    Microbicides.--The Committee commends the NIAID for 
establishing a branch within the Division of AIDS that is 
dedicated to microbicides, but notes that progress in staffing 
and running the branch has been slow. The Committee urges the 
NIAID to move quickly in that regard and requests a report by 
May 1, 2009, on the branch's work plan, budget and staffing 
situation.
    Nontuberculous Mycobacteria [NTM].--The Committee is aware 
of the reports of increasing incidence of pulmonary NTM 
infections in women and children, particularly involving 
rapidly growing mycobacteria, an inherently resistant 
subspecies. The Committee commends the NIH for its planning 
meetings regarding NTM, outreach to the NTM patient community, 
and leading NTM treatment center. The Committee recommends 
further collaboration with the NHLBI, CDC, the advocacy 
community and other Federal agencies to provide leadership that 
will enhance diagnostic and treatment options and as well as 
medical and surgical outcomes through the stimulation of multi-
center clinical trials and promotion of health care provider 
education. The Committee encourages the NIAID to issue program 
announcements, an NIH partnership funding program, and other 
appropriate mechanisms to ensure the initiation of grant 
proposals and other activities for pulmonary NTM disease.
    Parasitic Tropical Diseases.--The Committee urges the NIAID 
to expand and intensify research on vaccines, diagnostics, and 
treatments for parasitic tropical diseases including African 
sleeping sickness, Chagas disease, elephantiasis, visceral 
leishmaniasis, Buruli ulcer, and cholera. The Committee further 
requests the NIAID to report an estimate of its funding for 
research on these diseases in the fiscal year 2010 budget 
justification.
    Scleroderma.--The Committee encourages the NIAID to expand 
its research portfolio on scleroderma in partnership with the 
scleroderma community.
    Tuberculosis [TB].--The Committee commends the NIAID for 
the release of its response plan to drug-resistant TB, 
including strains that are extensively drug-resistant. The 
Committee encourages the NIAID and other NIH Institutes to 
allocate appropriate resources to effectively address this 
global health emergency. The Committee also encourages the NIH 
to ensure that experts with an understanding of the scientific 
basis for the control of tuberculosis are appropriately 
represented on study sections that review TB research grants.

             NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2008....................................  $1,935,808,000
Budget estimate, 2009...................................   1,937,690,000
Committee recommendation................................   1,991,609,000

    The Committee recommendation includes $1,991,609,000 for 
the National Institute of General Medical Sciences [NIGMS]. The 
fiscal year 2008 appropriation was $1,935,808,000 and the 
administration's request is $1,937,690,000.
    Behavioral Research and Training.--The Committee notes that 
after many years of requests, the NIGMS is supporting basic 
behavioral research training. While this is a step in the right 
direction, the Committee remains very concerned that the NIGMS 
program needs expanding, and that the NIGMS still is not 
funding investigator-initiated research by behavioral 
scientists as it is authorized to do so in its statute and has 
been requested to do so by Congress many times. The Committee 
also encourages the NIGMS to expand its support of basic 
behavioral and social science research with initiatives such as 
the MIDAS program to improve modeling and predictive 
capabilities regarding the effects of a pandemic flu outbreak, 
and collaborations with other Institutes and Centers and the 
OBSSR.
    Training Minority Scientists.--The Committee continues to 
be pleased with the quality of NIGMS's training programs, 
particularly those that have a special focus on increasing the 
number of minority scientists such as the Minority Access to 
Research Careers [MARC] and Minority Biomedical Research 
Support [MBRS] programs. The Committee encourages the NIGMS to 
continue to support these initiatives, and is particularly 
pleased that the NIGMS has supported biomedical career 
opportunity programs for high school and undergraduate college 
students in conjunction with historically black health 
professions schools.

  EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN 
                              DEVELOPMENT

Appropriations, 2008....................................  $1,254,708,000
Budget estimate, 2009...................................   1,255,920,000
Committee recommendation................................   1,290,873,000

    The Committee recommends an appropriation of $1,290,873,000 
for the Eunice Kennedy Shriver National Institute of Child 
Health and Human Development [NICHD]. The fiscal year 2008 
appropriation was $1,254,708,000 and the administration's 
request is $1,255,920,000.
    Behavioral Research on Families.--The Committee encourages 
the NICHD to support planned research on the changing nature of 
our Nation's families. Further understanding of family 
processes will help to address the causes of family structure 
changes.
    Chromosome Abnormalities.--The Committee urges the NIH to 
convene a state-of-the-science meeting on chromosome 
abnormalities involving multiple contiguous genes, for the 
purpose of creating a plan to collect data regarding dosage-
sensitive and dosage-insensitive genes, and to establish 
phenotyping and genotyping standards for data collection. The 
Committee also encourages the NIH to create funding mechanisms 
to support independent investigators whose work could provide 
pilot data or insight into future directions for the study of 
chromosome abnormalities, particularly those involving 
chromosome 18.
    Demographic Research.--The Committee applauds the NICHD 
Demographic and Behavioral Sciences Branch [DBSB] for 
completing its long-range planning study, ``Future Directions 
for DBSB.'' The Committee encourages the Institute to 
capitalize on the report's recommendations and to do so by 
supporting a balanced portfolio of investigator-initiated 
research as well as large-scale databases. The Committee also 
congratulates the NICHD on its involvement in the Work, Family, 
Health and Well-Being Initiative and looks forward to learning 
how the Institute plans to disseminate the results of this 
groundbreaking study.
    First Pregnancy Complications.--Nearly half of all pregnant 
women have no pregnancy history to guide the practitioner, and 
there is minimal to no information to predict and offer 
preventative interventions. The rate of preterm birth for this 
group of women increased 50 percent in the last decade. Were 
predictors known, not only would the outcome for the first 
pregnancy improve, but subsequent pregnancies would be at lower 
risk. The NICHD is urged to conduct more research in this area.
    Intellectual and Developmental Disabilities Research 
Centers [IDDRCs].--The Committee recognizes the outstanding 
contributions of the recently renamed Eunice Kennedy Shriver 
Intellectual and Developmental Disabilities Research Centers 
[IDDRCs], formerly known as the Mental Retardation 
Developmental Disabilities Research Centers. However, the 
Committee is concerned that the IDDRCs do not have sufficient 
resources to sustain the progress made in this critical area 
and is especially concerned with the 11 percent funding 
reduction for recently funded centers. The Committee urges the 
NICHD to restore these reductions and, to the extent possible, 
provide additional resources to the IDDRCs so that they can 
lead our national effort to develop effective prevention and 
intervention strategies for children and adults with 
developmental disabilities.
    Infertility and Contraception.--The Committee commends the 
NICHD for its research on alleviating human infertility and 
uncovering new male and female contraceptive leads, including 
the next generation of nonhormonal methods. The Committee urges 
the NICHD to continue identifying behavioral factors affecting 
fertility, infertility and unintended pregnancies.
    Learning and School Readiness.--The Committee supports the 
important contribution that the NICHD is making in establishing 
the basic scientific foundation of the development of reading, 
math and science skills for children.
    Liver Disease and Minority Health.--Obesity-related chronic 
liver disease, also known as non-alcoholic steatohepatitis 
[NASH], disproportionately affects Hispanic-American children. 
To better understand the genetic and environmental factors 
associated with obesity-related chronic liver disease in 
children, the Committee urges the NICHD to include NASH as a 
study component within the National Children's Study.
    Preterm and Late Preterm Births.--The Committee applauds 
the NICHD for planning the Surgeon General's Conference on 
Preterm Birth and encourages the Institute to expand its 
research based on the public-private agenda recomended at the 
conference. As authorized by Public Law 109-450, the Committee 
strongly urges the establishment of an interagency coordinating 
council on prematurity and low birthweight, to be headed by the 
NICHD, to ensure that these recommendations are implemented. 
The Committee notes that although many late preterm deliveries 
(between 34 and 37 weeks of gestation) are due to maternal or 
fetal indications, many have no reason listed in vital records 
as to what triggered the delivery. The NICHD is urged to 
address the causes of these late preterm births and identify 
interventions for their prevention.
    Rehabilitation Research.--The Committee commends the 
institute's National Center for Medical Rehabilitation Research 
for the substantial scientific progress made in the basic and 
applied research on constraint-induced movement therapy for 
stroke patients as well as advanced prosthetics. The Committee 
encourages the center to explore the broader social, emotional 
and behavioral context of rehabilitation, including effective 
interventions to increase social participation and reintegrate 
individuals with disabilities into their communities.
    Uterine Fibroids.--The Committee continues to encourage 
additional research on uterine fibroids, especially with regard 
to increased prevalence rates in minority women.
    Vulvodynia.--For the 12th consecutive year, the Committee 
has called on the NICHD to expand research efforts on 
vulvodynia, yet only 11 total awards have been made to date and 
only 3 in the last 3 fiscal years. This is especially 
discouraging given that, in 2006, an NICHD-funded study showed 
that up to 16 percent of American women suffer from vulvodynia. 
The Committee strongly urges the NICHD to substantially 
increase the number of awards for vulvodynia studies in fiscal 
year 2009, with a particular emphasis on etiology and multi-
center therapeutic trials. In addition, to ensure that experts 
in vulvodynia and related chronic pain and female reproductive 
system conditions, are adequately represented on peer review 
panels, the Committee recommends that the current program 
announcement on vulvodynia, PA-07-182, be reissued with 
``special review.'' Finally, the Committee calls on NICHD to 
employ the full range of award mechanisms available to expand 
research and research capacity in this area.

                         NATIONAL EYE INSTITUTE

Appropriations, 2008....................................    $667,116,000
Budget estimate, 2009...................................     667,764,000
Committee recommendation................................     687,346,000

    The Committee recommends an appropriation of $687,346,000 
for the National Eye Institute [NEI]. The fiscal year 2008 
appropriation was $667,116,000 and the budget request is 
$667,764,000.
    Age-related Macular Degeneration [AMD].--The Committee 
commends the NEI for its trans-Institute research into the 
cause, prevention, and treatment of AMD, including the 
identification of gene variants associated with an increased 
risk for the disease. The Committee encourages further research 
into diagnostics for early detection and appropriate therapies. 
The Committee also applauds the NEI for initiating the second 
phase of its Age-related Eye Disease Study [AREDS], in which 
additional dietary supplements are being studied to determine 
whether they demonstrate or enhance protective effects against 
progression to advanced AMD, as shown previously with dietary 
zinc and antioxidant vitamins.
    Diabetes Management Devices.--The Committee is pleased that 
the NEI, in collaboration with the NIDDK and the Food and Drug 
Administration, has scheduled a scientific workshop that will 
include representatives from diabetes management device 
manufactures and organizations that address the technology 
access needs of Americans with vision loss to both document and 
clarify the technical capabilities of devices currently on the 
market and to develop standards ensuring the accessibility of 
such devices for this growing population.
    Diabetic Eye Disease.--The Committee encourages the NEI to 
expand and extend the Diabetic Retinopathy Clinical Research 
Network by increasing the number of clinical trials with new 
drugs and therapeutics that can treat and prevent diabetic 
retinopathy.
    Genetic Basis of Eye Disease.--The Committee congratulates 
the NEI on its leadership in elucidating the basis of 
devastating eye diseases such as age-related macular 
degeneration, retinitis pigmentosa and glaucoma, and recognizes 
the progress that has been made in understanding the underlying 
disease mechanisms and developing appropriate treatments. By 
encouraging the participation of patients and their families 
who need highly specialized genetic testing services and 
coordinating the efforts of many vision research laboratories, 
vital information is being collected confidentially and 
maintained securely. This information will help enable 
qualified investigators to develop targeted treatments and to 
identify those individuals who would most benefit from them.
    Low Vision and Blindness Rehabilitation.--The Committee 
encourages the NEI to prioritize research aimed at developing 
and assessing new methods for the rehabilitation of visually 
impaired individuals, including children. The Committee also 
urges the NEI to collaborate with the National Center for 
Medical Rehabilitation Research at the NICHD on developing 
improved assistive technology and training research scientists 
in the field of rehabilitation.

          NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2008....................................    $642,253,000
Budget estimate, 2009...................................     642,875,000
Committee recommendation................................     660,767,000

    The Committee recommends an appropriation of $660,767,000 
for the National Institute of Environmental Health Sciences 
[NIEHS]. The fiscal year 2008 appropriation was $642,253,000 
and the budget request is $642,875,000.
    Agricultural Health Study.--The Committee urges that the 
scope of the Agricultural Health Study be expanded to permit a 
greater focus on reproductive issues to investigate the 
possibility that many chronic illnesses may be due to 
environmental exposures experienced while in utero.
    Alternative Methods of Testing.--The Committee acknowledges 
the publication of the National Interagency Center for the 
Evaluation of Alternative Methods/Interagency Coordinating 
Committee on the Validation of Alternative Methods [NICEATM/
ICCVAM] Five-Year Plan but remains concerned by the slow pace 
at which Federal agencies have moved to adopt regulations that 
would replace or reduce the use of animals in testing. The 
Committee therefore requests the ICCVAM to evaluate the skin 
irritation/corrosion, pyrogenicity, phototoxicity, vaccine 
potency, acute fish toxicity and developmental toxicity methods 
and tiered-testing strategies that have been deemed valid by 
the European Centre for the Validation of Alternative Methods 
but have not been accepted in the United States. The Committee 
also asks the ICCVAM to identify situations where these methods 
can be applied with scientific confidence in the existing 
testing practices and regulations of ICCVAM agencies. In 
addition, the ICCVAM is urged to identify what additional 
studies would be needed to produce sufficient scientific 
confidence to expand the application of such methods by the 
agencies that comprise ICCVAM. The Committee requests a report 
on these findings by May 1, 2009.
    Respiratory Disease.--The Committee recognizes the 
contributions of the NIEHS to help protect and improve 
pulmonary health. It encourages the Institute to devote 
additional resources to study the effects of changes in 
occupational exposures and ambient and indoor air.
    Translational Research.--The Committee applauds the NIEHS's 
investment in clinical research through the Disease 
Investigation through Specialized Clinically Oriented Ventures 
in Environmental Research [DISCOVER].

                      NATIONAL INSTITUTE ON AGING

Appropriations, 2008....................................  $1,047,260,000
Budget estimate, 2009...................................   1,048,278,000
Committee recommendation................................   1,077,448,000

    The Committee recommendation includes $1,077,448,000 for 
the National Institute on Aging [NIA]. The fiscal year 2008 
appropriation was $1,047,260,000 and the budget request is 
$1,048,278,000.
    Alzheimer's Disease.--While past investments in Alzheimer's 
research have led to a far better understanding of the disease 
as well as earlier, more accurate diagnosis, the Committee is 
concerned that progress has slowed in recent years. The 
Committee therefore recommends that a portion of the additional 
funds provided for the NIA be devoted to accelerating the 
translation of basic research findings into clinical studies 
and human trials, and to fully implement a study of individuals 
who are genetically predisposed to develop early-onset 
Alzheimer's disease. The NIA is urged to work closely with the 
NINDS and NIMH in these efforts.
    Behavioral Research and Decisionmaking.--The Committee 
encourages the NIA to support its Neuroeconomics and Aging 
research program, which will examine the changing motives that 
drive behavior in older adults and could lead to interventions 
that will help older Americans better manage financial 
planning.
    Behavioral Research and Long-term Cognitive Improvement.--
The Committee commends the NIA on the success of the ACTIVE 
study, and it encourages follow-up studies on more varied 
populations.
    Cognitive Health.--The Committee encourages the NIA to 
follow up on recent findings that cognitive health appears to 
be improving in the over-70 population. In particular, further 
studies to determine how education, exercise, medications, 
cardiovascular health and lifestyle affect cognitive 
functioning are encouraged.
    Demographic and Economic Research.--The Committee is aware 
that fiscal year 2009 is a critical planning year for the NIA 
Demography of Aging Centers, the Roybal Centers for Research on 
Applied Gerontology, and the Health and Retirement Survey 
[HRS]. The Committee urges the NIA, with support from the 
Office of Behavioral and Social Science Research and Office of 
AIDS Research, to continue its current level of support for the 
Demography of Aging Centers and the demographic and economic 
components of the Roybal Centers. The NIA is also urged to 
provide sufficient funding for the HRS to preclude a cut in the 
survey's sample size and to ensure that biological data, 
including DNA, are collected as part of the next wave. Finally, 
the Committee applauds the Institute's support of the National 
Study of Disability Trends and Dynamics, which will include the 
older population residing in community and institutional 
settings.
    Older Workers.--The Committee continues to commend the NIA 
for sponsoring research on health interventions in the 
workplace that is aimed at older workers.

 NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES

Appropriations, 2008....................................    $508,586,000
Budget estimate, 2009...................................     509,080,000
Committee recommendation................................     523,246,000

    The Committee recommends an appropriation of $523,246,000 
for the National Institute of Arthritis and Musculoskeletal and 
Skin Diseases [NIAMS]. The fiscal year 2008 appropriation was 
$508,586,000 and the budget request is $509,080,000.
    Arthritis.--The Committee supports the establishment of a 
national data collection system to ensure that the safety and 
effectiveness of new arthritis treatments is understood and 
that they are applied in the most beneficial manner, especially 
in the case of childhood arthritis. The Committee also notes 
the strong need for a national network of cooperating clinical 
centers dedicated to the care and study of children with 
arthritis.
    Fibromyalgia.--The Committee is concerned by the lack of a 
sustained commitment to fibromyalgia-specific research at the 
NIAMS, and it strongly urges additional resources for this 
purpose. In particular, the Committee urges the Institute, in 
collaboration with the NINDS, to convene an international 
symposium to elucidate the state of the science with regard to 
fibromyalgia and to publish a consensus document within 1 year 
establishing a roadmap for future fibromyalgia research. In 
addition, it urges the NIAMS to establish a funded center with 
dedicated staffing to serve as a nexus for research on 
fibromyalgia and related disorders that will explore the broad 
spectrum of neurotransmitter abnormalities and other potential 
problems, including sleep disturbances, abnormal cervical 
anatomy and genetic factors, that might contribute to symptom 
development and expression. The Committee also encourages the 
Institute to support basic research into animal models of the 
disorder. Finally, the Committee urges the NIAMS to collaborate 
with the NIDDK in support of its Multi-disciplinary Approach to 
the Study of Chronic Pelvic Pain [MAPP] initiative.
    Lupus.--The Committee continues to strongly urge the 
Institute to greatly expand and intensify genetic, clinical, 
and basic research and related activities with respect to 
lupus, with particular focus on understanding the underlying 
mechanisms of disease, gene-gene and gene-environmental 
interactions, epidemiological research, lupus and kidney 
disease, biomarkers, pediatric research, environmental factors, 
and factors related to the health disparities and comorbidities 
associated with lupus.
    Marfan Syndrome.--The Committee encourages the NIAMS to 
expand its support for musculoskeletal/orthopedic research in 
this area and to partner with the NHLBI and the Marfan patient 
community in support of NHLBI's Pediatric Heart Network 
clinical trial on Marfan syndrome.
    Osteoporosis.--The Committee urges the NIAMS and NIA to 
support research into the pathophysiology of bone loss in 
diverse populations in order to develop targeted therapies to 
improve bone density, bone quality and bone strength. Research 
is also needed to identify the parameters that lead to the 
better prediction, prevention and treatment of bone diseases.
    Scleroderma.--The Committee is aware of emerging 
opportunities in scleroderma research and encourages the 
Institute to partner with the scleroderma patient community in 
convening a state of the science conference in this important 
area.
    Temporomandibular Joint Disorders [TMJDs].--As the 
temporomandibular joint is a joint in the body, the Committee 
believes that increased effort by the NIAMS on TMJDs is clearly 
warranted. Such an effort would greatly accelerate the basic 
and clinical understanding of this joint, critical to such 
functions as speaking, breathing, eating, swallowing and making 
facial expressions. The Committee calls on the NIAMS to work 
with the NIDCR and NIBIB to develop a research team involving 
bioengineers, computer scientists, basic and clinical 
scientists to study the jaw anatomy, physiology and the complex 
neural, endocrine and immune systems interactions that 
orchestrate jaw function and trigger pathology of the jaw 
joint. The Institutes should integrate the findings from 
interdisciplinary studies of the structure, mechanical 
function, metabolism, and blood flow of bone, joints, and 
muscles with studies of central and peripheral neural pathways, 
and the endocrine, paracrine, and cytokine factors that impact 
upon these craniofacial structures, as a means to understanding 
the underlying causes of pain and dysfunction.

    NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS

Appropriations, 2008....................................    $394,138,000
Budget estimate, 2009...................................     395,047,000
Committee recommendation................................     406,000,000

    The Committee recommends an appropriation of $406,000,000 
for the National Institute on Deafness and Other Communication 
Disorders [NIDCD]. The budget request is $395,047,000 and the 
fiscal year 2008 appropriation was $394,138,000.
    Animal Models.--The Committee notes that mouse models are 
too resistant for most auditory lesions and too small for most 
surgical work; thus, larger experimental animal models are 
desirable. Also, since the most common background mouse strain 
for genetic studies is itself susceptible to age-related 
hearing loss, the redevelopment of potentially useful genetic 
models is needed.
    Central Nervous System Plasticity.--The Committee urges the 
NIDCD to promote research to discover the cellular and genetic 
mechanisms that are responsible for central nervous system 
plasticity--how hearing loss changes the central nervous 
system--and how these alterations constrain auditory 
performance. Analysis at the level of synaptic connections 
through studies of perceptual learning is recommended.
    Early Detection and Intervention.--The Committee continues 
to recommend expanded research in effective intervention 
strategies to help infants identified in newborn hearing 
screening with mild, moderate and severe hearing impairment.
    Environmentally Induced Hearing Loss.--The Committee urges 
increased efforts by the NIDCD to raise awareness of the 
threats to the auditory system posed by environmental noise. 
Risks to hearing in the workplace, and through recreational 
activities and by loud consumer products should be publicized. 
The Committee urges the dissemination of information 
emphasizing the dangers to hearing from these sources, as well 
as protective measures, through such means as the Wise Ears! 
Campaign and the NIDCD website and publications. Research 
studies to increase understanding and treatment of hearing loss 
and central auditory processing disorders resulting from noise 
are also recommended. The Committee also understands the 
potentially deleterious effects of environmental chemicals in 
water and air, like lead, mercury and carbon monoxide, on the 
inner ear. The NIDCD is urged to support studies in this area, 
especially of chemicals' impact on hearing during prenatal and 
early postnatal development.
    Hearing Devices.--While research into regeneration and stem 
cell replacement promises beneficial discoveries in the future, 
the Committee recognizes that hearing aids and other assistive 
devices, such as cochlear prostheses, provide an important 
means to restore hearing in the present to individuals with 
deafness and other communication disorders. It recommends that 
the NIDCD support research to develop, improve and lower the 
cost of hearing aids, as well as support studies to allow the 
cochlear implant to benefit a greater number of individuals 
with profound hearing impairment. In addition, the Committee 
urges development of new central auditory prostheses that will 
open the door to hearing for many who cannot be helped by 
cochlear prostheses.
    Human Temporal Bone Studies.--The Committee recognizes the 
importance of the Human Temporal Bone Consortium to acquiring 
knowledge about inner ear pathology from debilitating auditory 
diseases such as Meniere's disease, presbycusis and sudden 
hearing loss. It encourages the NIDCD to continue supporting 
this valuable donor-tissue based research.
    Inner Ear Hair Cell Regeneration.--The Committee recognizes 
that restoration of hearing through regeneration biology has 
achieved scientific proof of concept and encourages further 
research to develop a human application. The NIDCD should build 
on promising new approaches in sensory cell regeneration and 
reparation. The Committee realizes that while studies of inner 
ear neuron loss indicate that residual hearing can be preserved 
with partial retention of these cells, more research is needed 
to elucidate the extent to which cell replacement would 
correlate with improved hearing.
    Presbycusis.--The Committee encourages continuing studies 
of the declining stria vascularis metabolism, as well as 
investigations of the central mechanisms of presbycusis.
    Psychosocial Interventions.--The Committee encourages 
continued research into behavioral and cognitive-behavioral 
studies validating, refining, and comparing approaches to the 
treatment of persons with autism and autism spectrum disorders 
and their families, as well as studies that analyze and define 
the critical features of effective interventions and the 
development of innovative methodologies and outcome measures.
    Tinnitus.--The Committee continues to remain interested in 
research on tinnitus, particularly in light of continued large 
increases in this condition among returning military personnel. 
The Committee encourages the NIDCD to continue to increase 
collaborative research efforts between the NIH, the Department 
of Defense, and the Department of Veterans Affairs.
    Translational Research.--The Committee favors continuation 
of research activities and clinical trials that can be used in 
treatments of communication and otologic disorders. Attention 
to clinical trials relevant to Meniere's disease and to 
preventative drug therapies for acoustic trauma and exposure to 
ototoxicants is strongly recommended.

                 NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2008....................................    $137,476,000
Budget estimate, 2009...................................     137,609,000
Committee recommendation................................     141,439,000

    The Committee recommends an appropriation of $141,439,000 
for the National Institute of Nursing Research [NINR]. The 
budget request is $137,609,000 and the fiscal year 2008 
appropriation was $137,476,000.
    Nurse-Family Partnership Program.--The Committee urges the 
NINR to expand Nurse-Family Partnership Programs affiliated 
with nurse-managed health centers and involve advanced practice 
nurses in research and demonstration projects.
    Nursing Shortage.--The Committee applauds the NINR for its 
vital role in educating the next generation of nurse 
researchers who will serve as nurse faculty in nursing schools.
    Preterm Births.--The Committee is aware of the increasing 
trend of preterm births, resulting in a gradual reduction over 
the last decade of the average gestation period from 40 weeks 
to 39 weeks in the United States. The NINR is urged to fund 
maternal-child research to help address the cause of the 
decreasing gestation period, the health impact of this trend, 
and any necessary interventions.

           NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2008....................................    $436,259,000
Budget estimate, 2009...................................     436,681,000
Committee recommendation................................     448,834,000

    The Committee recommends an appropriation of $448,834,000 
for the National Institute on Alcohol Abuse and Alcoholism 
[NIAAA]. The budget request is $436,681,000 and the fiscal year 
2008 appropriation was $436,259,000.
    Alcoholic Energy Drinks.--The Committee is aware of NIAAA-
funded research showing that college students who consumed 
alcoholic energy drinks were at greater risk of engaging in 
risky behaviors and experiencing alcohol-related harms. The 
Committee urges the NIAAA to initiate and pursue further 
research in this area, including the impact of pricing, 
packaging and marketing of these beverages on youth consumption 
patterns.
    Alcohol-induced Liver Damage.--The Committee urges the 
NIAAA to study the development of biomarkers in patients 
susceptible to alcohol-induced liver damage. The Committee also 
supports the study of medications development to treat 
alcoholic liver disease to reduce the incidence of liver 
transplantation.
    Behavior Change Research.--The Committee applauds the 
NIAAA's efforts to encourage a trans-NIH approach to 
understanding mechanisms of behavior change across a broad 
range of health-related behaviors.
    Hepatitis.--The Committee urges the NIAAA to work with 
voluntary health organizations, to promote liver wellness, 
education, and primary prevention of both hepatitis and 
substance abuse.
    Social Neuroscience and Behavior.--The emerging field of 
social neuroscience holds promise for understanding and 
treating alcohol use disorders, and the Committee is pleased 
that the NIAAA plans to invest in this field. The Committee 
also urges the NIAAA to support complementary research on 
social behavior, as research is needed on the implicit 
cognitive, emotional, and social factors that influence the 
transition from moderate to uncontrolled drinking, and to 
support studies on how socialization processes interact with 
neural aspects of emotion that either promote or protect 
against alcohol abuse.
    Underage Drinking.--The Committee commends the NIAAA for 
continuing to partner with the Office of the Surgeon General 
and SAMHSA to promote and disseminate ``The Surgeon General's 
Call to Action to Prevent and Reduce Underage Drinking.'' The 
Committee urges the NIAAA to continue researching the effects 
of alcohol on the adolescent brain and to provide guidance on 
screening for, and diagnosis of, alcohol misuse in children and 
adolescents. The Committee also encourages the NIAAA to engage 
in additional study of alcohol advertising issues as an 
underage drinking prevention research priority, including 
analysis of data on youth brand and beverage preferences.

                    NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2008....................................  $1,000,700,000
Budget estimate, 2009...................................   1,001,672,000
Committee recommendation................................   1,029,539,000

    The Committee recommends an appropriation of $1,029,539,000 
for the National Institute on Drug Abuse [NIDA]. The budget 
request is $1,001,672,000 and the fiscal year 2008 
appropriation was $1,000,700,000.
    Behavioral Research.--The Committee commends the NIDA for 
supporting research on adolescent sensitivity to drug use, and 
encourages further research, both animal and human, on social 
and environmental influences that may be responsible for this 
increased vulnerability. The Committee also encourages research 
on how behavioral changes during adolescence may be unique to 
drug abuse, and it applauds the NIDA's continued support of 
behavioral research using animal models.
    Drug Abuse and HIV/AIDS.--The Committee continues to be 
concerned about the impact of drug abuse and addiction on 
fueling the spread of HIV/AIDS. The Committee commends the NIDA 
for seeking innovative approaches to this health challenge, as 
exemplified by the 2008 Avant-Garde Program.
    Drug Treatment in Criminal Justice Settings.--Research 
continues to demonstrate that providing treatment to 
individuals involved in the criminal justice system 
significantly decreases future drug use and criminal behavior, 
while improving social functioning. The Committee strongly 
supports the NIDA's efforts in this area, particularly the 
Criminal Justice Drug Abuse Treatment Studies [CJ-DATS].
    Genetics of Addiction.--The Committee supports the NIDA's 
focus on understanding the various aspects and roles of 
genetics in addiction, and recommends comprehensive future 
efforts focusing on the identification of vulnerability genes, 
how the environment can bring about long-term changes in gene 
expression, and how genes influence an individual's reaction to 
drugs and medications.
    Health Disparities and Education/Income Levels.--The 
Committee notes that people with less education and lower 
incomes are disproportionately vulnerable to drug dependence. 
The Committee commends the NIDA for encouraging researchers to 
investigate mediators and moderators of such increased 
vulnerability on how to effectively tailor drug abuse 
prevention and treatment interventions to these at-risk 
populations.
    Medications Development.--The Committee encourages the NIDA 
to develop new, effective medications that could, either by 
themselves or combined with validated behavioral therapies, 
help alleviate the personal and social impact of addiction.
    Prescription Drug Abuse.--The Committee continues to 
commend the NIDA for its leadership in addressing the issue of 
prescription drug abuse, especially among the Nation's youth.
    Pulmonary Hypertension.--The Committee notes with concern a 
significant increase in the number of pulmonary hypertension 
diagnoses related to the abuse of methamphetamine. The 
Committee encourages the NIDA, in partnership with the 
pulmonary hypertension community, to initiate appropriate 
research and awareness activities.
    Single State Authorities [SSA].--The Committee urges the 
NIDA to continue SSA Research Infrastructure Grants to allow 
additional State substance abuse agencies to benefit from the 
program.
    Young Investigators.--The Committee recognizes the 
importance of replenishing the ``pipeline'' of scientists in 
the addiction field, and it congratulates the NIDA for efforts 
such as the A-START program, which assists young investigators 
building new research programs on drug abuse and HIV/AIDS 
prevention.

                  NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2008....................................  $1,405,476,000
Budget estimate, 2009...................................   1,406,841,000
Committee recommendation................................   1,445,987,000

    The Committee recommends an appropriation of $1,445,987,000 
for the National Institute of Mental Health [NIMH]. The budget 
request is $1,406,841,000 and the fiscal year 2008 
appropriation was $1,405,476,000.
    Behavioral Research.--The Committee urges the NIMH to put a 
greater emphasis on behavioral research in accordance with the 
first objective of its preliminary strategic plan, to ``promote 
discovery in the brain and behavioral sciences.'' In 
particular, the Committee urges a greater focus on the study of 
personality and social psychology, and basic animal behavior. 
In the area of HIV/AIDS, the Committee notes that behavioral 
research aimed at reducing the likelihood of HIV infection 
should include structural, environmental, and socio-economic 
variables to ensure that research-based interventions can be 
evaluated as appropriate for racial and ethnic minority 
populations.
    Minority Training.--The Committee is disappointed to learn 
that the NIMH intends to reduce funding for its diversity 
training programs at a time when reducing health disparities 
for vulnerable and underserved populations should be a high 
priority. The Committee understands that a National Advisory 
Mental Health Council workgroup is studying the issue, and it 
requests to be notified when the group's report is completed.
    Older Adults.--For the past several years, the Committee 
has recommended that the NIMH increase the amount of research 
grant funding devoted to older adults over the age of 65. 
Nevertheless, that funding has decreased significantly (both in 
real dollars and as a percentage of the total NIMH budget) at a 
time when the number of Americans over age 65 is increasing. 
The Committee strongly urges the NIMH to reverse that trend. 
The Committee also urges the Director of NIH, through the 
DCPASI, to examine the NIH's commitment to the treatment of 
late-life mental disorders and to identify potential areas of 
collaboration among the NIMH, NIA, and NINDS. Finally, the 
Committee urges the NIMH to develop additional outreach 
programs to stimulate growth in this field, both in terms of 
the number of research grant applications in aging as well as 
the number of researchers focused on aging and mental health.
    Postpartum Depression.--The Committee urges the NIMH to 
develop a research plan for postpartum depression and 
psychosis; expand basic research on the etiology and causes of 
postpartum conditions; expand epidemiological studies to 
address the frequency and natural history of postpartum 
conditions and the differences among racial and ethnic groups 
with respect to such conditions; expand the development of 
improved screening and diagnostic techniques; and increase 
clinical research for the development and evaluation of new 
treatments.
    Preventing Suicide.--The Committee encourages the NIMH to 
increase the amount of funding it provides to develop 
practical, therapeutic approaches to reducing the burden of 
suicide, attempted suicide, and their attendant risk factors, 
by integrating biological, psychotherapeutic, service-based, 
and preventive interventions. The Committee continues to 
encourage the NIMH to support advanced as well as additional 
developing centers for the intervention and prevention of 
suicide, and to ensure that they are well distributed 
geographically. The Committee also notes that suicide remains 
the third-leading cause of death among teenagers and that 
depressive disorders continue to be very common in adolescence. 
The Committee therefore strongly encourages NIMH to increase 
its investment in finding ways to better identify the risk 
factors for suicide in adolescents, improving the criteria for 
identifying those at risk, and examining the outcomes of 
actions taken to assist those found to be at risk.
    Tuberous Sclerosis Complex.--The Committee encourages the 
NIMH, working together with the NICHD and NINDS, to support 
research on the pathophysiology of autism spectrum disorder in 
tuberous sclerosis complex, and other known genetic disorders 
where autism has a significant impact on individuals with the 
disease.

                NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2008....................................    $486,779,000
Budget estimate, 2009...................................     487,878,000
Committee recommendation................................     501,411,000

    The Committee recommendation includes $501,411,000 for the 
National Human Genome Research Institute [NHGRI]. The budget 
request is $487,878,000 and the fiscal year 2008 appropriation 
was $486,779,000.
    Gene-environment Interactions.--The NHGRI is encouraged to 
invest in research on ways that gene expression is influenced 
by the physical and social environment. The Committee 
encourages the NHGRI, on its own and in partnership with other 
Institutes and Centers, to continue its emphasis on the 
development of real-time environmental monitoring technologies 
and the advancement of tools to measure psychosocial stress and 
its influence on gene expression.
    Spinal Muscular Atrophy.--The Committee continues to 
support the development of a pan-ethnic carrier screening 
program for SMA. The Committee is pleased that the NHGRI and 
NICHD held a conference in February 2008 exploring the 
complexities of carrier screening programs for diseases such as 
SMA and that the conference included scientific, medical, and 
advocacy perspectives. The Committee encourages the NHGRI, 
NICHD, and NINDS to collaborate in further exploration of pan-
ethnic carrier screening for SMA and on the development of 
specific recommendations and guidelines for providers and 
patients, and to continue working cooperatively with 
professional societies and the advocacy community in these 
efforts. The Committee requests an update on these activities 
in the fiscal year 2010 congressional budget justifications.

      NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2008....................................    $298,645,000
Budget estimate, 2009...................................     300,254,000
Committee recommendation................................     307,254,000

    The Committee recommends an appropriation of $307,254,000 
for the National Institute of Biomedical Imaging and 
Bioengineering [NIBIB]. The budget request is $300,254,000 and 
the fiscal year 2008 appropriation was $298,645,000.
    Intramural Research.--The NIBIB is urged to use a portion 
of the additional resources provided in the Committee's 
recommendation to support a new intramural research laboratory 
in translational radiologic research.

                 NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2008....................................  $1,149,446,000
Budget estimate, 2009...................................   1,160,473,000
Committee recommendation................................   1,192,576,000

    The Committee recommends an appropriation of $1,192,576,000 
for the National Center for Research Resources [NCRR]. The 
budget request is $1,160,473,000 and the fiscal year 2008 
appropriation was $1,149,446,000.
    The NCRR receives a larger percentage increase under the 
Committee's recommendation than other Institutes and Centers 
because some of the costs of the Clinical and Translational 
Science Awards [CTSAs] program would shift to the NCRR from the 
Common Fund. The Committee recommendation includes a total of 
$474,972,000 for the CTSAs in fiscal year 2009, divided as 
follows: $421,748,000 from the NCRR, compared with $376,264,000 
in fiscal year 2008; and $53,224,000 from the Common Fund, down 
from $83,224,000 in fiscal year 2008. The fiscal year 2008 
total for CTSAs was $471,916,000.
    Institutional Development Awards [IDeA].--The Committee has 
provided $225,788,000 for the IDeA program authorized by 
section 402(g) of the Public Health Service Act. The fiscal 
year 2008 funding level was $218,153,000, the same as the 
budget request. The Committee recognizes the importance of the 
Centers of Biomedical Research Excellence and the IDeA Networks 
of Biomedical Research Excellence programs in improving the 
infrastructure and strengthening the biomedical research 
capacity and capability of research institutions within the 
IDeA States.
    K30 Awards.--The Committee supports the continuation of the 
K30 Clinical Research Curriculum Awards mechanism for those 
institutions not yet receiving Clinical and Translational 
Science Awards.
    Research Centers at Minority Institutions.--The Committee 
continues to encourage the NCRR to strengthen participation 
from minority institutions, especially those with a track 
record of producing minority scholars in science and 
technology.

       NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE

Appropriations, 2008....................................    $121,577,000
Budget estimate, 2009...................................     121,695,000
Committee recommendation................................     125,082,000

    The Committee has included $125,082,000 for the National 
Center for Complementary and Alternative Medicine [NCCAM]. The 
budget request is $121,695,000 and the fiscal year 2008 
appropriation was $121,577,000.
    Behavioral Interventions.--The Committee encourages NCCAM 
to continue exploring the combined effects of behavioral 
interventions and pharmacotherapies/biologics in the prevention 
and treatment of debilitating conditions across the lifespan, 
with research that elucidates and enhances the mind-body 
connections in health.
    Communication Between Patients and Caregivers.--The 
Committee applauds NCCAM for its work to develop better 
strategies for promoting communication between doctors and 
their patients who use CAM, especially adults over 50.

       NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2008....................................    $199,569,000
Budget estimate, 2009...................................     199,762,000
Committee recommendation................................     205,322,000

    The Committee has included $205,322,000 for the National 
Center on Minority Health and Health Disparities. The budget 
request is $199,762,000 and the fiscal year 2008 appropriation 
was $199,569,000.
    Adolescents and Suicide.--The Committee strongly encourages 
the NCMHD to expand and strengthen science-based research for 
minority populations at elevated risk for suicide. The 
Committee further urges the Center to issue a report 
identifying best practices for collecting and disseminating 
data on evidence-based suicide prevention programs for 
adolescents and young adults with the identified populations.
    Data on Training.--The Committee endorses the 
recommendations put forward in the National Academy of 
Sciences' 2005 report on NIH minority research training 
programs, and it urges the NCMHD to collaborate with all 
Institutes and Centers to develop a coordinated response and to 
produce an integrated NIH-wide trainee data tracking system. 
The Committee further urges the Center to engage trainees 
actively in the data tracking process to document outcomes such 
as funding awards for trainees or fellows, including those 
programs that are targeted to underrepresented minorities.
    Glomerular Disease.--The Committee continues to urge the 
NCMHD to collaborate with the NIDDK on glomerular disease, a 
group of diseases that is more prevalent among African 
Americans than in the general population.
    Project Export.--The Committee urges continued support for 
this important program.

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

Appropriations, 2008....................................     $66,558,000
Budget estimate, 2009...................................      66,623,000
Committee recommendation................................      68,476,000

    The Committee recommends an appropriation of $68,476,000 
for the Fogarty International Center [FIC]. The budget request 
is $66,623,000 and the fiscal year 2008 appropriation was 
$66,558,000.
    Drug-resistant Tuberculosis.--The Committee notes with 
concern the development of drug-resistant tuberculosis in 
middle- and low-income countries. The Committee urges the FIC 
to continue and expand its support of tuberculosis training 
through the AIDS International Training and Research Program.
    Research Training and Workforce Capacity.--The Committee 
recognizes that long-term sustainability is critical to U.S.-
supported global health initiatives, such as those that target 
HIV/AIDS, malaria, and neglected diseases. Therefore, the 
Committee strongly supports the FIC's efforts to strengthen in-
country research workforces, which help to ensure that programs 
are continuously improved and adapted to local conditions, and 
that the impact of U.S. investments is maximized.
    HIV Prevention Trials.--The Committee encourages the FIC to 
continue, and initiate where necessary, programs to strengthen 
the capacity of developing country partners to ensure that HIV 
prevention research has appropriate resources to conduct 
research that is ethically sound and that site-level 
researchers, staff, and sponsors appropriately engage local 
communities and other civil society stakeholders.

                      NATIONAL LIBRARY OF MEDICINE

Appropriations, 2008....................................    $320,507,000
Budget estimate, 2009...................................     323,046,000
Committee recommendation................................     329,996,000

    The Committee recommends an appropriation of $329,996,000 
for the National Library of Medicine [NLM]. The budget request 
is $323,046,000 and the fiscal year 2008 appropriation was 
$320,507,000. These amounts include $8,200,000 made available 
from program evaluation funds.
    Communication of Research Findings.--The Committee is 
pleased that NLM has followed through on its commitment to 
expand the distribution of NIH MedlinePlus magazine. The 
Committee strongly urges the NLM to put a high priority on 
supplying all physician offices with this valuable resource.
    Disaster Information Management.--The Committee supports 
the plan to establish a Disaster Information Management 
Resources Research Center, which will lead Federal efforts to 
identify and implement best practices for maintaining access to 
health information during disasters, develop innovative 
products and services to serve emergency responders and 
preparedness activities, and conduct research to support 
disaster health information management. The Center should also 
collaborate with other Federal agencies, local communities and 
public health officials in efforts to prevent, respond to, and 
reduce the adverse health effects of disasters.
    Drug-induced Liver Disease.--The Committee urges a 
redoubled effort to create an accessible and user-friendly 
website on drug-induced liver disease.
    Native Hawaiian Healthcare Resources.--The Committee 
continues to encourage the NLM to work with Native Hawaiian 
organizations to provide health information and health 
resources for this population.
    NLM Outreach Programs.--The Committee continues to 
recognize the role of NLM's outreach activities focused on 
providing scientific information to health care professionals 
and health care information to consumers.

                         OFFICE OF THE DIRECTOR

Appropriations, 2008....................................  $1,109,099,000
Budget estimate, 2009...................................   1,056,797,000
Committee recommendation................................   1,275,281,000

    The Committee recommends an appropriation of $1,275,281,000 
for the Office of the Director [OD]. The budget request is 
$1,056,797,000 and the fiscal year 2008 appropriation was 
$1,109,099,000.
    The Committee has included bill language specifying the 
amount for the Common Fund as $568,119,000. The comparable 
amount for fiscal year 2008 was $495,608,000, and the budget 
request is $533,877,000.
    Conflict of Interest.--The Committee greatly appreciates 
the Director's efforts to produce a stronger policy for its 
employees regarding conflicts of interest and financial 
disclosure. This was an arduous task but worth the effort, as 
it served to reassure the public and Congress that NIH 
employees are meeting high standards of conduct. However, the 
Committee notes that the vast majority of NIH funding is 
awarded extramurally, to non-Federal employees and 
institutions. Troubling allegations that some NIH-funded 
investigators have flaunted their universities' conflict-of-
interest rules have recently come to light, and it seems clear 
that the NIH currently has no ability to monitor or prevent 
such abuses. Moreover, up to this point the NIH leadership has 
not demonstrated much interest in dealing with the issue. That 
must change. The Committee believes that the Director has no 
higher priority in the coming year than to address this 
situation and fix it.
    Data Security.--The Committee was disappointed by the 
widely publicized reports this spring that an NIH employee had 
failed to encrypt sensitive patient data on a laptop computer 
which was stolen from his car, placing 2,500 people at risk of 
identity theft. While the incident served as an important 
reminder that all employees must comply with the Government's 
data-security policy, the handling of the incident by NIH 
officials, who delayed notification to the affected patients by 
almost a month, raised equally disturbing questions. The 
Committee expects to be updated on the NIH's efforts to 
institute stricter compliance of the security policy as well as 
clearer procedures for notifying patients immediately when 
their personal information is at risk of being compromised.
    High-risk/High-reward Research.--The Committee notes that 
flat budgets sometimes make review panels overly conservative 
when judging grant applications. The Committee therefore 
applauds the NIH for creating sources of funding that are 
dedicated specifically to research that is relatively risky but 
could lead to significant advances. One such program is the 
Director's Pioneer Awards, for which the Committee provides 
$45,000,000, an increase of $9,000,000 over the fiscal year 
2008 level. This program makes awards to investigators with a 
history of doing innovative research. The Committee also 
includes up to $50,000,000 for Transformative Research Project 
Grants, a new program that will provide grants for potentially 
transformative investigator-initiated projects, and 
$108,027,000, an increase of $51,853,000 over the fiscal year 
2008 level, for New Innovator Awards, which are directed to 
young investigators.
    New and Early-stage Investigators.--The Committee 
encourages the NIH to continue its commitment to maintaining 
the pipeline of new and early-stage investigators, who tend to 
fare more poorly during tight financial times than their 
veteran counterparts. Through programs such as the NIH 
Director's New Innovator Awards, the NIH Director's Bridge 
Awards, and the Pathway to Independence Awards, as well as 
individual programs undertaken by the Institutes and Centers, 
the NIH has made significant investments to attract and support 
the researchers of the future. The Committee was pleased to 
note that in fiscal year 2007, the NIH set a policy to support 
its 5-year historical average of first-time and early-stage 
investigators at about 1,500, and that the NIH exceeded this 
target. The Committee encourages the NIH to continue these 
efforts, and to seek to support 1,750 new investigators in 
fiscal year 2009.

Office of Behavioral and Social Sciences Research [OBSSR]

    Basic Research.--The Committee urges the OBSSR to continue 
to build collaborations with Institutes and Centers in support 
of basic behavioral and social science research, including 
Roadmap proposals and workshops. As the OBSSR has no grant-
making authority, the Committee continues to urge focused 
scientific leadership for basic behavioral and social science 
research in an Institute that does have such authority. The 
Committee is pleased, meanwhile, that the OBSSR continues to 
provide leadership in support of this effort by coordinating 
targeted efforts among institutes.
    Health Disparities.--The Committee encourages the OBSSR to 
maintain its important role in spurring new, innovative 
behavioral research on health disparities by coordinating work 
among several Institutes and Centers.

Office of Rare Diseases [ORD]

    Mucopolysaccharidosis [MPS].--The Committee commends the 
ORD for its collaboration with the NINDS and NIDDK in support 
of the scientific meeting ``Towards Clinical Progress in the 
Mucopolysaccharidoses.'' The Committee also acknowledges the 
ORD's helpful role in coordinating research and providing 
information to patient advocates.
    Rare Disease Specimens.--The Committee understands that 
obtaining human tissues for rare diseases has been a major 
barrier in expanding research aimed at treating and curing 
these diseases. The Committee applauds the ORD and NCRR for 
supporting nonprofit efforts to procure rare disease specimens.

Office of Research on Women's Health [ORWH]

    Chronic Fatigue Syndrome [CFS].--The Committee urges the 
ORWH to convene the annual meeting of investigators funded 
under the fiscal year 2007 CFS neuroimmune research initiative 
to stimulate new research initiatives and build multicenter 
collaborations. The Committee again urges the NIH to establish 
an intramural CFS research program with relevant areas of 
scientific expertise to study disease pathophysiology, identify 
biomarkers, objective diagnostic tools and better therapeutic 
approaches. The Committee also continues to expect that the 
disease and research category reporting system being developed 
by the NIH will yield more accurate data on CFS funding. 
Finally, the Committee urges the NIH to ensure that study 
sections responsible for reviewing grants on CFS include 
experts who are qualified in the appropriate disciplines.
    Irritable Bowel Syndrome [IBS].--The Committee continues to 
welcome the ORWH's focus on IBS.
    Stroke in Women.--The Committee continues to urge 
additional research in stroke among women of all ages, with 
specific attention to gender-related differences in stroke 
risk, and to prevention interventions, acute stroke management, 
post-stroke recovery, long-term outcomes, and quality of care. 
As an example, the Committee encourages research to determine 
the biologic basis, including studies of genetic susceptibility 
factors, as to why migraine with aura is a risk factor for 
stroke, particularly among young women. The Committee also 
supports the NIH's initiatives toward advancing the 
organization of stroke care in women, including post-stroke 
rehabilitation, and the identification of stroke treatment and 
research centers that would provide rapid, early continuous 24-
hour treatment to stroke victims.
    Vulvodynia.--The Committee commends the ORWH for working 
with patient and professional groups, relevant ICs and women's 
health offices in HHS agencies to plan an educational outreach 
campaign on vulvodynia, launched in October 2007. The Committee 
calls upon the Director to allocate sufficient resources to 
this effort to ensure that the developed materials can be more 
widely disseminated to the public, patient and medical 
communities. In addition, since nearly 5 years have passed 
since the last NIH conference on vulvodynia, the Committee 
requests that ORWH convene, with the support of relevant ICs, a 
consensus conference on vulvodynia in fiscal year 2009, with 
specific emphasis on co-morbidities. The Committee notes the 
lack of appropriate experts in vulvodynia and related chronic 
pain and female reproductive system conditions on peer-review 
panels and again encourages the Director to work with the 
Center for Scientific Review and ICs to ensure their adequate 
representation. Finally, the Committee asks the NIH to include 
vulvodynia on its online ``Estimates of Funding for Various 
Diseases, Conditions, Research Areas'' table.

Multi-Institute Research Initiatives

    Autism.--The Committee is encouraged by the NIH's stated 
increases in autism spending and urges more research that is 
directly related to autism. Further, the Committee strongly 
urges NIH to fund research priorities outlined in the Strategic 
Plan for ASD Research that is being developed by the Inter-
Agency Autism Coordinating Committee. The Committee also 
requests the NIH to report by July 2009 on the actions it has 
taken to implement the recommendations of the Strategic Plan 
for ASD research and the research-specific portions of the 
Combating Autism Act.
    Bridging the Sciences.--The Committee continues to support 
the ``Bridging the Sciences'' demonstration program and 
requests a report on its implementation by July 30, 2009.
    Computer Science and Robotics Research.--The Committee 
recognizes that research in the fields of computer science and 
robotics has demonstrated significant benefits in advancing the 
study and application of medicine and health care. The 
Committee urges the Director to investigate and broaden the 
currently defined categories of computer science and robotics 
research, and increase funding in this area.
    Duchenne and Becker Muscular Dystrophy [DBMD].--The 
Committee is encouraged by the progress made in the area of 
DBMD, particularly through support of the six Wellstone MD 
centers of excellence and advancement of a conference focusing 
on translational research opportunities. The Committee urges 
the NIH to continue to provide sufficient funding through the 
NINDS, NIAMS, and NICHD to advance the work of the centers, 
encourage greater collaboration and resource sharing between 
centers, and to further additional DBMD research opportunities. 
The Committee is pleased that the Muscular Dystrophy 
Coordinating Committee now includes the Director of NHLBI, and 
supports the increased research emphasis on cardiopulmonary 
complications associated with muscular dystrophy and enhanced 
collaboration with other NIH institutes.
    Epilepsy.--The Committee recognizes the NINDS as the 
primary Institute for epilepsy research and strongly encourages 
the coordination of research efforts with the NICHD, NIMH and 
NIA. Although epilepsy often begins in childhood, the number of 
affected senior citizens is growing at a rapid pace. This is 
partly due to the effects of age-related illness. As such, 
broad research in epilepsy must be made a priority, with 
special emphasis on the developmental effects of epilepsy, 
seizure prevention, improved therapies, and treatment. The 
Committee urges the Director of NIH to intensify coordination 
of cross-cutting research on epilepsy in all Institutes as 
appropriate and be prepared to provide a report during the 
fiscal year 2010 budget hearings.
    Food Allergies.--In addition to the recommendations under 
the NIAID section of this report, the Committee encourages the 
NIDDK to explore the linkage between digestion and severe food 
allergies. The Committee also encourages the NIEHS to continue 
funding research in conjunction with the NIAID on the 
relationship between environmental conditions and severe food 
allergies.
    Fragile X.--The Committee commends the Director for 
establishing the NIH Fragile X Research Coordinating Group and 
strongly urges his office to ensure that appropriate resources 
are provided to implement the objectives outlined in the 
Fragile X Research Plan that is being developed. As for 
individual Institutes, the Committee encourages the NIMH to 
enhance its critical Fragile X translational research efforts 
by joining with the NICHD and NINDS to develop cooperative 
research support mechanisms for controlled studies of existing 
and new pharmacological treatments for Fragile X and 
identification of the key molecular targets that are likely 
candidates for designing drug treatments for Fragile X and 
related disorders such as autism. The Committee endorses 
accelerated funding for basic and translational Fragile X 
research, including Fragile X tremor ataxia syndrome [FXTAS], 
and efforts to analyze the linkages among Fragile X syndrome, 
autism, and autism spectrum disorders. Regarding other 
Institutes, the Committee urges the NIDDK to expand its 
research activities on Fragile X, given that Fragile X symptoms 
often include digestive difficulties, and some affected 
individuals also show hyperphagia and obesity. The NHGRI is 
urged to contribute to efforts to expand newborn screening to 
include Fragile X, and to understand the ethical and 
psychosocial implications of detection of children and young 
women who are found to be carriers of FMRP premutations and 
full mutations. The Committee urges the NICHD to include the 
collection of genetic and DNA data on women who are relatives 
of people living with Fragile X in the development of a 
National Fragile X Patient Registry, to ensure that a 
comprehensive research strategy on FXPOI as it relates to the 
FMR1 gene be included in the NIH's Fragile X Research 
Blueprint, and to continue to prioritize Fragile X as a key 
prototype in the development of cost-effective newborn 
screening programs. In addition, the Fogarty International 
Center is encouraged to continue to identify and promote 
opportunities for furthering Fragile X basic and translational 
research efforts, including the establishment of public/private 
partnerships that will increase the number of international 
Fragile X research projects and collaborations. The Committee 
commends the NIH for supporting a scientific session on Fragile 
X, and it requests a report on progress made in implementing 
the recommendations of that session, as well as the Fragile X 
Research Blueprint, by September 1, 2009.
    Gene Therapy.--The Committee is aware of the extensive and 
growing body of research indicating that gene therapy may be 
useful in developing treatments or cures for a wide range of 
problems, such as lung disease, retina-causing blindness, 
cancer, cystic fibrosis, and cardiovascular diseases. 
Nevertheless, clinical gene therapy protocols seem to be 
lagging in the United States, especially when compared to 
Europe. The Committee commends the NIDDK for its recent meeting 
aimed at delving into this issue and identifying challenges to 
gene therapy clinical trials and how these barriers could be 
overcome. The NIH is urged to address those challenges either 
through organizational improvements and inter-Institute 
collaboration, realigned funding streams, or other mechanisms 
aimed at unlocking the promise of gene therapy.
    Human Tissue Supply.--The Committee remains interested in 
matching the increased needs of NIH grantees who rely upon 
human tissues and organs to study human diseases and search for 
cures. The Committee encourages the Director to increase 
support for nonprofit organizations that supply human tissues 
to NIH-funded researchers.
    Hydrocephalus.--The Committee urges the Director to 
establish a working group to intensify research efforts into 
the epidemiology, pathophysiology, disease burden and treatment 
of hydrocephalus, and to ensure collaboration among relevant 
Institutes. The Committee requests an update on the progress of 
such collaborative efforts in the fiscal year 2010 budget 
justifications, as well as projected spending on hydrocephalus 
research.
    Inherited Diseases of Bone.--The Committee urges the NIH to 
expand genetics research on diseases such as osteogenesis 
imperfecta, fibrous dysplasia, osteopetrosis, and Paget's 
disease. The Committee encourages the NIAMS, NIA and other 
Institutes to issue program announcements on the interaction of 
environmental and genetic factors in Paget's disease and for a 
study of the current prevalence of Paget's disease. 
Furthermore, the Committee urges the NIH to expand research on 
skeletal stem cell biology and the genetics and pathophysiology 
of rare bone disorders such as fibrous dysplasia, 
melhoreostosis, XLinked hypophosphatemic rickets and 
fibrodysplasia ossificans progressiva.
    Limb-sparing Techniques.--The Committee is aware that the 
wars in Iraq and Afghanistan are producing a new type of 
patient--a war fighter with multiple and severely mangled 
extremities. Therefore, there is a profound need for targeted 
medical research to help military surgeons find new limb-
sparing techniques to save injured extremities, avoid 
amputations, and preserve and restore the function of injured 
extremities. The Committee urges the Director of NIH to make 
this issue a trans-NIH priority and to use the considerable 
expertise of all of the Institutes to fund research that will 
provide military surgeons with the tools to save severely 
injured limbs.
    Lupus Research Plan.--In response to this Committee's 
request for a 5-year trans-Institute research plan on lupus, 
NIH last year developed and published ``The Future Directions 
of Lupus.'' The Committee requests an update in the fiscal year 
2010 congressional budget justifications.
    Lymphatic Research and Lymphatic Disease.--The Committee 
strongly urges the Director to foster lymphatic research 
initiatives and awareness across all relevant ICs, including 
but not limited to: NHLBI, NCRR, NIBIB, NCI, NIDDK, NIAMS, 
NIAID, NICHD, NIA, and NHGRI. The Committee commends the NHLBI 
for taking a leadership role in the Trans-NIH Coordinating 
Committee and for engaging consultative expertise pursuant to 
the Intergovernmental Personnel Act. The Committee encourages 
appointment of additional leadership from other ICs (e.g., co-
chairs). As the last report by the Trans-NIH Coordinating 
Committee was in April 2003, the Committee requests a 
comprehensive update by March 1, 2009, setting forth short- and 
long-term strategic plans to advance research of the lymphatic 
system and lymphatic diseases, and specifically addressing the 
Trans-NIH Working Group 2008 Recommendations. The Committee 
again urges that ICs specifically cite lymphatic system 
research in related funding mechanism requests where a 
lymphatic research component is appropriate.
    Metabolic Diseases and Bone.--The Committee urges the NIH 
to support research in the emerging field of metabolic diseases 
and bone. The increase in childhood obesity and its negative 
consequences on bone represents a significant health threat. 
New research indicates connections between diabetes and neural 
diseases and bone that were previously not suspected and merit 
further research. Therapies are required for secondary 
osteoporosis in children such as calcium supplementation and 
physical activity. The Committee also encourages more research 
on the beneficial and/or adverse effects of bone therapies such 
as bisphosphonates in children and adults with many chronic 
diseases.
    Native Hawaiians.--The Committee remains concerned about 
the high incidence of certain diseases among Native Hawaiians. 
In particular, it strongly urges additional research concerning 
these disparities in the areas of cancer, heart disease, 
cerebrovascular disease and diabetes.
    Neurofibromatosis [NF].--NF is an important research area 
for multiple NIH Institutes. Recognizing NF's connection to 
many of the most common forms of cancer, the Committee 
encourages the NCI to substantially increase its NF research 
portfolio in pre-clinical and clinical trials. The Committee 
also encourages the NCI to support NF centers, virtual centers, 
SPORE programs, pre-clinical mouse consortiums, patient 
databases, and tissue banks, and to work together with other 
NIH Institutes and Government agencies in doing so. The 
Committee also urges additional focus from the NHLBI, given 
NF's involvement with hypertension and congenital heart 
disease. The Committee encourages the NINDS to continue to 
aggressively explore NF's implications for disorders such as 
autism, spinal cord injury, learning disabilities and memory 
loss. In addition, the Committee continues to encourage the 
NICHD to expand funding for NF patients in the area of learning 
disabilities, including the creation of NF centers. NF2 
accounts for approximately 5 percent of genetic forms of 
deafness; the Committee therefore encourages the NIDCD to 
expand its NF2 research portfolio.
    Opsoclonus-myoclonus Syndrome [OMS].--The Committee urges 
the Director to accelerate research on OMS and related 
paraneoplastic syndromes. Because the causes and symptoms of 
OMS cross scientific boundaries, research efforts should 
involve the Office of Rare Disorders, NINDS, NCI, NIAID and 
NEI, as well as private associations and nonprofit 
organizations.
    Pain Research.--Pain, shortness of breath, and nausea are 
the most common physical symptoms in all serious illnesses. The 
Committee urges the NIH to devise a strategy that will increase 
the funding devoted to basic and clinical research in pain, 
shortness of breath, and nausea. In addition, the Committee 
requests an update on the Pain Progress Review Group in the 
fiscal year 2010 congressional budget justifications.
    Primary Immunodeficiency [PI] Diseases.--The Committee 
strongly supports plans for a public-private partnership among 
the NICHD, NIAID, NHLBI, and NIDDK, and a private foundation 
that would fund a network of diagnostic and research centers 
conducting research on PI diseases.
    Psoriasis.--The Committee strongly encourages the NIAMS and 
NIAID to undertake and expand basic research related to 
understanding the genetics and immunology of psoriasis, 
including how genetic variation gives rise to differences in 
treatment responses and mechanisms that link skin and joint 
inflammation. The Committee encourages the NIMH to conduct 
research to identify any underlying biologic reason for mental 
health issues associated with psoriasis and to understand how 
negative social and psychological effects impact psoriasis. The 
Committee encourages the NIEHS to study these associations to 
better understand psoriasis and psoriatic arthritis in order to 
treat and prevent these diseases.
    Sex Differences.--For many disorders, the sex of the 
patient influences disease etiology, natural history, diagnosis 
and treatment alternatives and outcomes. One of the fields 
where such differences are most pronounced is neuroscience. The 
Committee encourages each of the 15 institutes involved in the 
NIH Neuroscience Blueprint to carefully analyze their Blueprint 
research portfolio to ensure sex is included as a variable, 
when appropriate, and to require that all reported results 
include sex-specific analysis.
    Spina Bifida.--The Committee encourages the NIDDK, NICHD, 
and NINDS to study the causes and care of the neurogenic 
bladder in order to improve the quality of life of children and 
adults with spina bifida; to support research to address issues 
related to the prevention and treatment of spina bifida and 
associated secondary conditions such as hydrocephalus; and to 
invest in understanding the myriad co-morbid conditions 
experienced by children with spina bifida, including those 
associated with both paralysis and developmental delay.
    Spinal Muscular Atrophy [SMA].--Given the near-term 
scientific opportunity for an effective treatment, the 
Committee urges the Director to expeditiously establish a 
trans-NIH working group on SMA to include the NINDS, NICHD, 
NIAMS and NIGMS, as well as other relevant Institutes, to 
ensure direct and ongoing support of SMA research and drug 
development, including the establishment of a clinical trials 
network for SMA that will be needed to support each stage of 
drug development. With respect to the work of individual 
Institutes, the Committee notes that the NICHD has supported 
several new projects on SMA in 2007 but that collectively these 
efforts fall short of what is needed and that previously funded 
efforts have lapsed. The Committee urges the NICHD to support 
large-scale pilot studies that support the development of a 
national newborn screening program for SMA. The NINDS is 
strongly encouraged to plan and budget for each of the 
successive stages of the SMA Project, including for preclinical 
testing of multiple compounds and the necessary clinical trials 
infrastructure on a national and coordinated level and to begin 
a multicenter trial with leading drug candidates. Finally, the 
Committee urges the NIAMS to take an active role in research 
that would provide a better understanding of the effects of 
SMA-linked mutations on muscle as well as research that could 
provide therapeutic benefit through actions on muscle.
    Toxicity Testing of Chemicals.--The Committee applauds the 
memorandum of understanding between the NIH and the EPA titled 
``High Throughput Screening, Toxicity Pathway Profiling and 
Biological Interpretation of Findings,'' and it encourages the 
NIH to provide funding to implement the goals under its 
jurisdiction.
    Tuberous Sclerosis Complex [TSC].--The Committee encourages 
the Office of the Director to continue to support the Trans-NIH 
Tuberous Sclerosis Complex Coordinating Committee, with 
particular emphasis on research on the link between TSC and 
autism spectrum disorder, as well as between common disorders 
(cancer, diabetes, aging, arthritis and obesity) and rare 
diseases (Peutz-Jegher syndrome, Cowden's disease, Proteus 
syndrome and lymphangioleiomyomatosis) that share a link to the 
mTOR signaling pathway in cells throughout the human body.

                        OFFICE OF AIDS RESEARCH

    The Office of AIDS Research [OAR] coordinates the 
scientific, budgetary, legislative, and policy elements of the 
NIH AIDS research program. The Committee recommendation does 
not include a direct appropriation for the OAR. Instead, 
funding for AIDS research is included within the appropriation 
for each Institute, Center, and Division of the NIH. The 
recommendation also includes a general provision which directs 
that the funding for AIDS research, as determined by the 
Director of the National Institutes of Health and the OAR, be 
allocated directly to the OAR for distribution to the 
Institutes consistent with the AIDS research plan. The 
recommendation also includes a general provision permitting the 
Director of the NIH and the OAR to shift up to 3 percent of 
AIDS research funding among Institutes and Centers throughout 
the year if needs change or unanticipated opportunities arise. 
The Committee requests that the Director provide notification 
to the Committee in the event the Directors exercise the 3 
percent transfer authority.
    The Committee includes bill language permitting the OAR to 
use up to $8,000,000 for construction or renovation of National 
Primate Research Centers. This is an increase of $4,000,000 
over the fiscal year 2008 level. The budget request does not 
include any funding for this purpose. The Committee believes 
the need for such centers is especially critical because of 
recent disappointments associated with the development of an 
HIV/AIDS vaccine, which have led to a consensus among 
scientists that vaccine and prevention research efforts should 
be redirected to basic research and development. This will 
require increased usage of non-human primates. The Committee 
recommendation will support the OAR's efforts to expand 
breeding colonies of the NPRCs and to expand and improve the 
centers' laboratory facilities.

                        BUILDINGS AND FACILITIES

Appropriations, 2008....................................    $118,966,000
Budget estimate, 2009...................................     125,581,000
Committee recommendation................................     146,581,000

    The Committee recommends an appropriation of $146,581,000 
for buildings and facilities [B&F;]. The budget request is 
$125,581,000 and the fiscal year 2008 appropriation was 
$118,966,000.
    The Committee has included a provision to clarify that 
funds appropriated to the Institutes and Centers may be used 
for improvements (renovation/alterations) and repairs provided 
that (1) the funds are not already included in the buildings 
and facilities appropriation, (2) the improvements and repairs 
funded are principally for the benefit of the program from 
which the funds are drawn, and (3) such activities are 
conducted under and subject to the administrative policies and 
procedures of the NIH Office of the Director. The Committee has 
included a limitation on the size of projects to be funded 
directly by the Institutes and Centers.
    Renovation of Building 3.--The Committee strongly urges the 
NIH to use a portion of the recommended increase to renovate 
Building 3 on the Bethesda campus. This building has been 
decommissioned and is currently vacant. The renovation and 
restoration to productive use of this building will allow the 
NIH to provide space for administrative support of the 
scientific research portfolio.

       Substance Abuse and Mental Health Services Administration

Appropriations, 2008....................................  $3,356,329,000
Budget estimate, 2009...................................   3,158,148,000
Committee recommendation................................   3,388,636,000

    The Committee recommends $3,388,636,000 for the Substance 
Abuse and Mental Health Services Administration [SAMHSA] for 
fiscal year 2009. The comparable fiscal year 2008 level is 
$3,356,329,000 and the administration request is 
$3,158,148,000. The recommendation includes $128,989,000 in 
transfers available under section 241 of the Public Health 
Service Act. SAMHSA is responsible for supporting mental health 
programs and alcohol and other drug abuse prevention and 
treatment services throughout the country, primarily through 
categorical grants and block grants to States.
    The Committee has provided funding for programs of regional 
and national significance under each of the three SAMHSA 
centers: mental health services, substance abuse treatment, and 
substance abuse prevention. Separate funding is available for 
the children's mental health services program, projects for 
assistance in transition from homelessness, the protection and 
advocacy program, data collection activities undertaken by the 
Office of Applied Studies and the two block grant programs: the 
community mental health services block grant and the substance 
abuse prevention and treatment block grant.
    The Committee is disappointed that the administration has 
again submitted a budget request for SAMHSA that eliminates key 
programs that provide services and supports to those suffering 
from, or at risk of developing, mental health and substance 
abuse disorders. The administration's budget reflects a 
reduction of almost $200,000,000--or 6 percent--in SAMHSA's 
overall funding level. Specifically, mental health programs 
within the projects of regional and national significance 
activity have been reduced by 48 percent in the President's 
budget.
    The Committee notes that mental disorders are the leading 
cause of disability in the United States and Canada for those 
between the ages of 15 and 44 and that frequently, these 
disorders start early in childhood. Research has shown that 
early mental health issues often are precursors to substance 
abuse, school failure, risky behavior, and criminal activity. 
Instead of cutting mental health funding, our Nation should be 
making the same investments in prevention and promotion 
programs for mental health as it does for physical health. The 
Committee believes that given the prevalence of these 
disorders, taking a public health approach to preventing mental 
and behavioral problems should be a major priority. For this 
reason the Committee has prioritized funding for those programs 
which promote mental health and intervene early to address 
emerging mental health and substance abuse problems. The 
Committee has provided increases and restored proposed cuts to 
youth violence prevention, child traumatic stress activities, 
family treatment, early mental health promotion, strategic 
prevention framework grants and underage drinking prevention.
    The Committee is aware that the National Academy of 
Sciences is reviewing key advances in research relating to the 
prevention of mental health and substance abuse disorders among 
children, adolescents, and adults. The Committee looks forward 
to the release of the study, which will recommend priorities 
for future policies and strategies. The administration is 
encouraged to incorporate these recommendations into SAMHSA's 
fiscal year 2010 budget request.

                   CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2008....................................    $910,506,000
Budget estimate, 2009...................................     784,266,000
Committee recommendation................................     930,383,000

    The Committee recommends $930,383,000 for mental health 
services. The comparable level for fiscal year 2008 is 
$910,506,000 and the administration request is $784,266,000. 
The recommendation includes $21,039,000 in transfers available 
under section 241 of the Public Health Service Act. Included in 
the recommendation is funding for programs of regional and 
national significance, the mental health performance 
partnership block grant to the States, children's mental health 
services, projects for assistance in transition from 
homelessness, and protection and advocacy services for 
individuals with mental illnesses.

             PROGRAMS OF REGIONAL AND NATIONAL SIGNIFICANCE

    The Committee recommends $311,782,000 for programs of 
regional and national significance. The comparable level for 
fiscal year 2008 is $299,279,000 and the administration request 
is $155,319,000. Programs of regional and national significance 
[PRNS] address priority mental health needs through developing 
and applying best practices, offering training and technical 
assistance, providing targeted capacity expansion grants, and 
changing the delivery system through family, client-oriented 
and consumer-run activities.
    As part of taking a public health approach to mental health 
promotion and prevention, the Committee recommends $20,369,000 
for the Project Launch program. This is an increase of 
$13,000,000 over last year's level. The administration proposed 
to eliminate this program, which promotes the emotional, 
physical and emotional wellness of young children from birth to 
8 years of age. Grantees must create an integrated early 
childhood system that includes physical, mental and behavioral 
health, as well as education, substance abuse and social 
service components. The Committee urges SAMHSA to continue 
collaboration with HRSA and CDC on this program.
    The Committee is pleased with SAMSHA's collaboration with 
the Administration for Children and Families [ACF], especially 
with regard to that agency's home visitation initiative. The 
Committee strongly urges SAMHSA to explore further areas of 
collaboration that will strengthen families and promote child 
well-being. One possible area of collaboration is ACF's Child 
and Family Services Reviews under the child welfare program.
    The Committee reiterates its strong support for the 
National Child Traumatic Stress Initiative [NCTSI]. Within the 
total for PRNS, the Committee provides $38,000,000 under 
section 582 of the Public Health Service Act to support grants 
through the NCTSI. The funding level represents an increase of 
$4,908,000 over the comparable level for fiscal year 2008. The 
administration proposed $15,668,000 for this program. The 
Committee notes that childhood trauma--such as exposure to 
violence, loss of a parent, and physical, sexual or emotional 
abuse--is associated with many other child, adolescent and 
adult health conditions. Scientific research shows that early 
trauma is linked to increased risk of mental health issues such 
depression, bipolar disorder, substance abuse, as well as 
physical ailments such heart disease, chronic lung disease and 
HIV/AIDS. The Committee believes that providing early 
intervention and treatment services, as well as promoting 
resiliency, for children exposed to trauma must be a high 
priority.
    With respect to NCTSI grants, the Committee strongly urges 
SAMHSA to give preference to applicants with prior experience 
in the NCTSN, as well as extensive experience in the field of 
trauma-related mental disorders in children, youth, and 
families, especially in the areas of child abuse (physical, 
sexual, and neglect), and residential treatment settings. In 
soliciting grant applications, SAMHSA should also pay special 
attention to the role of resiliency in recovery from trauma.
    The Committee remains deeply concerned that suicide is the 
third leading case of death for young Americans aged 10 to 24. 
The Committee recommendation includes $40,000,000 for youth 
suicide prevention activities, including $30,000,000 for grants 
to States and tribes to develop prevention and early 
intervention programs, $5,000,000 for campus-based programs 
that address youth suicide prevention and $5,000,000 for the 
suicide prevention resource center.
    The Committee intends that no less than last year's level 
of funding be used for preventing youth violence. This 
initiative includes the Safe Schools/Healthy Students 
interdepartmental program. The administration proposed cutting 
this initiative by $17,292,000. The Committee believes that 
enhanced school and community-based services can strengthen 
healthy child development, thus reducing violent behavior and 
substance use.
    The Committee recommendation provides $2,531,000 to 
continue and expand funding for the consumer statewide network 
grants. The administration proposed eliminating this program. 
The Committee recommendation will allow this network to expand 
to 12 new States, allowing more consumers to have a voice in 
the development of local mental health services. The Committee 
also provides funding at last year's level for the national 
technical assistance centers run by consumers and consumer-
supporters.
    The Committee recommendation includes sufficient funding to 
continue the minority fellowship program, which as been 
instrumental in addressing the shortage of mental health 
services for racial and ethnic minorities. The administration 
did not request funding for this activity.
    The Committee has not provided funding for the adolescents 
at risk program. The Committee agrees with the administration 
that this activity is no longer necessary, as SAMHSA is 
conducting a cross-site evaluation of grantees providing 
school-based suicide prevention services.
    The Committee has not included funding for mental health 
drug courts or mental health targeted expansion grants, as 
proposed by the administration.
    Disaster Mental Health.--The Committee recognizes the 
significant impact that natural and human-made disasters can 
have on mental and behavioral health. The Committee encourages 
the Emergency Mental Health and Traumatic Stress Services 
Branch to continue its collaboration with the Federal Emergency 
Management Agency [FEMA] in order to increase attention to the 
mental and behavioral health needs of vulnerable populations 
during and in the aftermath of a disaster.
    Foster Youth.--The Committee is concerned that there is no 
dedicated funding within SAMHSA to address the needs of foster 
youth and older children who are adopted. This is particularly 
alarming, given that foster youth suffer depression, panic 
disorders, post traumatic stress disorder and substance abuse 
at disproportionately high rates. While these population are 
served by existing programs, the Committee believes a special 
focus is needed to accurately recognize and address the unique 
needs of these youth.
    Mental Health of Older Adults.--The Committee recognizes 
that older adults are among the fastest growing subgroups of 
the U.S. population. Approximately 20-25 percent of older 
adults have a mental or behavioral health problem. The 
Committee encourages increased support for communities to 
assist in building a solid foundation for delivering and 
sustaining effective mental health outreach, treatment and 
prevention services for older adults at risk for a mental 
disorder.
    Primary Care.--The Committee is deeply concerned about 
recent reports that people with serious mental disorders served 
in the public mental health system die, on average, 25 years 
sooner than other Americans. The Committee strongly urges 
SAMHSA to explore ways to integrate primary care and specialty 
medical services in Community Mental Health Centers and other 
community-based behavioral health agencies.
    Teenage Depression and Suicide.--According to the Centers 
for Disease Control and Prevention, rates of suicide among 
adolescents and young adults in the United States have 
continued to rise since 2003. The Committee is deeply concerned 
by this disturbing trend and urges SAMHSA to strengthen its 
support of local efforts to implement mental health screening 
and suicide prevention programs. The Committee further urges 
SAMHSA to support evaluations or studies to determine how these 
practices can be best implemented at the community level, and 
to work with the private sector to develop methods to integrate 
mental health screening, assessment, prevention and education 
efforts into educational and medical settings.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
2-1-1 Maine, Inc., Portland, ME, for a 2-1-1 telephone          $200,000
 number enabling access to health and social services
 in the community.....................................
Children's Health Fund, New York, NY, for support                250,000
 services for the Mississippi Gulf Coast Children's
 Health Project, Gulfport, MS.........................
City of San Diego, San Diego, CA, to address the risks           100,000
 of homelessness, violence and drug abuse among
 returning veterans...................................
Highline-West Seattle Mental Health, Seattle, WA, for            450,000
 mental health programs...............................
Jewish Family Service of MetroWest, Florham Park, NJ,            200,000
 for the Mental Health Intervention and Homelessness
 Prevention Project...................................
Marion County, Salem, OR, for mental health treatment            150,000
 programs.............................................
Midwest Rural Telemedicine Consortium, Des Moines, IA,           500,000
 for the Mental Health Outreach Initiative............
One Sky Center, Portland, OR, for substance abuse and            200,000
 mental health programs...............................
Roberta's House, Baltimore, MD, for mental health                300,000
 services for children and families...................
Rosebud Sioux Tribe, Rosebud, SD, for suicide                    200,000
 prevention services..................................
Turnaround for Children, Inc., Manhattan, NY, for                250,000
 crisis intervention and treatment services for stu-
 dents................................................
United Way of Anchorage, Anchorage, AK, for the 2-1-1            600,000
 project to provide a statewide health and human
 services management system for Alaska................
United Way of Greater St. Louis, Inc., St. Louis, MO,            250,000
 for the 2-1-1 project for outreach, community
 education and expansion of statewide health and human
 services management systems..........................
University of South Florida, Tampa, FL, for mental               100,000
 health program for disabled veterans.................
------------------------------------------------------------------------

              COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

    The Committee recommends $420,774,000 for the community 
mental health services block grant, which is the same as the 
comparable fiscal year 2008 amount and the administration 
request. The recommendation includes $21,039,000 in transfers 
available under section 241 of the Public Health Service Act.
    The community mental health services block grant 
distributes funds to 59 eligible States and Territories through 
a formula based upon specified economic and demographic 
factors. Applications must include an annual plan for providing 
comprehensive community mental health services to adults with a 
serious mental illness and children with a serious emotional 
disturbance. Because the mental health needs of our Nation's 
elderly population are often not met by existing programs and 
because the need for such services is dramatically and rapidly 
increasing, the Committee encourages SAMHSA to require that 
States' plans include specific provisions for mental health 
services for older adults.

                   CHILDREN'S MENTAL HEALTH SERVICES

    The Committee recommends $102,260,000 for the children's 
mental health services program, which is the same as the 
comparable fiscal year 2008 level. The administration requested 
$114,486,000 for this activity. This program provides grants 
and technical assistance to support community-based services 
for children and adolescents with serious emotional, behavioral 
or mental disorders. Grantees must provide matching funds, and 
services must involve the educational, juvenile justice, and 
health systems.

     PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS [PATH]

    The Committee recommends $59,687,000 for the PATH Program. 
This amount is the same as the administration request. The 
comparable fiscal year 2008 level is $53,313,000.
    PATH provides outreach, mental health, and case management 
services and other community support services to individuals 
with serious mental illness who are homeless or at risk of 
becoming homeless. The PATH program makes a significant 
difference in the lives of homeless persons with mental 
illnesses. PATH services eliminate the revolving door of 
episodic inpatient and outpatient hospital care. 
Multidisciplinary teams address client needs within a continuum 
of services, providing needed stabilization so that mental 
illnesses and co-occurring substance abuse and medical issues 
can be addressed. Assistance is provided to enhance access to 
housing, rehabilitation and training, and other needed 
supports, assisting homeless people in returning to secure and 
stable lives.

                        PROTECTION AND ADVOCACY

    The Committee recommends $35,880,000 for the protection and 
advocacy for individuals with mental illness [PAIMI] program. 
The comparable fiscal year 2008 level is $34,880,000 and the 
administration request is $34,000,000. This program helps 
ensure that the rights of mentally ill individuals are 
protected while they are patients in all public and private 
facilities, or while they are living in the community, 
including their own homes. Funds are allocated to States 
according to a formula based on population and relative per 
capita incomes.

                  CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2008....................................  $2,158,572,000
Budget estimate, 2009...................................   2,115,439,000
Committee recommendation................................   2,163,579,000

    The Committee recommends $2,163,579,000 for substance abuse 
treatment programs. The comparable fiscal year 2008 is 
$2,158,572,000 and the administration request is 
$2,115,439,000. The recommendation includes $85,200,000 in 
transfers available under section 241 of the Public Health 
Service Act. This appropriation funds substance abuse treatment 
programs of regional and national significance and the 
substance abuse prevention and treatment block grant to the 
States.

Programs of Regional and National Significance

    The Committee recommends $384,988,000 for programs of 
regional and national significance [PRNS]. The comparable 
fiscal year 2008 level is $399,844,000 and the administration 
request is $336,848,000. The recommendation includes $6,000,000 
in transfers available under section 241 of the Public Health 
Service Act.
    Programs of regional and national significance include 
activities to increase capacity by implementing service 
improvements using proven evidence-based approaches and science 
to services activities, which promote the identification of 
practices thought to have potential for broad service 
improvement.
    Within the funds appropriated for CSAT, the Committee 
recommends $17,000,000 for residential treatment programs for 
pregnant and postpartum women and their children. The 
comparable funding level for 2008 is $11,790,000. The 
administration proposed to eliminate this program, which 
expands the availability of comprehensive, high quality 
residential treatment, recovery support, and family services 
for pregnant and postpartum women, along with their children 
impacted by the effects of maternal substance use and abuse. 
The Committee strongly believes that these family-based 
treatment programs are a cost-effective way to strengthen 
families, improve birth outcomes, reduce criminal behavior and 
break the cycle of addiction that often occurs in vulnerable 
communities.
    Within the funds appropriated for CSAT, the Committee 
recommends $2,000,000 for grants to States for creating and 
improving prescription drug monitoring systems.
    The Committee has not provided the administration's 
requested increase for the SBIRT program. This grant program 
promotes the integration of screening and brief interventions 
in primary and general medical care settings with a goal of 
identifying patients in need of treatment and providing them 
with appropriate intervention and treatment options.
    The Committee recommendation also does not include the 
administration's requested increase for criminal justice 
activities, including treatment drug court grants. The 
Committee expects SAMHSA to continue its policy of requiring 
grantees to work directly with State substance abuse agencies 
on all aspects of the grant in order to help promote effective 
and efficient State service systems.
    The Committee has provided funding at last year's level for 
treatment services for the homeless, including services in 
supportive housing. The recommendation also includes 
$17,078,000 to continue current efforts under the children and 
families activity. The administration did not request funding 
for this activity.
    The Committee has not provided funding for the 
strengthening treatment access and retention program. The 
Committee notes that this activity does not support any 
provision of services. The Committee also eliminates funding, 
as proposed by the administration, for special initiatives and 
outreach activities, as well as information dissemination. The 
Committee believes these activities are redundant and could be 
provided by other programs within the agency.
    Hepatitis.--The Committee is concerned about the prevalence 
of substance abuse, hepatitis and other blood borne pathogens 
and urges SAMHSA to work with voluntary health organizations to 
promote liver health education, and primary prevention of 
substance abuse and blood borne pathogens, like hepatitis and 
HIV/AIDS, to promote healthy lifestyle behaviors for all age 
groups and secondary prevention to promote recovery for those 
who are infected.
    Individuals with Disabilities.--The Committee is concerned 
that individuals with a substance use disorder and a coexisting 
disability are not receiving appropriate psychological 
intervention for substance abuse. Individuals with disabilities 
experience substance abuse rates at two-to-four times higher 
than the general population. The Committee acknowledges the 
efforts of SAMHSA to address the mental and behavioral health 
needs of individuals with disabilities and encourages increased 
support for research and treatment efforts that specifically 
address co-morbid physical, psychological and 
neuropsychological disabilities and substance abuse, including 
early detection, prevention, access to care, and its impact 
upon rehabilitation, work and family for persons with 
disabilities.
    Rapid HIV Testing.--Rapid HIV testing can effectively 
reduce the number of at-risk individuals who are unaware of 
their HIV infection status. The Committee believes it is 
essential that rapid HIV testing be coupled with comprehensive, 
evidenced-based, and culturally and linguistically appropriate 
counseling from mental and behavioral health care providers to 
help individuals prepare for, and respond to, their test 
results, as well as to provide prevention counseling and 
services.
    Rural and Native Communities.--The Committee remains 
concerned by the disproportionate presence of substance abuse 
in rural and native communities, particularly for American 
Indian, Alaska Native and Native Hawaiian communities. The 
Committee reiterates its belief that funds for prevention and 
treatment programs should be targeted to those persons and 
communities most in need of service. The Committee has provided 
sufficient funds to increase knowledge about effective ways to 
deliver services to rural and native communities.
    Screening Persons with HIV.--According to the HIV Cost and 
Services Utilization Study [HCSUS], almost one-half of persons 
with HIV/AIDS screened positive for illicit drug use or a 
mental disorder, including depression and anxiety disorder. 
Unfortunately, health care providers fail to notice mental 
disorders and substance use problems in almost one-half of 
patients with HIV/AIDS. The Committee encourages SAMHSA to 
collaborate with HRSA to train health care providers to screen 
HIV/AIDS patients for mental health and substance use problems.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Akeela House Recovery Center, Anchorage, AK, for                $500,000
 residential substance abuse treatment................
Arlington County--Mental Health and Substance Abuse              150,000
 Crisis Intervention and Diversion Program, Arlington,
 VA, for the treatment of persons with mental health
 and substance abuse issues in Arlington County.......
Chrysalis House, Lexington, KY, for a substance abuse            100,000
 program for women and children.......................
Maniilaq Association, Kotzebue, AK, for residential              200,000
 substance abuse treatment............................
Metro Homeless Youth Services of Los Angeles, Los                150,000
 Angeles, CA, to expand services for homeless youth
 with substance abuse problems........................
Prairie Center Health Systems, Urbana, IL, for                   500,000
 outpatient and inpatient detoxification services for
 meth-addicted patients...............................
Rosebud Sioux Tribe, Rosebud, SD, for a substance                200,000
 abuse treatment program..............................
Vinland National Center, Independence, MN, for                   100,000
 substance abuse and parenting treatment services.....
Virginia Department of Mental Health, Mental                     300,000
 Retardation, and Substance Abuse Services, Richmond,
 VA, to provide treatment services for addiction to
 prescription pain medication.........................
------------------------------------------------------------------------

Substance Abuse Prevention and Treatment Block Grant

    The Committee recommends $1,778,591,000, the same as the 
budget request, for the substance abuse prevention and 
treatment [SAPT] block grant. The comparable fiscal year 2008 
level is $1,758,728,000. The recommendation includes 
$79,200,000 in transfers available under section 241 of the 
Public Health Service Act. The block grant provides funds to 
States to support alcohol and drug abuse prevention, treatment, 
and rehabilitation services. Funds are allocated to the States 
according to formula. State plans must be submitted and 
approved annually.
    The Committee has included bill language requested by the 
administration to provide supplemental awards to the top 20 
percent of grantees for superior performance and submission of 
National Outcomes Measures [NOMS] data.
    The Committee believes that the SAPT block grant is an 
effective and efficient program that provides vital prevention 
and treatment services for the Nation's most vulnerable 
populations. According to SAMHSA, the block grant has been 
successful in expanding capacity and achieving positive 
results. In particular, outcomes data found, at discharge, 68 
percent of clients were abstinent from illegal drugs and 74 
percent of clients were abstinent from alcohol. The Committee 
is also aware that SAPT block grant funded programs help people 
find or regain employment; stay away from criminal activity; 
reunite with families; and find stable housing.

                 CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2008....................................    $194,120,000
Budget estimate, 2009...................................     158,040,000
Committee recommendation................................     191,271,000

    The Committee recommends $191,271,000 for programs to 
prevent substance abuse. The comparable fiscal year 2008 level 
is $194,120,000 and the administration request is $158,040,000.

Programs of Regional and National Significance

    The Committee has provided $191,271,000 for programs of 
regional and national significance [PRNS]. The Center for 
Substance Abuse Prevention [CSAP] is the sole Federal 
organization with responsibility for improving accessibility 
and quality of substance abuse prevention services. Through the 
PRNS, CSAP supports: development of new practice knowledge on 
substance abuse prevention; identification of proven effective 
models; dissemination of science-based intervention 
information; State and community capacity-building for 
implementation of proven effective substance abuse prevention 
programs; and programs addressing new needs in the prevention 
system.
    The Committee expects CSAP to focus its prevention efforts 
on environmental and population based strategies due to the 
cost effectiveness of these approaches. Further, the Committee 
instructs that given the paucity of resources for bona fide 
substance abuse prevention programs and strategies, money 
specifically appropriated to CSAP for these purposes shall not 
be used or reallocated for any other programs or purposes 
within SAMHSA.
    The Committee recommendation does not include funds for the 
administration's proposed Targeted Capacity Expansion program 
to address emerging prevention needs.
    The recommendation includes $105,000,000 for the strategic 
prevention framework State incentive grant [SPF SIG] program, 
which is designed to promote, bolster and sustain prevention 
infrastructure in every State in the country. The Committee is 
concerned that progress on awarding every State with a SPF SIG 
grant has been delayed given that no new grants have been 
awarded since fiscal year 2006. For this reason SAMHSA is 
strongly urged to maintain the average grant award at the level 
of the most recent cohort of SPF SIG recipients. The Committee 
continues to recognize that the lynchpin of the SPF SIG program 
is State flexibility. Therefore, the Committee urges SAMHSA to 
promote flexibility in the use of SPF SIG funds in order to 
allow each State to tailor prevention services based on a needs 
assessment or plan, rather than pre-determined strategies that 
may not be appropriate for the populations in their own 
jurisdiction.
    The Committee provides funding at no less than last year's 
level for the Centers for the Application of Prevention 
Technologies [CAPTs]. The Committee strongly supports the 
current CAPTs program given their important role working with 
State substance abuse agencies, prevention specialists and 
others to translate the latest prevention science into everyday 
practice. The Committee is concerned that any proposal to 
change the CAPT structure would negatively affect the ability 
of these customers to receive technical assistance that reflect 
State and local needs. The Committee urges SAMHSA to ensure 
that any changes to the CAPTs will reflect stakeholder input, 
as well as maintain State-specific substance abuse prevention 
expertise.
    The Committee recommendation includes $7,000,000 for 
activities authorized under the Sober Truth on Preventing 
Underage Drinking [STOP] Act. This amount includes $5,000,000 
for grants to help community coalitions address underage 
drinking, $1,000,000 for the continuation of the national 
adult-oriented media campaign to prevent underage drinking, and 
$1,000,000 for the Intergovernmental Coordinating Committee on 
the Prevention of Underage Drinking [ICCPUD].
    The Committee notes that the ICCPUD has not submitted an 
annual report on national progress in reducing underage 
drinking since January 2006. The Committee requests an interim 
progress report on the goals articulated in the initial report, 
as well as funds being expended by various agencies and 
progress on key indicators, such as prevalence, age of 
initiation, consumption patterns and the means of underage 
access. The report should be submitted no later than March 1, 
2009.
    While the Committee commends SAMHSA for its support of town 
hall meetings on underage drinking, it reiterates its request 
that underage drinking findings from Federal surveys be 
separately and prominently highlighted. SAMHSA should submit 
examples of how this highlighting is being accomplished in its 
fiscal year 2010 congressional budget justification.
    The Committee supports the continuation of the public 
service announcement [PSA] campaign on underage drinking 
prevention, and notes that the STOP Act requires SAMHSA to 
report to Congress on ``the production, broadcasting, and 
evaluation of the campaign, the effectiveness of the campaign 
in reducing underage drinking, the need for and likely 
effectiveness of an expanded adult-oriented media campaign, and 
the feasibility and likely effectiveness of a national youth-
focused media campaign to combat underage drinking.'' The 
Committee requests that SAMHSA and the PSA campaign partner 
entity submit the required report no later than March 1, 2009.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Hamakua Health Center, Honokaa, HI, for a youth anti-           $200,000
 drug program.........................................
Mothers Against Drunk Driving, Louisiana Chapter,                100,000
 Baton Rouge, LA, for substance abuse prevention
 focusing on underage drinking........................
West Virginia Prevention Resource Center, Charleston,          1,000,000
 WV, for drug abuse prevention........................
------------------------------------------------------------------------

                           PROGRAM MANAGEMENT

    The Committee recommends $100,131,000 for program 
management activities of the agency. The comparable level for 
fiscal year 2008 is $93,131,000 and the budget request is 
$97,131,000. The recommendation includes $22,750,000 in 
transfers available under section 241 of the Public Health 
Service Act.
    The program management activity includes resources for 
coordinating, directing, and managing the agency's programs. 
Program management funds support salaries, benefits, space, 
supplies, equipment, travel, and departmental overhead required 
to plan, supervise, and administer SAMHSA's programs.
    The Committee recognizes the need for regular and periodic 
population-based sources of data on adults with serious mental 
illness and children with serious emotional disturbance. 
Therefore the recommendation includes $1,000,000 for a module 
in the National Survey on Drug Use and Health [NSDUH] to 
provide reliable and valid data on adults with serious mental 
illness. Based on recommendations from an expert panel that 
SAMHSA convened, the Committee believes that the best mechanism 
for the collection of information on children with serious 
emotional disturbance is the National Health Interview Survey 
[NHIS] conducted by the National Center for Health Statistics 
at CDC. Thus the recommendation includes $2,000,000 for the 
inclusion of questions related to the mental health of children 
in the NHIS and to carry out studies necessary to ensure the 
validity and reliability of the NHIS data on children with 
serious emotional disturbance.
    The Committee remains aware of the collaborative work by 
SAMHSA and State substance abuse directors to implement 
outcomes data collection and reporting through the NOMs 
initiative. The Committee is pleased that States continue to 
make progress in reporting NOMs data through the SAPT Block 
Grant. According to SAMHSA, approximately 47 States voluntarily 
reported substance abuse outcome data in 2007. State substance 
abuse agencies reported significant results in a number of 
areas--including abstinence from alcohol and illegal drug use; 
criminal justice involvement; employment; and stable housing. 
The Committee encourages SAMHSA to continue to help States 
address technical issues and promote State-to-State problem 
solving solutions.

                        ST. ELIZABETH'S HOSPITAL

    The Committee recommendation includes $772,000, the same as 
the administration request, to further remediate the West 
Campus of St. Elizabeth's Hospital. No funds were requested for 
this activity in fiscal year 2008.

                            DATA EVALUATION

    The Committee recommendation includes $2,500,000 for a 
needs assessment and evaluation of substance abuse data 
collection activities across the Department to improve 
surveillance activities and avoid duplication of effort. The 
recommendation is the same as the administration request. This 
activity was not funded in fiscal year 2008. The Department is 
requested to submit the results of this needs assessment, as 
well as its recommendations, to the Committee.

               Agency for Healthcare Research and Quality

Appropriations, 2008....................................    $334,564,000
Budget estimate, 2009...................................     325,664,000
Committee recommendation................................     334,564,000

    The Committee recommends $334,564,000 for the Agency for 
Healthcare Research and Quality [AHRQ]. This amount is the same 
as the comparable funding level for fiscal year 2008. The 
administration request is $325,664,000. The Committee 
recommendation includes $243,966,000 in transfers available 
under section 241 of the Public Health Service Act.
    The Agency for Healthcare Research and Quality was 
established in 1990 to enhance the quality, appropriateness, 
and effectiveness of health services, as well as access to such 
services. In order to fulfill this mission, AHRQ conducts, 
supports and disseminates scientific and policy-relevant 
research on topics such as reducing medical errors, eliminating 
health care disparities, the use of information technology, and 
the comparative effectiveness of drugs and medical procedures. 
AHRQ-supported research provides valuable information to 
researchers, policymakers, healthcare providers and patients on 
ways to improve our Nation's health system and make health care 
more affordable.

                  HEALTH COSTS, QUALITY, AND OUTCOMES

    The Committee provides $276,564,000 for research on health 
costs, quality and outcomes [HCQO]. The recommendation includes 
$185,966,000 in transfers available under section 241 of the 
Public Health Service Act. The recommendation is the same as 
the comparable funding level for fiscal year 2008. The 
administration requested $267,664,000 for this activity. The 
HCQO research activity is focused upon improving clinical 
practice, improving the health care system's capacity to 
deliver quality care, and tracking progress toward health goals 
through monitoring and evaluation.
    Of the total amount provided for HCQO the Committee has 
included $5,000,000 for activities to identify and reduce the 
spread of Methicillin-resistant Staphylococcus Aureus [MRSA] 
and other healthcare-associated infections. The Committee is 
concerned about the prevalence of these preventable infections 
and has provided a second year of funding for this initiative 
at AHRQ due to its expertise with patient safety and quality of 
care issues. The Committee encourages AHRQ to continue its 
collaboration with the Centers for Disease Control and 
Prevention [CDC] and the Centers for Medicare and Medicaid 
Services [CMS].
    The Committee values AHRQ for its critical role in 
supporting health services research to improve health care 
quality, reduce costs, advance patient safety, eliminate health 
care disparities, and broaden access to essential services. 
However, the Committee is troubled that AHRQ's investigator-
initiated research portfolio has languished even though many of 
the sentinel studies that have changed the face of health and 
health care in the United States are the result of researchers' 
ingenuity and creativity. To advance discovery and the free 
marketplace of ideas, the Committee believes ARHQ must dedicate 
more funding to investigator-initiated research. For this 
reason, the Committee does not provide the $6,000,0000 
requested by the administration for a Health Insurance Decision 
Tool. Instead, the Committee strongly urges AHRQ to redirect 
these funds toward expanding its investment in investigator-
initiated research.
    Ambulatory Patient Safety.--The Committee notes that while 
the scope, volume and complexity of ambulatory care has 
increased over the past decade, little is known about patient 
safety in ambulatory care settings. Few safety practices have 
been identified, and limited data exist on the nature of risk 
and hazards to patients and the threat to quality in ambulatory 
care settings. In light of the growing number of incidents 
involving syringe reuse and hepatitis C transmission across the 
country, the Committee urges AHRQ to expand the ambulatory 
safety and quality program [ASQ] to identify the inherent risks 
in ambulatory settings and to develop potential solutions for 
protecting patients.
    HIV Early Diagnosis.--The Committee recognizes the high 
economic burden associated with a positive diagnosis of HIV/
AIDS. The Committee encourages AHRQ to prepare a study 
comparing the economic burden of an early diagnosis to that of 
a later diagnosis.
    Safe Patient Handling.--The Committee continues to be 
concerned about the consequences of manual patient lifting in 
hospitals, nursing homes and other patient care settings that 
increase the risk of injury to both patients and nurses. The 
Committee is pleased that AHRQ acknowledges the importance of 
this issue, and recommends that AHRQ continue to study the 
impact of utilizing assistive devices and patient lifting 
equipment on patient injuries and the safety of nurses.
    Spina Bifida.--The Committee encourages AHRQ to continue 
and expand the development of a National Spina Bifida Patient 
Registry in collaboration with the Centers for Disease Control 
and Prevention.
    Training Grants.--The Committee is deeply concerned about 
declines in the number of, and funding for, training grants for 
the next generation of researchers. Failure to fund such grants 
stifles the workforce and knowledge base needed to respond to 
the Nation's growing health care challenges, including aging 
baby boomers, unsustainable rising costs, and declining health 
status. The Committee urges the administration to expand 
funding for AHRQ's training grants in its fiscal year 2010 
budget request.
    Viral Hepatitis.--The Committee believes that much remains 
to be learned about the costs, quality and outcomes of 
treatments for hepatitis B and C. The Committee encourages AHRQ 
to develop and disseminate evidence-based information to 
healthcare providers and patients as a significant step in 
reducing the incidence of hepatitis, as well as improving 
access to, and outcomes from, treatments for these epidemic 
diseases.

                   MEDICAL EXPENDITURES PANEL SURVEYS

    The Committee provides $55,300,000 for medical expenditures 
panel surveys [MEPS], which is the same as the comparable 
fiscal year 2008 level and the administration request. MEPS 
collects detailed information annually from families regarding 
health care use and expenditures, private and public health 
insurance coverage, and the availability, costs and scope of 
health insurance benefits. The data from MEPS is used in the 
development of economic models projecting the costs and savings 
of proposed changes in policy, as well as estimates of the 
impact of policy changes on payers, providers, and patients.

                            PROGRAM SUPPORT

    The Committee recommends $2,700,000 for program support. 
This amount is the same as the comparable fiscal year 2008 
level and the administration request. This activity supports 
the overall management of the agency.

               Centers for Medicare and Medicaid Services


                      GRANTS TO STATES FOR MEDICAID

Appropriations, 2008....................................$141,628,056,000
Budget estimate, 2009................................... 149,335,031,000
Committee recommendation................................ 149,335,031,000

    The Committee recommends $149,335,031,000 for Grants to 
States for Medicaid, the same amount as the administration's 
request. This amount excludes $67,292,669,000 in fiscal year 
2008 advance appropriations for fiscal year 2009. In addition, 
$71,700,038,000 is provided for the first quarter of fiscal 
year 2010, as requested by the administration.
    The Medicaid program provides medical care for eligible 
low-income individuals and families. It is administered by each 
of the 50 States, the District of Columbia, Puerto Rico, and 
the territories. Federal funds for medical assistance are made 
available to the States according to a formula, which 
determines the appropriate Federal matching rate for State 
program costs. This matching rate is based upon the State's 
average per capita income relative to the national average, and 
shall be no less than 50 percent and no more than 83 percent.

                  PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2008....................................$188,445,000,000
Budget estimate, 2009................................... 195,308,000,000
Committee recommendation................................ 195,308,000,000

    The Committee recommends $195,308,000,000 for Federal 
payments to health care trust funds, the same amount as the 
administration's request. This entitlement account includes the 
general fund subsidy to the Federal Supplementary Medical 
Insurance Trust Fund for Medicare part B benefits and for 
Medicare part D drug benefits and administration, plus other 
reimbursements to the Federal Hospital Insurance Trust Fund for 
part A benefits and related administrative costs that have not 
been financed by payroll taxes or premium contributions. The 
Committee has provided $147,716,000,000 for the Federal payment 
to the Supplementary Medical Insurance Trust Fund. This payment 
provides matching funds for premiums paid by Medicare part B 
enrollees. The Committee further provides $44,999,000,000 for 
the general fund share of benefits paid under Public Law 108-
173, the Medicare Prescription Drug, Improvement and 
Modernization Act of 2003. The Committee includes bill language 
requested by the administration providing indefinite authority 
for paying the General Revenue portion of the part B premium 
match and provides resources for the part D drug benefit 
program in the event that the annual appropriation is 
insufficient. The recommendation also includes $351,000,000 for 
hospital insurance for the uninsured. The Committee also 
recommends $263,000,000 for Federal uninsured benefit payment. 
This payment reimburses the Hospital Insurance Trust Fund for 
the cost of benefits provided to Federal annuitants who are 
eligible for Medicare. The Committee recommendation includes 
$206,000,000 to be transferred to the Hospital Insurance Trust 
Fund as the general fund share of CMS Program Management 
administrative expenses. The Committee recommendation also 
includes $547,000,000 to be transferred to the Supplementary 
Insurance Trust Fund as the general fund share of part D 
administrative expenses. The Committee recommendation includes 
$198,000,000 in reimbursements to the Health Care Fraud and 
Abuse Control [HCFAC] fund and $1,028,000,000 for the 
Quinquennial Adjustment.

                           PROGRAM MANAGEMENT

Appropriations, 2008....................................  $3,151,651,000
Budget estimate, 2009...................................   3,307,344,000
Committee recommendation................................   3,270,574,000

    The Committee recommends $3,270,574,000 for CMS program 
management. The administration requested $3,307,344,000. The 
fiscal year 2008 comparable level was $3,151,651,000.

Research, Demonstrations, and Evaluations

    The Committee recommends $33,530,000 for research, 
demonstrations, and evaluation activities.
    CMS research and demonstration activities facilitate 
informed rational Medicare and Medicaid policy choices and 
decisionmaking. These studies and evaluations include projects 
to measure the impact of Medicare and Medicaid policy analysis 
and decisionmaking, projects to measure the impact of Medicare 
and Medicaid on health care costs, projects to measure patient 
outcomes in a variety of treatment settings, and projects to 
develop alternative strategies for reimbursement, coverage, and 
program management.
    The Committee has included $5,000,000 for Real Choice 
Systems Change Grants for Community Living to States to fund 
initiatives that establish enduring and systemic improvements 
in long-term services and supports.
    The Committee is aware of several models of health care 
delivery that are improving patient outcomes; decreasing 
utilization of inpatient services, emergency room care and 
specialty services; and improving patient satisfaction. The 
Committee encourages CMS to make resources available for 
entities to develop models of primary health care delivery and 
demonstrate their effectiveness in improving delivery and 
decreasing per patient costs for Medicaid populations.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Bi-State Primary Care Association, Concord, NH, to              $650,000
 treat uninsured patients.............................
City of Milwaukee, Milwaukee, WI, to improve access to           180,000
 and utilization of primary and preventive health care
 among low-income residents...........................
Hospice Foundation of America, Washington, DC, for               600,000
 education programs...................................
Medicare Chronic Care Practice Research Network, Sioux           700,000
 Falls, SD, to evolve and continue the Medicare
 Coordinated Care Demonstration project...............
University of Pittsburgh Medical Center, Pittsburgh,             100,000
 PA, to develop a comprehensive health care delivery
 model................................................
------------------------------------------------------------------------

Medicare Operations

    The Committee recommends $2,300,729,000 for Medicare 
operations. The administration requested $2,339,729,000; the 
comparable funding level for fiscal year 2008 was 
$2,158,906,000.
    The Medicare operations line item covers a broad range of 
activities including claims processing and program safeguard 
activities performed by Medicare contractors. These contractors 
also provide information, guidance, and technical support to 
both providers and beneficiaries. In addition, this line item 
includes a variety of projects that extend beyond the 
traditional fee-for-service arena.
    The Committee recommendation includes $108,900,000 for CMS 
Medicare contracting reform activities and includes bill 
language that extends the availability of those funds until 
September 30, 2010.
    The Committee recommendation includes $35,700,000 for 
contract costs for the Healthcare Integrated General Ledger 
Accounting System and includes bill language that extends the 
availability of those funds until September 30, 2010.
    Advances in medicine have enabled increasing numbers of 
type 1 diabetes patients to live with this disease for more 
than 50 years. Recent advances in continuous glucose monitoring 
technology have the potential to revolutionize the way diabetes 
is managed on a daily basis. While research is underway, the 
Committee urges CMS not to make premature coverage decisions 
related to such items as durable medical equipment or any 
associated services or supplies, nor take actions that would 
delay the private adoption of these technologies.
    Access to human pancreatic islets at a reasonable cost is 
vital to basic research on the causes and mechanisms of 
diabetes. If organs used to procure islets for research are not 
reimbursed at a reasonable rate, the cost could curtail much 
needed basic research on islet function in health and disease. 
The Committee urges CMS to address the issue of reimbursement 
rates for human pancreatic islets in a manner that will 
facilitate their research and/or clinical use.
    The Committee noted last year that many low-income Medicare 
part D enrollees living with HIV/AIDS have benefited from 
effective medication management programs. The Committee is 
pleased that CMS is now conducting an examination of medication 
therapy management programs.
    As early as September 2004 this Committee stated that long-
term acute care hospitals play a vital role in the Medicare 
continuum of care and that admission decisions should be made 
on the basis of well-defined and objective patient and hospital 
admissions criteria. The Committee is concerned that the CMS 
guidelines set arbitrary quota limits for the number of 
patients which an LTACH can accept from any one hospital. 
Patients who need access to LTACHs are among the most 
vulnerable of the sick.
    This Committee has previously stated that the decision as 
to which patients should go into a LTACH should be made by 
physicians based on well-defined patient and hospital 
admissions criteria--not on arbitrary quotas. The Medicare 
Payment Advisory Commission [MEDPAC] in its March 22, 2007 
letter to CMS warned that arbitrary criteria increase the risk 
of unintended consequences. The Committee remains concerned 
that 4 years have passed and CMS has not yet developed these 
criteria.

State Survey and Certification

    The Committee recommends $293,128,000 for Medicare State 
survey and certification activities, which is the same as the 
administration's request. The fiscal year 2008 funding level 
was $281,186,000.
    Survey and certification activities ensure that 
institutions and agencies providing care to Medicare and 
Medicaid beneficiaries meet Federal health, safety, and program 
standards. On-site surveys are conducted by State survey 
agencies, with a pool of Federal surveyors performing random 
monitoring surveys.
    The Committee has not included language, requested by the 
administration, which authorizes the Secretary to charge fees 
associated with the cost of conducting revisits of certain 
health care facilities.

High-Risk Insurance Pools

    The Committee did not recommend funding for High-Risk 
Insurance Pools nor did the administration request funding for 
this program. The fiscal year 2008 comparable funding level for 
this program was $49,127,000.

Federal Administration

    The Committee recommends $643,187,000 for Federal 
administration costs, which is the same as the budget request. 
The fiscal year 2008 funding level was $631,132,000.
    The Committee is concerned regarding the low utilization 
rates for the ``Welcome to Medicare Physical Exam,'' and how 
this is impacting the number of Medicare beneficiaries that 
receive referrals for the abdominal aortic aneurysm [AAA] 
screening benefit and other preventive services. The American 
Heart Association estimates that if Medicare beneficiaries who 
are at risk for a AAA receive this one-time, cost-effective 
ultrasound screening, it will prevent over 15,000 deaths per 
year. The Committee urges CMS to launch a major public 
relations campaign to educate individuals who are about to 
become Medicare eligible, and their families, regarding the 
need to get their ``Welcome to Medicare Physical Exam.'' This 
exam allows America's seniors to learn new ways to prevent 
illness and if they do become ill, to treat the problem early 
before it becomes too severe. It also provides an opportunity 
to educate our seniors of the importance of leading a healthy 
lifestyle through good nutrition, engaging in regular physical 
activity and not smoking. All factors that can prevent 
individuals from developing chronic diseases and reducing their 
quality of life.
    The Committee is concerned that many seniors do not have a 
good understanding of the benefits covered, and not covered, 
under the Medicare program. In particular, studies have 
indicated that a majority of adults who are 45 or older 
overestimate Medicare coverage for long-term care. The 
Committee commends CMS for its efforts in establishing the 
National Clearinghouse for Long-Term Care information.
    The Committee directs CMS to include in the next 
publication of ``Medicare & You'' information regarding the 
importance of writing and updating advance directives and 
living wills.
    The Committee is pleased that CMS plans to do an updated 
State-by-State survey of Medicaid coverage and reimbursement 
for telemedicine services and will consider the need for 
national guidance to State Medicaid agencies on provision of 
these services. As noted in last year's report, The Committee 
has supported demonstration projects that have assessed the 
efficacy of using interactive video technology as a means for 
providing intensive behavioral health services to individuals 
with serious emotional and behavioral challenges, such as 
autism and other at-risk populations. The Committee has 
observed that one of the most serious obstacles to the 
integration of telemedicine into health practices is the 
absence of consistent, comprehensive reimbursement policies. 
Medicaid policies set at State levels vary widely and are 
inconsistent from State to State.
    The Committee notes that the Deficit Reduction Act now 
requires that States capture data on certain prescription drugs 
administered by physicians under Medicaid and use that data to 
collect rebate dollars available from drug manufacturers. The 
Committee understands that States do not always adequately 
collect that data, if which collected could result in savings 
to the Medicaid program.
    The Committee encourages CMS to provide technical 
assistance to States on technologies available to collect this 
data in lieu of granting more waivers.

                  HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2008....................................................
Budget estimate, 2009...................................    $198,000,000
Committee recommendation................................     198,000,000

    The Committee recommends $198,000,000, to be transferred 
from the Medicare trust funds, for health care fraud and abuse 
control activities. This account has not been funded using 
discretionary funds in prior years. This amount, in addition to 
the $1,155,794,000 in mandatory monies for these activities, 
will provide a total of $1,353,794,000 for health care fraud 
and abuse control activities in fiscal year 2009.
    The Committee encourages CMS to invest in efforts to apply 
data mining and warehousing methodologies to detect fraud, 
waste, and abuse. Data mining is increasingly being used to 
extract relevant information from large data bases, like those 
maintained by CMS. The Committee has included funds for CMS to 
expand its efforts, begun in 2006, to link Medicare claims and 
public records data and to initiate new demonstration projects 
using data mining technologies. The Committee requests that CMS 
make recommendations to the Committee on how linking CMS data 
might be used to enhance the Medicare and Medicaid Integrity 
Programs to reduce fraud and abuse and to better screen 
providers.
    Reducing fraud, waste, and abuse in Medicare and Medicaid 
continues to be a top priority of the Committee. The Committee 
has held a number of hearings on fraud and abuse issues over 
the past 10 years and expects to begin holding more hearings on 
this issue over the next 12 months.

                Administration for Children and Families


  PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT 
                                PROGRAMS

Appropriations, 2008....................................  $2,997,970,000
Budget estimate, 2009...................................   2,759,078,000
Committee recommendation................................   2,759,078,000

    The Committee recommends $2,759,078,000 be made available 
in fiscal year 2009 for payments to States for child support 
enforcement and family support programs. The Committee 
recommendation is the same as the budget request under current 
law. The Committee also has provided $1,000,000,000 in advance 
funding for the first quarter of fiscal year 2010 for the child 
support enforcement program, the same as the budget request.
    These payments support the States' efforts to promote the 
self-sufficiency and economic security of low-income families. 
These funds also support efforts to locate non-custodial 
parents, determine paternity when necessary, and establish and 
enforce orders of support.

               LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2008....................................  $2,570,328,000
Budget estimate, 2009...................................   2,000,000,000
Committee recommendation................................   2,570,328,000

    The Committee recommends $2,570,328,000 for fiscal year 
2009 for the low income home energy assistance program 
[LIHEAP]. This is the same as the comparable funding level for 
fiscal year 2008. The administration requested $2,000,000,000 
for this program. LIHEAP is made up of two components: the 
State grant program and a contingency fund.
    The Committee recommendation includes $1,980,000,000 for 
the State grant program, which is the same as the comparable 
funding level for fiscal year 2008. The administration 
requested $1,700,000,0000 for this program. LIHEAP grants are 
awarded to States, territories, Indian tribes, and tribal 
organizations to assist low-income households in meeting the 
costs of home energy. States have great flexibility in how they 
provide assistance, including direct payments to individuals 
and vendors and direct provision of fuel. These resources are 
distributed by formula to these entities as defined by statute, 
based in part on each State's share of home energy expenditures 
by low-income households.
    The Committee recommends $590,328,000 for the contingency 
fund. This is the same as the comparable funding level for 
fiscal year 2008. The administration requested $300,000,000 for 
this program. The contingency fund may be used to provide 
assistance to one or more States adversely affected by extreme 
heat or cold, significant price increases, or other causes of 
energy-related emergencies.

                     REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2008....................................    $655,631,000
Budget estimate, 2009...................................     628,044,000
Committee recommendation................................     635,044,000

    The Committee recommends $635,044,000 for refugee and 
entrant assistance. The comparable funding level for fiscal 
year 2008 is $655,631,000 and the budget request is 
$628,044,000.
    The refugee and entrant assistance program is designed to 
assist States in their efforts to assimilate refugees, asylees, 
Cuban and Haitian entrants, and adults and minors who are 
trafficking victims, into American society as quickly and 
effectively as possible. The program funds State-administered 
transitional and medical assistance, the voluntary agency 
matching grant program, programs for victims of trafficking and 
torture, employment and social services, targeted assistance, 
and preventive health. This appropriation enables States to 
provide 8 months of cash and medical assistance to eligible 
refugees and entrants, a variety of social and educational 
services, as well as foster care for refugee and entrant 
unaccompanied minors.
    The Committee recommends $287,000,000 for transitional and 
medical assistance, including State administration and the 
voluntary agency program. The Office of Refugee Resettlement 
[ORR] estimates that $24,600,000 of prior year funding is 
available for use in fiscal year 2009, which will allow for a 
program level of $311,600,000. This funding level is sufficient 
for an estimated refugee ceiling of 80,000, including an 
estimated 12,000 Iraqi refugees, as well as an increasing 
number of Iraqi and Afghan special immigrant visa arrivals. The 
Committee recommendation also includes: $9,814,000 for victims 
of trafficking; $154,005,000 for social services; $4,748,000 
for preventive health; and $48,590,000 for targeted assistance.
    For unaccompanied children, pursuant to section 462 of the 
Homeland Security Act of 2002, the Committee recommends 
$120,070,000. Funds provided are for the care and placement of 
unaccompanied alien children [UAC] who are apprehended in the 
United States by the Department of Homeland Security [DHS] or 
other law enforcement agencies.
    The Committee is committed to ensuring that UAC are 
expeditiously transferred from the point of DHS apprehension to 
initial placement in ORR facilities where they can receive the 
care and services they need. The Committee directs ORR to 
respond to DHS' initial call for placement by identifying the 
ORR placement facility to DHS within 6 hours, on average, of 
receiving the DHS call. In addition, the Committee directs ORR 
to continue to work with DHS to expedite the transfer and 
placement of those children with special needs to the most 
appropriate ORR facility as quickly as possible.
    The Committee is aware that, during the implementation of 
section 462 of the Homeland Security Act of 2002, the Office of 
Management and Budget [OMB] did not transfer funding from the 
Immigration and Naturalization Service [INS] to ORR for the 
responsibility of transporting unaccompanied alien children to 
ORR facilities. This is a clear indication that the 
transportation of these children was determined to be the 
responsibility of INS and its successor agency, Immigration and 
Customs Enforcement [ICE]. The Committee is further aware that 
ICE plans imminently to shift responsibility for transporting 
UAC to ORR. The Committee notes that the administration's 
budget request does not include funding for this responsibility 
in the ORR budget, nor does ORR have the transportation 
infrastructure in place to assume this function. In order to 
clarify the functions of these agencies, the Committee directs 
the Department to present to the Committee a joint report with 
OMB and DHS no later than March 1, 2009 with a recommendation 
for which agency is the most appropriate to fund the 
transportation of UAC to ORR facilities. The joint report 
should focus on which agency can deliver these services in the 
most cost effective manner.
    The Committee recommendation includes $5,000,000 for the 
pro bono legal services initiative. The Committee recognizes 
the need for unaccompanied children to be appropriately 
represented before immigration courts. The Committee expects 
ORR to use part of the funding provided to assess the overall 
impact of the pro bono legal services initiative.
    The Committee recommendation includes funding requested by 
the administration to respond to unaccompanied children exposed 
to traumatic events.
    The Committee recommends $10,817,000 to treat and assist 
victims of torture. The Committee notes that a large proportion 
of the increasing numbers of Iraqi refugee arrivals have 
experienced trauma, torture and severe violence. The Committee 
recommendation will help address the unique mental health needs 
of these refugees as they attempt to rebuild their lives in the 
United States.

                 CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2008....................................  $2,062,081,000
Budget estimate, 2009...................................   2,062,081,000
Committee recommendation................................   2,137,081,000

    The Committee recommends $2,137,081,000 for the child care 
and development block grant. The comparable funding level for 
fiscal year 2008 is $2,062,081,000, the same as the 
administration request. The child care and development block 
grant supports grants to States to provide low-income families 
with financial assistance for child care; for improving the 
quality and availability of child care; and for establishing or 
expanding child development programs.
    The Committee recommendation continues specific set asides 
in appropriations language that provide targeted resources to 
specific policy priorities including $19,120,350 for the 
purposes of supporting before and afterschool services, as well 
as resource and referral programs. This represents the Federal 
commitment to the activities previously funded under the 
dependent care block grant. The Committee recommendation sets 
aside $272,676,992 for child care quality activities, including 
$100,001,830 specifically for infant care quality. These funds 
are recommended in addition to the 4 percent quality earmark 
established in the authorizing legislation. The Committee has 
provided additional quality funds because of considerable 
research demonstrating the importance of serving children in 
high quality child care settings which include adequately 
compensated, nurturing providers who are specially trained in 
child development.
    The Committee recommendation also provides $10,000,307 for 
child care research, demonstration and evaluation activities.
    The Committee recommendation for resource and referral 
activities also includes $1,000,018 to continue support for a 
national toll-free hotline that assists families in accessing 
local information on child care options and that provides 
consumer education materials. The Committee expects the grantee 
to monitor the quality of services provided to families as a 
result of the program.

                      SOCIAL SERVICES BLOCK GRANT

Appropriations, 2008....................................  $1,700,000,000
Budget estimate, 2009...................................   1,700,000,000
Committee recommendation................................   1,700,000,000

    The Committee recommends $1,700,000,000 for fiscal year 
2009 for the social services block grant. This is the same as 
the comparable fiscal year 2008 level. The Committee rejects 
the administration's proposed bill language to lower the 
authorized funding level stipulated in section 2003(c) of the 
Social Security Act to $1,200,000,000.

                CHILDREN AND FAMILIES SERVICES PROGRAMS

Appropriations, 2008....................................  $8,980,991,000
Budget estimate, 2009...................................   8,503,382,000
Committee recommendation................................   9,194,377,000

    The Committee recommends $9,194,377,000 for fiscal year 
2009 for children and families services programs. The 
comparable funding level for fiscal year 2008 is $8,980,991,000 
and the budget request is $8,503,382,000. The recommendation 
includes $10,172,000 in transfers available under section 241 
of the Public Health Service Act.
    This appropriation provides funding for programs for 
children, youth, and families, the developmentally disabled, 
and Native Americans, as well as Federal administrative costs.

Head Start

    The Committee recommends $7,104,571,000 for Head Start. The 
comparable funding level for fiscal year 2008 is $6,877,976,000 
and the administration request is $7,026,571,000. The Committee 
recommendation includes $1,388,800,000 in advance funding that 
will become available on October 1, 2009.
    Head Start provides comprehensive development services for 
low-income children and families that emphasize cognitive and 
language development, socio-emotional development, physical and 
mental health, and parent involvement to enable each child to 
develop and function at his or her highest potential. At least 
10 percent of enrollment opportunities in each State are made 
available to children with disabilities.
    The Committee has provided an increase of $226,595,000 to 
the Head Start program in recognition of its vital role in 
providing education, health, nutritional, social and other 
services to enrolled children and their families. The increase 
will provide local programs with a cost-of-living increase and 
will assist them in implementing the Improving Head Start for 
School Readiness Act of 2007, including increasing enrollment 
among Indian and Migrant Head Start programs.
    Within the total for Head Start, the Committee includes 
$3,000,000 for Centers of Excellence in Early Childhood as 
described in section 657B of the Head Start reauthorization 
bill.
    The Committee understands the serious need for additional 
and expanded Head Start facilities in rural areas and among 
Native American populations. The Committee believes that the 
Department could help serve these needy communities by 
providing minor construction funding, as authorized, in remote 
Native American communities.
    The Head Start Bureau shall continue to provide the 
Committee with the number and cost of buses purchased, by 
region, with Head Start funds in the annual congressional 
budget justification.

Consolidated Runaway and Homeless Youth Program

    The Committee recommends $96,128,000 for the consolidated 
runaway and homeless youth program. This is the same as the 
comparable funding level for fiscal year 2008 and the budget 
request. This program consists of the basic center program, 
which provides temporary shelter, counseling, and after-care 
services to runaway and homeless youth under age 18 and their 
families, and the transitional living program, which is 
targeted to older youth ages 16 to 21.
    Basic centers and transitional living programs provide 
services to help address the needs of some of the estimated 1.3 
million to 2.8 million runaway and homeless youth, many of whom 
are running away from unsafe or unhealthy living environments. 
These programs have been proven effective at lessening rates of 
family conflict and parental abuse, as well as increasing 
school participation and the employment rates of youth.

Runaway Youth Prevention Program

    The Committee recommends $17,221,000 for the runaway youth 
prevention program. This is the same as the comparable funding 
level for fiscal year 2008 and the budget request. This 
competitive grant program awards funds to private nonprofit 
agencies for the provision of services to runaway, homeless, 
and street youth. Funds may be used for street-based outreach 
and education, including treatment, counseling, provision of 
information, and referrals for these youths, many of whom have 
been subjected to, or are at risk of being subjected to, sexual 
abuse.

Child Abuse Programs

    The Committee recommends $107,799,000 for child abuse 
programs. The comparable level for fiscal year 2008 is 
$105,359,000, the same as the administration request. The 
recommendation includes $26,535,000 for State grants, 
$39,575,000 for discretionary activities, and $41,689,000 for 
community-based child abuse prevention.
    These programs seek to improve and increase activities at 
all levels of government which identify, prevent, and treat 
child abuse and neglect through State grants, technical 
assistance, research, demonstration, and service improvement.
    The Committee recommendation includes $12,000,000 within 
child abuse discretionary activities for a home visitation 
initiative. The comparable level for fiscal year 2008 is 
$10,000,000, the same as the administration request. This 
program provides competitive grants to States to encourage 
investment of existing funding streams into evidence-based home 
visitation models. The Administration for Children and Families 
[ACF] shall ensure that States use the funds to support models 
that have been shown, in well-designed randomized controlled 
trials, to produce sizable, sustained effects on important 
child outcomes such as abuse and neglect. The Committee expects 
ACF to adhere closely to evidence-based models of home 
visitation and not to incorporate any additional initiatives 
that have not met these high evidentiary standards or might 
otherwise dilute the emphasis on home visitation.
    The Committee recommendation includes $500,000 to continue 
a feasibility study on the creation of a national child abuse 
registry. Funding for the feasibility study was provided last 
year in the Office of the Secretary.
    Within the funds provided for child abuse discretionary 
activities, the Committee includes funding for the following 
items:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Addison County Parent/Child Center, Middlebury,                 $250,000
 Vermont, to support and expand parental education
 activities...........................................
Anchorage's Promise, Anchorage, AK, for a child                  115,000
 mentoring and support program........................
Catholic Community Services, Juneau, AK, to implement            400,000
 child abuse delivery programs in Southeast Alaska....
Contra Costa County, Martinez, CA, for a comprehensive           100,000
 plan to diminish the effects of domestic violence on
 children.............................................
Crisis Shelter of Lawrence County, New Castle, PA, for           100,000
 abuse victim services................................
Young Women's Resource Center, Des Moines, IA, for a             100,000
 child abuse prevention training program..............
------------------------------------------------------------------------

Abandoned Infants Assistance

    The Committee recommends $11,628,000 for abandoned infants 
assistance, which is the same as the comparable funding level 
for fiscal year 2008 and the budget request. This program 
provides grants to public and private nonprofit agencies, State 
and county child welfare agencies, universities, and community-
based organizations to develop, implement, and operate 
demonstration projects that will prevent the abandonment of 
infants and young children, especially those impacted by 
substance abuse and HIV and who are at-risk of being or are 
currently abandoned. By providing respite care for families and 
caregivers and assisting abandoned infants and children to 
reside with their natural families or in foster care.

Child Welfare Services

    The Committee recommends $281,744,000 for child welfare 
services. This is the same as the comparable funding level for 
fiscal year 2008 and the budget request. This program helps 
State public welfare agencies improve their child welfare 
services with the goal of keeping families together. State 
services include: preventive intervention so that, if possible, 
children will not have to be removed from their homes; 
reunification so that children can return home; and development 
of alternative placements like foster care or adoption if 
children cannot remain at home. These services are provided 
without regard to income.
    The Committee continues its interest in ACF's Child and 
Family Services Reviews. As more States complete the second 
round of reviews, ACF should ensure that States are provided 
with appropriate resources to develop their performance 
improvement plans and obtain technical assistance. In 
particular, the Committee urges ACF to examine the need for 
additional resources for States in addressing child health and 
well-being issues. ACF should explore the possibility of 
expanding one of the existing National Resource Centers or, if 
warranted, establishing a new center on child health and 
wellbeing.

Child Welfare Training

    The Committee recommends $7,207,000 for child welfare 
training. This is the same as the comparable funding level for 
fiscal year 2008 and the budget request. These discretionary 
grants are awarded to public and private nonprofit institutions 
of higher learning to develop and improve education/training 
programs and resources for child welfare service providers. 
These grants upgrade the skills and qualifications of child 
welfare workers.

Adoption Opportunities

    The Committee recommends $26,379,000 for adoption 
opportunities, which is the same as the comparable funding 
level for fiscal year 2008 and the budget request. This program 
eliminates barriers to adoption and helps find permanent homes 
for children who would benefit by adoption, particularly 
children with special needs.

Adoption Incentives

    The Committee recommends $15,000,000 for adoption 
incentives. The comparable funding level for fiscal year 2008 
is $4,323,000 and the administration request is $19,674,000. 
This program provides incentive funds to States to encourage an 
increase in the number of adoptions of children from the public 
foster care system. The recommendation is sufficient to fund 
adoption incentives under current law.

Adoption Awareness

    The Committee recommends $12,453,000 for adoption 
awareness, which is the same as the comparable funding level 
for fiscal year 2008 and the budget request. This program 
consists of two activities: the infant adoption awareness 
training program and the special needs awareness campaign.
    The infant adoption awareness training program provides 
grants to train health centers staff serving pregnant women so 
that they can inform them about adoption and make referrals on 
request to adoption agencies. Within the Committee 
recommendation, $9,558,000 is available for this purpose.
    The special needs adoption campaign supports grants to 
carry out a national campaign to inform the public about the 
adoption of children with special needs. The Committee 
recommendation includes $2,895,000 to continue this important 
activity.

Compassion Capital Fund

    The Committee recommends $42,688,000 for the compassion 
capital fund [CCF]. The comparable funding level for fiscal 
year 2008 is $52,688,000 and the administration request is 
$75,000,000. The goal of this program is to help faith-based 
and community organizations maximize their social impact as 
they provide services to those most in need. The CCF 
administers three discretionary grant programs: a demonstration 
program which provides funding to intermediary organizations to 
provide training and technical assistance to smaller faith and 
community-based organizations; a program to fund capacity-
building activities; and a program to build the capacity of 
organizations that combat gang activity and youth violence.

Social Services Research

    The Committee recommends $12,337,000 for social services 
research. The comparable funding level for fiscal year 2008 is 
$21,194,000 and the budget request is $5,762,000. The Committee 
recommendation includes $5,762,000 in transfers available under 
section 241 of the Public Health Service Act. These funds 
support research and evaluation projects focusing on finding 
programs that are cost effective, that increase the economic 
independence of American families and that contribute to 
healthy development of children and youth.
    The Committee feels strongly about preventing child 
maltreatment and ameliorating its adverse health effects. The 
Committee encourages ACF to enhance its child maltreatment 
prevention activities by: using population-based monitoring to 
capture information outside child protective services systems; 
promoting prevention and early intervention to identify and 
disseminate information about effective programs; advancing 
research to prevent the negative consequences of child 
maltreatment; and furthering the development and implementation 
of culturally appropriate and linguistically sensitive 
prevention and intervention approaches. The Committee also 
notes that children with disabilities are a distinct high-risk 
group for abuse and neglect. The Committee recommends targeted 
support for appropriate research, and the implementation of 
evidence-based prevention and early intervention efforts, for 
children with disabilities.
    The Committee is aware of the dramatic increase in homeless 
children combined with the unique multiracial and multiethnic 
demographic environment in Hawaii. Forty-two percent of these 
children are under age 6, and have twice the sickness and 
hunger rates when compared to their peers. Studies also reveal 
that homeless children perform poorly in school. The Committee 
urges ACF to develop a knowledge base to create programs that 
will structure appropriate programs and services that will 
improve homeless children's health and learning.
    Within the funds provided for social services research, the 
Committee includes funding for the following items:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
A+ For Abstinence, Waynesboro, PA, for abstinence                $25,000
 education and related services.......................
Catholic Social Services, Wilkes Barre, PA, for                   25,000
 abstinence education and related services............
City of Chester, Bureau of Health, Chester, PA, for               25,000
 abstinence education and related services............
Connecticut Council of Family Service Agencies,                  400,000
 Wethersfield, CT, for the Empowering People for
 Success welfare-to-work initiative...................
Creative Visions in Des Moines, IA, for a family                 150,000
 unification project for incarcerated individuals.....
Crozer Chester Medical Center, Upland, PA, for                    25,000
 abstinence education and related services............
Desormeaux Foundation, Lafayette, LA, for an expectant           100,000
 mother education and aid program.....................
Elijah's Promise, New Brunswick, NJ, for the Healthy              50,000
 Kitchens- Healthy Lives program......................
Family Services and Childrens Aid Society, Oil City,              25,000
 PA, for abstinence education and related services....
Family, Inc., Council Bluffs, IA, for the FAMILY                 350,000
 program..............................................
Guidance Center, Ridgeway, PA, for abstinence                     25,000
 education and related services.......................
Horizons for Homeless Children, Roxbury, MA, for                 150,000
 continued development of programs designed to support
 homeless children....................................
Iowans for Social and Economic Development [ISED], Des           200,000
 Moines, IA, for a Comprehensive Asset Development
 Project..............................................
Keystone Central School District, Mill Hall, PA, for              25,000
 abstinence education and related services............
Keystone Economic Development Corporation, Johnstown,             25,000
 PA, for abstinence education and related services....
LaSalle University, Philadelphia, PA, for abstinence              25,000
 education and related services.......................
Local Initiatives Support Coalition Rhode Island,                200,000
 Providence, RI, for child care professional
 development and programmatic activities..............
Louisiana Association of United Ways, New Orleans, LA,           400,000
 to expand the capacity of the Louisiana 2-1-1 system.
Marcus Institute, Atlanta, GA, for services for                  100,000
 children and adolescents with developmental
 disabilities.........................................
Monterey County Probation Department, Salinas, CA, for         1,500,000
 a gang prevention and intervention program...........
My Choice, Inc., Athens, PA, for abstinence education             25,000
 and related services.................................
Nassau County Coalition Against Domestic Violence,               400,000
 Inc., Hempstead, NY, to provide legal services to low-
 income victims of domestic violence..................
Neighborhood United Against Drugs, Philadelphia, PA,              25,000
 for abstinence education and related services........
New Brighton School District, Brighton, PA, for                   25,000
 abstinence education and related services............
Nueva Esperanza, Philadelphia, PA, for abstinence                 25,000
 education and related services.......................
Ohio United Way, Columbus, OH, to expand the capacity            400,000
 of the 2-1-1 system..................................
One Family, Inc., Boston, MA, for continued                      250,000
 development of programs to designed to end family
 homelessness.........................................
Progressive Believers Ministries, Glenside, PA, for               25,000
 abstinence education and related services............
School District of Philadelphia, Philadelphia, PA, for            25,000
 abstinence education and related services............
Shepherd's Maternity House, Inc., East Stroudsburg,               25,000
 PA, for abstinence education and related services....
Sheriffs Youth Programs of Minnesota, Inver Grove                150,000
 Heights, MN, for expansion and related expenses for
 foster care services.................................
Simpson College, Indianola, IA, for Urban Studies                200,000
 Institute............................................
Southern Penobscot Regional Program for Children with            200,000
 Exceptionalities, Bangor, ME, for services for
 families with autistic children......................
Tender Care Pregnancy Center, Inc., Hanover, PA, for              25,000
 abstinence education and related services............
The Jimmie Hale Mission, Birmingham, AL, for services            100,000
 for homeless families................................
TLC for Children and Families, Inc., Olathe, KS, for a           200,000
 transitional living program for at-risk youth........
Tuscarora Intermediate Unit, McVeytown, PA, for                   25,000
 abstinence education and related services............
United Way of the Capital Area, Jackson, MS, for 2-1-1           250,000
 Mississippi for social services programs.............
Urban Family Council, Philadelphia, PA, for abstinence            25,000
 education and related services.......................
Washington Hospital Teen Outreach, Washington, PA, for            25,000
 abstinence education and related services............
Women's Care Center of Erie County, Inc., Erie, PA,               25,000
 for abstinence education and related services........
York County Human Life Services, York, PA, for                    25,000
 abstinence education and related services............
Zuni Tribe, Zuni, NM, for a program to assist foster             275,000
 children.............................................
------------------------------------------------------------------------

Developmental Disabilities

    The Committee recommends $185,021,000 for programs 
administered by the Administration on Developmental 
Disabilities. The comparable funding level for fiscal year 2008 
is $180,021,000, the same as the administration request.
    The Administration on Developmental Disabilities [ADD] 
supports community-based delivery of services which promote the 
rights of persons of all ages with developmental disabilities. 
Developmental disability is defined as severe, chronic 
disability attributed to mental or physical impairments 
manifested before age 22, which causes substantial limitations 
in major life activities. The ADD also provides funding for 
election assistance for individuals with disabilities. This 
program is for individuals with any type of disability.
    Of the funds provided, the Committee recommends $74,482,000 
for State Councils. These important entities work to develop, 
improve and expand the system of services and supports for 
people with developmental disabilities. Through their 
activities, Councils on Developmental Disabilities provide for 
the inclusion and integration of individuals with developmental 
disabilities in the economic, political, social, cultural, 
religious and educational mainstream of our Nation.
    The Committee recommends $40,024,000 for protection and 
advocacy grants. This formula grant program provides funds to 
States to establish protection and advocacy systems to protect 
the legal and human rights of persons with developmental 
disabilities who are receiving treatment, services, or 
rehabilitation.
    The Committee recommends $17,410,000 for disabled voter 
services. Of these funds, $12,154,000 is to promote disabled 
voter access and $5,256,000 is for disabled voters protection 
and advocacy systems. The election assistance for individuals 
with disabilities program was authorized in the Help America 
Vote Act of 2002. The program enables grantees to make polling 
places more accessible and increase participation in the voting 
process of individuals with disabilities.
    The Committee recommends $14,162,000 for projects of 
national significance to assist persons with developmental 
disabilities. This program funds grants and contracts that 
develop new technologies and demonstrate innovative methods to 
support the independence, productivity, and integration into 
the community of persons with developmental disabilities. The 
Committee recommendation includes $2,000,000 for the 
continuation of the National Clearinghouse and Technical 
Assistance Center. This Center promotes leadership by families 
of children with disabilities in the design and improvement of 
family-centered and family-controlled systems of family support 
services, as described in section 202(b)(2) of the Families of 
Children with Disabilities Support Act of 2000.
    The Committee recommends $38,943,000 for the University 
Centers for Excellence in Developmental Disabilities [UCEDDs], 
a network of 67 centers that are interdisciplinary education, 
research and public service units of a university system or are 
public or nonprofit entities associated with universities. The 
Centers serve as the major vehicle to translate disability-
related research into community practice and to train the next 
cohort of future professionals who will provide services and 
supports to an increasingly diverse population of people with 
disabilities. The Committee intends that the additional funding 
provided will provide a cost-of-living adjustment to existing 
centers, and will also establish new grants to work through 
partnerships with minority-serving institutions. These new 
grants will focus research, training and services on minority 
populations with disabilities.
    The Committee encourages the Secretary to make funds 
available to establish a National Autism Family Resource and 
Information Center, which will provide families and other 
caregivers of individuals with autism spectrum disorders access 
to information about evidence-based interventions, services and 
protocols that can assist individuals with autism and other 
developmental disabilities.

Native American Programs

    The Committee recommends $45,523,000 for Native American 
programs. This is the same as the comparable funding level for 
fiscal year 2008 and the budget request. The Administration for 
Native Americans [ANA] assists Indian tribes and Native 
American organizations in planning and implementing long-term 
strategies for social and economic development through the 
funding of direct grants for individual projects, training and 
technical assistance, and research and demonstration programs.

Community Services

    The Committee recommends $723,080,000 for community 
services programs. The comparable funding level for fiscal year 
2008 is $722,440,000 and the administration requested 
$24,025,000 for this activity.
    Within the funds provided, the Committee recommends 
$653,800,000 for the community services block grant [CSBG], 
which is the same as the comparable fiscal year 2008 funding 
level. The administration did not request funding for this 
program. These funds are used to make formula grants to States 
and Indian tribes to provide a wide range of services and 
activities to alleviate causes of poverty in communities and to 
assist low-income individuals in becoming self-sufficient.
    Several other discretionary programs are funded from this 
account. Funding for these programs is recommended at the 
following levels for fiscal year 2009: community economic 
development, $31,467,000; individual development accounts, 
$24,025,000; job opportunities for low-income individuals, 
$5,288,000; and rural community facilities, $8,500,000.
    The Committee has included bill language clarifying 
congressional intent regarding disposition of intangible 
assets, including loans and investments, acquired under the 
community economic development authority of the CSBG Act. 
Grantees under this program make loans or investments in 
private business enterprises that provide job and business 
opportunities for low-income individuals. As the grantee 
receives repayments or program income from these loans or 
investments, it recycles these funds into other similar 
projects. The bill language continues the policy in place since 
1999 that establishes a regulatory period of up to 12 years 
after the end of grant period. After that time, the intangible 
assets and program income become the property of the grantee 
provided they are used in a manner consistent with the intent 
of the authorizing statute. The bill language clarifies that 
recycled funds or program income may be used in any low-income 
community for any eligible purpose under the law and not be 
restricted to the original target area, financing, or type of 
project for which the grantee was originally funded.
    The Committee continues to recognize the importance of 
Community Action Agencies [CAAs] as institutions that organize 
low-income communities to identify emerging challenges to 
economically insecure Americans and subsequently mobilize the 
resources, programs and partnerships needed to address local 
poverty conditions. The CSBG is a unique Federal resource that 
supports CAAs while they initiate creative responses to local 
poverty conditions and seek new sources of support and 
investment to implement their initiatives. The Committee 
believes that CSBG funding is an investment, analogous to 
venture capital, in the future of low-wage workers, retirees 
and their families.
    The Committee notes that Office of Community Services [OCS] 
has failed to report on its progress in remedying many of the 
severe deficiencies in its oversight of the CSBG that were 
reported by the Government Accountability Office. OCS has also 
failed to comply with the direction from the fiscal year 2005 
appropriations conference report to implement a training and 
technical assistance needs assessment and delivery plan in 
consultation with CSBG State and local eligible entities. The 
Committee expects both failures to be remedied during fiscal 
year 2009.
    The Committee believes that training and technical 
assistance funding should build the local organizational 
resources needed to reduce poverty and rebuild communities. The 
Committee encourages OCS to develop and deliver the 
professional skills training needed by CAA leaders to undertake 
investments in projects that enhance their communities' future 
security by financing and implementing innovative housing, 
economic and community development partnerships. The Committee 
also believes that OCS should support development of linkages 
between local agencies, their national organizations and major 
academic institutions; such linkages could support 
dissemination to CAAs of applied research on effective 
responses to poverty conditions. The Committee also believes 
that OCS should continue to make grants to each statewide 
association of CAAs so they may continue and expand cost-
effective training and other capacity-building services for 
their members.

Domestic Violence Hotline

    The Committee recommends $3,500,000 for the national 
domestic violence hotline. The comparable fiscal year 2008 
amount is $2,918,000, the same as the budget request. This 
activity funds the operation of a national, toll-free, 24-
hours-a-day telephone hotline to provide information and 
assistance to victims of domestic violence.

Family Violence Prevention and Services

    The Committee recommends $125,000,000 for fiscal year 2009 
for the family violence prevention and services program, which 
includes battered women's shelters. The comparable amount for 
fiscal year 2008 is $122,552,000, the same as the budget 
request. These funds support community-based projects which 
operate shelters and provide assistance for victims of domestic 
violence and their dependents. Grantees use funds to provide 
counseling, self-help and referral services to victims and 
their children.
    The Committee notes that domestic violence impacts one in 
four American women over their lifetimes. In addition, 15.5 
million children are exposed to domestic violence each year. 
The Committee acknowledges the connections between domestic 
violence and a variety of related public health problems, such 
as youth violence, homelessness, substance abuse, mental 
illness, and increased health care costs. The Committee's 
funding recommendation reflects its belief that the family 
violence prevention and services program, including battered 
women's shelters, not only provides critical services to 
victims fleeing from life-threatening violence but also 
prevents other costly social problems. The Committee encourages 
the Family and Youth Services Bureau to collaborate with other 
operating divisions within the Department to respond to the 
intersection of domestic violence and other health issues. This 
collaboration would be cost effective and has the potential to 
prevent domestic violence and many other public health 
concerns.

Mentoring Children of Prisoners

    The Committee recommends $48,628,000 for mentoring children 
of prisoners, which is the same as the comparable amount for 
fiscal year 2008. The administration requested $50,000,000 for 
this activity. This program provides competitive grants to 
community organizations to create and sustain mentoring 
relationships between children of prisoners and adults in their 
community. Research indicates that mentoring programs can help 
children with incarcerated parents reduce their drug and 
alcohol use, improve their relationships and academic 
performance, and reduce the likelihood that they will initiate 
violence.

Independent Living Training Vouchers

    The Committee recommends $45,351,000 for independent living 
training vouchers, which is the same as the comparable fiscal 
year 2008 funding level and the budget request. These funds 
will support vouchers of up to $5,000 per year for 
postsecondary educational and training for foster care youth up 
to 21 years of age. This program increases the likeihood that 
individuals who age out of the foster care system will be 
better prepared to live independently and contribute 
productively to society.

Abstinence Education

    The Committee recommends $84,827,000 for community-based 
abstinence education. The comparable level for fiscal year 2008 
is $113,400,000 and the administration request is $141,074,000. 
The recommendation includes $4,410,000 in transfers available 
under section 241 of the Public Health Service Act.
    The Committee has not provided funding for the 
administration's proposed increase or for the national 
abstinence media campaign. The Committee recommendation fully 
funds current grantee continuation costs. The Committee repeats 
bill language from last year's Senate report clarifying that 
information provided under this program must be scientifically 
and medically accurate. The Committee's intent is that 
``scientifically and medically accurate'' refers to information 
that is verified or supported by peer-reviewed research by 
leading medical, psychological, psychiatric and public health 
publications, organizations and agencies.

Faith-Based Center

    The Committee recommends $1,362,000 for the operation of 
the Department's Center for Faith-Based and Community 
Initiatives. This amount is the same as the comparable funding 
level for fiscal year 2008 and the budget request.

Program Administration

    The Committee recommends $196,930,000 for program 
administration. The comparable funding level for fiscal year 
2008 is $184,496,000 and the administration request is 
$195,430,000.
    The Committee commends the Department for its plans to 
establish in 2008 a Federal advisory committee on children and 
disasters under the authority of section 1114 of the Social 
Security Act. The Committee understands that this advisory 
committee will be charged with providing policy analysis and 
advice to ACF and the Secretary. This advisory committee will 
assess the needs of children as they relate to preparation for, 
response to, and recovery from all hazards, including major 
disasters and emergencies. The Committee understands this 
advisory committee will build on the evaluations of other 
entities and avoid unnecessary duplication, by reviewing the 
findings, conclusions, and recommendations of various 
commissions, Federal, State, and local governments, and 
nongovernmental entities on this topic. The recommendation 
includes $1,500,000 to complete this work. Funds may be used 
for personnel, travel and any other necessary administrative 
expenses. The Committee requests that ACF submit a report on 
the progress of this committee within 1 year of the initial 
meeting.
    The Committee understands that pursuant to the authorizing 
legislation, the members of the Commission have already been 
appointed. To ensure that the work of the Commission is not 
delayed, the Committee directs the Secretary to keep in place 
the currently appointed members.

                   PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2008....................................    $408,311,000
Budget estimate, 2009...................................     408,311,000
Committee recommendation................................     418,311,000

    The Committee recommends $418,311,000 for promoting safe 
and stable families. The comparable funding level for fiscal 
year 2008 is $408,311,000, the same as the budget request. The 
recommendation consists of $345,000,000 in mandatory funds 
authorized by the Social Security Act and $73,311,000 in 
discretionary appropriations.
    Funds available through the promoting safe and stable 
families [PSSF] program are focused on supporting those 
activities that can prevent family crises from emerging which 
might require the temporary or permanent removal of a child 
from his or her own home. The program provides grants to 
States, territories, and tribes for provision of four broad 
categories of services to children and families: (1) family 
preservation services; (2) time-limited family reunification 
services; (3) community-based family support services; and (4) 
adoption promotion and support services. The Child and Family 
Services Improvement Act of 2006 (Public Law 109-288) allocated 
$20,000,000 for formula grants to States to support monthly 
caseworker visits to children in foster care and for 
competitive grants to regional partnerships to address child 
welfare issues raised by parent or caretaker abuse of 
methamphetamine or other substance.

       PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Appropriations, 2008....................................  $5,067,000,000
Budget estimate, 2009...................................   5,096,000,000
Committee recommendation................................   5,096,000,000

    The Committee recommends $5,096,000,000 for payments to 
States for foster care and adoption assistance, which includes 
funding for the foster care, adoption assistance and 
independent living programs. The comparable funding level for 
fiscal year 2008 is $5,067,000,000. In addition, the Committee 
recommendation provides $1,800,000,000 for an advance 
appropriation for the first quarter of fiscal year 2010. The 
Committee recommendation provides the full amount requested 
under current law.
    The foster care program provides Federal reimbursement to 
States for: maintenance payments to families and institutions 
caring for eligible foster children, matched at the Federal 
medical assistance percentage [FMAP] rate for each State; 
administration and training costs to pay for the efficient 
administration of the foster care program; and training of 
foster care workers and parents.
    The adoption assistance program provides funds to States 
for maintenance payments and the nonrecurring costs of adoption 
for children with special needs. The goal of this program is to 
facilitate the adoption of hard-to-place children in permanent 
homes, and thus prevent long, inappropriate stays in foster 
care. As in the foster care program, State administrative and 
training costs are eligible under this program for Federal 
reimbursement subject to a matching rate.
    The independent living program provides services to foster 
children under 18 and foster youth ages 18-21 to help them make 
the transition to independent living by engaging in a variety 
of services including educational assistance, life skills 
training and health services. States are awarded grants based 
on their share of the number of children in foster care, 
subject to a matching requirement.
    The Committee urges HHS to clarify that States may not deny 
eligibility for independent living services to a youth who 
otherwise meets the eligibility criteria but is temporarily 
residing out of State, and that States may not terminate 
ongoing independent living assistance solely due to the fact 
that a youth is temporarily residing out of State.

                        Administration on Aging

Appropriations, 2008....................................  $1,413,435,000
Budget estimate, 2009...................................   1,381,384,000
Committee recommendation................................   1,478,156,000

    The Committee recommends an appropriation of $1,478,156,000 
for the Administration on Aging [AoA]. The comparable fiscal 
year 2008 level is $1,413,435,000 and the administration 
request is $1,381,384,000.

Supportive Services and Senior Centers

    The Committee recommends an appropriation of $361,348,000 
for supportive services and senior centers. The comparable 
level for fiscal year 2008 is $351,348,000, the same as the 
administration request. The supportive services program 
provides formula grants to States and territories to fund 
activities that help seniors remain in their homes for as long 
as possible. This program funds a wide range of social services 
such as multipurpose senior centers, adult day care, 
transportation and in-home assistance such as personal care and 
homemaker assistance. State agencies on aging award funds to 
designated area agencies on aging who in turn make awards to 
local services providers. All individuals age 60 and over are 
eligible for services, although, by law, priority is given to 
serving those who are in the greatest economic and social need, 
with particular attention to low-income minority older 
individuals, older individuals with limited English 
proficiency, and older individuals residing in rural areas.

Preventive Health Services

    The Committee recommends $21,026,000 for preventive health 
services, which is the same as the comparable fiscal year 2008 
level. The administration did not request funds for this 
program. The preventive health services program funds 
activities such as health screenings, physical fitness, 
medication management and information and outreach regarding 
healthy behaviors that can help prevent or delay chronic 
disease and disability.

Protection of Vulnerable Older Americans

    The Committee recommends $22,133,000 for grants to States 
for protection of vulnerable older Americans. The comparable 
fiscal year 2008 level is $20,633,000, the same as the 
administration request. Within the Committee recommendation, 
$17,077,000 is for the ombudsman services program and 
$5,056,000 is for the prevention of elder abuse program. Both 
programs provide formula grants to States to prevent the abuse, 
neglect, and exploitation of older individuals. The ombudsman 
program focuses on the needs of residents of nursing homes and 
other long-term care facilities, while elder abuse prevention 
targets its message to the elderly community at large.

National Family Caregiver Support Program

    The Committee recommends $155,000,000 for the national 
family caregiver support program. The comparable level for 
fiscal year 2008 is $153,439,000, the same as the 
administration request. Funds appropriated for this activity 
establish a multifaceted support system in each State for 
family caregivers, allowing them to care for their loved ones 
at home for as long as possible. States may use funding to 
implement the following five components into their program: 
information to caregivers about available services; assistance 
to caregivers in gaining access to services; caregiver 
counseling and training; respite care to enable caregivers to 
be temporarily relieved from their caregiving responsibilities; 
and limited supplemental services that fill remaining service 
gaps.
    The Committee recognizes the essential role of family 
caregivers who provide a significant proportion of our Nation's 
health and long-term care for the chronically ill and aging. 
While caring for a loved one can be rewarding, it may also put 
caregivers at risk for negative physical and mental health 
consequences. The Committee acknowledges the efforts of the AoA 
to provide vital support services for family caregivers through 
the national family caregiver support program. The Committee 
encourages increased support of services that may prevent or 
reduce the health burdens of caregiving, including individual 
counseling, support groups, respite care, and caregiver 
training.

Native American Caregiver Support Program

    The Committee recommendation includes $6,316,000 to carry 
out the Native American caregiver support program. This amount 
is the same as the comparable fiscal year 2008 level and the 
administration request. The program will assist tribes in 
providing multifaceted systems of support services for family 
caregivers and for grandparents or older individuals who are 
relative caregivers.

Congregate and Home-delivered Nutrition Services

    For congregate nutrition services, the Committee recommends 
an appropriation of $434,269,000. The comparable level for 
fiscal year 2008 is $410,716,000, the same as the 
administration request. For home-delivered meals, the Committee 
recommends $205,005,000. The comparable fiscal year 2008 level 
is $193,858,000, the same as the administration request. These 
programs address the nutritional needs of older individuals. 
Projects funded must make home-delivered and congregate meals 
available at least once a day, 5 days a week, and each meal 
must meet a minimum of one-third of daily dietary requirements. 
While States receive separate allotments of funds for 
congregate and home-delivered nutrition services and support 
services, they are permitted to transfer up to 40 percent of 
funds between these programs.
    The Committee is aware that many local senior nutrition 
programs are facing a crisis due to rising fuel and food costs. 
The Committee is alarmed that some programs have been forced to 
consolidate meal sites, while others have eliminated delivery 
routes for home-delivered meals programs. Many programs are 
resorting to providing frozen meals and reducing daily 
deliveries in order to cut costs. The Committee believes that 
such cutbacks put our most vulnerable seniors at risk of 
hunger, poor health, and isolation. The Committee has provided 
a 5.7 percent increase for senior nutrition programs in order 
to help alleviate the financial strain faced by local providers 
of these services.

Nutrition Services Incentives Program

    The Committee recommendation includes $162,207,000 for the 
nutrition services incentives program [NSIP]. The comparable 
fiscal year 2008 funding level is $153,429,000, the same as the 
administration request. This program augments funding for 
congregate and home-delivered meals provided to older adults. 
Funds provided under this program are dedicated exclusively to 
the provision of meals. NSIP rewards effective performance by 
States and tribal organizations in the efficient delivery of 
nutritious meals to older individuals through the use of cash 
or commodities.

Aging Grants to Indian Tribes and Native Hawaiian Organizations

    The Committee recommends $26,898,000 for grants to Native 
Americans. This amount is the same as the comparable fiscal 
year 2008 funding level and the administration request. Under 
this program, awards are made to eligible organizations based 
on their share of Native American, Alaska Native, and Native 
Hawaiians aged 60 and over. These tribal organizations assure 
that a broad range of supportive services, nutrition services, 
information, and assistance are available.

Program Innovations

    The Committee recommends $10,102,000 for program 
innovations. The comparable fiscal year 2008 level is 
$14,655,000 and the administration request is $32,918,000. 
These funds support activities designed to expand public 
understanding of aging and the aging process, apply social 
research and analysis to improve access to and delivery of 
services for older individuals, test innovative ideas and 
programs to serve older individuals, and provide technical 
assistance to agencies that administer the Older Americans Act.
    The Committee has provided funding for the choices for 
independence program in aging network support activities, 
rather than in program innovations as requested by the 
administration.
    The Committee has included $1,000,000 to continue a 24-hour 
call center to provide Alzheimer family caregivers with 
professional care consultation and crisis intervention.
    The Committee supports direct funding for a national 
program of statewide Senior Legal Hotlines/Helplines. The 
Committee has included $2,000,000 for this activity, which will 
provide an increase in the number of States in which these 
services are available for older Americans. Statewide Senior 
Legal Hotlines/Helplines provide free legal advice, 
information, referrals, and a variety of additional services to 
older Americans over 60, enabling more seniors to maintain 
healthy, independent lives, free from the threats of poverty, 
exploitation or abuse.
    The Committee continues to support funding at no less than 
last year's level for national programs scheduled to be 
refunded in fiscal year 2009 that address a variety of issues, 
including elder abuse, Native American issues, and legal 
services.
    The Committee strongly encourages AoA find ways to promote 
civic engagement among older adults, as authorized under 
section 417 of the Older Americans Act, by entering into 
partnerships with organizations that enable older Americans to 
effectively help meet critical social needs and advance the 
field of older American civic engagement.
    The Committee strongly encourages AoA to expand the 
public's understanding of advance directives and living wills. 
As people live longer, the chance that they may not be able to 
make their own health care decisions increases. A health care 
advance directive gives direction to families and health care 
providers about an individual's health care decision, if a 
person is unable to make a health care choice.
    The Committee includes the following projects and 
activities and the following amounts for fiscal year 2009:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Cedar Crest College, Allentown, PA, for a seniors               $100,000
 outreach program.....................................
Jewish Family Service of Saint Paul, MN, for a                   125,000
 Naturally Occurring Retirement Community
 demonstration project................................
Jewish Family & Child Service, Portland, OR, for                 100,000
 senior programs and services.........................
Jewish Family Service of Greater New Orleans,                    250,000
 Metairie, LA, for a Community Nursing Elder Trauma
 Response Program demonstration project...............
Jewish Federation of Greater Atlanta, Atlanta, GA, for           100,000
 a Naturally Occurring Retirement Community...........
Jewish Federation of Greater Indianapolis,                       200,000
 Indianapolis, IN, for services at a naturally
 occurring retirement community.......................
Legal Services of Northern California, Inc.,                     250,000
 Sacramento, CA, to provides free legal consultation
 for older Californians...............................
Nevada Rural Counties RSVP, Carson City, NV, to                  100,000
 provide home services to seniors in rural areas......
Town of North Hempstead, NY, for the Project                     350,000
 Independence naturally occurring retirement
 communities [NORC] demonstration project.............
University of Wisconsin--Oshkosh, Oshkosh, WI, for a             350,000
 demonstration training program that prevents elder
 abuse and neglect....................................
Utah Department of Human Services, Division of Aging             100,000
 and Adult Services, Salt Lake City, UT, for senior
 counseling services on Medicare, Medicaid and private
 insurance options....................................
------------------------------------------------------------------------

Aging Network Support Activities

    The Committee recommends $43,692,000 for aging network 
support activities. The comparable amount for fiscal year 2008 
is $31,589,000 and the administration request is $13,133,000. 
The Committee recommendation includes funding at the 
administration request level for the Eldercare Locator, which 
is a toll-free, nationwide directory assistance service for 
older Americans and their caregivers. Established in 1991, the 
service links over 100,000 callers annually to an extensive 
network of resources for aging Americans and their caregivers.
    The Committee recommendation includes $28,000,000 to 
continue national implementation of the choices for 
independence program. The Committee has provided funding for 
this program in aging network support activities, as reflected 
in the reauthorized Older Americans Act. The administration 
requested these funds within the program innovations account. 
The choices for independence program seeks to establish long-
term care options for seniors so they can live independently in 
their own communities. The program will continue and expand 
existing AoA programs that focus on nursing home diversion, 
aging and disability resource centers and evidence-based 
disease prevention activities.
    The Committee has included $2,000,000 within aging network 
support activities for the National Center on Senior Benefits 
Outreach and Enrollment, which was included in the 
reauthorization of the Older American Act. This Center works 
with the aging services network, including State and area 
agencies on aging, Aging and Disability Resource Centers 
[ADRCs] and State Health Insurance Assistance Programs [SHIPs], 
to provide outreach and benefits enrollment assistance to older 
Americans.
    The Committee recommendation includes $1,717,000 for the 
pension counseling and information program. Regional pension 
counseling projects provide hands-on personalized advice to 
workers, retirees and their family members about employer 
sponsored pension and retirement savings plan benefits, and 
assistance in pursuing claims when problems arise. The program 
has secured nearly $85,000,000 in benefits for the thousands of 
clients it has served--a return on Federal investment of more 
than 5-to-1. The Committee's recommendation includes funds to 
increase training and technical support for the counseling 
projects and to maintain the six regional counseling projects.
    The Committee has provided funding at the administration 
request level for the National Long Term Care Ombudsman 
Resource Center, the National Center on Elder Abuse and the 
Health Care Anti-Fraud, Waste and Abuse Program.
    The Committee is concerned that AoA is not dedicating 
appropriate resources to the ADRCs for the purpose of assisting 
people with vision loss to live safely and independently in 
their homes and communities. The Committee encourages the AoA 
to develop ongoing relationships with organizations that 
possess demonstrated expertise in outreach to older Americans 
with vision loss. Such ongoing relationships should also 
include web site links from AoA to Internet resources which 
provide sound, comprehensive and practical information to 
individuals with vision loss and their families.

Alzheimer's Disease Demonstration Grants to States

    The Committee recommends a funding level of $11,464,000 for 
Alzheimer's disease demonstration grants to States, which is 
the same as the comparable fiscal year 2008 funding level. The 
administration proposed eliminating funding for this activity.
    This program provides competitive matching grants to a 
limited number of States to encourage program innovation and 
coordination of public and private services for people with 
Alzheimer's disease and their families. The Committee is 
continuing funds at current levels to support initiatives that 
focus on emerging issues such as early intervention and chronic 
care management with broad implications for Medicaid and 
Medicare, to continue focus on underserved populations, and to 
promote dissemination and replication of program successes 
nationwide.

Program Administration

    The Committee recommends $18,696,000 for program 
administration, which is the same as the administration 
request. The comparable fiscal year 2008 funding level is 
$18,064,000. These funds support salaries and related expenses 
for program management and oversight activities.

                        Office of the Secretary


                    GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2008....................................    $354,014,000
Budget estimate, 2009...................................     379,864,000
Committee recommendation................................     367,615,000

    The Committee recommends $367,615,000 for general 
departmental management [GDM]. The administration requested 
$379,864,000. The fiscal year 2008 funding level was 
$354,014,000. The Committee recommendation includes the 
transfer of $5,851,000 from Medicare trust funds, which is the 
same as the administration request. In addition, for policy 
evaluation activities the Committee recommends $46,756,000 in 
transfers available under section 241 of the Public Health 
Service Act.
    This appropriation supports those activities that are 
associated with the Secretary's role as policy officer and 
general manager of the Department. It supports certain health 
activities performed by the Office of Public Health and 
Science, including the Office of the Surgeon General. GDM funds 
also support the Department's centralized services carried out 
by several Office of the Secretary staff divisions, including 
personnel management, administrative and management services, 
information resources management, intergovernmental relations, 
legal services, planning and evaluation, finance and 
accounting, and external affairs.
    The Office of the Surgeon General, in addition to its other 
responsibilities, provides leadership and management oversight 
for the PHS Commissioned Corps, including the involvement of 
the Corps in departmental emergency preparedness and response 
activities.
    The Committee directs that specific information requests 
from the chairman and ranking member of the Subcommittee on 
Labor, Health and Human Services, and Education, and Related 
Agencies, on scientific research or any other matter, shall be 
transmitted to the Committee on Appropriations in a prompt 
professional manner and within the timeframe specified in the 
request. The Committee further directs that scientific 
information requested by the Committees on Appropriations and 
prepared by Government researchers and scientists be 
transmitted to the Committee on Appropriations, uncensored and 
without delay.
    In addition to requests for specific information, this 
Committee report, as in previous years, also includes requests 
from the Department for reports on various topics. The 
Committee has long been frustrated by the Department's 
inability to provide such reports in a timely manner. More 
often than not, reports are delivered several months after the 
date requested in the Committee report. Indeed, it is unlikely 
that any report produced by any operating division of the 
Department has been delivered to the Committee by the requested 
deadline in many years. The Committee recognizes that the 
delays may be due in part to the amount of work involved in 
producing the reports. Most of the problem, however, results 
from the numerous layers of bureaucracy involved in approving 
the release of the reports--steps that consume much time but 
add little value to the reports' quality. The Committee reminds 
the Department that the deadlines included in this report are 
not chosen arbitrarily but are purposefully set in the hope 
that the Committee will be able to use the information provided 
in the reports to make prudent decisions about how to allocate 
funding. The Department is strongly urged to respect the 
Committee's requests this year and take the deadlines 
seriously.
    The Committee has included $10,000,000 for the 
transformation of the Commissioned Corps. The Committee 
commends the Secretary on his proposal to transform the Public 
Health Service Commissioned Corps into a force that is ready to 
respond to public health emergencies and looks forward to 
working with him on this important initiative.
    The Committee has also included up to $3,545,000 supporting 
the Secretary's plan to invest in public health and diplomacy 
abroad by delivering direct patient care and training local 
health workers in Central America. The Committee has held 
hearings on global health issues, drug-resistant tuberculosis, 
and pandemic influenza and understands that infectious diseases 
know no borders. While the United States has provided strong 
financial support for the elimination of HIV/AIDS, 
tuberculosis, and malaria around the world, the Committee 
understands that these efforts cannot succeed without a basic 
public health infrastructure in place, not only in Central 
America but around the world.
    Bill language is included to provide HHS the authority to 
work with non-governmental organizations in the provision of 
medical services. Section 213 of the general provisions is also 
modified so that the State Department can provide the same 
embassy personnel, space, and logistics services to the Health 
Diplomacy Initiative that it provides to CDC.
    The Committee has again included $1,000,000 for the 
Secretary to implement section 399CC of the Public Health 
Service Act (as enacted in the Combating Autism Act, Public Law 
109-416) related to creation and administration of the 
Interagency Autism Coordinating Committee. These funds are to 
be transferred to the National Institute of Mental Health.
    The Committee strongly encourages the Secretary to convene 
a series of discussions which would bring together preeminent 
scientists and theologians to begin a dialogue on the 
relationship between scientific inquiry and religious faith, 
including their areas of commonality. These meetings could 
serve as a catalyst to develop a mutual understanding between 
the scientific and faith communities to improve the health and 
well-being of all Americans.
    Physical Activity Guidelines.--The Committee is aware that 
the Secretary of Health and Human Services is scheduled to 
release physical activity guidelines for all Americans in the 
fall of 2008. The Committee urges the Secretary to release 
these guidelines in a timely manner and promote these 
guidelines to the general public and in each Federal agency. It 
is especially important that these guidelines be used when 
carrying out any Federal health program. In addition, the 
Committee recognizes the need to keep the guidelines current 
and up to date and therefore, encourages the Secretary to 
update the physical activity guidelines every 5 years based on 
the latest scientific and medical knowledge available at the 
time the report is prepared.
    Hispanic Youth and Suicide Risk.--Suicide risk remains a 
serious public health concern for Hispanic youth in the United 
States. Limited access to mental health services compounds this 
problem, given the number of Hispanic youth suffering from a 
mental illness. The Committee therefore strongly encourages the 
Office of the Secretary to develop a demonstration project that 
will illustrate whether the early identification of adolescents 
at risk leads to increased proportions of referrals for mental 
health treatment among Hispanic adolescents.
    Pediatric Trauma Care.--Trauma is the most important cause 
of morbidity and mortality among children and adolescents, 
accounting for nearly 16,000 deaths, 250,000 hospital 
admissions and 9 million emergency department visits annually. 
While the goal is to deliver optimal care to injured children 
so that they attain the best possible outcomes after serious 
trauma, many questions about what constitutes optimal care 
remain unanswered. This gives rise to the tremendous variations 
in care and settings we see today. The Committee directs the 
Secretary to conduct a national prospective study on this 
variation in care in order to understand how the organization 
and processes of treatment affect outcomes. The organization of 
pediatric trauma care is much more complex than that of care 
for adult trauma, and a separate study on children is 
necessary.
    Such a study will allow standards for optimal care of the 
injured child to be established based on high-quality evidence. 
These standards could then be adopted by organizations such as 
the American College of Surgeons, the Emergency Medical 
Services for Children program of the Maternal and Child Health 
Bureau, and State and local certifying agencies to bring high 
quality, uniform care to injured children and prevent needless 
disability. The Committee requests a report within 6 months 
that outlines how the Secretary shall conduct this study.
    The Committee includes the following projects and 
activities and in the following amounts for fiscal year 2009:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Community Transportation Association of America,                $750,000
 Washington, DC, for technical assistance to human
 services transportation providers on ADA requirements
------------------------------------------------------------------------

Adolescent Family Life

    The Committee has provided $29,778,000 for the Adolescent 
Family Life Program [AFL]. The administration requested 
$30,307,000.
    The AFL program funds demonstration projects that provide 
services to pregnant and parenting adolescents, and prevention 
projects which promote abstinence from sexual activity for 
adolescents.

Minority Health

    The Committee recommends $49,988,000 for the Office of 
Minority Health. The administration requested $42,686,000.
    The Office of Minority Health [OMH] focuses on strategies 
designed to decrease the disparities and to improve the health 
status of racial and ethnic minority populations in the United 
States. OMH establishes goals, and coordinates all departmental 
activity related to improving health outcomes for disadvantaged 
and minority individuals. OMH supports several initiatives, 
including demonstration projects (the Minority Community Health 
Partnership HIV/AIDS, the Bilingual/Bicultural Service, and the 
Youth Empowerment Program) as well as the Center for Linguistic 
and Cultural Competency in Health Care, and the Family and 
Community Violence Prevention Program.
    The Committee is encouraged by the progress the Office of 
Minority Health is making in fiscal year 2008 on the multi-year 
effort to address health disparities issues in the rural areas 
and minority populations of the gulf coast region, and looks 
forward to further progress in this area in fiscal year 2009.
    The Committee commends OMH for its efforts to partner with 
our Nation's historically black medical schools, including 
expanded opportunities for biomedical research and support for 
residency training faculty. The Committee also encourages OMH 
to continue its leadership in defining the opportunities at 
minority health schools in resolving health disparities.
    The Committee is concerned about barriers to early medical 
diagnosis of lupus, a debilitating autoimmune disease that is 
up to three times more common among African Americans, 
Hispanics and Native Americans and affects over 1.5 million 
persons, 90 percent of whom are women. A recent CDC report 
found that the death rate from lupus among African American 
women ages 45-64 had increased almost 70 percent over the 
previous 20 years. During that period, over one-third of lupus 
deaths were among women under the age of 45. To combat these 
trends, the Committee believes there is a need for a 
substantive effort to engage our Nation's health professionals 
in finding ways to improve lupus diagnosis and treatment. The 
Committee has provided funds for the Office of Minority Health, 
working in conjunction with the Surgeon General and the Office 
of Women's Health, for a national health education program for 
health care providers on lupus. To accomplish the goals of 
improving diagnosis and reducing disparities, the Office is 
encouraged to involve a wide array of public health, community, 
academic, medical and industry organizations, including those 
working to improve medical school curricula. The Committee also 
requests that OMH provide a report by May 1, 2009 on the 
disease, associated health disparities, and the impact of lupus 
on the population.
    The Committee includes the following projects and 
activities and in the following amounts for fiscal year 2009:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Commonwealth of Massachusetts Department of Public              $250,000
 Health, Boston, MA, for the continued development of
 a program to reduce health disparities and infant
 mortality............................................
------------------------------------------------------------------------

Office of Women's Health

    The Committee recommends $31,033,000 for the Office of 
Women's Health. The administration requested $28,458,000.
    The Office of Women's Health [OWH] develops, stimulates, 
and coordinates women's health research, health care services, 
and public and health professional education and training 
across HHS agencies. It advances important crosscutting 
initiatives and develops public-private partnerships, providing 
leadership and policy direction, and initiating and 
synthesizing program activities to redress the disparities in 
women's health.
    The Committee understands that lupus is a serious, complex, 
debilitating chronic autoimmune disease that can cause 
inflammation and tissue damage to virtually any organ system in 
the body. The Committee is aware that public and health 
professional recognition and understanding of lupus is 
extremely low, contributing to misdiagnoses or late diagnoses 
that can result in disability or death. The Committee has 
included funds to continue the national lupus education 
campaign, in conjunction with the Office of Minority Health and 
the Surgeon General, directed toward the general public and 
health professionals who diagnose and treat people with lupus.
    The Committee is aware of the problem of female genital 
cutting [FGC] in the United States, which potentially impacts 
nearly 228,000 women and girls nationwide. The community 
outreach and education initiatives that were called for under 
the Federal Prohibition of Female Genital Mutilation Act of 
1995 have been limited by the absence of resources needed to 
support these efforts. The Committee recognizes the importance 
of community-centered programs to address FGC. Community 
ownership of the issue is critical and is achieved by engaging 
local organizations that have earned the community's trust 
through their existing work with refugee and immigrant women 
and girls. The Committee therefore encourages the Office of 
Women's Health to support FGC-related programs implemented by 
ethnic community-based organizations.

HIV/AIDS in Minority Communities

    To address high-priority HIV prevention and treatment needs 
of minority communities heavily impacted by HIV/AIDS, the 
Committee recommends $50,984,000. The administration requested 
$51,891,000. These funds are available to key operating 
divisions of the Department with capability and expertise in 
HIV/AIDS services to assist minority communities with 
education, community linkages, and technical assistance.

Afghanistan

    The Committee recommendation includes $5,789,000 for the 
Secretary's Afghanistan health initiative, the same as the 
request. Funds will be used in partnership with the Department 
of Defense for medical training activities at the Rabia Balkhi 
Women's Hospital in Kabul, and for support of maternal and 
child health throughout Afghanistan.

Embryo Donation and Adoption

    The Committee continues to believe that increasing public 
awareness of embryo donation and adoption remains an important 
goal. The Committee has provided $4,200,000 for the 
Department's embryo donation and adoption awareness activities. 
The administration requested $1,980,000. The Committee notes 
that the costs associated with embryo adoption may be hindering 
people from participating in embryo adoption. The Committee is 
aware that the medical procedures involved can be expensive and 
are not always successful. To address these challenges, the 
Committee has again included bill language allowing funds 
appropriated for embryo donation and adoption activities to be 
available to pay medical and administrative costs deemed 
necessary to facilitate embryo donations and adoptions. The 
Committee's intent is that these funds be used for embryo 
donation for family building and/or embryo adoption. The 
Committee does not intend to limit eligibility based on the 
terminology used to describe the transfer of the embryo.

                OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2008....................................     $63,864,000
Budget estimate, 2009...................................      65,344,000
Committee recommendation................................      63,864,000

    The Committee provides $63,864,000 for the Office of 
Medicare Hearings and Appeals, the same as the fiscal year 2008 
funding level. The administration requested $65,344,000.
    The Office of Medicare Hearings and Appeals is responsible 
for hearing Medicare appeals at the administrative law judge 
level, which is the third level of Medicare claims appeals. 
This office began to process Medicare appeals in 2005. Prior to 
that time, appeals had been processed by the Social Security 
Administration under an interagency agreement with the Centers 
for Medicare and Medicaid Services. This function was 
transferred to the Office of the Secretary by the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003.

  OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY

Appropriations, 2008....................................     $60,561,000
Budget estimate, 2009...................................      66,151,000
Committee recommendation................................      60,561,000

    The Committee provides $60,561,000 to the Office of the 
National Coordinator for Health Information Technology 
[ONCHIT], the same as the fiscal year 2008 funding level. The 
administration requested $66,151,000.
    The Office of The National Coordinator for Health 
Information Technology is responsible for promoting the use of 
electronic health records in clinical practice, coordinating 
Federal health information systems and collaborating with the 
private sector to develop standards for a nationwide 
interoperable health information technology infrastructure.

                      OFFICE OF INSPECTOR GENERAL

Appropriations, 2008....................................     $43,231,000
Budget estimate, 2009...................................      46,058,000
Committee recommendation................................      46,058,000

    The Committee recommends an appropriation of $46,058,000 
for the Office of Inspector General [OIG], the same as the 
administration request. In addition to discretionary funds 
provided in this act, the Health Insurance Portability and 
Accountability Act of 1996 and the Deficit Reduction Act of 
2005 both contain permanent appropriations for the Office of 
Inspector General. The total funds provided to the OIG from 
this bill and other permanent appropriations are $265,023,000 
in fiscal year 2009.
    The Office of Inspector General conducts audits, 
investigations, and evaluations of the programs administered by 
the Department of Health and Human Services Operating and Staff 
Divisions, including the recipients of HHS's grant and contract 
funds. In doing so, the OIG addresses issues of waste, fraud, 
and abuse and makes recommendations to improve the efficiency 
and effectiveness of HHS programs and operations.

                        OFFICE FOR CIVIL RIGHTS

Appropriations, 2008....................................     $34,299,000
Budget estimate, 2009...................................      40,099,000
Committee recommendation................................      40,099,000

    The Committee recommends $40,099,000 for the Office for 
Civil Rights [OCR], which is the same as the administration's 
request. The recommendation includes the transfer of $3,314,000 
from the Medicare trust funds.
    The Office for Civil Rights is responsible for enforcing 
civil rights-related statutes in health care and human services 
programs. To enforce these statutes, OCR investigates 
complaints of discrimination, conducts program reviews to 
correct discriminatory practices, and implements programs to 
generate voluntary compliance among providers and constituency 
groups of health and human services.

     RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS

Appropriations, 2008....................................    $397,178,000
Budget estimate, 2009...................................     434,694,000
Committee recommendation................................     434,694,000

    The Committee provides an estimated $434,694,000 for 
retirement pay and medical benefits for commissioned officers 
of the U.S. Public Health Service, the same as the 
administration request.
    This account provides for: retirement payments to U.S. 
Public Health Service officers who are retired for age, 
disability, or length of service; payments to survivors of 
deceased officers; medical care to active duty and retired 
members and dependents and beneficiaries; and for payments to 
the Social Security Administration for military service 
credits.

            PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2008....................................    $729,259,000
Budget estimate, 2009...................................   1,395,831,000
Committee recommendation................................   1,251,758,000

    The Committee provides $1,251,758,000 to the Public Health 
and Social Services Emergency Fund. The Pandemic Preparedness 
and All-Hazards Preparedness Act, enacted into law in December 
2006, created the new position of the Assistant Secretary for 
Preparedness and Response.
    This appropriation supports the activities of the Office of 
the Assistant Secretary for Preparedness and Response and other 
activities within the Office of the Secretary to prepare for 
the health consequences of bioterrorism and other public health 
emergencies, including pandemic influenza, and to support the 
Department's cyber-security efforts.

Office of the Assistant Secretary for Preparedness and Response [ASPR]

    Hospital Preparedness.--The Committee's recommendation 
includes $361,660,000 for hospital preparedness grants, the 
same as the administration's request. The Committee understands 
that ASPR intends to reduce the grant cycle for these monies to 
9 months, 3 weeks (August 9 to June 1 rather than August 9 to 
August 8) and that support for hospital preparedness activities 
will not be reduced on a monthly basis.
    The Committee encourages the Secretary, in consultation 
with the Departments of Homeland Security and Defense, along 
with State and local healthcare providers to develop and 
publish guidance identifying minimum performance, safety, and 
interoperability requirements for deployable medical facilities 
that may be purchased using Federal funds.
    Advanced Research and Development.--The Committee 
recommendation includes $175,000,000 for advanced research and 
development. The administration requested $275,000,000.
    Other Activities.--The Committee recommendation includes 
the following amounts for the following activities within the 
Office of the Assistant Secretary for Preparedness and 
Response:
  --Operations/Preparedness and Emergency Operations--
        $27,536,000;
  --National Disaster Medical System--$45,999,000;
  --Bioshield Management--$21,743,000;
  --International Early Warning Surveillance--$8,690,000;
  --Policy, Strategic Planning & Communications--$4,292,000.
    Four years after Project BioShield's creation, the 
development and acquisition of most high priority vaccines and 
therapeutics remains much too slow. The Committee recognizes 
that progress is being made and that general acquisition goals 
have been identified. However, the Committee remains concerned 
by the slow pace of advanced research funding and procurement 
of medical products. The Committee therefore urges the 
Secretary to accelerate the issuance of procurement RFPs and 
awards under Project BioShield.

Office of the Assistant Secretary for Resources & Technology

    The Committee recommendation includes $8,906,000 for 
information technology cyber-security. The administration 
requested $11,980,000.

Office of Public Health & Science

    The Committee recommendation includes $9,578,000 for the 
medical reserve corps program. The administration requested 
$15,110,000.

Office of the Secretary

    Pandemic Influenza Preparedness.--The Committee 
recommendation includes $585,091,000 for pandemic influenza 
preparedness activities, the same as the administration 
request. Of this amount, $507,000,000, to be available until 
expended, is for activities including purchase of pre-pandemic 
vaccine for stockpiling, vaccine development, the purchase of 
antivirals and the research and development of diagnostic 
tests. The Committee requests monthly reports updating the 
status of actions taken and funds obligated for these no-year 
funds.
    The Committee continues to strongly support efforts to 
strengthen the Federal Government's ability to respond to 
pandemic influenza. The Committee has not specified how these 
no-year funds are to be used, and is broadly supportive of 
plans for vaccine development and purchase, antiviral 
procurement, and research and development of diagnostics. 
However, the Committee encourages HHS to identify and support 
new technologies that might have the potential to enhance our 
response to a pandemic, and to be open to using the provided 
flexibility to make strategic investments in these potentially 
paradigm shifting technologies.
    The Committee is concerned by reports that many small and 
large companies have difficulty communicating with the 
Department regarding vision, timing, strategy, and procurement 
plans. The Committee urges the Department to make the creation 
and continuity of open lines of communication with these 
entities a priority. Their participation is critical to 
successful implementation of any disease outbreak response.
    The Committee has also provided $78,091,000 for ongoing 
activities within the Office of the Secretary to prepare the 
Nation against an influenza pandemic.
    The Committee again encourages HHS and CDC to continue to 
support public and professional education, media awareness and 
outreach programs related to the annual flu vaccine. The 
Committee strongly encourages CDC and HHS to aggressively 
implement initiatives for increasing influenza vaccine demand 
to match the increased domestic vaccine production and supply 
resulting from pandemic preparedness funding. Developing a 
sustainable business model for vaccine production will go a 
long way toward making vaccine available when needed.
    The Committee has made significant investments in State and 
local government preparedness. A public health crisis will 
involve multiple levels of government, as well as the private 
sector. Comprehensive supply chain management strategies are 
essential to ensure a coordinated and rapid response. The 
Committee is anxious to avoid the supply chain management 
breakdowns that occurred in connection with Hurricane Katrina. 
Therefore the Committee directs the Department and the Centers 
for Disease Control to report back to the Committees on 
Appropriations within 180 days on its current supply chain 
management strategies and how they can be improved in order to 
enhance both State and local government preparedness and the 
complex, multi-tiered response anticipated in the President's 
Pandemic Preparedness Strategy.
    The Committee is extremely concerned about the 
ineffectiveness of the flu vaccine used last winter. During 
well-matched years, clinical trials have shown vaccine 
effectiveness between 70 percent and 90 percent for healthy 
adults who received inactivated influenza vaccines. Preliminary 
data about vaccine effectiveness for the 2007-2008 influenza 
season indicates that those who received trivalent inactivated 
influenza vaccine were only 44 percent less likely to have 
medically attended influenza illnesses than those who were not 
vaccinated. The failure of the flu vaccine raises concerns 
regarding our Nation's effort to combat the potential for 
pandemic influenza. Data has shown that incorporation of new 
technologies, in conjunction with traditional methods of 
vaccine evaluation, would have predicted that last winter's flu 
vaccine would fail to perform adequately in the field. The 
animal model method has not proven an ideal model system to 
predict human immunity and thus, there is an unmet need for new 
in vitro approaches that could provide reliable and predictive 
efficacy, safety, and adverse reaction data. The Committee 
encourages CDC and the Assistant Secretary for Preparedness and 
Response to support development of technologies that will 
accurately predict the effectiveness of influenza, biodefense, 
and pre-pandemic vaccines in the future.
    Other Activities.--The Committee recommendation includes 
$3,263,000 for other activities within the Office of the 
Secretary including healthcare provider credentialing.

      General Provisions, Department of Health and Human Services

    The Committee recommendation continues a provision placing 
a $50,000 ceiling on official representation expenses (sec. 
201).
    The Committee recommendation continues a provision which 
limits the assignment of certain public health personnel (sec. 
202).
    The Committee recommendation continues a provision limiting 
the use of certain grant funds to pay individuals more than an 
annual rate of executive level I (sec. 203).
    The Committee recommendation continues a provision 
restricting the Secretary's use of taps for program evaluation 
activities unless a report is submitted to the Appropriations 
Committees on the proposed use of funds (sec. 204).
    The Committee recommendation continues a provision 
authorizing the transfer of up to 2.4 percent of Public Health 
Service funds for evaluation activities (sec. 205).
    The Committee recommendation continues a provision 
restricting transfers of appropriated funds and requires a 15-
day notification to both the House and Senate Appropriations 
Committees (sec. 206).
    The Committee recommendation continues a provision 
permitting the transfer of up to 3 percent of AIDS funds among 
Institutes and Centers by the Director of NIH and the Director 
of the Office of AIDS Research at NIH (sec. 207).
    The Committee recommendation retains language which 
requires that the use of AIDS research funds be determined 
jointly by the Director of the National Institutes of Health 
and the Director of the Office of AIDS Research and that those 
funds be allocated directly to the Office of AIDS Research for 
distribution to the institutes and centers consistent with the 
AIDS research plan (sec. 208).
    The Committee recommendation continues a provision 
regarding requirements for family planning applicants (sec. 
209).
    The Committee recommendation retains language which states 
that no provider services under title X of the PHS Act may be 
exempt from State laws regarding child abuse (sec. 210).
    The Committee recommendation retains language which 
restricts the use of funds to carry out the Medicare Advantage 
Program if the Secretary denies participation to an otherwise 
eligible entity (sec. 211).
    The Committee recommendation retains language which 
prohibits the Secretary from withholding substance abuse 
treatment funds (sec. 212).
    The Committee recommendation modifies a provision which 
facilitates the expenditure of funds for international health 
activities (sec. 213).
    The Committee recommendation continues a provision 
authorizing the Director of the National Institutes of Health 
to enter into certain transactions to carry out research in 
support of the NIH Common Fund (sec. 214).
    The Committee continues a provision that permits the 
Centers for Disease Control and Prevention and the Agency for 
Toxic Substances and Disease Registry to transfer funds that 
are available for Individual Learning Accounts to ``Disease 
Control, Research, and Training'' (sec. 215).
    The Committee recommendation includes bill language 
allowing use of funds to continue operating the Council on 
Graduate Medical Education (sec. 216).
    The Committee recommendation continues a provision 
pertaining to the public access policy at the National 
Institutes of Health (sec. 217).
    The Committee recommendation continues a provision 
permitting the National Institutes of Health to use up to 
$2,500,000 per project for improvements and repairs of 
facilities (sec. 218).
    The Committee recommendation includes a provision that 
transfers funds from NIH to HRSA and AHRQ, to be used for 
National Research Service Awards (sec. 219).
    The Committee recommendation includes a provision that 
modifies language authorizing the Nonrecurring Expenses Fund 
(sec. 220).
    The Committee recommendation includes a provision amending 
the nominal price exception to the Medicaid Drug Rebate program 
to include non-title X funded family planning clinics and 
college health centers (sec. 221).
    The Committee recommendation includes a provision that 
increases the authorized number of Regular Officers to 4,000 
(sec. 222).
    The Committee recommendation includes a provision requiring 
the release of unobligated LIHEAP funds no later than the date 
of enactment (sec. 223).
    The Committee recommendation includes a new provision 
concerning conflicts of interest among extramural investigators 
receiving grants from the National Institutes of Health (sec. 
224).
    The Committee recommendation includes a provision that 
places a 1-year moratorium on the August 17, 2007 directive 
issued by the Department of Health and Human Services relating 
to the State Child Health Insurance program (sec 225).

                               TITLE III

                        DEPARTMENT OF EDUCATION

                    Education for the Disadvantaged

Appropriations, 2008.................................... $15,489,475,000
Budget estimate, 2009...................................  16,917,059,000
Committee recommendation................................  15,735,884,000

    The Committee recommends an appropriation of 
$15,735,884,000 for education for the disadvantaged. The 
comparable funding level for fiscal year 2008 was 
$15,489,475,000, and the budget request includes 
$16,917,059,000.
    The programs in the Education for the Disadvantaged account 
help ensure that poor and low-achieving children are not left 
behind in the Nation's effort to raise the academic performance 
of all children and youth. Funds appropriated in this account 
primarily support activities in the 2009-2010 school year.

Grants to Local Educational Agencies

    Title I grants to local educational agencies [LEAs] provide 
supplemental education funding, especially in high-poverty 
areas, for local programs that provide extra academic support 
to help raise the achievement of eligible students or, in the 
case of schoolwide programs, help all students in high-poverty 
schools to meet challenging State academic standards. The 
program serves an estimated 20 million students in nearly all 
school districts and more than half of all public schools--
including two-thirds of the Nation's elementary schools.
    States are required to reserve 4 percent of their 
allocation under this program for school improvement 
activities, unless such action would require a State to reduce 
the grant award of a local educational agency to an amount 
below the preceding year. States must distribute 95 percent of 
these reserved funds to LEAs for schools identified for 
improvement, corrective action, or restructuring. The Committee 
intends for States to utilize these funds along with those 
available under the School Improvement Grants program to make 
competitive awards to school districts that are of sufficient 
size and scope, and of a multi-year duration, so that schools 
may undertake sustainable, scientifically based research reform 
activities that have a positive impact on improving 
instructional practices in the classroom.
    The Committee was disappointed by the findings of a 
February 2008 Government Accountability Office [GAO] report, 
which was requested by the Committee, showing that some States 
did not fulfill No Child Left Behind Act [NCLBA] requirements 
for allocating or tracking the 4 percent funds, and that the 
Education Department failed to monitor States' compliance. The 
Committee requests an update on the Department's plans to 
improve its monitoring practices in the fiscal year 2010 budget 
justification.
    Of the funds available for title I grants to LEAs, up to 
$4,000,000 shall be available on October 1, 2008, not less than 
$5,632,145,000 will become available on July 1, 2009, and 
$8,893,756,000 will become available on October 1, 2009. The 
funds that become available on July 1, 2009, and October 1, 
2009, will remain available for obligation until September 30, 
2010.
    Title I grants are distributed through four formulas: 
basic, concentration, targeted, and education finance incentive 
grant [EFIG].
    Overall, the Committee recommends $14,529,901,000 for title 
I grants, $225,000,000 more than the budget request, which was 
$14,304,901,000. The fiscal year 2008 appropriated level was 
$13,898,875,000.
    As in past years, the Committee divided the increase over 
fiscal year 2008 equally between the targeted and EFIG 
formulas, both of which direct a higher share of funds to 
poorer students than the basic and concentration formulas do. 
The budget request allocates all of the increase over fiscal 
year 2008 into the targeted account.
    For title I basic grants, including up to $4,000,000 
transferred to the Census Bureau for poverty updates, the 
Committee recommends an appropriation of $6,597,946,000, the 
same as the budget request and the fiscal year 2008 level. For 
concentration grants, the Committee recommends $1,365,031,000, 
the same as the budget request and the fiscal year 2008 level.
    The Committee recommends $3,283,462,000 for grants through 
the targeted formula. The comparable funding level for fiscal 
year 2008 was $2,967,949,000, and the budget request is 
$3,373,975,000. The Committee recommends $3,283,462,000 to be 
allocated through the EFIG formula. The comparable funding 
level for the budget request and fiscal year 2008 was 
$2,967,949,000.

William F. Goodling Even Start Family Literacy Program

    The Committee recommends $66,454,000, the same as the 
fiscal year 2008 level, for the Even Start program. The budget 
request does not include any funds for this program.
    The Even Start program provides grants for family literacy 
programs that serve disadvantaged families with children under 
8 years of age and adults eligible for services under the Adult 
Education and Family Literacy Act. Programs combine early 
childhood education, adult literacy, and parenting education. 
Funding is provided to States based on their relative share of 
title I, part A funds, and States use these resources to make 
competitive subgrants to partnerships comprised of local 
educational agencies and other organizations serving families 
in high-poverty areas.

School Improvement Grants

    The Committee recommendation includes $491,265,000, the 
same as the budget request and the fiscal year 2008 level, for 
the School Improvement Grants program. This formula grant 
program enables States to provide assistance to schools not 
making adequate yearly progress for at least 2 years. States 
must subgrant 95 percent of their allocations to LEAs and may 
use up to 5 percent for administration, evaluation and 
technical assistance activities.
    The Committee expects high demand for these funds from LEAs 
given the growing numbers of schools that are being identified 
for improvement, corrective action and restructuring. 
Therefore, the Committee requests that the Department assist 
States in encouraging LEAs to use their school improvement 
funds only on those programs that are proven to be effective in 
rigorous research. The Committee also recommends that States 
prioritize grant requests for the use of programs that meet the 
research standards set forth in the Comprehensive School Reform 
Quality [CSRQ] Center.

Reading First State Grants

    The Committee recommends no funding for the Reading First 
State Grants program. The comparable funding level for fiscal 
year 2008 was $393,012,000, and the budget request is 
$1,000,000,000.
    The Committee was highly disappointed by the interim report 
from the Reading First Impact Study, which showed that this 
program did not have a statistically significant impact on 
students' reading comprehension. The Committee notes that the 
funding cut in fiscal year 2008--which resulted from the 
Department's severe mismanagement of the program--did not 
affect the results of the impact study, which examined Reading 
First when it was being fully funded at roughly $1,000,000,000 
a year. While new leadership at the Department has ended the 
conflict of interest abuses that marked Reading First's 
creation and early implementation, those changes do not appear 
to have solved the program's flaws. Therefore, the Committee 
does not plan to provide any additional funding for Reading 
First until it can be assured that the program will have a 
positive effect on student learning.

Early Reading First

    The Committee recommends $112,549,000, the same as the 
budget request and the fiscal year 2008 appropriation, for the 
Early Reading First program.
    Early Reading First provides competitive grants to school 
districts and nonprofit groups to support activities in 
existing preschool programs that are designed to enhance the 
verbal skills, phonological awareness, letter knowledge, pre-
reading skills, and early language development of children ages 
3 through 5. Funds are targeted to communities with high 
numbers of low-income families.

Striving Readers

    The Committee recommends $35,371,000, the same as the 
fiscal year 2008 level, for the Striving Readers initiative. 
The budget request is $100,000,000. This program supports 
grants to develop, implement, and evaluate reading 
interventions for middle or high school students reading 
significantly below grade level.

Math Now

    The Committee recommendation does not include any funding 
for the proposed Math Now initiative, which is authorized by 
the America COMPETES Act and is intended to improve math 
instruction for students in kindergarten through 9th grade. The 
budget request is $95,000,000.

Improving Literacy Through School Libraries

    The Committee recommends $19,145,000, the same as the 
budget request and the fiscal year 2008 appropriation, for the 
Improving Literacy Through School Libraries program.
    This program provides competitive awards for urgently 
needed, up-to-date school library books and training for school 
library media specialists. Funds may be used to acquire school 
library media resources, including books and advanced 
technology; facilitate resource-sharing networks among schools 
and school libraries; provide professional development for 
school library media specialists; and provide students with 
access to school libraries during nonschool hours.

Pell Grants for Kids

    The Committee does not include any funding for a new 
program proposed by the administration called Pell Grants for 
Kids. The program's purpose is to provide students with 
scholarships to pay tuition at private schools or out-of-
district public schools. The budget request is $300,000,000.
    The Committee notes that this program has a new name but is 
virtually identical to previous voucher plans that were 
proposed by the administration but rejected by the Congress.

Migrant Education Program

    The Committee recommends $389,771,000 for the migrant 
education program. The budget request is $399,771,000 and the 
fiscal year 2008 level was $379,771,000.
    The title I migrant education program authorizes grants to 
State educational agencies for programs to meet the special 
educational needs of the children of migrant agricultural 
workers and fishermen. States receive at least the same amount 
they received in fiscal year 2002; any funds over the fiscal 
year 2002 appropriation are allocated to the States through a 
statutory formula based on each State's average per-pupil 
expenditure for education and actual counts of migratory 
children ages 3 through 21 residing within the States in the 
previous year. This appropriation also supports activities to 
improve interstate and intrastate coordination of migrant 
education programs, as well as identifying and improving 
services to the migrant student population.

Neglected and Delinquent

    The Committee recommends $48,927,000, the same as the 
fiscal year 2008 appropriation, for the title I neglected and 
delinquent program. The budget request is $51,927,000.
    This program provides financial assistance to State 
educational agencies for education services to neglected and 
delinquent children and youth in State-run institutions and for 
juveniles in adult correctional institutions. Funds are 
allocated to individual States through a formula based on the 
number of children in State-operated institutions and per-pupil 
education expenditures for the State. States are authorized to 
set aside at least 15 percent, but not more than 30 percent, of 
their neglected and delinquent funds to help students in State-
operated institutions make the transition into locally operated 
programs and to support the successful reentry of youth 
offenders, who are age 20 or younger and have received a 
secondary school diploma or its recognized equivalent.

Evaluation

    The Committee recommends $9,167,000, the same as the budget 
request and the fiscal year 2008 appropriation, for evaluation 
of title I programs.
    Evaluation funds are used to support large-scale national 
surveys that examine how the title I program is contributing to 
student academic achievement. Funds also are used to evaluate 
State assessment and accountability systems and analyze the 
effectiveness of educational programs supported with title I 
funds.

Comprehensive School Reform Demonstration

    The Committee does not include any funding for the 
comprehensive school reform demonstration program. Neither did 
the budget request. The fiscal year 2008 level was $1,605,000.
    The fiscal year 2008 funding was used entirely for the 
final year of a contract to the Comprehensive School Reform 
Clearinghouse.

High School Equivalency Program

    The Committee recommends $18,226,000, the same as the 
fiscal year 2008 appropriation and the budget request, for the 
high school equivalency program [HEP].
    This program provides 5-year grants to institutions of 
higher education and other nonprofit organizations to recruit 
migrant students ages 16 and over and provide the academic and 
support services needed to help them obtain a high school 
equivalency certificate and subsequently gain employment, win 
admission to a postsecondary institution or a job-training 
program, or join the military. Projects provide counseling, 
health services, stipends, and placement assistance.

College Assistance Migrant Program

    For the College Assistance Migrant Program [CAMP], the 
Committee recommends $15,108,000, the same amount as the fiscal 
year 2008 appropriation and the budget request.
    Funds provide 5-year grants to institutions of higher 
education and nonprofit organizations for projects that provide 
tutoring, counseling, and financial assistance to migrant 
students during their first year of postsecondary education. 
Projects also may use up to 10 percent of their grants for 
follow-up services after students have completed their first 
year of college, including assistance in obtaining student 
financial aid.

                               Impact Aid

Appropriations, 2008....................................  $1,240,718,000
Budget estimate, 2009...................................   1,240,718,000
Committee recommendation................................   1,240,718,000

    The Committee recommends an appropriation of $1,240,718,000 
for impact aid. This is the same as the comparable funding 
level for fiscal year 2008 and the budget request.
    Impact aid provides financial assistance to school 
districts for the costs of educating children when enrollments 
and the availability of revenues from local sources have been 
adversely affected by the presence of Federal activities. 
Children who reside on Federal or Indian lands generally 
constitute a financial burden on local school systems because 
these lands do not generate property taxes--a major revenue 
source for elementary and secondary education in most 
communities. In addition, realignments of U.S. military forces 
at bases across the country often lead to influxes of children 
into school districts without producing the new revenues 
required to maintain an appropriate level of education.
    The Committee bill retains language that provides for 
continued eligibility for students affected by the deployment 
or death of their military parent, as long as these children 
still attend the same school district.
    Basic Support Payments.--The Committee recommends 
$1,105,535,000 for basic support payments. This is the same as 
the fiscal year 2008 level and the budget request. Under this 
statutory formula, payments are made on behalf of all 
categories of federally connected children, with a priority 
placed on making payments first to heavily impacted school 
districts and providing any remaining funds for regular basic 
support payments.
    Payments for Children with Disabilities.--The Committee 
bill includes $48,602,000, the same as the budget request and 
the fiscal year 2008 appropriation, for payments for children 
with disabilities. Under this program, additional payments are 
made for certain Federally connected children eligible for 
services under the Individuals with Disabilities Education Act.
    Facilities Maintenance.--The Committee recommends 
$4,864,000, the same as the fiscal year 2008 appropriation and 
the budget request, for facilities maintenance. This activity 
provides funding for emergency repairs and comprehensive 
capital improvements to certain school facilities owned by the 
Department of Education and used by local educational agencies 
to serve federally connected military dependent students. Funds 
appropriated for this purpose are available until expended.
    Construction.--The Committee recommends $17,509,000, the 
same as the fiscal year 2008 appropriation and the budget 
request, for the construction account. Formula and competitive 
grants are authorized to be awarded to eligible LEAs for 
emergency repairs and modernization of school facilities. Funds 
appropriated for the construction activity are available for 
obligation for a period of 2 years.
    The fiscal year 2006 and 2007 appropriations for this 
activity stipulated that funds were to be used only on formula 
construction grants to eligible school districts. The budget 
request proposes bill language this year to provide 
construction funds on a competitive basis only, as was the case 
in fiscal year 2008. The Committee has provided this requested 
authority.
    Payments for Federal Property.--The Committee recommends 
$64,208,000, the same as the budget request and the fiscal year 
2008 appropriation, for this activity. These payments 
compensate local educational agencies in part for revenue lost 
due to the removal of Federal property from local tax rolls.

                      School Improvement Programs

Appropriations, 2008....................................  $5,289,077,000
Budget estimate, 2009...................................   4,566,323,000
Committee recommendation................................   5,292,422,000

    The Committee recommends an appropriation of $5,292,422,000 
for school improvement programs. The comparable funding level 
in fiscal year 2008 was $5,289,077,000, and the budget request 
is $4,566,323,000.

State Grants for Improving Teacher Quality

    The Committee recommends $2,935,249,000, the same as the 
fiscal year 2008 appropriation, for State grants for improving 
teacher quality. The budget request is $2,835,248,000.
    The appropriation for this program primarily supports 
activities associated with the 2009-2010 academic year. Of the 
funds provided, $1,500,249,000 will become available on July 1, 
2009, and $1,435,000,000 will become available on October 1, 
2009. These funds will remain available for obligation until 
September 30, 2010.
    States and LEAs may use the funds for a range of activities 
related to the certification, recruitment, professional 
development, and support of teachers and administrators. 
Activities may include reforming teacher certification and 
licensure requirements, addressing alternative routes to State 
certification of teachers, recruiting teachers and principals, 
and implementing teacher mentoring systems, teacher testing, 
merit pay, and merit-based performance systems. These funds may 
also be used by districts to hire teachers to reduce class 
sizes.

Mathematics and Science Partnerships

    The Committee recommends $178,978,000, the same as the 
fiscal year 2008 level and the budget request, for the 
mathematics and science partnerships program. These funds will 
be used to improve the performance of students in the areas of 
math and science by bringing math and science teachers in 
elementary and secondary schools together with scientists, 
mathematicians, and engineers to increase the teachers' 
subject-matter knowledge and improve their teaching skills. The 
Department awards grants to States by a formula based on the 
number of children aged 5 to 17 who are from families with 
incomes below the poverty line. States then are required to 
make grants competitively to eligible partnerships, which must 
include an engineering, math or science department of an 
institution of higher learning and a high-need LEA.

Educational Technology State Grants

    The Committee recommends $267,494,000, the same as the 
fiscal year 2008 appropriation, for educational technology 
State grants. The budget request did not include any funds for 
this program.
    The educational technology State grants program supports 
efforts to integrate technology into curricula to improve 
student learning. Funds flow by formula to States and may be 
used for the purchase of hardware and software, teacher 
training on integrating technology into the curriculum, and 
efforts to use technology to improve communication with 
parents, among other related purposes. An LEA must use at least 
25 percent of its formula allocation for professional 
development in the integration of technology into the curricula 
unless it can demonstrate that it already provides such high-
quality professional development.
    The Committee bill retains language allowing States to 
award up to 100 percent of their funds competitively.

Supplemental Education Grants

    The Committee recommendation includes $17,687,000, the same 
as the budget request and the fiscal year 2008 appropriation, 
for supplemental education grants to the Republic of Marshall 
Islands and the Federated States of Micronesia. This grant 
program was authorized by the Compact of Free Association 
Amendments Act of 2003. These funds will be transferred from 
the Department of Education to the Secretary of the Interior 
for grants to these entities. The Committee bill includes 
language that allows up to 5 percent to be used by the FSM and 
RMI to purchase oversight and technical assistance, which may 
include reimbursement of the Departments of Labor, Health and 
Human Services and Education for such services.

21st Century Community Learning Centers

    The Committee recommends an appropriation of 
$1,081,166,000, the same as the fiscal year 2008 level, for the 
21st Century Community Learning Centers program. The budget 
request is $800,000,000.
    Funds are allocated to States by formula, which in turn, 
award at least 95 percent of their allocations to local 
educational agencies, community-based organizations and other 
public and private entities. Grantees use these resources to 
establish or expand community learning centers that provide 
activities offering significant extended learning 
opportunities, such as before- and after-school programs, 
recreational activities, drug and violence prevention, and 
family literacy programs for students and related services to 
their families. Centers must target their services on students 
who attend schools that are eligible to operate a schoolwide 
program under title I of the Elementary and Secondary Education 
Act or serve high percentages of students from low-income 
families.

State Assessments and Enhanced Assessment Instruments

    The Committee recommends $410,732,000 for State assessments 
and enhanced assessment instruments. The fiscal year 2008 
appropriation was $408,732,000, the same as the budget request.
    This program has two components. The first provides formula 
grants to States to pay the cost of developing standards and 
assessments required by the No Child Left Behind Act. The 
Committee provides $400,000,000, the same as the fiscal year 
2008 level and the budget request, for this purpose.
    Under the second component--grants for enhanced assessment 
instruments--appropriations in excess of the State assessment 
program are used for a competitive grant program designed to 
support efforts by States to improve the quality and fairness 
of their assessment systems. The Committee recommendation for 
the second component is $10,732,000. The budget request and the 
fiscal year 2008 appropriation was $8,732,000.
    The Committee urges the Department to continue to place a 
high priority on grant applications that aim to improve the 
quality of State assessments for students with disabilities and 
students with limited English proficiency, and to ensure the 
most accurate means of measuring their performance on these 
assessments.

Javits Gifted and Talented Education

    The Committee recommends $7,463,000, the same as the fiscal 
year 2008 appropriation, for the Javits Gifted and Talented 
Students Education Program. The budget requests no funding for 
this program. Funds are used for awards to State and local 
educational agencies, institutions of higher education, and 
other public and private agencies for research, demonstration, 
and training activities designed to enhance the capability of 
elementary and secondary schools to meet the special 
educational needs of gifted and talented students.

Foreign Language Assistance

    The Committee recommends $27,000,000 for the foreign 
language assistance program. The comparable funding level for 
fiscal year 2008 was $25,655,000, the same as the budget 
request.
    Funds from this program support competitive grants to 
increase the quality and quantity of foreign language 
instruction. At least 75 percent of the appropriation must be 
used to expand foreign language education in the elementary 
grades. The Committee has included bill language that prohibits 
foreign language assistance program funds from being used for 
the foreign language incentive program. The Committee also 
includes bill language that carves out $7,360,000 for 5-year 
grants to LEAs, in partnership with institutions of higher 
education, for the establishment or expansion of articulated 
programs of study in critical-needs languages. The amount set 
aside for this purpose in fiscal year 2008 was $2,360,000.
    The Committee is concerned that this program is unavailable 
to the poorest schools because grant recipients must provide a 
50 percent match from non-Federal sources. The Committee, 
therefore, strongly urges the Secretary to use her ability to 
waive the matching requirement for qualifying schools and to 
increase awareness of this accommodation among the affected 
school population.
    The Committee commends the Department for agreeing not to 
make grants to schools that are replacing current traditional 
language programs with critical-needs language instruction.

Education for Homeless Children and Youth

    For carrying out education activities authorized by title 
VII, subtitle B of the Stewart B. McKinney Homeless Assistance 
Act, the Committee recommends $64,067,000, the same as the 
fiscal year 2008 appropriation and the budget request.
    This program provides assistance to each State to support 
an office of the coordinator of education for homeless children 
and youth, to develop and implement State plans for educating 
homeless children, and to make subgrants to LEAs to support the 
education of those children. Grants are made to States based on 
the total that each State receives in title I grants to LEAs.
    Under the McKinney-Vento Homeless Children and Youths 
Program, State educational agencies must ensure that homeless 
children and youth have equal access to the same free public 
education, including a public preschool education, as is 
provided to other children and youth.

Training and Advisory Services

    For training and advisory services authorized by title IV 
of the Civil Rights Act, the Committee recommends $6,989,000, 
the same as the fiscal year 2008 appropriation and the budget 
request.
    The funds provided will support awards to operate the 10 
regional equity assistance centers [EACs]. Each EAC provides 
services to school districts upon request. Activities include 
disseminating information on successful practices and legal 
requirements related to nondiscrimination on the basis of race, 
color, sex, or national origin in education programs.

Education for Native Hawaiians

    For programs for the education of Native Hawaiians, the 
Committee recommends $33,315,000. This is the same amount as 
the fiscal year 2008 appropriation. The budget request does not 
include any funding for this purpose.
    The Committee bill includes language requiring that at 
least $1,500,000 of the funds recommended to be used for 
construction and renovation of Native Hawaiian educational 
facilities.
    The Committee bill includes also language stipulating that 
$1,500,000 shall be used for a grant to the Center of 
Excellence at the University of Hawaii School of Law, for the 
Native Hawaiian Law School Center of Excellence. This 
repository houses a compilation of historical and cultural 
documents that facilitates preservation and examination of laws 
of great significance to Native Hawaiians.

Alaska Native Educational Equity

    The Committee recommends $33,315,000, the same as the 
fiscal year 2008 level, for the Alaska Native educational 
equity assistance program. The budget request did not include 
any funds for this purpose.
    These funds address the severe educational handicaps of 
Alaska Native schoolchildren. Funds are used for the 
development of supplemental educational programs to benefit 
Alaska Natives. The Committee bill includes language that 
allows funding provided by this program to be used for 
construction. The Committee expects the Department to use some 
of these funds to address the construction needs of rural 
schools.

Rural Education

    The Committee recommends $171,854,000, the same as the 
budget request and the fiscal year 2008 appropriation, for 
rural education programs.
    The Committee expects that rural education funding will be 
equally divided between the Small, Rural Schools Achievement 
Program, which provides funds to LEAs that serve a small number 
of students, and the Rural and Low-Income Schools Program, 
which provides funds to LEAs that serve concentrations of poor 
students, regardless of the number of students served.

Comprehensive Centers

    The Committee recommends $57,113,000, the same as the 
budget request and the fiscal year 2008 level, for the 
comprehensive centers program.
    These funds provide continued support to a network of 21 
comprehensive centers that are operated by research 
organizations, agencies, institutions of higher education or 
partnerships thereof, and provide training and technical 
assistance on various issues to States, LEAs, and schools as 
identified through needs assessments undertaken in each region. 
The system includes 16 regional centers, which are charged with 
providing intensive technical assistance to State educational 
agencies to increase their capacity to assist LEAs and schools 
with meeting the goals of No Child Left Behind, and five 
content centers, which are organized by topic area.

                            Indian Education

Appropriations, 2008....................................    $119,564,000
Budget estimate, 2009...................................     119,564,000
Committee recommendation................................     119,564,000

    The Committee recommends $119,564,000, the same as the 
budget request and the fiscal year 2008 appropriation, for 
Indian Education programs.

Grants to Local Education Agencies

    For grants to local educational agencies, the Committee 
recommends $96,613,000, the same as the fiscal year 2008 
funding level and the budget request.
    These funds provide financial support to elementary and 
secondary school programs that serve Indian students, including 
preschool children. Funds are awarded on a formula basis to 
local educational agencies, schools supported and operated by 
the Department of the Interior/Bureau of Indian Education, and 
in some cases directly to Indian tribes.

Special Programs for Indian Children

    The Committee recommends $19,060,000, the same as the 
fiscal year 2008 funding level and the budget request, for 
special programs for Indian children.
    Funds are used for demonstration grants to improve Indian 
student achievement through early childhood education and 
college preparation programs, and for professional development 
grants for training Indians who are preparing to begin careers 
in teaching and school administration.

National Activities

    The Committee recommends $3,891,000, the same as the budget 
request and the fiscal year 2008 appropriation, for national 
activities. Funds will be used to expand efforts to improve 
research, evaluation, and data collection on the status and 
effectiveness of Indian education programs.

                       Innovation and Improvement

Appropriations, 2008....................................    $985,517,000
Budget estimate, 2009...................................     867,517,000
Committee recommendation................................     944,314,000

    The Committee recommends an appropriation of $944,314,000 
for programs within the innovation and improvement account. The 
comparable fiscal year 2008 funding level for these programs 
was $985,517,000, and the budget request is $867,517,000.

Troops-to-Teachers

    The Committee recommends an appropriation of $14,389,000, 
the same as the fiscal year 2008 appropriation and the budget 
request, to support the Defense Department's Troops-to-Teachers 
program.
    This program helps recruit and prepare retiring and former 
military personnel to become highly qualified teachers serving 
in high-poverty school districts. The Secretary of Education 
transfers program funds to the Department of Defense for the 
Defense Activity for Non-Traditional Education Support to 
provide assistance, including stipends or bonuses, to eligible 
members of the armed forces so that they can obtain teacher 
certification or licensing. In addition, the program helps 
these individuals find employment in a school.

Transition to Teaching

    The Committee recommends $43,707,000, the same as the 
budget request and the fiscal year 2008 appropriation, for the 
transition to teaching program.
    This program provides grants to help support efforts to 
recruit, train, and place nontraditional teaching candidates 
into teaching positions and to support them during their first 
years in the classroom. In particular, this program is intended 
to attract mid-career professionals and recent college 
graduates. Program participants are placed in high-need schools 
in high-need LEAs.

National Writing Project

    The Committee recommends $23,581,000, the same as the 
fiscal year 2008 level, for the National Writing Project. The 
budget request proposes to eliminate Federal funding for this 
program.
    These funds are awarded to the National Writing Project, a 
nonprofit organization that supports and promotes K-16 teacher 
training programs in the effective teaching of writing.

Teaching of Traditional American History

    The Committee recommends $120,000,000 for the teaching of 
traditional American history program. The comparable fiscal 
year 2008 funding level was $117,904,000, and the budget 
request was $50,000,000. This program supports competitive 
grants to LEAs, and funds may be used only to undertake 
activities that are related to American history, and cannot be 
used for social studies coursework. Grant awards are designed 
to augment the quality of American history instruction and to 
provide professional development activities and teacher 
education in the area of American history. Grants are awarded 
for 3 years, with 2 additional years allowed for grantees that 
are performing effectively.
    The Committee bill retains language that allows the 
Department to reserve up to 3 percent of funds appropriated for 
this program for national activities.

School Leadership

    The Committee recommends $19,220,000 for the school 
leadership program. The fiscal year 2008 level was $14,474,000, 
and the budget request proposes to eliminate funding for this 
program. The program provides competitive grants to assist 
high-need LEAs to recruit and train principals and assistant 
principals through activities such as professional development 
and training programs. The Committee continues to recognize the 
critical role that principals and assistant principals play in 
creating an environment that fosters effective teaching and 
high academic achievement for students.

Advanced Credentialing

    The Committee recommends $10,649,000 for the advanced 
credentialing program. The comparable fiscal year 2008 funding 
level was $9,649,000. The budget request proposes to eliminate 
funds for this program.
    The Committee includes bill language directing all of the 
funding for this program to the National Board for Professional 
Teaching Standards [NBPTS]. Funds available assist the board's 
work in providing financial support to States for teachers 
applying for certification, increasing the number of minority 
teachers seeking certification and developing outreach programs 
about the advanced certification program.
    The Committee includes bill language directing that the 
recommended increase over the fiscal year 2008 level should be 
used to develop a National Board certification for principals.

Adjunct Teacher Corps

    The budget includes $10,000,000 for a new program, the 
Adjunct Teacher Corps Initiative, which would create 
opportunities for professionals to teach secondary school 
courses in core academic subjects. The Committee does not 
recommend any funding for this program.

Charter Schools

    The Committee recommends a total of $216,031,000 for the 
support of charter schools. The fiscal year 2008 appropriation 
was $211,031,000. The budget request includes a total of 
$272,642,000, divided between the Charter Schools program and 
the Credit Enhancement for Charter Schools Facilities program.
    The Committee includes bill language requiring that a 
minimum of $195,000,000 of the recommended $216,031,000 be used 
for the Charter Schools grants program, overriding the 
authorized minimum of $200,000,000. The Secretary may use up to 
the excess amount ($21,031,000) for the State facilities and 
Credit Enhancement for Charter Schools Facilities programs.
    In fiscal year 2008, the Secretary used $12,731,000 for the 
State facilities program and $8,300,000 for the credit 
enhancement program.
    The budget request includes $236,031,000 for the Charter 
Schools program, with $221,249,000 to be used for the Charters 
Schools grants program and $14,782,000 for the State facilities 
program. Separately, the budget request includes $36,611,000 
for the credit enhancement program.
    The Charter Schools grants program supports the planning, 
development, and initial implementation of charter schools. 
State educational agencies that have the authority under State 
law to approve charter schools are eligible to compete for 
grants. If an eligible SEA does not participate, charter 
schools from the State may apply directly to the Secretary. 
Under the State facilities program, the Department awards 5-
year competitive grants to States that operate per-pupil 
facilities aid programs for charters schools. Federal funds are 
used to match State-funded programs in order to provide charter 
schools with additional resources for charter school facilities 
financing.
    The credit enhancement program provides assistance to help 
charter schools meet their facility needs. Funds are provided 
on a competitive basis to public and nonprofit entities, to 
leverage non-Federal funds that help charter schools obtain 
school facilities through purchase, lease, renovation and 
construction.

Voluntary Public School Choice

    The Committee recommends $25,819,000, the same as the 
budget request and the fiscal year 2008 appropriation, for the 
voluntary public school choice program.
    This program supports efforts by States and school 
districts to establish or expand state- or district-wide public 
school choice programs, especially for parents whose children 
attend low-performing public schools.

Magnet Schools Assistance

    The Committee recommends $104,829,000, the same as the 
budget request and the fiscal year 2008 appropriation, for the 
magnet schools assistance program.
    This program supports grants to local educational agencies 
to establish and operate magnet schools that are part of a 
court-ordered or federally approved voluntary desegregation 
plan. Magnet schools are designed to attract substantial 
numbers of students from different social, economic, ethnic, 
and racial backgrounds. Grantees may use funds for planning and 
promotional materials, teacher salaries, and the purchase of 
computers and other educational materials and equipment.

Fund for the Improvement of Education

    The Committee recommends an appropriation of $196,337,000 
for the Fund for the Improvement of Education [FIE]. The fiscal 
year 2008 appropriation was $253,551,000, and the budget 
request was $52,300,000.
    For programs of national significance authorized under 
section 5411 of the Elementary and Secondary Education Act 
[ESEA], the Committee includes $700,000 for a clearinghouse 
that would provide information on planning, designing, 
financing, building, maintaining, and operating safe, healthy, 
high-performance schools. These funds should be added to the 
$300,000 for this purpose within Safe and Drug-Free Schools and 
Communities National Programs to address issues related to 
school safety and healthy school buildings. The comparable 
funding level in FIE in fiscal year 2008 was $688,000.
    The Committee recommendation includes $11,790,000 for Teach 
for America and $3,930,000 for Reach Out and Read. These are 
the same amounts as the fiscal year 2008 levels. The budget 
request does not include any funding specifically for either 
program.
    Within programs of national significance, the Committee 
also includes resources for evaluation and data quality 
initiatives, peer review, and other grant activities authorized 
under section 5411 of the ESEA. No funds are included for full-
service community schools demonstrations.
    The budget request proposes funding for the Language 
Teacher Corps, the Teacher to Teacher initiative, comprehensive 
assessment systems, early reading improvements, and teaching 
improvement. The Committee recommendation does not include 
funding for these activities.
    Within the total amount for FIE, the Committee 
recommendation also includes funding for separately authorized 
programs as described in the paragraphs below. The budget 
request does not include funding for any of them. For each 
program, the Committee-recommended funding level is the same as 
the fiscal year 2008 appropriation.
    The Committee recommends $24,606,000 for the contract to 
Reading Is Fundamental Inc. [RIF] to provide reading-motivation 
activities. RIF, a private nonprofit organization, helps 
prepare young children and motivate older children to read, 
through activities including the distribution of books.
    The Committee recommends $10,700,000 for the Ready to Teach 
program. Ready to Teach encompasses funding for PBS TeacherLine 
and one or more nonprofit entities, for the purpose of 
continuing to develop telecommunications-based programs to 
improve teacher quality in core areas. It also includes digital 
educational programming grants, which encourage community 
partnerships among local public television stations, State and 
local educational agencies, and other institutions to develop 
and distribute digital instructional content based on State and 
local standards.
    The Committee recommends $8,754,000 for the Education 
through Cultural and Historical Organizations [ECHO] Act of 
2001. Programs authorized under ECHO provide a broad range of 
educational, cultural, and job training opportunities for 
students from communities in Alaska, Hawaii, Massachusetts, and 
Mississippi.
    The Committee has included $37,533,000 for arts in 
education. The recommendation includes $7,954,000 for VSA arts, 
a national organization that supports the involvement of 
persons with disabilities in arts programs, and $6,183,000 for 
the John F. Kennedy Center for the Performing Arts. Additional 
funds are provided for professional development, model arts 
programs and other activities.
    The Committee recommends $38,908,000 for parental 
information and resource centers, which provide training, 
information, and support to parents, State and local education 
agencies, and other organizations that carry out parent 
education and family involvement programs.
    The Committee includes $1,846,000 for the women's 
educational equity program. This program supports projects that 
assist in the local implementation of gender equity policies 
and practices.
    The Committee recommendation includes $1,447,000 for 
activities authorized by the Excellence in Economic Education 
Act. These funds will support a grant to a nonprofit 
educational organization to promote economic and financial 
literacy among kindergarten through 12th grade students.
    The Committee recommendation includes $1,945,000 to carry 
out the American History and Civics Education Act of 2004. From 
the amount available, the Department will make grants to 
support Presidential Academies for Teaching of American History 
and Civics and Congressional Academies for Students of American 
History and Civics.
    In addition, the Committee recommends $5,913,000, a 
$1,000,000 increase over the fiscal year 2008 level, for the 
mental health integration in schools program. This program 
supports grants to or contracts with State educational 
agencies, local educational agencies or Indian tribes to 
increase student access to mental health care by linking 
schools with their local mental health systems. The Committee 
expects this program to continue to be carried out by the 
Office of Safe and Drug-Free Schools and Communities.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Acelero Learning, Las Vegas, NV, for early education            $500,000
 programs.............................................
Alaska PTA, Anchorage, AK, to train parents in their             250,000
 roles and responsibilities under the No Child Left
 Behind Act...........................................
Audubon Society of Rhode Island, Smithfield, RI, to              150,000
 develop the Environmental Education for Urban Schools
 Initiative...........................................
Big Brothers and Big Sisters of Southeastern                     100,000
 Pennsylvania, Philadelphia, PA, for recruitment,
 placement and oversight of school-based mentoring
 programs.............................................
Bishop Museum, Honolulu, HI, for educational                     200,000
 programming..........................................
Bossier Parish School Board, Benton, LA, for                     100,000
 acquisition of equipment and technology upgrades.....
Boys & Girls Club of Greater Milwaukee, Milwaukee, WI,           300,000
 to expand an early literacy program for child-  ren..
Boys and Girls Club of Kootenai County, Post Falls,              100,000
 ID, to expand education, health, and art programs,
 including the purchase of equipment..................
Boys and Girls Clubs of Greater Washington-Virginia,             100,000
 Alexandria, VA, for character, leadership, education
 and career development programs......................
Bridgeport Public Schools, Bridgeport, CT, for                   150,000
 professional development for teachers and
 administrators in Bridgeport, CT.....................
Brockton Area Private Industry Council, Brockton, MA,            150,000
 for workforce development programs for at-risk youth.
Cabrini College, Radnor, PA, for professional                    100,000
 development for K-12 teachers........................
Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to            400,000
 support the Residency program........................
Center for Advancing Partnerships in Education,                  100,000
 Allentown, PA, to develop a foreign language distance
 learning program and for teacher training............
Child and Family Network Centers--Leveling the Playing           100,000
 Field: Start Early, Finish Strong [SEFS], Alexandria,
 VA, to expand preschool programs for at-risk children
Children Northwest, Vancouver, WA, to expand Early               140,000
 Learning and Teaching Career Academies in Southwest
 Washington...........................................
Children's Literacy Initiative, Philadelphia, PA, to             100,000
 improve the reading readiness and early literacy of
 children.............................................
City of Compton, Compton, CA, for educational                    500,000
 programming at Tomorrow's Aeronautical Museum........
City of Holyoke, Holyoke, MA, to develop a full-                 250,000
 service community school pilot project...............
City of Long Beach, Long Beach, CA, for an at-risk             1,250,000
 youth mentoring program..............................
City of Los Angeles, Los Angeles, CA, for the LA's               250,000
 BEST afterschool enrichment program..................
City of Moultrie, Moultrie, GA, for technology                   100,000
 upgrades, including purchase of equipment and
 professional development.............................
City of Presque Isle, Recreation and Parks Department,           250,000
 Presque Isle, ME, for afterschool arts and physical
 activity programs....................................
City of Saint Paul, St. Paul, MN, to provide tutoring,           100,000
 mentoring and other educational programs and
 resources for afterschool programs...................
City of Springfield, Springfield, MO, for development,           600,000
 expansion, equipment and technology for the Ready to
 Learn program........................................
City of Vernonia School District, Vernonia, OR, for              200,000
 the purchase of school equipment and supplies........
City Year New Hampshire, Stratham, NH, to expand                 150,000
 education and youth development programs.............
Civic League of Greater New Brunswick, New Brunswick,            200,000
 NJ, for the Academy of After School Excel-  lence....
Clark County School District, Las Vegas, NV, for                 900,000
 school counseling and dropout prevention services....
Cleveland Avenue YMCA, Montgomery, AL, for after                 100,000
 school math and science tutoring programs............
Cleveland Metropolitan School District, Cleveland, OH,           100,000
 for technology upgrades, including purchase of
 equipment to improve math, science and language
 proficiency..........................................
Connecticut Humanities Council, Middletown, CT, for              250,000
 curriculum development...............................
Connecticut Science Center, Hartford, CT, for a                  100,000
 science and technology learning center...............
Cook Inlet Tribal Council, Anchorage, AK, for                    300,000
 educational programs for low performing students in
 the Ancorhage School District........................
Coppin State University, Baltimore, MD, to support the           300,000
 Urban Education Corridor program.....................
County of Amador, Jackson, CA, for the College                   250,000
 Preparation Initiative to provide educational
 programming..........................................
County of Glacier School District #9, Browning, MT,              400,000
 for academic programs................................
Cristo Rey Network, Chicago, IL, for feasibility                 100,000
 studies of potential Iowa school sites...............
Delaware Department of Education, Dover, DE, to                  200,000
 provide translators and instructional programs for
 English language learners............................
DePaul University, Chicago, IL, for math and science             750,000
 teacher education in Chicago Public Schools..........
Des Moines Community School District and Urban Dreams,           300,000
 Des Moines, IA, to continue a demonstration on full
 service community schools............................
Des Moines Community School District to expand pre-              750,000
 kindergarten programs................................
Dinwiddie County Public Schools, Dinwiddie, VA, for              100,000
 educational programming at a library/media center,
 including the purchase of equipment..................
Early Childhood and Family Learning Center Foundation,           300,000
 New Orleans, LA, for educational programs............
East Stroudsburg University, East Stroudsburg, PA, for           100,000
 math and science curriculum development and
 professional development for area teachers...........
ECHO Center, Burlington, VT, for educational                     500,000
 programming..........................................
Economic Opportunity Foundation, Inc. Head Start                 100,000
 Bryant Program, Kansas City, KS, for early education
 programs.............................................
Eden Housing, Inc., Hayward, CA, to expand afterschool           100,000
 programs.............................................
Elko County School District, Elko, NV, to enhance                650,000
 distance education capabilities, including the
 purchase of equipment................................
Esperanza, Philadelphia, PA, to expand programs for              125,000
 Latino at-risk youth in Chelsea, MA..................
Fairplex Child Development Center, Pomona, CA, to                100,000
 expand the Early Childhood Education Family Literacy,
 Parenting and Violence Prevention Program............
Falcon School District, Falcon, CO, for the D-49 K-12            100,000
 Science, Technology, Engineering & Math Initiative...
Foundation of Community Empowerment, Dallas, TX, for             400,000
 educational activities for early childcare providers
 to prepare students for school.......................
Galena City School District, Galena, AK, to continue             510,000
 educational programs at a boarding school for low
 performing students from rural Alaska................
George Eastman House International Museum of                     300,000
 Photography and Film, Rochester, NY, for educational
 programs.............................................
Grand County School District, Moab, UT, for school-              200,000
 based mentoring programs for low performing students.
Herring Gut Learning Center, Port Clyde, ME, for                 100,000
 science curriculum development for Maine students in
 grades 6-12..........................................
Housatonic Community College, Bridgeport, CT, for the            300,000
 Middle College Program...............................
Institute for Student Achievement, Lake Success, NY,             250,000
 for program expansion................................
Iowa Association of School Boards, Des Moines, IA, for         3,500,000
 continuation and expansion of the Skills Iowa program
Iowa Department of Education to continue the Harkin            5,750,000
 grant program........................................
Kansas Children's Discovery Center, Topeka, KS, for              100,000
 exhibit development for children's interactive
 educational development..............................
Kauai Economic Development Board, Lihue, HI, for math            300,000
 and science education................................
KIPP Foundation, San Francisco, CA, for academic and             100,000
 afterschool programs in Memphis and Nashville, TN....
Las Vegas Natural History Museum, Las Vegas, NV, to              150,000
 expand natural history education programs............
Leeward Community College, Pearl City, HI, to provide            250,000
 college preparatory education for Filipino stu-
 dents................................................
Lehigh Carbon Community College, Schnecksville, PA, to           100,000
 provide science, technology, engineering and math
 programs to area high school students................
Libby School District #4, Libby, MT, for academic                400,000
 programs.............................................
Lincoln County School District, Panaca, NV, to expand             25,000
 early education services, including the purchase of
 equipment............................................
Literacy Council of Alaska, Fairbanks, AK, to provide            100,000
 educational materials for low-income students and
 their families.......................................
Loess Hills Area Education Agency in Iowa for a                  750,000
 demonstration in early childhood education...........
Loras College, Dubuque, IA, for literacy programs.....           250,000
Louisiana Tech University, Ruston, LA, for a program             700,000
 in K-12 cyberspace education in cooperation with
 members of the Consortium for Education, Research and
 Technology of North Louisiana........................
Lower Pioneer Valley Educational Collaborative, West             200,000
 Springfield, MA, for the continued development of an
 online education center..............................
Massachusetts 2020 Foundation, Boston, MA, for the               200,000
 continued development of an extended learning time
 initiative...........................................
Maui Economic Development Board, Kihei, HI, for                  300,000
 engaging girls in STEM education.....................
McWane Science Center, Birmingham, AL, for teacher               100,000
 training and purchase of equipment...................
Mentoring Partnership of Southwestern Pennsylvania,              100,000
 Pittsburgh, PA, for recruitment, placement, and
 oversight of school-based mentoring programs.........
Metropolitan Wilmington Urban League, Wilmington, DE,            200,000
 to expand the Achievement Matters! program...........
Milwaukee Public Schools, Milwaukee, WI, to strengthen           350,000
 the Science, Technology, Engineering and Math (STEM)
 curriculum...........................................
Milwaukee Public Schools, Milwaukee, WI, to support            1,200,000
 afterschool activities for youth.....................
Mississippi Council on Economic Education, Jackson,              250,000
 MS, for Achieving Comprehensive Economic and
 Financial Literacy of Mississippi Students...........
Mississippi State University, Mississippi State, MS,             300,000
 for enhancing K-12 science and math preparation,
 including purchase of equipment......................
Mississippi University for Women, Columbus, MS, for              300,000
 strengthening partnerships between K-12 parents,
 children's teachers, principals, superintendents and
 other school officials, including purchase of
 equipment............................................
Museum of Fine Arts, Boston, MA, for educational                 250,000
 programming..........................................
National Council of La Raza in Washington, DC, for the           500,000
 Center for Early Childhood Education.................
Native American Indian, Alaskan, and Hawaiian                    300,000
 Educational Development Center, Sheridan, WY, to
 expand professional development in early literacy and
 math programs for teachers...........................
Nevada Humanities, Reno, NV, to develop and expand a             150,000
 comprehensive online encyclopedia....................
Nevada Speech and Hearing Association, Reno, NV, to               25,000
 recruit and train special education teachers.........
New England Center for Children, Inc., Southborough,             200,000
 MA, to provide equipment for training programs to
 support teachers of children with autism.............
New Mexico Mathematics, Engineering, Science                     250,000
 Achievement, Inc. [NM MESA], Albuquerque, NM, to
 prepare students from under-represented populations
 to pursue STEM college majors........................
New School University, New York, NY, for the Institute           750,000
 for Urban Education..................................
New York Hall of Science, Queens, NY, for science                500,000
 exhibits and educational programming.................
North Carolina Technology Association, Raleigh, NC,              100,000
 for a technology demonstration project for 9-12 grade
 students.............................................
Nye County School District, Pahrump, NV, to expand               150,000
 career and technical programs, including the purchase
 of equipment.........................................
Operation Shoestring, Jackson, MS, for after school              200,000
 summer enrichment programs...........................
Pacific Islands Center for Educational Development in            500,000
 American Samoa, Pago Pago, America Samoa, for program
 development..........................................
Parents as Teachers National Center, St. Louis, MO, to           250,000
 develop research-based materials and training for
 home visiting professionals for families of children
 with autism..........................................
Parents for Public Schools of Jackson, Inc., Jackson,             50,000
 MS, for arts education programs......................
PE4life Foundation, Kansas City, MO, for expansion and           500,000
 assessment of PE4life programs across Iowa...........
Pennsylvania State University, University Park, PA,              100,000
 for a youth mentoring program........................
Pollard Foundation, Las Vegas, NV, to improve math,              200,000
 science and literacy instruction at the Rainbow
 Dreams Academy.......................................
Polynesian Voyaging Society, Honolulu, HI, for                   250,000
 educational programs.................................
Project GRAD Ohio, Columbus, OH, to help students                100,000
 graduate from high school ready for college..........
Project HOME, Philadelphia, PA, for after school and             100,000
 summer programs......................................
Roads to Success, New York, NY, to support college               100,000
 scholarships for rural, low-income high school
 graduates in Pennsylvania............................
RuralCap of Alaska, Anchorage, AK, for distance                  500,000
 learning for head start teachers and parents as
 teachers programs, including the purchase of
 equipment............................................
Rutland City Public Schools, Rutland, VT, for summer             150,000
 learning programs....................................
Saint Bernard Parish School Board, Chalmette, LA, for            750,000
 educational programming, including the purchase of
 educational equipment for a cultural arts facility...
Saint Joseph's University, Philadelphia, PA, to                  100,000
 develop a Public Education Partnership to provide
 professional development to area principals and
 teachers.............................................
Saint Louis Community College, St. Louis, MO, to link            750,000
 elementary and secondary inner city and rural school
 students with industry to promote STEM and life
 science academic study...............................
Saint Mary's College, Notre Dame, IN, to expand                  200,000
 tutoring and mentoring program for disadvantaged
 students in K-8 elementary schools in South Bend, IN.
Salt Lake City School District, Salt Lake City, UT,              100,000
 for a K-12 school-to-work program for at risk stud-
 ents.................................................
San Francisco District Attorney's Office, San                    250,000
 Francisco, CA, for the Academic Recovery Center at-
 risk youth mentoring and education program...........
Self Enhancement, Inc., Portland, OR, for innovative             100,000
 education programs for inner city youth..............
Shiloh Economic and Entrepreneurial Lifelong                     100,000
 Development Corporation, Planfield, NJ, for the
 Titans for Tomorrow afterschool program..............
Skills Alaska, Anchorage, AK, for a student/teach              1,000,000
 enhancement program across Alaska....................
SMART (Start Making A Reader Today), Portland, OR, for           100,000
 children's literacy programs.........................
Smith Center for the Performing Arts, Las Vegas, NV,             200,000
 to create arts educational programs..................
SouthCoast Connected, New Bedford, MA, for expansion             150,000
 of programs designed to reduce the teen dropout rate.
SouthEastern Pennsylvania Consortium for Higher                  200,000
 Education, Glenside, PA, for the Institute of
 Mathematics and Science to provide professional
 development to K-12 teachers.........................
Thiel College, Greenville, PA, for curriculum                    100,000
 development, including the purchase of equipment to
 support a distance learning partnership with area K-
 12 schools...........................................
Tulsa Public Schools, Tulsa, OK, for innovative                  100,000
 programming for students at risk of dropping out,
 including curriculum development.....................
United Way of Southeastern Pennsylvania, Philadelphia,           100,000
 PA, for recruitment, placement, and oversight of
 school-based mentoring programs......................
University of Mississippi, University, MS, to enhance            300,000
 mathematics preparation..............................
University of Nebraska Kearney, Kearney, NE, to                  100,000
 develop early childhood education programs and expand
 online educational access to the underserved.........
University of Nebraska-Omaha, Omaha, NE, to develop              500,000
 and implement a training program centered on civic
 leadership...........................................
University of New Orleans, New Orleans, LA, for                  450,000
 supporting and developing charter and district-run
 public schools in New Orleans through teacher
 education, leadership preparation, applied research
 and policy, in cooperation with Tulane University....
University of Northern Colorado, Greeley, CO, to                 150,000
 establish the Center for Excellence and Innovation in
 Education............................................
University of Southern Mississippi, Hattiesburg, MS,             250,000
 for gifted education programs at the Frances Kranes
 Center for Gifted Studies............................
University of Southern Mississippi, Hattiesburg, MS,             205,000
 for K-12 arts and science curriculum and content
 standards development................................
University of Southern Mississippi, Hattiesburg, MS,             300,000
 for math science literacy enhancement................
University of the Sciences in Philadelphia,                      100,000
 Philadelphia, PA, for a science education partnership
 which will provide professional development to area
 teachers.............................................
Washington Jesuit Academy, Washington, DC, for                   250,000
 mentoring activities.................................
Washoe County School District, Reno, NV, for dropout             900,000
 prevention and intervention services.................
Western Folklife Center, Elko, NV, for educational               100,000
 programming..........................................
Widener University, Chester, PA, for curriculum                  100,000
 development and teacher training.....................
YWCA Anchorage, Anchorage, AK, for after school                  100,000
 education programs...................................
YWCA of Seattle, King County, and Snohomish County,              300,000
 Seattle, WA, to support and expand the School's Out
 Washington program...................................
------------------------------------------------------------------------

Teacher Incentive Fund

    The Committee recommendation includes $97,270,000, the same 
as the fiscal year 2008 level, for the teacher incentive fund 
program. The budget request is $200,000,000.
    Under this program, the Secretary shall use not less than 
95 percent of these funds to award competitive grants to local 
educational agencies [LEAs], including charter schools that are 
LEAs, States, or partnerships of (1) a local educational 
agency, a State, or both and (2) at least one nonprofit 
organization to design and implement fair, differentiated 
compensation systems for public school teachers and principals 
based primarily on measures of gains in student achievement, in 
addition to other factors, for teachers and principals in high-
need schools.
    Not more than 5 percent of the appropriation may be used by 
the Secretary to provide schools with assistance in 
implementing this program through one or more grants to an 
organization or organizations with expertise in providing 
research-based expert advice to support schools initiating and 
implementing differentiated compensation systems, training 
school personnel, disseminating information on effective 
teacher compensation systems, and providing program outreach 
through a clearinghouse of best practices. This set-aside also 
will support the design and implementation of a program 
evaluation.

Ready-to-Learn Television

    The Committee recommends an appropriation of $27,000,000 
for the Ready-to-Learn Television program. The comparable 
funding level for fiscal year 2008 was $23,831,000, the same as 
the budget request.
    Ready to Learn Television supports the development and 
distribution of educational television programming designed to 
improve the readiness of preschool children to enter 
kindergarten and elementary school. The program also supports 
the development, production, and dissemination of educational 
materials designed to help parents, children, and caregivers 
obtain the maximum advantage from educational programming. The 
Committee expects the increase over fiscal year 2008 to be used 
for Ready to Learn outreach programs by the Corporation for 
Public Broadcasting.

Congressional Fellowships

    The Committee recommendation includes $1,942,000, the same 
as the fiscal year 2008 level, for Congressional Fellowships. 
The budget request did not include any funds for this purpose.
    These funds are provided to the Close Up Foundation of 
Washington, DC, which offers fellowships to students from low-
income families and their teachers to enable them to spend 1 
week in Washington attending seminars and meeting with 
representatives of the three branches of the Federal 
Government.

Advanced Placement

    The Committee recommends $43,540,000 for Advanced Placement 
[AP] and International Baccalaureate [IB] programs, as 
authorized under the America COMPETES Act, as well as for 
activities authorized by the ESEA. The budget request is 
$70,000,000. The comparable funding level for fiscal year 2008 
was $43,540,000 for activities authorized under the ESEA only.
    The Committee includes bill language requested by the 
administration stating that fiscal year 2009 funds will first 
be used to pay continuation costs under the ESEA Advanced 
Placement Incentive [API] Grant program, which are used to 
expand access for low-income individuals to advanced placement 
programs, and to meet State needs for AP test fees. The balance 
of the recommended funds should be allocated under the new 
America COMPETES authority, which targets Federal support more 
specifically on preparing teachers to teach classes in math, 
science and critical foreign languages, and on encouraging more 
students from high-need schools to take and pass AP and IB 
courses in those subjects.
    Under the new program, the Education Department will make 
competitive grants to State educational agencies, LEAs or 
eligible partnerships. Grantees must provide a 2-to-1 match for 
Federal funds.
    The Committee estimates that approximately $12,000,000 
would be needed to fund the test fees program and $11,045,000 
for the API continuation grants, leaving approximately 
$20,495,000 for new grants under the America COMPETES 
authority.

                 Safe Schools and Citizenship Education

Appropriations, 2008....................................    $693,403,000
Budget estimate, 2009...................................     281,963,000
Committee recommendation................................     666,384,000

Safe and Drug-Free Schools and Communities

    The Committee recommends a total of $666,384,000 for 
activities to promote safe schools and citizenship education. 
The comparable fiscal year 2008 funding level was $693,403,000 
and the budget request is $281,963,000.
    State Grant Program.--The Committee recommends 
$294,759,000, the same as the fiscal year 2008 level, for the 
Safe and Drug-Free Schools and Communities State grant program. 
The budget request is $100,000,000. This formula-based State 
grant program provides resources to Governors, State 
educational agencies, and local educational agencies for 
developing and implementing a wide range of activities that 
help create and maintain safe and drug-free learning 
environments in and around schools.
    National Programs.--The Committee has included $128,164,000 
for the national programs portion of the Safe and Drug-Free 
Schools and Communities program. The comparable funding level 
for fiscal year 2008 was $137,664,000, and the budget request 
is $181,963,000.
    The Committee recommendation includes $1,474,000, the same 
as the fiscal year 2008 level, for Project SERV (School 
Emergency Response to Violence), which provides education-
related services to LEAs and institutions of higher education 
in which the learning environment has been disrupted due to a 
violent or traumatic crisis. These funds are available until 
expended. The budget request is $5,000,000. The Committee 
believes its recommended level is sufficient, given the 
carryover of funds from previous years.
    The Committee continues to be concerned about the 
increasing problem of alcohol and drug abuse on college 
campuses. The Committee directs the Department to use $850,000 
to identify, and provide recognition of, promising and model 
alcohol and drug abuse prevention and education programs in 
higher education. The Committee includes these funds within the 
postsecondary alcohol prevention efforts proposed in the budget 
request.
    The Committee includes $1,400,000 for student drug testing, 
to be used for the Student Drug Testing Institute, data 
collection, and the final contract year of an impact 
evaluation. The fiscal year 2008 level for student drug testing 
was $10,639,900. The Committee also includes funds for school 
emergency preparedness activities, Safe Schools/Healthy 
Students, and other activities.
    The Committee recommends $23,824,000 within the national 
programs account, the same as the budget request, to provide 
support for the design and implementation of character 
education programs.
    Bullying.--The Committee continues to be concerned about 
the prevalence of bullying in schools, and it urges Federal 
support for the implementation of effective, research-based, 
and comprehensive bullying prevention programs.
    Threat Assessments.--The Committee notes that research 
shows that threat assessment techniques are more effective in 
preventing school violence and shootings than zero tolerance 
measures and similar disciplinary strategies. The Committee 
recommends the adoption of standardized, research-based threat 
assessment techniques, which include the creation of 
interdisciplinary school-based threat assessment teams that 
address threats on a case-by-case basis.

Alcohol Abuse Reduction

    The Committee recommends $33,000,000 for grants to LEAs to 
develop and implement programs to reduce underage drinking in 
secondary schools. The comparable funding level for fiscal year 
2008 was $32,423,000. The budget request did not include any 
funds for this purpose. The Committee directs the Department 
and the Substance Abuse and Mental Health Services 
Administration to continue to work together on this effort.

Mentoring

    The Committee recommends $48,544,000, the same as the 
fiscal year 2008 level, to support mentoring programs and 
activities for children who are at risk of failing 
academically, dropping out of school, getting involved in 
criminal or delinquent activities, or who lack strong positive 
role models. The budget request did not include any funds for 
this purpose.

Character Education

    The Committee recommendation does not include funds for 
character education within this account. Instead, the Committee 
recommends $23,824,000 for this purpose within the national 
programs account, as the budget requests.

Elementary and Secondary School Counseling

    The Committee recommends $52,000,000 to establish or expand 
counseling programs in elementary and secondary schools. The 
fiscal year 2008 funding level was $48,617,000. The budget 
request does not include any funds for this program. As 
authorized by the No Child Left Behind Act, all amounts 
appropriated up to $40,000,000 must be used only for elementary 
school counseling programs.

Carol M. White Physical Education for Progress Program

    The Committee recommends $78,000,000 to help LEAs and 
community-based organizations initiate, expand and improve 
physical education programs for students in grades K-12. The 
comparable funding level for fiscal year 2008 was $75,655,000. 
The budget request does not include any funding for this 
program. Provision of this funding will help schools and 
communities improve their structured physical education 
programs for students and help children develop healthy 
lifestyles to combat the epidemic of obesity in the Nation.

Civic Education

    The Committee recommends $31,917,000, the same as the 
fiscal year 2008 level, to improve the quality of civics and 
Government education, to foster civic competence and 
responsibility, and to improve the quality of civic and 
economic education through exchange programs with emerging 
democracies. The budget request proposed to eliminate funding 
for this purpose.
    The Committee recommends $20,056,000 for the We the People 
programs, which are directed by statute to the Center for Civic 
Education, and $11,861,000 for the Cooperative Education 
Exchange. Of the latter funds, $4,448,000 is directed by 
statute to the Center for Civic Education and an equivalent 
amount to the National Council on Economic Education, and 
$2,965,000 is for a competitive grant program to improve public 
knowledge, understanding and support of the Congress and the 
State legislatures.

                      English Language Acquisition

Appropriations, 2008....................................    $700,395,000
Budget estimate, 2009...................................     730,000,000
Committee recommendation................................     730,000,000

    The Committee recommends an appropriation of $730,000,000, 
the same as the budget request, for English language 
acquisition. The fiscal year 2008 level was $700,395,000.
    The Department makes formula grants to States based on each 
State's share of the Nation's limited-English-proficient and 
recent immigrant student population. The program is designed to 
increase the capacity of States and school districts to address 
the needs of these students. The No Child Left Behind Act also 
requires that 6.5 percent of the appropriation be used to 
support national activities, which include professional 
development activities designed to increase the number of 
highly qualified teachers serving limited English proficient 
students; a National Clearinghouse for English Language 
Acquisition and Language Instructional Programs; and evaluation 
activities. The budget request includes language that would 
allow national activities funds to be available for 2 years. 
The Committee bill includes the requested language.
    The Committee recognizes that in making State allotments 
under subpart 1, part A of title III, the No Child Left Behind 
Act directs the Secretary to determine the number of limited 
English proficient and immigrant children in all States, using 
``the more accurate'' of either: (1) data from the American 
Community Survey [ACS], as administered by the Bureau of the 
Census, or (2) the number of children assessed for English 
language proficiency as required under section 1111(b)(7). The 
Committee is concerned that the Secretary's use of the ACS, 
which reflects a limited sample size of individuals and is 
based on self-reported data, can be an inaccurate measure of 
the actual number of limited-English-proficient children in the 
States, leading to fluctuations in State allocations and 
jeopardizing efforts to sustain high-quality language 
instruction educational programs for English language learners. 
Therefore, the Committee instructs the Secretary to utilize the 
following interim methodology in determining future State 
allocations under subpart 1, part A of title III, until such 
time that Congress has reauthorized the No Child Left Behind 
Act. In the event that a State experiences a drastic 
fluctuation in the estimated number of limited-English-
proficient and immigrant children in a given year (as estimated 
by the ACS) such that the fluctuation would result in a greater 
than 10 percent decrease in the State's title III allotment 
from the previous fiscal year, the Committee instructs the 
Secretary to make a determination for the State involved using 
an average of the most recent 3 years of data (based on the 
ACS) on the number of limited-English-proficient and immigrant 
children residing in such State.

                           Special Education

Appropriations, 2008.................................... $11,993,683,000
Budget estimate, 2009...................................  12,335,943,000
Committee recommendation................................  12,511,631,000

    The Committee recommends $12,511,631,000 for special 
education programs authorized by the Individuals with 
Disabilities Education Act [IDEA] and Special Olympics Sport 
and Empowerment Act of 2004. The comparable fiscal year 2008 
funding level is $11,993,683,000 and the budget request 
includes $12,335,943,000 for such programs.

Grants to States

    The Committee recommends $11,424,511,000 for special 
education grants to States, as authorized under part B of the 
IDEA. The comparable fiscal year 2008 funding level is 
$10,947,511,000 and the budget request includes 
$11,284,511,000. This program provides formula grants to assist 
States, outlying areas, and other entities in meeting the costs 
of providing special education and related services for 
children with disabilities. States pass along most of these 
funds to local educational agencies, but may reserve some for 
program monitoring, enforcement, technical assistance, and 
other activities.
    The appropriation for this program primarily supports 
activities associated with the 2009-2010 academic year. Of the 
funds available for this program, $3,777,067,000 will become 
available on July 1, 2009 and $7,647,444,000 will become 
available on October 1, 2009. These funds will remain available 
for obligation until September 30, 2010.
    The budget request proposes to continue language capping 
the Department of the Interior set-aside at the prior year 
level, adjusted by the lower of the increase in inflation or 
the increase in the appropriation for grants to States. The 
Committee bill includes this language.

Preschool Grants

    The Committee recommends $374,099,000 for preschool grants. 
The comparable fiscal year 2008 funding level and the budget 
request both are $374,099,000. The preschool grants program 
provides formula grants to States to assist them in making 
available special education and related services for children 
with disabilities aged 3 through 5. States distribute the bulk 
of the funds to local educational agencies. States must serve 
all eligible children with disabilities aged 3 through 5 and 
have an approved application under the Individuals with 
Disabilities Education Act.

Grants for Infants and Families

    The Committee recommends $443,200,000 for the grants for 
infants and families program under part C of the IDEA. The 
comparable fiscal year 2008 funding level and the budget 
request both are $435,654,000 for this purpose. This program 
provides formula grants to States, outlying areas and other 
entities to implement statewide systems of coordinated, 
comprehensive, multidisciplinary interagency programs to make 
available early intervention services to all children with 
disabilities, ages 2 and under, and their families.

State Personnel Development

    The Committee recommends $48,000,000 for the State 
personnel development program. The comparable fiscal year 2008 
funding level is $22,598,000 and the budget request includes 
$48,000,000 for this purpose. This program focuses on the 
professional development needs in States by requiring that 90 
percent of funds be used for professional development 
activities. The program supports grants to State educational 
agencies to help them reform and improve their personnel 
preparation and professional development related to early 
intervention, educational and transition services that improve 
outcomes for students with disabilities.

Technical Assistance and Dissemination

    The Committee recommends $49,049,000 for technical 
assistance and dissemination. The comparable fiscal year 2008 
funding level and the budget request are $48,049,000 for these 
activities. This program supports awards for technical 
assistance, model demonstration projects, the dissemination of 
useful information and other activities. Funding supports 
activities that are designed to improve the services provided 
under IDEA. The Committee intends that the increase provided 
above last year's funding level be used to increase technical 
assistance support for evidence-based practices that will help 
improve the instructional practices of teachers educating 
students with disabilities.

Personnel Preparation

    The Committee recommends $93,153,000 for the personnel 
preparation program. The comparable fiscal year 2008 funding 
level and the budget request both are $88,153,000 for this 
program. Funds support competitive awards to help address 
State-identified needs for personnel who are qualified to work 
with children with disabilities, including special education 
teachers and related services personnel. The program has 
requirements to fund several other broad areas including 
training for leadership personnel and personnel who work with 
children with low incidence disabilities, and providing 
enhanced support for beginning special educators.

Parent Information Centers

    The Committee recommends $27,528,000 for parent information 
centers. The comparable fiscal year 2008 funding level and the 
budget request both are $26,528,000 for authorized activities. 
This program makes awards to parent organizations to support 
parent training and information centers, including community 
parent resource centers. These centers provide training and 
information to meet the needs of parents of children with 
disabilities living in the areas served by the centers, 
particularly underserved parents, and parents of children who 
may be inappropriately identified.
    The Committee recognizes the importance of transition 
services for children with disabilities. The Committee also is 
aware that parent centers have the specialized expertise and 
resources needed to conduct transition-focused parent-
information and training activities that will meet the needs of 
transition-aged youth with disabilities in every State. With 
increased funding, the Committee intends that the Department 
address this important priority and encourages the Office of 
Special Education Programs to collaborate with the 
Rehabilitation Services Administration in carrying out this 
effort.

Technology and Media Services

    The Committee recommends $40,301,000 for technology and 
media services. The comparable fiscal year 2008 funding level 
is $39,301,000 and the budget request includes $30,949,000 for 
such activities. This program makes competitive awards to 
support the development, demonstration, and use of technology, 
and educational media activities of value to children with 
disabilities.
    The Committee recommendation includes $13,500,000 for 
Recording for the Blind and Dyslexic, Inc. [RFB&D;]. These funds 
support the continued development, production, and circulation 
of recorded textbooks, increased outreach activities to print-
disabled students and their teachers, and accelerated use of 
digital technology.
    The Committee also recommends $1,474,000 for support of the 
Reading Rockets program, administered by the Greater Washington 
Educational Television Association.

Special Olympics

    The Committee recommendation includes $11,790,000 for 
Special Olympics education activities, the same amount as the 
fiscal year 2008 level. The budget request did not include any 
funds for this purpose.
    Under the Special Olympics Sport and Empowerment Act of 
2004, the Secretary is authorized to provide financial 
assistance to Special Olympics for activities that promote the 
expansion of Special Olympics and for the design and 
implementation of education activities that can be integrated 
into classroom instruction and are consistent with academic 
content standards.
    The Committee bill allows funds to be used to support 
Special Olympics National and Winter Games hosted in the United 
States, including up to $3,000,000 for the 2009 World Winter 
Games in Idaho.

             Rehabilitation Services and Disability Research

Appropriations, 2008....................................  $3,276,767,000
Budget estimate, 2009...................................   3,318,856,000
Committee recommendation................................   3,379,109,000

    The Committee recommends $3,379,109,000 for rehabilitation 
services and disability research. The comparable fiscal year 
2008 funding level is $3,276,767,000 and the budget request 
includes $3,318,856,000 for programs in this account.
    The authorizing statute for programs funded in this 
account, except for those authorized under the Assistive 
Technology Act, expired September 30, 2004. The program 
descriptions provided below assume the continuation of current 
law.

Vocational Rehabilitation State Grants

    The Committee recommends $2,974,635,000 for vocational 
rehabilitation grants to States. The Committee recommends the 
full amount authorized by the Rehabilitation Act of 1973. The 
comparable funding level for fiscal year 2008 is $2,874,043,000 
for this program. The President's budget proposes to eliminate 
the increase provided by the consumer price index adjustment 
authorized by the authorizing statute. The Committee rejects 
this proposal.
    Basic State grant funds assist States in providing a range 
of services to help persons with physical and mental 
disabilities prepare for and engage in meaningful employment. 
Authorizing legislation requires States to give priority to 
persons with the most significant disabilities. Funds are 
allotted to States based on a formula that takes into account 
population and per capita income. States must provide a 21.3 
percent match of Federal funds, except the State's share is 50 
percent for the cost of construction of a facility for 
community rehabilitation program purposes.
    The Rehabilitation Act requires that no less than 1 percent 
and not more than 1.5 percent of the appropriation in fiscal 
year 2009 for vocational rehabilitation State grants be set 
aside for grants for Indians. Service grants are awarded to 
Indian tribes on a competitive basis to help tribes develop the 
capacity to provide vocational rehabilitation services to 
American Indians with disabilities living on or near 
reservations.

Client Assistance State Grants

    The Committee recommends $11,576,000 for the client 
assistance State grants program. The comparable fiscal year 
2008 funding level and the budget request both are $11,576,000 
for authorized activities.
    The client assistance program funds State formula grants to 
assist vocational rehabilitation clients or client applicants 
in understanding the benefits available to them and in their 
relationships with service providers. Funds are distributed to 
States according to a population-based formula, except that 
increases in minimum grants are guaranteed to each of the 50 
States, the District of Columbia, and Puerto Rico, and 
guaranteed to each of the outlying areas, by a percentage not 
to exceed the percentage increase in the appropriation. States 
must operate client assistance programs in order to receive 
vocational rehabilitation State grant funds.

Training

    The Committee recommends $37,766,000 for training 
rehabilitation personnel. The comparable fiscal year 2008 
funding level and the budget request both are $37,766,000 for 
training activities.
    The purpose of this program is to ensure that skilled 
personnel are available to serve the rehabilitation needs of 
individuals with disabilities. It supports training, 
traineeships, and related activities designed to increase the 
numbers of qualified personnel providing rehabilitation 
services. The program awards grants and contracts to States and 
public or nonprofit agencies and organizations, including 
institutions of higher education, to pay all or part of the 
cost of conducting training programs. Long-term, in-service, 
short-term, experimental and innovative, and continuing 
education programs are funded, as well as special training 
programs and programs to train interpreters for persons who are 
deaf, hard of hearing and deaf-blind.

Demonstration and Training Programs

    The Committee bill includes $8,901,000 for demonstration 
and training programs for persons with disabilities. The 
comparable fiscal year 2008 funding level is $10,151,000 and 
the budget request includes $8,826,000 for authorized 
activities. This program awards grants to States and nonprofit 
agencies and organizations to develop innovative methods and 
comprehensive services to help individuals with disabilities 
achieve satisfactory vocational outcomes. Demonstration 
programs support projects for individuals with a wide array of 
disabilities.
    The Committee recommends continued support for parent 
training and information centers, as proposed in the budget 
request. The Committee expects the Rehabilitation Services 
Administration to coordinate with the Office of Special 
Education Programs in carrying out this activity.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
Alaska Adaptive Recreation Alliance, Anchorage, AK,             $600,000
 for programs to provide adaptive and therapeutic
 recreation to the disabled in Alaska.................
Alaska Statewide Independent Living Council,                     300,000
 Anchorage, AK, for independent living programs for
 rural and remote areas...............................
Arc of New London County, Norwich, CT, for adult                 250,000
 vocational training..................................
Cumberland Perry Association for Retarded Citizens,              100,000
 Carlisle, PA, to support educational programming for
 young adults with disabilities.......................
Enable America, Inc., Tampa, Florida, for civic/                 600,000
 citizenship demonstration project for disabled adults
------------------------------------------------------------------------

Migrant and Seasonal Farmworkers

    The Committee recommends $2,239,000 for migrant and 
seasonal farmworkers, the same amount as the comparable fiscal 
year 2008 funding level. The administration proposes 
eliminating separate funding for this program.
    This program provides grants limited to 90 percent of the 
costs of the projects providing comprehensive rehabilitation 
services to migrant and seasonal farm workers with disabilities 
and their families. Projects also develop innovative methods 
for reaching and serving this population. The program 
emphasizes outreach, specialized bilingual rehabilitation 
counseling, and coordination of vocational rehabilitation 
services with services from other sources.

Recreational Programs

    The Committee provides $2,474,000 for recreational 
programs, the same amount as the comparable fiscal year 2008 
funding level. The budget request does not include funding for 
this program.
    Recreational programs help finance activities such as 
sports, music, dancing, handicrafts, and art to aid in the 
employment, mobility, and socialization of individuals with 
disabilities. Grants are awarded to States, public agencies, 
and nonprofit private organizations, including institutions of 
higher education. Grants are awarded for a 3-year period with 
the Federal share at 100 percent for the first year, 75 percent 
for the second year, and 50 percent for the third year. 
Programs must maintain the same level of services over the 3-
year period.

Protection and Advocacy of Individual Rights

    The Committee recommends $17,201,000 for protection and 
advocacy of individual rights. The comparable fiscal year 2008 
funding level and the budget request both are $16,201,000 for 
this purpose.
    This program provides grants to agencies to protect and 
advocate for the legal and human rights of persons with 
disabilities who are not eligible for protection and advocacy 
services available through the Developmental Disabilities 
Assistance and Bill of Rights Act or the Protection and 
Advocacy for Individuals with Mental Illness Act.

Projects with Industry

    The Committee recommends $19,197,000 for projects with 
industry. The comparable fiscal year 2008 funding level is 
$19,197,000 and the administration proposes eliminating 
separate funding for this program.
    The projects with industry [PWI] program promotes greater 
participation of business and industry in the rehabilitation 
process. PWI provides training and experience in realistic work 
settings to prepare individuals with disabilities for 
employment in the competitive job market. Postemployment 
support services are also provided. The program supports grants 
to a variety of agencies and organizations, including 
corporations, community rehabilitation programs, labor and 
trade associations, and foundations.

Supported Employment State Grants

    The Committee recommends $29,181,000 for the supported 
employment State grant program. The comparable fiscal year 2008 
funding level is $29,181,000 and the administration proposes 
eliminating separate funding for this program.
    This program assists the most severely disabled individuals 
by providing the ongoing support needed to obtain competitive 
employment. Short-term vocational rehabilitation services are 
augmented with extended services provided by State and local 
organizations. Federal funds are distributed on the basis of 
population.

Independent Living State Grants

    The Committee recommends $22,193,000 for independent living 
State grants. The comparable funding level for fiscal year 2008 
and the budget request both are $22,193,000 for authorized 
activities.
    The independent living State formula grants program 
provides funding to improve independent living services, 
support the operation of centers for independent living, 
conduct studies and analysis, and provide training and 
outreach.

Independent Living Centers

    The Committee recommends $73,334,000 for independent living 
centers. The comparable fiscal year 2008 funding level and the 
budget request both are $73,334,000 for the centers.
    These funds support consumer-controlled, cross-disability, 
nonresidential, community-based centers that are designed and 
operated within local communities by individuals with 
disabilities. These centers provide an array of independent 
living services.

Independent Living Services for Older Blind Individuals

    The Committee provides $32,320,000 for independent living 
services to older blind individuals. The comparable fiscal year 
2008 funding level and the budget request both are $32,320,000 
for these activities. Through this program, assistance is 
provided to persons aged 55 or older to adjust to their 
blindness, continue living independently and avoid societal 
costs associated with dependent care. Services may include the 
provision of eyeglasses and other visual aids, mobility 
training, braille instruction and other communication services, 
community integration, and information and referral. These 
services help older individuals age with dignity, continue to 
live independently and avoid significant societal costs 
associated with dependent care. The services most commonly 
provided by this program are daily living skills training, 
counseling, the provision of low-vision devices community 
integration, information and referral, communication devices, 
and low-vision screening.

Program Improvement Activities

    The Committee recommends $622,000 for program improvement 
activities, the same amount as the comparable fiscal year 2008 
funding level. The budget request includes $800,000 for 
authorized activities. In fiscal year 2009, funds for these 
activities will continue to support technical assistance 
efforts to improve the efficiency and effectiveness of the 
vocational rehabilitation program and improve accountability 
efforts. The funds provided are sufficient to support technical 
assistance and other ongoing program improvement activities.

Evaluation

    The Committee recommends $1,447,000 for evaluation 
activities, the same amount as the comparable fiscal year 2008 
funding level. The budget request includes $1,947,000 for such 
activities.
    These funds support evaluations of the impact and 
effectiveness of programs authorized by the Rehabilitation Act. 
The Department awards competitive contracts for studies to be 
conducted by persons not directly involved with the 
administration of Rehabilitation Act programs.

Helen Keller National Center

    The Committee recommends $8,362,000 for the Helen Keller 
National Center for Deaf-Blind Youth and Adults, the same 
amount as the comparable fiscal year 2008 funding level. The 
budget request includes $7,862,000 for this purpose.
    The Helen Keller National Center consists of a national 
headquarters in Sands Point, New York, with a residential 
training and rehabilitation facility where deaf-blind persons 
receive intensive specialized services; a network of 10 
regional field offices that provide referral and counseling 
assistance to deaf-blind persons; and an affiliate network of 
agencies. The center serves approximately 120 persons with 
deaf-blindness at its headquarters facility and provides field 
services to approximately 2,000 individuals and families and 
approximately 1,100 organizations.

National Institute on Disability and Rehabilitation Research

    The Committee recommends $107,741,000 for the National 
Institute on Disability and Rehabilitation Research [NIDRR]. 
The comparable fiscal year 2008 funding level and the budget 
request both are $105,741,000 for authorized activities.
    NIDRR develops and implements a comprehensive and 
coordinated approach to the conduct of research, demonstration 
projects, and related activities that enable persons with 
disabilities to better function at work and in the community, 
including the training of persons who provide rehabilitation 
services or who conduct rehabilitation research. The Institute 
awards competitive grants to support research in Federally 
designated priority areas, including rehabilitation research 
and training centers, rehabilitation engineering research 
centers, research and demonstration projects, and dissemination 
and utilization projects. NIDRR also supports field-initiated 
research projects, research training, and fellowships.
    The Committee recommends funds above the budget request to 
restore the number of rehabilitation research and training 
centers, focusing on the issues of traumatic brain injury, 
arthritis, neuromuscular disease and spinal cord injury. 
Centers on these topics were previously funded by NIDRR. NIDRR 
shall award funds for these centers on a competitive basis.
    While mental health and physical health are clearly 
connected, there is a lack of research at the nexus of these 
care systems and the role they play for people with 
disabilities. The Committee encourages NIDRR to pursue mental 
health-related research proposals through its investigator-
initiated and other grants programs, including sponsoring 
studies that will demonstrate the impact of socio-emotional, 
behavioral and attitudinal aspects of disability. In 
particular, specific initiatives that directly address societal 
barriers, such as stigmatization and discrimination, and their 
impact on people with physical, mental and neurological 
disabilities as well as strategies to support the improved 
function, rehabilitation and future employment of individuals 
with disabilities are highly recommended.
    The Committee encourages NIDRR to continue supporting 
research on effective training for professional service 
providers who work with individuals with disabilities. Many 
fundamental programs that are committed to supporting the 
progress and success of individuals with disabilities in the 
areas of rehabilitation, employment, education, and general 
health and functioning rely heavily on professionals who are 
well-trained and knowledgeable about disability. Given the 
current shortage of such professionals, it is important to 
evaluate the processes for training these professionals who are 
skilled to work on disability issues. Assessments and 
evaluations of training programs on disability would offer a 
unique insight into the preparation of this vital portion of 
the workforce that plays a significant role in the lives of 
people with disabilities.

Assistive Technology

    The Committee recommends $29,920,000 for assistive 
technology, the same amount as the comparable fiscal year 2008 
funding level. The budget request includes $25,655,000 for the 
State grant program and national activities authorized by the 
Assistive Technology Act of 1998.
    The Assistive Technology program is designed to improve 
occupational and educational opportunities and the quality of 
life for people of all ages with disabilities through increased 
access to assistive technology services and devices. The 
program supports various activities that help States to develop 
comprehensive, consumer-responsive statewide programs that 
increase access to, and the availability of, assistive 
technology devices and services.
    The Committee recommendation includes $24,620,000 for State 
grant activities authorized under section 4, $4,265,000 for 
protection and advocacy systems authorized by section 5, and 
$1,035,000 for technical assistance activities authorized under 
section 6.

           Special Institutions for Persons With Disabilities


                  AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2008....................................     $21,616,000
Budget estimate, 2009...................................      21,616,000
Committee recommendation................................      22,500,000

    The Committee recommends $22,500,000 to help support the 
American Printing House for the Blind [APH]. The comparable 
fiscal year 2008 funding level and budget request both are 
$21,616,000 for this purpose.
    The American Printing House for the Blind provides 
educational materials to students who are legally blind and 
enrolled in programs below the college level. The Federal 
subsidy provides more than 60 percent of APH's total sales 
income. Materials are distributed free of charge to schools and 
States through per capita allotments based on the total number 
of students who are blind. Materials provided include textbooks 
and other educational aids in braille, large type, and recorded 
form and computer applications. Appropriated funds may be used 
for staff salaries and expenses, as well as equipment purchases 
and other acquisitions consistent with the purpose of the Act 
to Promote the Education of the Blind.
    In addition to its ongoing activities, the Individuals with 
Disabilities Education Improvement Act assigned to the American 
Printing House for the Blind the responsibility of establishing 
and maintaining a National Instructional Materials Access 
Center.

               NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2008....................................     $59,695,000
Budget estimate, 2009...................................      59,195,000
Committee recommendation................................      62,000,000

    The Committee recommends $62,000,000 for the National 
Technical Institute for the Deaf [NTID]. The comparable fiscal 
year 2008 funding level is $59,695,000 and the budget request 
includes $59,195,000 for this purpose. Within the Committee 
recommendation, $1,175,000 is available for improvements to the 
campus infrastructure of NTID.
    The Institute, located on the campus of the Rochester 
Institute of Technology, was created by Congress in 1965 to 
provide a residential facility for postsecondary technical 
training and education for persons who are deaf. NTID also 
provides support services for students who are deaf, trains 
professionals in the field of deafness, and conducts applied 
research. At the discretion of the Institute, funds may be used 
for the Endowment Grant program.

                          GALLAUDET UNIVERSITY

Appropriations, 2008....................................    $113,384,000
Budget estimate, 2009...................................     119,384,000
Committee recommendation................................     124,000,000

    The Committee recommends $124,000,000 for Gallaudet 
University. The comparable fiscal year 2008 funding level is 
$113,384,000 and the budget request includes $119,384,000 for 
the university.
    Gallaudet University is a private, nonprofit institution 
offering undergraduate, and continuing education programs for 
students who are deaf, as well as graduate programs in fields 
related to deafness for students who are hearing and deaf. The 
University conducts basic and applied research related to 
hearing impairments and provides public service programs for 
the deaf community.
    The Model Secondary School for the Deaf serves as a 
laboratory for educational experimentation and development, 
disseminates curricula, materials, and models of instruction 
for students who are deaf, and prepares adolescents who are 
deaf for postsecondary academic or vocational education or the 
workplace. The Kendall Demonstration Elementary School develops 
and provides instruction for children from infancy through age 
15.
    The budget request includes $6,000,000 earmarked in bill 
language for construction-related activities connected to soil 
instability and associated building damage on campus. The 
Committee recommendation includes the requested funding and 
language for these activities. The Committee provided 
additional funds in the 2008 bill to allow Gallaudet to begin 
addressing this issue.

                 Career, Technical, and Adult Education

Appropriations, 2008....................................  $1,941,642,000
Budget estimate, 2009...................................     574,590,000
Committee recommendation................................   1,863,162,000

    The Committee recommends a total of $1,863,162,000 for 
career, technical and adult education. The comparable funding 
level in fiscal year 2008 is $1,941,642,000 and the budget 
request includes $574,590,000 for this account. The 
recommendation consists of $1,271,694,000 for career and 
technical education, $567,468,000 for adult education and 
$24,000,000 for other activities.

Career and Technical Education

    The Committee recommends $1,271,694,000 for career and 
technical education, the same amount as the comparable fiscal 
year 2008 funding level. The budget request does not propose 
any funds for these activities.
    State Grants.--The Committee recommends $1,160,911,000 for 
State grants, the same amount as the comparable fiscal year 
2008 funding level. The budget request does not propose any 
funds for this purpose. Funds provided under the State grant 
program assist States, localities, and outlying areas to expand 
and improve their programs of career and technical education 
and provide equal access to career and technical education for 
populations with special needs. Persons assisted range from 
secondary students in prevocational courses through adults who 
need retraining to adapt to changing technological and labor 
market conditions. Funds are distributed according to a formula 
based on State population and State per capita income, with 
special provisions for small States and a fiscal year 1998 base 
guarantee.
    Under the Indian and Hawaiian Natives programs, competitive 
grants are awarded to federally recognized Indian tribes or 
tribal organizations and to organizations primarily serving and 
representing Hawaiian Natives for services that are in addition 
to services such groups are eligible to receive under other 
provisions of the Perkins Act.
    Of the funds available for this program, $369,911,000 will 
become available on July 1, 2009 and $791,000,000 will become 
available on October 1, 2009. These funds will remain available 
for obligation until September 30, 2010.
    Tech-Prep Education State Grants.--The Committee recommends 
$102,923,000 for tech-prep programs, the same amount as the 
comparable fiscal year 2008 funding level. The budget request 
proposes to eliminate funding for this program. This program is 
designed to link academic and career and technical education 
and to provide a structural link between secondary schools and 
postsecondary education institutions. Funds are distributed to 
the States through the same formula as the State grant program. 
States then make planning and demonstration grants to consortia 
of local educational agencies and postsecondary institutions to 
develop and operate model 4-year programs that begin in high 
school and provide students with the mathematical, science, 
communication, and technological skills needed to earn a 2-year 
associate degree or 2-year certificate in a given occupational 
field.
    National Programs.--The Committee recommends $7,860,000 for 
national research programs and other national activities, the 
same amount as the comparable fiscal year 2008 funding level. 
The budget request proposes to eliminate funding for this 
program.
    Funds should be used to support the national research 
center on career and technical education, as well as other 
activities that will help improve career and technical 
education programs in high schools and community colleges.

                            ADULT EDUCATION

    The Committee recommends $567,468,000 for adult education, 
the same amount as the comparable fiscal year 2008 funding 
level. The budget request includes $574,590,000 for this 
purpose. The authorizing statute for adult education programs 
expired on September 30, 2004. Descriptions of these programs 
provided below assume the continuation of current law.
    The Committee recognizes the importance of the Adult 
Education and Family Literacy Act programs. To ensure that 
funding for these programs is benefiting as many students as 
possible, the Committee requests that the Department evaluate 
and report on whether the amount of funding for State grants 
that is allowed to be set aside for State leadership activities 
and State program administration is appropriate and how these 
set-asides impact the assistance reaching students. The 
Committee expects the Department to include the requested 
information in the fiscal year 2010 budget justification.
    Adult Education State Programs.--For adult education State 
programs, the Committee recommends $554,122,000, the same 
amount as both the comparable fiscal year 2008 funding level 
and the budget request. These funds are used by States for 
programs to enable economically disadvantaged adults to acquire 
basic literacy skills, to enable those who so desire to 
complete a secondary education, and to make available to adults 
the means to become more employable, productive, and 
responsible citizens.
    The Committee recommendation continues the English literacy 
and civics education State grants set aside within the adult 
education State grant appropriation. Within the total, 
$67,896,000 is available to help States or localities affected 
significantly by immigration and large limited-English 
populations to implement programs that help immigrants acquire 
English literacy skills, gain knowledge about the rights and 
responsibilities of citizenship and develop skills that will 
enable them to navigate key institutions of American life.
    National Leadership Activities.--The Committee recommends 
$6,878,000 for national leadership activities, the same amount 
as the comparable funding level for fiscal year 2008. The 
budget request includes $14,000,000 for this purpose. Under 
this program, the Department supports applied research, 
development, dissemination, evaluation and program improvement 
activities to assist States in their efforts to improve the 
quality of adult education programs.
    National Institute for Literacy.--The Committee recommends 
$6,468,000 for the National Institute for Literacy, authorized 
under section 242 of the Adult Education and Family Literacy 
Act. The comparable fiscal year 2008 funding level and the 
budget request both are $6,468,000 for this purpose. The 
Institute provides national leadership on issues related to 
literacy, coordinates literary services and policy, and serves 
as a national resource for adult education and literacy 
programs. The center also engages in a variety of capacity-
building activities that support the development of State, 
regional, and national literary services.

Smaller Learning Communities

    The Committee does not recommend funds for this program, as 
proposed in the budget request. The comparable fiscal year 2008 
funding level is $80,108,000. This program has supported 
competitive grants to local educational agencies to enable them 
to create smaller learning communities in large schools. Funds 
have been used to study, research, develop and implement 
strategies for creating smaller learning communities, as well 
as professional development for staff. Two types of grants were 
made under this program: 1-year planning grants, which help 
LEAs plan smaller learning communities and 3-year 
implementation grants, which help create or expand such 
learning environments.

State Grants for Incarcerated Youth Offenders

    The Committee recommends $24,000,000 for education and 
training for incarcerated youth offenders. The comparable 
funding level for fiscal year 2008 is $22,372,000, while the 
budget request does not include any funds for this purpose. 
This program provides grants to State correctional education 
agencies to assist and encourage incarcerated youth to acquire 
functional literacy, life and job skills, through the pursuit 
of a postsecondary education certificate or an associate of 
arts or bachelor's degree. Grants also assist correction 
agencies in providing employment counseling and other related 
services that start during incarceration and continue through 
prerelease and while on parole. Under current law, each student 
is eligible for a grant of not more than $1,500 annually for 
tuition, books, and essential materials, and not more than $300 
annually for related services such as career development, 
substance abuse counseling, parenting skills training, and 
health education. In order to participate in a program, a 
student must be no more than 25 years of age and be eligible to 
be released from prison within 5 years. Youth offender grants 
are for a period not to exceed 5 years, 1 year of which may be 
devoted to study in remedial or graduate education.

                      Student Financial Assistance

Appropriations, 2008.................................... $16,081,136,000
Budget estimate, 2009...................................  17,921,492,000
Committee recommendation................................  18,761,809,000

    The Committee recommends an appropriation of 
$18,761,809,000 for student financial assistance. Program 
authorities and descriptions assume the continuation of current 
law.

Federal Pell Grant Program

    For Pell grant awards in the 2009/2010 academic year, the 
Committee recommends $16,890,000,000 to increase the maximum 
discretionary Pell grant award level to $4,310. Additional 
mandatory funding provided in the College Cost Reduction and 
Access Act would increase this maximum award by $490, to a 
total of $4,800.
    Pell grants provide need-based financial assistance that 
helps low- and middle-income undergraduate students and their 
families defray a portion of the costs of postsecondary 
education and vocational training. Awards are determined 
according to a statutory need analysis formula that takes into 
account a student's family income and assets, household size, 
and the number of family members, excluding parents, attending 
postsecondary institutions. Pell grants are considered the 
foundation of Federal postsecondary student aid.

Federal Supplemental Educational Opportunity Grants

    The Committee recommends $757,465,000 for Federal 
supplemental educational opportunity grants [SEOG], the same as 
the fiscal year 2008 level. The budget did not include funds 
for this program. This program provides funds to postsecondary 
institutions for need-based grants to undergraduate students. 
Institutions must contribute 25 percent toward SEOG awards, 
which are subject to a maximum grant level of $4,000. School 
financial aid officers have flexibility to determine student 
awards, though they must give priority to Pell grant recipients 
with exceptional need.

Federal Work-Study Programs

    The Committee bill provides $980,492,000 for the Federal 
work-study program, the same amount as the budget request and 
the fiscal year 2008 level.
    This program provides grants to more than 3,300 
institutions to help an estimated 800,000 undergraduate, 
graduate, and professional students meet the costs of 
postsecondary education through part-time employment. Work-
study jobs must pay at least the Federal minimum wage and 
institutions must provide at least 25 percent of student 
earnings. Institutions also must use at least 7 percent of 
their grants for community-service jobs.

Federal Perkins Loans

    The Federal Perkins loan program supports student loan 
revolving funds built up with capital contributions to nearly 
1,900 participating institutions. Institutions use these 
revolving funds, which also include Federal capital 
contributions [FCC], institutional contributions equal to one-
third of the FCC, and student repayments, to provide low-
interest (5 percent) loans that help financially needy students 
pay the costs of postsecondary education.
    The Committee recommends $70,000,000 for loan 
cancellations, $5,673,000 over the comparable fiscal year 2008 
level. The administration did not request funds for this 
program. These funds reimburse institutional revolving funds on 
behalf of borrowers whose loans are cancelled in exchange for 
statutorily specified types of public or military service, such 
as teaching in a qualified low-income school, working in a Head 
Start Program, serving in the Peace Corps or VISTA, or nurses 
and medical technicians providing health care services.
    The Committee is aware that institutions, in complying with 
the Perkins loan cancellations provisions, are seeing their 
overall Perkin revolving loan accounts decrease. The Committee 
realizes that this $5,000,000 increase is not sufficient to 
make the participating institutions whole and will continue to 
address the shortfall issue over the next few years.
    The Committee bill does not include any funds for Federal 
Perkins loans capital contributions. The fiscal year 2008 bill 
did not include such funds and the budget request does not 
provide any funds for this purpose.

Leveraging Educational Assistance Partnership Program

    For the leveraging educational assistance partnership 
[LEAP] program, the Committee recommends $63,852,000, the same 
amount as the comparable funding level for fiscal year 2008. 
The budget proposes to eliminate funding for this program.
    The LEAP program provides a Federal match to States as an 
incentive for providing need-based grant and work-study 
assistance to eligible postsecondary students.

                     Loans for Short-Term Training

Appropriations, 2008....................................................
Budget estimate, 2009...................................      $3,000,000
Committee recommendation................................................

    The Committee recommendation does not include funds for a 
new program designed to help individuals acquire or upgrade 
specific-job related skills through short-term training 
programs. The budget proposed $3,000,000 for this new program. 
The Committee notes that this program is not authorized and 
will reconsider funding after legislation is submitted to the 
Congress and considered by the authorizing committees.

                       Student Aid Administration

Appropriations, 2008....................................    $695,843,000
Budget estimate, 2009...................................     714,000,000
Committee recommendation................................     704,843,000

    The Committee recommends $704,843,000 for the Student Aid 
Administration account, for activities funded under this 
account, as reauthorized by the Higher Education Reconciliation 
Act of 2005. These funds are available until expended. That act 
reclassified most of the administrative costs of the Student 
Aid Account that were classified as mandatory spending through 
fiscal year 2006.
    Funds appropriated for the Student Aid Administration 
account will support the Department's student aid management 
expenses. The Office of Federal Student Aid and Office of 
Postsecondary Education have primary responsibility for 
administering Federal student financial assistance programs.

                            Higher Education

Appropriations, 2008....................................  $2,021,852,000
Budget estimate, 2009...................................   1,733,684,000
Committee recommendation................................   1,856,214,000

    The Committee recommends an appropriation of $1,856,214,000 
for higher education programs. The administration requested 
$1,733,684,000 and the fiscal year 2008 level was 
$2,021,852,000 for programs in this account.

Aid for Institutional Development

    The Committee recommends $362,586,000, the same as the 
administration's request. The Committee recommendation concurs 
in the budget request, which reduces aid for institutional 
development programs where additional fiscal year 2008 and 2009 
funding is available from the College Cost Reduction and Access 
Act. The Committee will resume providing funding levels in 
fiscal year 2010 that are comparable to the discretionary 
program levels provided in fiscal year 2008.
    Strengthening Institutions.--The Committee bill includes 
$78,146,000, the same as the administration's request. The part 
A program supports competitive, 1-year planning and 5-year 
development grants for institutions with a significant 
percentage of financially needy students and low educational 
and general expenditures per student in comparison with similar 
institutions. Applicants may use part A funds to develop 
faculty, strengthen academic programs, improve institutional 
management, and expand student services. Institutions awarded 
funding under this program are not eligible to receive grants 
under other sections of part A or part B.
    Hispanic-Serving Institutions [HSI].--The Committee 
recommends $74,442,000, the same as the administration's 
request, for institutions at which Hispanic students make up at 
least 25 percent of enrollment. Institutions applying for title 
V funds must meet the regular part A requirements. Funds may be 
used for acquisition, rental or lease of scientific or 
laboratory equipment, renovation of instructional facilities, 
development of faculty, support for academic programs, 
institutional management, and purchase of educational 
materials. Title V recipients are not eligible for other awards 
provided under title III, parts A and B.
    The College Cost Reduction and Access Act amended title IV 
of the Higher Education Act by providing mandatory funding for 
a number of higher education programs. That act provided 
$100,000,000 in mandatory funding for activities similar to 
those described above, except that a priority is placed on 
certain science, technology, engineering and mathematics 
initiatives.
    Strengthening Historically Black Colleges and 
Universities.--The Committee recommends $153,095,000, the same 
as the administration's request, for part B grants. The College 
Cost Reduction and Access Act amended title IV of the Higher 
Education Act by providing mandatory funding for a number of 
higher education programs. That act provided $85,000,000 in 
mandatory funding for historically black colleges and 
universities in fiscal year 2009 in addition to the amounts 
described above for total fiscal year 2009 funding of 
$238,095,000. The part B strengthening historically black 
colleges and universities [HBCU] program makes formula grants 
to HBCUs that may be used to purchase equipment, construct and 
renovate facilities, develop faculty, support academic 
programs, strengthen institutional management, enhance 
fundraising activities, provide tutoring and counseling 
services to students, and conduct outreach to elementary and 
secondary school students. The minimum allotment is $500,000 
for each eligible institution. Part B recipients are not 
eligible for awards under part A.
    Strengthening Historically Black Graduate Institutions.--
The Committee recommends $56,903,000, the same as the 
administration's request, for the part B, section 326 program. 
The section 326 program provides 5-year grants to strengthen 
historically black graduate institutions [HBGIs]. Grants may be 
used for any part B purpose and to establish an endowment.
    Strengthening Alaska Native and Native Hawaiian-Serving 
Institutions.--The Committee did not recommend funding for this 
program, nor did the administration request funding for this 
program, since funding for fiscal year 2009 was provided in the 
College Cost Reduction and Access Act. The College Cost 
Reduction and Access Act amended title IV of the Higher 
Education Act by providing mandatory funding for a number of 
higher education programs. That act provided $15,000,000 in 
mandatory funding for Strengthening Alaska Native and Native 
Hawaiian-Serving Institutions in fiscal year 2009.
    The Committee has included bill language permitting funds 
made available in the College Cost Reduction and Access Act for 
this program to be used for any authorized activity in section 
317 of the Higher Education Act.
    The purpose of this program is to improve and expand the 
capacity of institutions serving Alaska Native and Native 
Hawaiian students. Funds may be used to plan, develop, and 
implement activities that encourage: faculty and curriculum 
development; better fund and administrative management; 
renovation and improvement of educational facilities; student 
services; and the purchase of library and other educational 
materials.
    The Committee encourages the Department to use simplified 
application forms to permit participating institutions to 
obtain continuation funding for successful programs funded 
under this program.
    Strengthening Tribally Controlled Colleges and 
Universities.--The Committee did not recommend funding for this 
program, nor did the administration request funding for this 
program, since funding for fiscal year 2009 was provided in the 
College Cost Reduction and Access Act. The College Cost 
Reduction and Access Act amended title IV of the Higher 
Education Act by providing mandatory funding for a number of 
higher education programs. That act provided $30,000,000 in 
mandatory funding for Strengthening Tribally Controlled 
Colleges and Universities in fiscal year 2009.
    Tribal colleges and universities rely on a portion of the 
funds provided to address developmental needs, including 
faculty development, curriculum and student services.

International Education and Foreign Language Studies

    The bill includes a total of $108,983,000 for international 
education and foreign language programs, which is the same as 
the fiscal year 2008 level. The administration requested 
$108,983,000.
    The Committee bill includes language allowing funds to be 
used to support visits and study in foreign countries by 
individuals who plan to utilize their language skills in world 
areas vital to the United States national security in the 
fields of government, international development and the 
professions. Bill language also allows up to 1 percent of the 
funds provided to be used for program evaluation, national 
outreach, and information dissemination activities. This 
language is continued from last year's bill and was proposed in 
the budget request.
    Domestic Programs.--The Committee recommends $93,941,000 
for domestic program activities related to international 
education and foreign language studies, including international 
business education, under title VI of the HEA. This is the same 
as the fiscal year 2008 level. Domestic programs include 
national resource centers, undergraduate international studies 
and foreign language programs, international research and 
studies projects, international business education projects and 
centers, American overseas research centers, language resource 
centers, foreign language and area studies fellowships, and 
technological innovation and cooperation for foreign 
information access.
    Overseas Programs.--The bill includes $13,372,000 for 
overseas programs authorized under the Mutual Educational and 
Cultural Exchange Act of 1961, popularly known as the 
Fulbright-Hays Act, the same as the fiscal year 2008 level and 
the administration request. Under these overseas programs, 
grants are provided for group and faculty research projects 
abroad, doctoral dissertation research abroad, and special 
bilateral projects. Unlike other programs authorized by the 
Fulbright-Hays Act and administered by the Department of State, 
these Department of Education programs focus on training 
American instructors and students in order to improve foreign 
language and area studies education in the United States.
    Institute for International Public Policy.--The Committee 
bill recommends $1,670,000 for the Institute for International 
Public Policy, the same as the administration request. This 
program is designed to increase the number of minority 
individuals in foreign service and related careers by providing 
a grant to a consortium of institutions for undergraduate and 
graduate level foreign language and international studies. An 
institutional match of 50 percent is required.

Fund for the Improvement of Postsecondary Education

    The Committee recommends $63,652,000 for the Fund for the 
Improvement of Postsecondary Education [FIPSE]. FIPSE 
stimulates improvements in education beyond high school by 
supporting exemplary, locally developed projects that have 
potential for addressing problems and recommending improvements 
in postsecondary education. The Fund is administered by the 
Department with advice from an independent board and provides 
small, competitive grants and contracts to a variety of 
postsecondary institutions and agencies, including 2- and 4-
year colleges and universities, State education agencies, 
community-based organizations, and other non-profit 
institutions and organizations concerned with education beyond 
high school.
    The Committee recommends $1,000,000 to initiate and 
carryout the scholarship program authorized in the Federal Mine 
Safety and Health Act, as modified in this bill. These 
modifications require authorized scholarships to be referred to 
as ``Erma Byrd Scholarships''; alter the eligibility 
requirements related to work experience and programs of study; 
and allow contributions from private sources to be used for 
such scholarships. The Committee intends for the CDC/National 
Institute of Occupational Safety and Health and Department of 
Labor to collaborate with the Department of Education in 
implementing this program.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                            Committee
                        Project                          recommendation
------------------------------------------------------------------------
AIB College of Business, Des Moines, IA, to continue            $400,000
 recruiting and training captioners and court
 reporters and to provide scholarships to students....
Albright College, Reading, PA, for laboratory                    100,000
 equipment acquisition................................
Alcorn University, Lorman, MS, for curriculum                    250,000
 improvements.........................................
Alvernia College, Reading, PA, for scholarships and              100,000
 nursing education programs...........................
American Prosthodontic Society Foundation, Osceola               100,000
 Mills, PA, for scholarships and program costs related
 to prosthetic dentistry and clinical prosthodontics..
Armstrong Atlantic State University, Savannah, GA, for           100,000
 technology upgrades, including the purchase of
 equipment and professional development...............
Assumption College, Worcester, MA, for the acquisition           150,000
 of educational equipment and information technology..
Black Mountain Institute, Las Vegas, NV, for                     100,000
 undergraduate and graduate instruction in literature,
 humanities, creative writing, translation and for
 international and study abroad programs..............
Bloomsburg University of Pennsylvania, Bloomsburg, PA,           100,000
 for computer forensic science education programs.....
Blue Mountain Community College, Hermiston, OR, for              300,000
 curriculum development, including purchase of
 equipment............................................
Briar Cliff University, Sioux City, IA for equipment..           200,000
Buena Vista University, Storm Lake, IA, for support              250,000
 for students with disabilities.......................
Caldwell College, Caldwell, NJ, for an Autism Teacher            250,000
 Doctorate Program at the Center for Excellence in
 Teaching, which may include equipment for distance
 learning activities..................................
California Maritime Academy, Vallejo, CA, for an                 500,000
 emergency response training program, which may
 include the acquisition of software and technology...
California University of Pennsylvania, California, PA,           100,000
 for curriculum development and teacher training to
 enhance math and science instruction.................
Cape Girardeau Career and Technology Center, Cape                300,000
 Girardeau, MO, for equipment and technology upgrades,
 including the purchase of equipment..................
Center for Education, Business, and the Arts [CEBA],             100,000
 St. George, UT, for an educational program in
 business entrepreneurship at Dixie State College.....
Cheyney University of Pennsylvania, Cheyney, PA, to              100,000
 develop model best practices in early childhood
 education, curriculum instruction and assessment.....
Clark University, Worcester, MA, for information                 200,000
 technology and educational equipment.................
Cleveland Chiropractic College, Overland Park, KS, for           200,000
 curriculum development...............................
Coe College, Cedar Rapids, IA, for the Science and               500,000
 Technology Enhancement Initiative....................
Coffeyville Community College, Coffeyville, KS, to               450,000
 establish an endowed scholarship program for Kansas
 residents............................................
College of DuPage, Glen Ellyn, IL, for support of a              300,000
 veteran counseling degree and certificate program....
Colorado State University--Pueblo, Pueblo, CO, for               150,000
 science, technology, engineering and mathematics
 programs, including equipment........................
Connecticut State University System, Hartford, CT, for           400,000
 nursing education programs...........................
Daniel Webster College, Nashua, NH, for technology               200,000
 upgrades, including the purchase of equipment........
Dartmouth College, Hanover, NH, to continue an                   300,000
 interdisciplinary initiative on engineering and
 medicine, including the purchase of equipment........
Deaf West Theater, North Hollywood, CA, for                      250,000
 educational programming..............................
Delaware County Community College, Media, PA, for                100,000
 technology upgrades, including the purchase of
 equipment............................................
DeSales University, Center Valley, PA, for technology            100,000
 upgrades including the purchase of equipment.........
Dickenson County Industrial Development Authority--The           100,000
 Dickenson Center for Education and Research,
 Clintwood, VA, for technology upgrades, including the
 purchase of equipment................................
Dowling College, Oakdale, NY, to create and establish            200,000
 a school of Banking and Financial Services...........
Duquesne University, Pittsburgh, PA, for professional            100,000
 development and research training in computational
 sciences.............................................
Eastern Iowa Community College, Davenport, IA, for the           300,000
 creation of a center on sustainable energy, including
 equipment............................................
Eastern University, St. Davids, PA, for an initiative            100,000
 to increase minority access to higher education......
Edinboro University of Pennsylvania, Edinboro, PA, for           100,000
 a nursing education program and equipment acquisition
Edward M. Kennedy Institute for the Senate, Boston,            1,000,000
 MA, for planning and design..........................
Elizabethtown College, Elizabethtown, PA, for                    100,000
 technology infrastructure upgrades and acquisition...
Emerson College, Boston, MA, for educational equipment           100,000
 and technology infrastructure........................
Emmanuel College, Boston, MA, for educational                    325,000
 equipment and technology infrastructure..............
Endicott College, Beverly, MA, for expansion of higher           200,000
 education programs...................................
George Meany Center for Labor Studies--the National              500,000
 Labor College, Silver Spring, MD, for curriculum
 development..........................................
George Washington University, Washington, DC, to                 148,000
 provide D.C. public school students opportunities to
 pursue health professions careers....................
Green River Community College, Auburn, WA, for support           300,000
 of the Computer Reporting Technologies program.......
Hawaii Community College, Waipahu, HI, to provide                200,000
 cultural education...................................
Henry Kuualoha Giugni Archives, University of Hawaii,            250,000
 Honolulu, HI, for cultural education.................
Houston Community College, Houston, TX, for curriculum           200,000
 development and purchase of equipment for the
 Accelerated Nursing Proficiency Center...............
Huntingdon College Institute, Montgomery, AL, for                200,000
 teacher training and purchase of equipment...........
Immaculata University, Immaculata, PA, for nursing               100,000
 education programs...................................
Indiana University of Pennsylvania, Indiana, PA, for             100,000
 curriculum development for a mine safety course and
 research on use of mine maps.........................
Iowa Western Community College, Council Bluffs, IA,              450,000
 for health technology equipment......................
Jobs for Mississippi Graduates, Inc., Jackson, MS, for           100,000
 Reaching Up for Success dropout prevention program...
Keystone College, La Plume, PA, for technology                   100,000
 upgrades including the purchase of equipment.........
Lackawanna College, Scranton, PA, for technology                 100,000
 upgrades, including the purchase of equipment........
Lafayette College, Easton, PA, for technology                    100,000
 upgrades, including the purchase of equipment........
Lehigh University, Bethlehem, PA, to develop                     100,000
 programming for a Center for Developing Urban
 Educational Leaders..................................
Lesley University, Cambridge, MA, for educational                200,000
 equipment and information technology.................
Lincoln University, Lincoln University, PA, to support           100,000
 a distance learning initiative, including the
 purchase of equipment................................
Lyndon State College, Lyndonville, VT, for a center              350,000
 for rural students...................................
Mansfield University of Pennsylvania, Mansfield, PA,             100,000
 for nursing education programs, including the
 purchase of equipment................................
Marywood University, Scranton, PA, for campus-based              100,000
 autism education programs............................
McNeese State University, Lake Charles, LA, to provide           200,000
 professional development to improve student writing..
Michigan Community College Association, Lansing, MI,           1,700,000
 for an alternative energy training initiative........
MidAmerican Nazarene University, for technology                  150,000
 acquisition to expand distance education for teachers
 in western Kansas, including the purchase of
 equipment............................................
Middle Tennessee State University, Murfreesboro, TN,             400,000
 for a comprehensive math and science teacher training
 program, including scholarships......................
Midland College, Midland, TX, for technology upgrades,           100,000
 including purchase of equipment......................
Millikin University, Decatur, IL, for a nursing                  500,000
 training program.....................................
Missouri State University, Springfield, MO, for                  500,000
 equipment and technology upgrades, including the
 purchase of equipment................................
Montclair State College, Upper Montclair, NJ, for a              200,000
 Minority Teacher Recruitment, Development and
 Retention program....................................
Montgomery County Community College, Blue Bell, PA,              100,000
 for curriculum development and equipment acquisition
 to support a health services initiative..............
Morehouse College, Atlanta, GA, to establish a                   100,000
 research initiative to improve college graduation
 rates of minority males..............................
Mott Community College, Flint, MI, for the Center for            200,000
 Advanced Manufacturing...............................
Mount Aloysius College, Cresson, PA, for college                 100,000
 preparation programs.................................
Muhlenberg College, Allentown, PA, for a civic                   100,000
 engagement and service learning program..............
Murray State University, Hopkinsville, KY, to purchase           100,000
 equipment for the Breathitt Veterinary Clinic........
Neumann College, Aston, PA, for technology and                   100,000
 equipment acquisition to support a health care
 workforce training initiative........................
Nevada State College, Henderson, NV, for teacher                 300,000
 preparation programs.................................
Nevada Volunteers, Fallon, NV, to expand service-                250,000
 learning programs....................................
North Central Missouri College, Trenton, MO, for               1,600,000
 technology upgrades, including the purchase of
 equipment for the Allied Health building.............
North Dakota State College of Science, Wahpeton, ND,           1,000,000
 for a Center for Nanoscience Technology Train-  ing..
Northampton Community College, Bethlehem, PA, for                100,000
 technology and equipment upgrades and acquisition....
Northeast Community College, Norfolk, NE, for improved           700,000
 access to postsecondary educational opportunities,
 including distance learning and other equipment......
Northern Essex Community College, Lawrence, MA, for              200,000
 educational equipment................................
Northwest Nazarene University, Nampa, ID, for                    200,000
 technology upgrades, including the purchase of
 equipment............................................
Northwestern College, Orange City, IA, for nurse                 450,000
 training programs....................................
Olivet Nazarene University, Bourbonnais, IL, for nurse           300,000
 education equipment..................................
Oregon Institute of Technology, Klamath Falls, OR, for           100,000
 the Health Informatics Simulation Lab................
Peninsula College, Port Angeles, WA, for equipment for           500,000
 the Peninsula College Science & Technology Building,
 and to support the Peninsula College Collaborative
 Mentoring Model......................................
Pennsylvania Highlands Community College, Johnstown,             100,000
 PA, for technology and equipment upgrades and
 acquisition..........................................
Plymouth State University, Plymouth, NH, for a                   200,000
 collaborative research institute for sustainable
 rural economies......................................
Point Park University, Pittsburgh, PA, for technology            100,000
 upgrades including the purchase of equipment.........
Portland State University, Portland, OR, for support             150,000
 of the Science Research Teaching Center..............
Qunsigamond Community College, Worcester, MA, for the            150,000
 procurement of educational equipment and information
 technology to support academic expansion.............
Rutgers University, Camden, NJ, for the Camden                   100,000
 Children's Initiative, which may include scholarships
 and fellowships......................................
Saint Bonaventure University, St. Bonaventure, NY, for           300,000
 the Father Mychal Judge program, which may include
 student scholarships and travel costs for student
 exchanges and visiting professorships................
Saint Mary's University of Minnesota, Minneapolis, MN,           200,000
 for technology upgrades, including the purchase of
 equipment............................................
Saint Vincent College, Latrobe, PA, for educational              100,000
 programs, including the purchase of equipment........
Security on Campus, Inc., King of Prussia, PA, for                25,000
 development and implementation of a sexual assault
 awareness and training program.......................
Sedgwick County Government, KS, to establish an                  500,000
 advanced education in general dentistry residency
 program..............................................
Seminole State College, Seminole, OK, for a distance             100,000
 learning program and technology upgrades, including
 the purchase of equipment............................
Sitting Bull College, Fort Yates, ND, for a Student              250,000
 Record and Data Management System....................
Southeastern Community College, West Burlington, Iowa,           100,000
 for nursing education equipment......................
Southern Oregon University, Ashland, OR, for                     300,000
 technology infrastructure and equipment acquisition..
Southern Utah University, Cedar City, UT, to enhance             100,000
 the academic skills and training of science teachers
 in rural Utah, including the purchase of equipment...
Spelman College, Atlanta, GA, for programs to recruit            100,000
 and increase graduate rates for students pursuing
 science, mathematics, or dual-engineering degrees....
Susquehanna University, Selinsgrove, PA, for science             100,000
 laboratory technology, including the purchase of
 equipment............................................
Texas Woman's University, Denton, TX, for curriculum             150,000
 development and technology upgrades, including the
 purchase of equipment................................
Tougaloo College, Tougaloo, MS, for applied                      300,000
 undergraduate level community based research programs
 and partnerships.....................................
Troy University, Montgomery, AL, for technology                  250,000
 upgrades, including the purchase of equipment........
Truckee Meadows Community College, Reno, NV, for                 300,000
 recruiting, mentoring and providing supportive
 services.............................................
Turtle Mountain Community College, Belcourt, ND, to              500,000
 expand its Nursing Program, including equip-  ment...
Union Graduate College, Schenectady, NY, for program             300,000
 support of a Masters degree in Emerging Energy
 Systems..............................................
University of Alaska, Anchorage, AK, to continue the           1,050,000
 Alaska science and engineering program for Alaska
 students.............................................
University of Arizona, Tucson, AZ, for the Integrative           500,000
 Medicine in Residency program........................
University of Hawaii at Hilo Clinical Pharmacy                 1,000,000
 Training Program, Hilo, HI, for clinical pharmacy
 training program and applied rural science program...
University of Hawaii School of Law, Honolulu, HI, for            250,000
 health policy center.................................
University of Maine, Orono, ME, for technology                   300,000
 upgrades, including the purchase of equipment........
University of Maryland College Park, College Park, MD,         1,000,000
 to develop and administer a public service fellowship
 program..............................................
University of Montana, Missoula, MT, to establish the            250,000
 Institute for Leadership and Public Service to
 fulfill the purposes of the Mansfield Center.........
University of New Hampshire, Manchester, NH, for                 250,000
 technology upgrades, including the purchase of
 equipment............................................
University of Northern Colorado, Greeley, Colorado,              300,000
 for professional development at the National Center
 on Severe & Sensory Disabilities.....................
University of Northern Iowa, Cedar Falls, IA, for                500,000
 equipment............................................
University of Pittsburgh, Pittsburgh, PA, to support a           100,000
 Center for Global Value and Innovation Networks......
University of Scranton, Scranton, PA, for a health               100,000
 profession education and training initiative.........
University of South Dakota, Vermillion, SD, for                  430,000
 graduate programs on the digital preservation of
 recorded oral histories..............................
University of South Dakota, Vermillion, SD, for                  400,000
 equipment and wiring for the Research, Education and
 Economic Development Network.........................
University of Southern Maine, Portland, ME, for                  350,000
 technology upgrades, including the purchase of
 equipment............................................
University of Utah, Salt Lake City, UT, for distance             100,000
 learning for community of caring schools, including
 technology upgrade and purchase of equipment.........
University of Wisconsin-Platteville, Platteville, WI,            300,000
 for program support for entrepreneurial education....
University of Wisconsin-Green Bay, Green Bay, WI, for            300,000
 a comprehensive academic enrichment program to
 prepare low-income and first-generation high school
 students for college.................................
Upper Iowa University, Fayette, IA, for equipment.....           250,000
Utah Valley University, Orem, UT, to improve education           300,000
 and training programs for nursing graduates,
 including the purchase of equipment..................
Valley City State University, Valley City, ND, for a             400,000
 Center for Technology and Engineering Education......
Virginia Department of Correctional Education--                  100,000
 Workforce and Community Transition Training for
 Incarcerated Youth Offenders Program, Richmond, VA,
 to improve access to postsecondary education for
 incarcerated individuals.............................
Virginia Foundation for Community College Education--            100,000
 Great Expectations Program, Richmond, VA, to improve
 access to postsecondary education for foster care
 youth................................................
Voices of September 11th, New Canaan, CT, for graduate           300,000
 education on digital archiving in relationship to the
 9/11 Living Memorial Project.........................
Washington & Jefferson College, Washington, PA, for              100,000
 science education outreach programs..................
West Chester University, West Chester, PA, for                   100,000
 technology infrastructure upgrades and acquisition...
Western Kentucky University Research Foundation,               2,500,000
 Bowling Green, KY, for technology upgrades, including
 the purchase of equipment............................
Western Oklahoma State College, Altus, OK, for                   100,000
 technology upgrades, including the purchase of
 equipment............................................
Wheelock College, Boston, MA, for continued                      100,000
 development of science programs for K-12 teachers....
Wilson College, Chambersburg, PA, for science                    100,000
 laboratory equipment acquisition.....................
Wisconsin Association of Independent Colleges and                300,000
 Universities, Madison, WI, for consolidated
 administrative support functions for independent
 colleges and universities............................
Wofford College, Spartanburg, SC, for technology                 300,000
 upgrades, including the purchase of equipment........
Year Up Providence, Providence, RI, for a bridge to              600,000
 career and college program...........................
------------------------------------------------------------------------

Minority Science and Engineering Improvement

    The Committee recommends $8,577,000 for the Minority 
Science and Engineering Improvement program [MSEIP], the same 
as the fiscal year 2008 level and the administration request. 
Funds are used to provide discretionary grants to institutions 
with minority enrollments greater than 50 percent to purchase 
equipment, develop curricula, and support advanced faculty 
training. Grants are intended to improve science and 
engineering education programs and increase the number of 
minority students in the fields of science, mathematics, and 
engineering.

Tribally Controlled Postsecondary Career and Technical Institutions

    The Committee recommends $7,546,000 for tribally controlled 
postsecondary vocational institutions, the same as the fiscal 
year 2008 level. The administration did not request funding for 
this program. This program provides grants for the operation 
and improvement of two tribally controlled postsecondary 
vocational institutions to ensure continued and expanding 
opportunities for Indian students.

Federal TRIO Programs

    The Committee recommends $838,178,000 for Federal TRIO 
Programs, an increase of $10,000,000 over the fiscal year 2008 
level and the administration request.
    TRIO programs provide a variety of services to improve 
postsecondary education opportunities for low-income 
individuals and first-generation college students: Upward Bound 
offers disadvantaged high school students academic services to 
develop the skills and motivation needed to continue their 
education; Student Support Services provides remedial 
instruction, counseling, summer programs and grant aid to 
disadvantaged college students to help them complete their 
postsecondary education; Talent Search identifies and counsels 
individuals between ages 11 and 27 regarding opportunities for 
completing high school and enrolling in postsecondary 
education; Educational Opportunity Centers provide information 
and counseling on available financial and academic assistance 
to low-income adults who are first-generation college students; 
and the Ronald E. McNair Postbaccalaureate Achievement Program 
supports research internships, seminars, tutoring, and other 
activities to encourage disadvantaged college students to 
enroll in graduate programs.

Gaining Early Awareness and Readiness for Undergraduate Programs 
        [GEARUP]

    The Committee recommends $308,423,000 for GEARUP, an 
increase of $5,000,000 over the fiscal year 2008 level and the 
administration request.
    Under this program funds are used by States and 
partnerships of colleges, middle and high schools, and 
community organizations to assist middle and high schools 
serving a high percentage of low-income students. Services 
provided help students prepare for and pursue a postsecondary 
education.

Byrd Honors Scholarships

    The Committee recommends $41,000,000 for the Byrd Honors 
scholarship program. The administration did not request funding 
for this program.
    The Byrd Honors scholarship program is designed to promote 
student excellence and achievement and to recognize 
exceptionally able students who show promise of continued 
excellence. Funds are allocated to State education agencies 
based on each State's school-aged population. The State 
education agencies select the recipients of the scholarships in 
consultation with school administrators, teachers, counselors, 
and parents. The funds provided will support a new cohort of 
first-year students in 2009, and continue support for the 2006, 
2007, and 2008 cohorts of students in their fourth, third and 
second years of study, respectively.

Javits Fellowships

    The Committee recommends $9,530,000 for the Javits 
Fellowships program, the same as the fiscal year 2008 level.
    The Javits Fellowships program provides fellowships of up 
to 4 years to students of superior ability who are pursuing 
doctoral degrees in the arts, humanities, and social sciences 
at any institution of their choice. Each fellowship consists of 
a student stipend to cover living costs, and an institutional 
payment to cover each fellow's tuition and other expenses. The 
Committee bill includes language proposed in the budget that 
stipulates that funds provided in the fiscal year 2009 
appropriation support fellowships for the 2010-2011 academic 
year.

Graduate Assistance in Areas of National Need [GAANN]

    The Committee recommends $29,542,000 for graduate 
assistance in areas of national need, the same as the fiscal 
year 2008 level. This program awards competitive grants to 
graduate academic departments and programs for fellowship 
support in areas of national need as determined by the 
Secretary. In fiscal year 2007, the Secretary designated the 
following areas of national need: biology, chemistry, computer 
and information sciences, engineering, mathematics, physics, 
and nursing. Recipients must demonstrate financial need and 
academic excellence, and seek the highest degree in their 
fields.

Teacher Quality Enhancement Grants

    The Committee recommends $47,540,000 for the teacher 
quality enhancement grants program. This amount is $13,878,000 
above the fiscal year 2008 level. The administration did not 
request funding for this program.
    The program was established to support initiatives that 
best meet specific teacher preparation and recruitment needs. 
Further, the Higher Education Act provides and designates 
funding for the program in three focus areas: 45 percent of 
resources support a State grant program, 45 percent of funds 
are used for a partnership program, and 10 percent are 
designated for a recruitment grant program.
    The Committee bill includes language that would allow the 
Department to fund awards under the three program areas at the 
discretion of the Department, instead of as mandated by the 
Higher Education Act. The Committee continues this language 
from last year's bill and intends for the Secretary to utilize 
this flexibility and the additional funds provided to initiate 
a partnership grant competition focused on residency programs, 
professional development schools or other models that have been 
proven effective in helping meet the challenge of placing 
highly qualified teachers in high-need classrooms.
    Under the State grant program, funds may be used for a 
variety of State-level reforms, including more rigorous teacher 
certification and licensure requirements; provision of high-
quality alternative routes to certification; development of 
systems to reward high-performing teachers and principals; and 
development of efforts to reduce the shortage of qualified 
teachers in high-poverty areas.
    Teacher training partnership grants, which are awarded to 
local partnerships comprised of at least one school of arts and 
science, one school or program of education, a local education 
agency, and a K-12 school, may be used for a variety of 
activities designed to improve teacher preparation and 
performance, including efforts to provide increased academic 
study in a proposed teaching specialty area; to prepare 
teachers to use technology effectively in the classroom; to 
provide preservice clinical experiences; and to integrate 
reliable research-based teaching methods into the curriculum. 
Partnerships may work with other entities, with those involving 
businesses receiving priority consideration. Partnerships are 
eligible to receive a one-time-only grant to encourage reform 
and improvement at the local level.
    The recruitment grant program supports efforts to reduce 
shortages of qualified teachers in high-need school districts 
as well as provide assistance for high-quality teacher 
preparation and induction programs to meet the specific 
educational needs of the local area.

BA Degrees in STEM and Critical Foreign Languages

    The Committee recommendation includes $983,000 for this 
activity, the same as the fiscal year 2008 level.
    Under this program grants are awarded on a competitive 
basis, to eligible recipients to implement teacher education 
programs that promote effective teaching skills and lead to a 
baccalaureate degree in science, technology, engineering, 
mathematics, or a critical foreign language with concurrent 
teacher certification.

MA Degrees in STEM and Critical Foreign Languages

    The Committee recommendation includes $983,000 for this 
activity, the same as the fiscal year 2008 level.
    Under this program grants are awarded, on a competitive 
basis, to eligible recipients to develop and implement part-
time master's degree programs in science, technology, 
engineering, mathematics, or critical foreign language 
education for teachers in order to enhance the teacher's 
content knowledge and teaching skill.

Child Care Access Means Parents in Schools

    The Committee recommends an appropriation of $15,534,000 
for the Child Care Access Means Parents in School [CCAMPIS] 
program, the same as the fiscal year 2008 level and the 
administration request. CCAMPIS was established in the Higher 
Education Amendments of 1998 to support the efforts of a 
growing number of non-traditional students who are struggling 
to complete their college degrees at the same time that they 
take care of their children. Discretionary grants of up to 4 
years are made to institutions of higher education to support 
or establish a campus-based childcare program primarily serving 
the needs of low-income students enrolled at the institution.

Advancing America through Foreign Language Partnerships

    The Committee recommendation did not include funding for 
this new initiative. The administration had requested 
$24,000,000. This program funds grants to increase the number 
of Americans with professional levels of competency in 
languages critical to national security. Under this new program 
grants would be awarded to institutions of higher education for 
partnerships with school districts to create programs of study 
in kindergarten through postsecondary education in critical 
needs languages.

Demonstration Projects to Ensure Quality Higher Education for Students 
        With Disabilities

    The Committee recommends $6,755,000 for this program, the 
same amount as the comparable fiscal year 2008 funding level. 
The administration did not request funding for this program. 
This program's purpose is to ensure that students with 
disabilities receive a high-quality postsecondary education. 
Grants are made to support model demonstration projects that 
provide technical assistance and professional development 
activities for faculty and administrators in institutions of 
higher education.

Underground Railroad Program

    The Committee recommendation includes $1,945,000 for the 
Underground Railroad Program, the same as the fiscal year 2008 
level. The administration did not request funding for this 
program. The program was authorized by the Higher Education 
Amendments of 1998 and was funded for the first time in fiscal 
year 1999. Grants are provided to research, display, interpret, 
and collect artifacts relating to the history of the 
underground railroad. Educational organizations receiving funds 
must demonstrate substantial private support through a public-
private partnership, create an endowment fund that provides for 
ongoing operation of the facility, and establish a network of 
satellite centers throughout the United States to share 
information and teach people about the significance of the 
Underground Railroad in American history.

GPRA/Higher Education Act Program Evaluation

    The Committee recommends $609,000 for data collection 
associated with the Government Performance and Results Act data 
collection and to evaluate programs authorized by the Higher 
Education Act, the same as the fiscal year 2008 level. These 
funds are used to comply with the Government Performance and 
Results Act, which requires the collection of data and 
evaluation of Higher Education programs and the performance of 
recipients of Higher Education funds.

B.J. Stupak Olympic Scholarships

    The Committee recommendation includes $953,000 for B.J. 
Stupak Scholarships, the same as the fiscal year 2008 level.

Thurgood Marshall Legal Educational Opportunity Program

    The Committee recommendation includes $2,895,000 for the 
Thurgood Marshall Educational Opportunity Program, the same as 
the fiscal year 2008 level.
    Under this program, funds help low-income, minority or 
disadvantaged college students with the information, 
preparation and financial assistance to enter and complete law 
school study. The Higher Education Act stipulates that the 
Secretary make an award to or contract with the Council on 
Legal Education Opportunity to carry out authorized activities.

                           Howard University

Appropriations, 2008....................................    $233,244,000
Budget estimate, 2009...................................     233,245,000
Committee recommendation................................     233,244,000

    The Committee recommends an appropriation of $233,244,000 
for Howard University. The comparable fiscal year 2008 funding 
level is $233,244,000 and the budget request includes 
$233,245,000 for this purpose. Howard University is located in 
the District of Columbia and offers undergraduate, graduate, 
and professional degrees through 12 schools and colleges. The 
university also administers the Howard University Hospital, 
which provides both inpatient and outpatient care, as well as 
training in the health professions. Federal funds from this 
account support approximately 50 percent of the university's 
projected educational and general expenditures, excluding the 
hospital. The Committee recommends, within the funds provided, 
not less than $3,464,000 shall be for the endowment program.
    Howard University Hospital.--Within the funds provided, the 
Committee recommends $28,946,000 for the Howard University 
Hospital, the same amount as the fiscal year 2008 funding level 
and the budget request. The hospital serves as a major acute 
and ambulatory care center for the District of Columbia and 
functions as a major teaching facility attached to the 
university. The Federal appropriation provides partial funding 
for the hospital's operations.

             College Housing and Academic Facilities Loans

Appropriations, 2008....................................        $473,000
Budget estimate, 2009...................................         461,000
Committee recommendation................................         461,000

    Federal Administration.--The Committee bill includes 
$461,000 for Federal administration of the CHAFL program. The 
comparable fiscal year 2008 funding level is $473,000 and the 
budget request includes $461,000 for such expenses.
    These funds will be used to reimburse the Department for 
expenses incurred in managing the existing CHAFL loan portfolio 
during fiscal year 2009. These expenses include salaries and 
benefits, travel, printing, contracts (including contracted 
loan servicing activities), and other expenses directly related 
to the administration of the CHAFL program.

  Historically Black College and University Capital Financing Program

Appropriations, 2008....................................        $185,000
Budget estimate, 2009...................................     $10,354,000
Committee recommendation................................     $10,354,000

    The Committee recommends $10,354,000 for the Historically 
Black College and University [HBCU] Capital Financing Program, 
the same amount as the budget request. The fiscal year 2008 
funding level is $185,000 and the budget request includes 
$10,354,000 for this activity.
    The budget proposes $10,000,000 to pay for the subsidy 
costs of up to $100,000,000 in guaranteed loan authority under 
this program. The budget also proposes bill language to 
increase the amount of loans that can be made under this 
program, as well as eliminate the caps that would otherwise 
limit the borrowing that could be undertaken by private and 
public HBCUs. The Committee has provided the requested funds 
and slightly modified bill language.
    The HBCU Capital Financing Program makes capital available 
to HBCUs for construction, renovation, and repair of academic 
facilities by providing a Federal guarantee for private sector 
construction bonds. Construction loans will be made from the 
proceeds of the sale of the bonds.

                    Institute of Education Sciences

Appropriations, 2008....................................    $546,105,000
Budget estimate, 2009...................................     658,247,000
Committee recommendation................................     642,442,000

    The Committee recommends $642,442,000 for the Institute of 
Education Sciences. The comparable fiscal year 2008 funding 
level is $546,105,000 and the budget request includes 
$658,247,000 for authorized activities. This account supports 
education research, data collection and analysis activities, 
and the assessment of student progress.

                RESEARCH, DEVELOPMENT AND DISSEMINATION

    The Committee recommends $167,535,000 for education 
research, development and national dissemination activities. 
The comparable fiscal year 2008 amount is $159,696,000 and the 
budget request includes $167,196,000 for these activities. 
Funds are available for obligation for 2 fiscal years. These 
funds support research, development, and dissemination 
activities that are aimed at expanding fundamental knowledge of 
education and promoting the use of research and development 
findings in the design of efforts to improve education.
    The Committee requests that the National Board for 
Education Sciences, as the body responsible for oversight of 
the Institute of Education Sciences, convene a blue-ribbon 
panel of leading experts in rigorous, particularly randomized, 
evaluations to assess the What Works Clearinghouse. While the 
Committee believes a comprehensive assessment should be 
undertaken given the significant investment made in the 
Clearinghouse, an immediate priority should be a focused study 
addressing the fundamental question of whether the 
Clearinghouse's evidence review process and reports are 
scientifically valid--that is, provide accurate information 
about the strength of evidence of meaningful effects on 
important educational outcomes. The Committee requests that the 
Board convene the panel within 60 days of enactment of this 
act, and that the panel complete its work and submit a report, 
including any recommendations for improvements in the 
Clearinghouse, to the Board, the Director, and Congress no 
later than 4 months thereafter. The Committee intends for panel 
members to be free of conflicts of interest.

                               STATISTICS

    The Committee recommends $88,449,000 for data gathering and 
statistical analysis activities of the National Center for 
Education Statistics [NCES]. The comparable fiscal year 2008 
funding level is $88,449,000 and the budget request includes 
$104,593,000 for this purpose.
    The NCES collects, analyzes, and reports statistics on 
education in the United States. Activities are carried out 
directly and through grants and contracts. The Center collects 
data on educational institutions at all levels, longitudinal 
data on student progress, and data relevant to public policy. 
The NCES also provides technical assistance to State and local 
education agencies and postsecondary institutions.

                   REGIONAL EDUCATIONAL LABORATORIES

    The Committee recommends $67,569,000 to continue support 
for the regional educational laboratories, the same amount as 
the budget request. The comparable fiscal year 2008 funding 
level is $65,569,000. Program funds support a network of 10 
laboratories that are responsible for promoting the use of 
broad-based systemic strategies to improve student achievement. 
The Committee recommends additional funds for the laboratories 
to increase their capacity to provide timely responses to 
requests for assistance on issues of urgent regional need.
    The Committee is pleased that the research, development, 
dissemination, and technical assistance activities carried out 
by the regional educational laboratories will be consistent 
with the standards for scientifically based research prescribed 
in the Education Sciences Reform Act of 2002. The Committee 
continues to believe that the laboratories, working 
collaboratively with the comprehensive centers and Department-
supported technical assistance providers, have an important 
role to play in helping parents, States, and school districts 
improve student achievement as called for in No Child Left 
Behind. In particular, the Committee intends for the 
laboratories and their technical assistance provider partners 
to provide products and services that will help States and 
school districts utilize the school improvement funds available 
in the Education for the Disadvantaged account to support 
school improvement activities that are supported by 
scientifically based research.

              RESEARCH AND INNOVATION IN SPECIAL EDUCATION

    The Committee recommends $70,585,000 for research and 
innovation in special education, the same amount as the fiscal 
year 2008 level and the budget request. The National Center for 
Special Education Research addresses gaps in scientific 
knowledge in order to improve special education and early 
intervention services and outcomes for infants, toddlers, and 
children with disabilities. Funds provided to the center are 
available for obligation for 2 fiscal years.

               SPECIAL EDUCATION STUDIES AND EVALUATIONS

    The Committee recommends $9,460,000 for special education 
studies and evaluations, the same amount as the fiscal year 
2008 level and the budget request.
    This program supports competitive grants, contracts, and 
cooperative agreements to assess the implementation of the 
Individuals with Disabilities Education Act. Funds also will be 
used to evaluate the effectiveness of State and local efforts 
to deliver special education services and early intervention 
programs. Funds are available for obligation for 2 fiscal 
years.

                         STATEWIDE DATA SYSTEMS

    The Committee recommendation includes $100,000,000 for 
statewide data systems. The comparable funding level for fiscal 
year 2008 is $48,293,000 and the budget request includes 
$100,000,000 for this purpose.
    This program supports competitive grants to State 
educational agencies to enable such agencies to design, 
develop, and implement statewide, longitudinal data systems to 
manage, analyze, disaggregate, and use individual student data. 
Funds are available for obligation for 2 fiscal years. 
Beginning in 2008, bill language also allowed funds to be used 
for statewide data coordinators, who would improve the State's 
capability to use, report and maintain high quality data in 
their systems. Also starting in 2008, bill language allows the 
Department to use funds to coordinate data collection and 
reporting with private sector initiatives, in order to help 
reduce the reporting burden on States and schools, while 
improving data accuracy and maintaining access to the data for 
research purposes.
    The budget request proposes legislative language that would 
allow funds to be used to expand State data systems to include 
postsecondary and workforce information. The Committee 
understands that a priority in the competition for fiscal year 
2009 funds would be placed on funding States that currently 
lack data systems or have less-developed systems. The Committee 
includes the proposed bill language with the understanding that 
the Department will first use funds for the priority described 
in the preceding sentence.

                               ASSESSMENT

    The Committee recommends $138,844,000 for assessment. The 
comparable fiscal year 2008 funding level is $104,053,000 and 
the budget request includes $138,844,000 for authorized 
activities.
    These funds provide support for the National Assessment of 
Educational Progress [NAEP], a congressionally mandated 
assessment created to measure the educational achievement of 
American students. The primary goal of NAEP is to determine and 
report the status and trends over time in educational 
achievement, subject by subject. Beginning in 2002, the 
Department began paying for State participation in biennial 
reading and mathematics assessments in grades 4 and 8.
    Within the funds appropriated, the Committee recommends 
$8,723,000 for the National Assessment Governing Board [NAGB], 
which is responsible for formulating policy for NAEP. The 
comparable fiscal year 2008 amount is $5,932,000 and the budget 
request includes $8,723,000 for NAGB.

                        Departmental Management


                         PROGRAM ADMINISTRATION

Appropriations, 2008....................................    $411,274,000
Budget estimate, 2009...................................     444,439,000
Committee recommendation................................     427,939,000

    The Committee recommends $427,939,000 for program 
administration. The comparable fiscal year 2008 funding level 
is $411,274,000 and the budget request includes $444,439,000 
for this purpose.
    Funds support personnel compensation and benefits, travel, 
rent, communications, utilities, printing, equipment and 
supplies, automated data processing, and other services 
required to award, administer, and monitor approximately 180 
Federal education programs. Support for program evaluation and 
studies and advisory councils is also provided under this 
activity.
    The budget request includes $7,939,000 for building 
renovations and related expenses associated with relocation of 
Department staff from several regional offices. The Committee 
recommends $7,939,000 for this purpose and makes the funds 
available until expended, as proposed in the budget request.

                         OFFICE FOR CIVIL RIGHTS

Appropriations, 2008....................................     $89,612,000
Budget estimate, 2009...................................     101,040,000
Committee recommendation................................      89,612,000

    The Committee recommends $89,612,000 for the Office for 
Civil Rights [OCR]. The comparable fiscal year 2008 amount is 
$89,612,000 and the budget request includes $101,040,000 for 
this purpose.
    The Office for Civil Rights is responsible for the 
enforcement of laws that prohibit discrimination on the basis 
of race, color, national origin, sex, disability, and age in 
all programs and institutions funded by the Department of 
Education. To carry out this responsibility, OCR investigates 
and resolves discrimination complaints, monitors desegregation 
and equal educational opportunity plans, reviews possible 
discriminatory practices by recipients of Federal education 
funds, and provides technical assistance to recipients of funds 
to help them meet civil rights requirements.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008....................................     $50,849,000
Budget estimate, 2009...................................      54,539,000
Committee recommendation................................      54,539,000

    The Committee recommends $54,539,000 for the Office of the 
Inspector General. The comparable fiscal year 2008 amount is 
$50,849,000 and the budget request includes $54,539,000 for 
authorized activities.
    The Office of the Inspector General has the authority to 
investigate all departmental programs and administrative 
activities, including those under contract or grant, to prevent 
and detect fraud and abuse, and to ensure the quality and 
integrity of those programs. The Office investigates alleged 
misuse of Federal funds, and conducts audits to determine 
compliance with laws and regulations, efficiency of operations, 
and effectiveness in achieving program goals.

                           General Provisions

    The Committee bill contains language which has been 
included in the bill since 1974, prohibiting the use of funds 
for the transportation of students or teachers in order to 
overcome racial imbalance (sec. 301).
    The Committee bill contains language included in the bill 
since 1977, prohibiting the involuntary transportation of 
students other than to the school nearest to the student's home 
(sec. 302).
    The Committee bill contains language which has been 
included in the bill since 1980, prohibiting the use of funds 
to prevent the implementation of programs of voluntary prayer 
and meditation in public schools (sec. 303).
    The Committee bill includes a provision giving the 
Secretary of Education authority to transfer up to 1 percent of 
any discretionary funds between appropriations (sec. 304).
    The Committee bill includes a provision included in last 
year's bill, prohibiting the use of funds for rulemaking under 
section 496 of the Higher Education Act until legislation 
specifically requiring such changes is enacted (sec. 305).

                                TITLE IV

                            RELATED AGENCIES

 Committee for Purchase From People Who Are Blind or Severely Disabled

Appropriations, 2008....................................      $4,907,000
Budget estimate, 2009...................................       5,094,000
Committee recommendation................................       5,094,000

    The Committee recommends $5,094,000 for fiscal year 2009 
for the Committee for Purchase From People Who Are Blind or 
Severely Disabled, the same as the fiscal year 2009 budget 
request. The fiscal year 2008 comparable level is $4,907,000.
    The Committee for Purchase From People Who Are Blind or 
Severely Disabled was established by the Javits-Wagner-O'Day 
Act of 1938 as amended. Its primary objective is to increase 
the employment opportunities for people who are blind or have 
other severe disabilities and, whenever possible, to prepare 
them to engage in competitive employment.

             Corporation for National and Community Service

Appropriations, 2008....................................    $856,331,000
Budget estimate, 2009...................................     829,680,000
Committee recommendation................................     888,462,000

    The Committee recommends $888,462,000 for the Corporation 
for National and Community Service in fiscal year 2009. The 
fiscal year 2008 comparable level is $856,331,000 and the 
budget for fiscal year 2009 included $829,680,000.
    The Corporation for National and Community Service, a 
Corporation owned by the Federal Government, was established by 
the National and Community Service Trust Act of 1993 (Public 
Law 103-982) to enhance opportunities for national and 
community service and provide national service education 
awards. The Corporation makes grants to States, institutions of 
higher education, public and private nonprofit organizations, 
and others to create service opportunities for students, out-
of-school youth, and adults.

                  DOMESTIC VOLUNTEER SERVICE PROGRAMS

    The Committee recommends $307,585,000 for fiscal year 2009 
for the domestic volunteer service programs of the Corporation 
for National and Community Service. The comparable level for 
fiscal year 2008 is $307,585,000 and $265,621,000 is the 
administration request for fiscal year 2009. The Corporation 
administers programs authorized under the Domestic Volunteer 
Service Act include: the Volunteers in Service to America 
Program [VISTA]; the Foster Grandparent Program [FGP]; the 
Senior Companion Program [SCP]; and the Retired and Senior 
Volunteer Program [RSVP].

VISTA

    The Committee recommends $93,800,000 for the Volunteers in 
Service to America [VISTA] Program. This amount is equal to the 
comparable funding level for fiscal year 2008. The budget 
request for fiscal year 2009 is $91,618,000.
    VISTA, created in 1964 under the Economic Opportunity Act, 
provides capacity building for small community-based 
organizations. VISTA volunteers raise resources for local 
projects, recruit and organize volunteers, and establish and 
expand local community-based programs in housing, employment, 
health, and economic development activities.

National Senior Volunteer Corps

    The Committee recommends $213,785,000 for the National 
Senior Volunteer Corps programs, the same as the comparable 
level in fiscal year 2008. The fiscal year 2009 budget request 
is $174,003,000.
    The Committee has included the following activities in the 
following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                       Fiscal year--
                                                           ------------------------------------     Committee
                         Programs                                             2009 President's   recommendation
                                                             2008 comparable       request
----------------------------------------------------------------------------------------------------------------
Foster Grandparent Program................................           108,999            68,174           108,999
Senior Companion Program..................................            46,144            46,144            46,144
Retired Senior Volunteer Program..........................            58,642            59,685            58,642
----------------------------------------------------------------------------------------------------------------

    The maximum total dollars which may be used in fiscal year 
2009 for Grants.gov/eGrants support, Training and Technical 
Assistance, and Recruitment and Retention activities shall not 
exceed the amount enacted for these activities in fiscal year 
2008.
    Further, funds appropriated for fiscal year 2009 may not be 
used to implement or support service collaboration agreements 
or any other changes in the administration and/or governance of 
national service programs prior to passage of a bill by the 
authorizing committee of jurisdiction specifying such changes.
    The CNCS shall comply with the directive that use of funds 
appropriated for FGP, RSVP, SCP, and VISTA shall not be used to 
fund demonstration activities. The Committee has not included 
funding for senior demonstration activities.

                NATIONAL AND COMMUNITY SERVICE PROGRAMS

    The Committee recommends $502,650,000 for the programs 
authorized under the National Community Service Act of 1990. 
The comparable level for fiscal year 2008 is $475,159,000 and 
the administration request for fiscal year 2009 is 
$485,832,000. Programs administered by the Corporation that are 
authorized under the National and Community Service Act 
include: AmeriCorps State and National, the National Civilian 
Community Corps; Learn and Serve America, Innovation, 
Demonstration, Assistance and Evaluation activities; State 
Commission Administration grants; and the National Service 
Trust. The Committee recommendation includes the following 
activities at the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                       Fiscal year--
                                                           ------------------------------------     Committee
                         Programs                                                2009 budget     recommendation
                                                             2008 comparable       request
----------------------------------------------------------------------------------------------------------------
National Service Trust....................................           122,539           132,110           132,110
AmeriCorps State and National Grants......................           256,805           274,185           271,007
Innovation, Demonstration, and Assistance Activities......            18,893            20,460            18,893
Evaluation................................................             3,891             4,500             3,891
National Civilian Community Corps.........................            23,782             9,836            27,500
Learn and Serve America...................................            37,459            32,099            37,459
State Commission Admininstrative Grants...................            11,790            12,642            11,790
----------------------------------------------------------------------------------------------------------------

    The Committee directs the Corporation to include a 5-year 
detail of member service in the annual congressional budget 
justification. The detail should include the number of members, 
grant cost, and Trust cost broken out by both program (VISTA, 
NCCC, State, and National, et cetera) and by level of service 
(full time, part time, quarter time, et cetera).
    Within the amount provided for AmeriCorps grants, the 
Committee is providing $55,000,000 for national direct 
grantees.
    The Committee notes that the administration's plans to 
reduce the number of NCCC campuses from five to three have been 
rejected by the Congress for the last 3 fiscal years. This year 
is no exception. Despite the consistent rejection of these 
campus eliminations, the Committee is aware of plans within the 
Corporation to close the Perry Point, MD campus beginning in 
August 2008. The Committee directs the Corporation to maintain 
all five campuses until such time as Congress affirmatively 
approves a reduction.
    The Committee expects a spending plan for innovation 
activities 60 days after enactment of this act.

                         SALARIES AND EXPENSES

    The Committee recommends an appropriation of $71,715,000 
for the Corporation's salaries and expenses. The comparable 
level for fiscal year 2008 is $67,759,000 and the 
administration request for fiscal year 2009 is $71,715,000. The 
Committee reiterates the directive under the program account 
that the Corporation must fund all staffing needs from the 
salaries and expenses account.
    The salaries and expenses appropriation provides funds for 
staff salaries, benefits, travel, training, rent, advisory and 
assistance services, communications and utilities expenses, 
supplies, equipment, and other operating expenses necessary for 
management of the Corporation's activities under the National 
and Community Service Act of 1990 and the Domestic Volunteer 
Service Act of 1973.

                      OFFICE OF INSPECTOR GENERAL

    The Committee recommends an appropriation of $6,512,000 for 
the Office of Inspector General [OIG]. The comparable level for 
fiscal year 2008 was $5,828,000 and the administration request 
for fiscal year 2009 is $6,512,000.
    The goals of the Office of Inspector General are to 
increase organizational efficiency and effectiveness and to 
prevent fraud, waste, and abuse.
    The Committee continues to direct the OIG to review the 
Corporation's management of the National Service Trust fund. 
The Committee directs the OIG to continue reviewing the Trust 
reports annually and to notify the Committees on Appropriations 
on the accuracy of the reports.

                       ADMINISTRATIVE PROVISIONS

    The Committee has included eight administrative provisions 
carried in prior year appropriations acts: language regarding 
qualified student loans eligible for education awards; the 
availability of funds for the placement of volunteers with 
disabilities; language regarding the Corporation to make 
significant changes to program requirements or policy through 
public rulemaking and public notice and grant selection 
process; language allowing Professional Corps programs to apply 
for State formula grant funding; language allowing the 
Corporation to accept voluntary services from organizations; 
language authorizing fixed price grants in certain programs; 
language authorizing an escalating match; and language 
streamlining State Commission applications.
    In addition, the Committee has included bill language 
providing for a small State minimum of $500,000 in State 
formula funds.
    The Committee has included bill language giving the 
Corporation flexibility to extend member service terms for up 
to 6 months. The Committee appreciates the leadership role 
AmeriCorps has taken in responding to natural disasters and 
encourages the Corporation to make full use of this authority.
    The Committee has included a provision requiring that 
donations supplement and not supplant operations.
    The Committee has rejected the administration's proposed 
consolidation of Learn and Serve community and school based 
grant competition, as well as the proposed transfer authority 
for $2,000,000 from operating expenses to fund a new program. 
The Committee encourages the administration to request new 
programs in budget authority rather than transfer authority.
    The Committee has rejected language proposed in the 
President's budget to restrict the ability of grantees to use 
all other Federal grant funds as a match for AmeriCorps funds. 
The Committee notes that the 1990 Act explicitly makes this 
authority available to grantees. The Corporation and its 
Inspector General shall take no action to restrict this 
authority unless and until the authorizing committees of 
Congress have changed the statute.

                  Corporation for Public Broadcasting

Appropriations, 2009....................................    $393,012,000
Appropriations, 2010....................................     420,000,000
Budget estimate, 2011...................................................
Committee recommendation................................     430,000,000

    The Committee recommends $430,000,000 be made available for 
the Corporation for Public Broadcasting [CPB], as an advance 
appropriation for fiscal year 2011. The comparable funding 
level provided last year was $420,000,000 for fiscal year 2010. 
The budget request does not include advance funds for this 
program.
    In addition, the Committee recommends $29,181,000 be made 
available in fiscal year 2009 for the conversion to digital 
broadcasting, the same as the comparable funding level for 
fiscal year 2008. The budget request included authority to 
permit CPB to spend up to $40,000,000 in previously 
appropriated fiscal year 2009 funds for digital conversion 
activities.
    Further, the Committee recommends $26,283,000 be made 
available in fiscal year 2009 for the radio interconnection 
system replacement project, the same as the comparable level in 
fiscal year 2008. The budget request for fiscal year 2009 
includes authority, rejected by the Committee, to permit CPB to 
spend up to $27,000,000 in previously appropriated fiscal year 
2009 funds for the radio interconnection system replacement 
project.

               Federal Mediation and Conciliation Service

Appropriations, 2008....................................     $43,035,000
Budget estimate, 2009...................................      44,826,000
Committee recommendation................................      44,826,000

    The Committee recommends $44,826,000 for fiscal year 2009 
for the Federal Mediation and Conciliation Service [FMCS]. The 
comparable funding level for fiscal year 2008 was $43,035,000 
and the budget request for fiscal year 2009 includes 
$44,826,000 for this program.
    The FMCS was established by Congress in 1947 to provide 
mediation, conciliation, and arbitration services to labor and 
management. FMCS is authorized to provide dispute resolution 
consultation and training to all Federal agencies.

            Federal Mine Safety and Health Review Commission

Appropriations, 2008....................................      $7,955,000
Budget estimate, 2009...................................       8,653,000
Committee recommendation................................       8,653,000

    The Committee recommends $8,653,000 for fiscal year 2009 
for the Federal Mine Safety and Health Review Commission. The 
comparable funding level for fiscal year 2008 was $7,955,000 
and the fiscal year 2009 budget request includes $8,653,000.
    The Federal Mine Safety and Health Review Commission 
provides administrative trial and appellate review of legal 
disputes under the Federal Mine Safety and Health Act of 1977. 
The five-member Commission provides review of the Commission's 
administrative law judge decisions.

                Institute of Museum and Library Services

Appropriations, 2008....................................    $263,508,000
Budget estimate, 2009...................................     271,246,000
Committee recommendation................................     258,960,000

    The Committee recommends $258,960,000 for fiscal year 2009 
for the Institute of Museum and Library Services. The 
comparable funding level for fiscal year 2008 is $263,508,000 
and the administration request for fiscal year 2009 is 
$271,246,000.
    The Committee recommendation includes the following 
activities in the following amounts:

                                            [In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
                                                                       Fiscal year--
                         Programs                          ------------------------------------     Committee
                                                            2008  comparable    2009  request    recommendation
----------------------------------------------------------------------------------------------------------------
Library Services Technology Grants to States..............           160,885           171,500           171,500
Native American Libraries.................................             3,574             3,717             3,717
National Leadership Grants for Libraries..................            12,159            12,715            12,159
Laura Bush 21st Century...................................            23,345            26,500            23,345
Museums for America.......................................            16,852            22,165            16,852
Museum Assessment Program.................................               434               500               434
21st Century Museum Professionals.........................               965             2,141               965
Conservation Project Support..............................             2,724             3,801             2,724
Conservation Assessment Program...........................               793               814               793
Native American & Native Hawaiian Museums.................               895               945               945
National Leadership Grants for Museums....................             7,782             8,181             7,782
Museum Grants for African American History & Culture......               827             1,350               827
Administration............................................            13,987            16,917            16,917
----------------------------------------------------------------------------------------------------------------

                  Medicare Payment Advisory Commission

Appropriations, 2008....................................     $10,560,000
Budget estimate, 2009...................................      11,403,000
Committee recommendation................................      11,403,000

    The Committee recommends $11,403,000 for fiscal year 2009 
for the Medicare Payment Advisory Commission [MedPAC]. The 
comparable funding level for fiscal year 2008 is $10,560,000 
and the administration request for fiscal year 2009 is 
$11,403,000.
    The Medicare Payment Advisory Commission was established by 
Congress as part of the Balanced Budget Act of 1997 (Public Law 
105-933). Congress merged the Physician Payment Review 
Commission with the Prospective Payment Assessment Commission 
to create MedPAC.

                     National Council on Disability

Appropriations, 2008....................................      $3,059,000
Budget estimate, 2009...................................       3,206,000
Committee recommendation................................       3,206,000

    The Committee recommends $3,206,000 for fiscal year 2009 
for the National Council on Disability. The comparable funding 
level for fiscal year 2008 is $3,059,000 and the administration 
request for fiscal year 2009 is $3,206,000.
    The Council is mandated to make recommendations to the 
President, the Congress, the Rehabilitation Services 
Administration, and the National Institute on Disability and 
Rehabilitation Research on the public issues of concern to 
individuals with disabilities. The Council gathers information 
on the implementation, effectiveness, and impact of the 
Americans with Disabilities Act and looks at emerging policy 
issues as they affect persons with disabilities and their 
ability to enter or reenter the Nation's work force and to live 
independently.

                     National Labor Relations Board

Appropriations, 2008....................................    $251,762,000
Budget estimate, 2009...................................     262,595,000
Committee recommendation................................     262,595,000

    The Committee recommends $262,595,000 for fiscal year 2009 
for the National Labor Relations Board [NLRB]. The comparable 
funding level for fiscal year 2008 is $251,762,000 and the 
administration request for fiscal year 2009 is $262,595,000.
    The NLRB is a law enforcement agency that adjudicates 
disputes under the National Labor Relations Act. The mission of 
the NLRB is to carry out the statutory responsibilities of the 
National Labor Relations Act as efficiently as possible and in 
a manner that gives full effect to the rights afforded to 
employees, unions, and employers under the act.

                        National Mediation Board

Appropriations, 2008....................................     $12,685,000
Budget estimate, 2009...................................      12,432,000
Committee recommendation................................      12,992,000

    The Committee recommends $12,992,000 for fiscal year 2009 
for the National Mediation Board [NMB]. The comparable funding 
level for fiscal year 2008 is $12,685,000 and the 
administration request for fiscal year 2009 is $12,432,000.
    The National Mediation Board protects interstate commerce 
as it mediates labor-management relations in the railroad and 
airline industries under the Railway Labor Act. The Board 
mediates collective bargaining disputes, determines the choice 
of employee bargaining representatives through elections, and 
administers arbitration of employee grievances.
    The Committee appreciates the work the NMB did in fiscal 
year 2008 to work down the backlog of arbitration cases. 
However, the Committee is concerned that arbitration cases are 
only heard 6 to 8 months out of the year because of 
insufficient funding. The Committee intends the additional 
funding to be used to increase the number of arbitration cases 
heard and closed.

            Occupational Safety and Health Review Commission

Appropriations, 2008....................................     $10,509,000
Budget estimate, 2009...................................      11,186,000
Committee recommendation................................      11,186,000

    The Committee recommends $11,186,000 for fiscal year 2009 
for the Occupational Safety and Health Review Commission. The 
comparable funding level for fiscal year 2008 is $10,509,000 
and the administration request for fiscal year 2009 is 
$11,186,000.
    The Commission serves as a court to justly and 
expeditiously resolve disputes between the Occupational Safety 
and Health Administration [OSHA] and employers charged with 
violations of health and safety standards enforced by OSHA.

                       Railroad Retirement Board


                     DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2008....................................     $76,620,000
Budget estimate, 2009...................................      72,000,000
Committee recommendation................................      72,000,000

    The Committee recommends $72,000,000 for fiscal year 2009 
for the Dual Benefits Payments Account. Of these funds, 
$5,000,000 is from income taxes on vested dual benefits. The 
comparable funding level for fiscal year 2008 is $76,620,000 
and the administration request for fiscal year 2009 is 
$72,000,000.
    This appropriation provides for vested dual benefit 
payments authorized by the Railroad Retirement Act of 1974, as 
amended by the Omnibus Reconciliation Act of 1981. This 
separate account, established for the payment of dual benefits, 
is funded by general fund appropriations and income tax 
receipts of vested dual benefits.

          FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2008....................................        $150,000
Budget estimate, 2009...................................         150,000
Committee recommendation................................         150,000

    The Committee recommends $150,000 for fiscal year 2009 for 
interest earned on non-negotiated checks, the same as the 
comparable funding level for fiscal year 2008 and the 
administration request.

                      LIMITATION ON ADMINISTRATION

Appropriations, 2008....................................    $101,882,000
Budget estimate, 2009...................................     105,463,000
Committee recommendation................................     105,463,000

    The Committee recommends $105,463,000 for fiscal year 2009 
for the administration of railroad retirement/survivor benefit 
programs. The comparable funding level for fiscal year 2008 is 
$101,882,000 and the administration request for fiscal year 
2009 is $105,463,000.
    The Board administers comprehensive retirement-survivor and 
unemployment-sickness insurance benefit programs for the 
Nation's railroad workers and their families. This account 
limits the amount of funds in the railroad retirement and 
railroad unemployment insurance trust funds that may be used by 
the Board for administrative expenses.
    The Committee has included language to prohibit funds from 
the railroad retirement trust fund from being spent on any 
charges over and above the actual cost of administering the 
trust fund, including commercial rental rates.

           LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008....................................      $7,048,000
Budget estimate, 2009...................................       7,806,000
Committee recommendation................................       7,806,000

    The Committee recommends $7,806,000 for fiscal year 2009 
for the Office of the Inspector General. The comparable funding 
level for fiscal year 2008 is $7,048,000 and the administration 
request for fiscal year 2009 is $7,806,000.
    The Committee has deleted language prohibiting funds from 
being transferred from the Railroad Retirement Board to the 
Office of the Inspector General. The Committee expects the 
relationship between the Board and the Inspector General to be 
guided by the laws governing each.

                     Social Security Administration


                PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2008....................................     $28,140,000
Budget estimate, 2009...................................      20,406,000
Committee recommendation................................      20,406,000

    The Committee recommends an appropriation of $20,406,000 
for payments to Social Security trust funds. The comparable 
fiscal year 2008 funding level is $28,140,000 and the budget 
request includes $20,406,000 for this purpose. This amount 
reimburses the old age and survivors and disability insurance 
trust funds for special payments to certain uninsured persons, 
costs incurred administering pension reform activities, and the 
value of the interest for benefit checks issued but not 
negotiated. This appropriation restores the trust funds to the 
same financial position they would have been in had they not 
borne these costs and were properly charged to the general 
funds.

                      SUPPLEMENTAL SECURITY INCOME

Appropriations, 2008.................................... $26,946,171,000
Budget estimate, 2009...................................  30,414,000,000
Committee recommendation................................  30,429,875,000

    The Committee recommends an appropriation of 
$30,429,875,000 for supplemental security income. This is in 
addition to the $14,800,000,000 appropriated last year as an 
advance for the first quarter of fiscal year 2009. The 
comparable fiscal year 2008 funding level is $26,946,171,000 
and the budget request includes $30,414,000,000. The Committee 
also recommends an advance appropriation of $15,400,000,000 for 
the first quarter of fiscal year 2010 to ensure uninterrupted 
benefits payments. The program level supported by the Committee 
recommendation is $45,829,875,000, compared to the total 
program level requested in the budget of $45,814,000,000.
    These funds are used to pay benefits under the SSI Program, 
which was established to ensure a Federal minimum monthly 
benefit for aged, blind, and disabled individuals, enabling 
them to meet basic needs. It is estimated that more than 7 
million persons will receive SSI benefits each month during 
fiscal year 2009. In many cases, SSI benefits supplement income 
from other sources, including Social Security benefits. The 
funds are also used to reimburse the Social Security trust 
funds for the administrative costs for the program with a final 
settlement by the end of the subsequent fiscal year as required 
by law, to reimburse vocational rehabilitation agencies for 
costs incurred in successfully rehabilitating SSI recipients 
and for research and demonstration projects.

Beneficiary Services

    The Committee recommends $3,000,000 for beneficiary 
services, as proposed in the budget request. The comparable 
fiscal year 2008 funding level is $36,000,000. This amount is 
available for payments to Employment Networks for successful 
outcomes or milestone payments under the Ticket to Work program 
and for reimbursement of State vocational rehabilitation 
agencies and alternate public or private providers.

Research and Demonstration Projects

    The Committee recommendation includes $35,000,000 for 
research and demonstration projects conducted under sections 
1110, 1115 and 1144 of the Social Security Act. The comparable 
fiscal year 2008 funding level is $26,651,000 and the budget 
request includes $35,000,000 for authorized activities.
    This amount will support SSA's efforts to strengthen its 
policy evaluation capability and implement outreach activities 
to certain low-income individuals who may be eligible for 
assistance with medical expenses. These funds also will enable 
SSA to focus on: retirement and disability policy research, 
effective return-to-work strategies for disabled beneficiaries 
and activities that maintain and strengthen the capacity of SSA 
to analyze data and respond to information requests from the 
Congress.

Administration

    The Committee recommendation includes $3,164,875,000 for 
payment to the Social Security trust funds for the SSI 
Program's share of SSA's base administrative expenses. The 
comparable fiscal year 2008 amount is $3,018,520,000 and the 
budget request includes $3,149,000,000 for such activities.

                 LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2008....................................  $9,775,578,000
Budget estimate, 2009...................................  10,327,000,000
Committee recommendation................................  10,377,000,000

    The Committee recommends a program funding level of 
$10,377,000,000 for the limitation on administrative expenses. 
The comparable fiscal year 2008 funding level is $9,775,578,000 
and the budget request includes $10,327,000,000 for this 
purpose. The comparable fiscal year 2008 level includes 
$31,000,000 for one-time costs associated with the Economic 
Stimulus Act of 2008.
    This account provides resources from the Social Security 
trust funds to administer the Social Security retirement and 
survivors and disability insurance programs, and certain Social 
Security health insurance functions. As authorized by law, it 
also provides resources from the trust funds for certain 
nontrust fund administrative costs, which are reimbursed from 
the general funds. These include administration of the 
supplemental security income program for the aged, blind, and 
disabled; work associated with the Pension Reform Act of 1984; 
and the portion of the annual wage reporting work done by the 
Social Security Administration for the benefit of the Internal 
Revenue Service. The dollars provided also support automated 
data processing activities and fund the State disability 
determination services which make initial and continuing 
disability determinations on behalf of the Social Security 
Administration. Additionally, the limitation provides funding 
for computer support, and other administrative costs.
    The Committee recommendation includes $9,991,000,000 for 
routine operating expenses of the agency, as well as the 
resources related to program integrity activities and those 
derived from the user fees discussed below.
    The Committee recommends $50,000,000 more than the budget 
request to ensure that the backlog of disability claims will 
continue to decrease, a process set in place with last year's 
appropriation of $150,000,000 more than the President's 
request. The Committee is pleased that SSA has used the 
additional funding provided by the Committee last year to begin 
to address the unacceptable delays applicants are encountering 
in obtaining disability benefits. In fiscal year 2008, SSA has 
devoted sufficient funds to the State Disability Determination 
Services [DDS] to ensure that the backlog of initial disability 
claims did not grow larger. The Committee is aware that the 
agency has also begun to take steps to improve the much longer 
delays that have developed in the hearing process for 
beneficiaries who appeal an initial unfavorable decision by a 
State DDS.
    The Committee supports Social Security's efforts to reduce 
the hearings backlog; in particular, the Committee is gratified 
that the agency has recognized the need for increased 
adjudicatory capacity. The agency has taken encouraging first 
steps by approving the hiring of 189 new administrative law 
judges by the end of the current fiscal year. The Committee 
notes that the flexibility provided by electronic folders and 
video technologies allows new administrative law judges to be 
directed to areas with a significant backlog and innovative 
organizational structures.
    The Committee also supports the expansion of automation at 
the agency to improve business processes and eliminate 
unnecessary delays caused by the tracking, transportation, and 
retrieval of paper files. The Committee will continue to 
closely monitor Social Security's activities to assure that 
increased funds provided to the agency to reduce the disability 
backlog, particularly at the hearing level, achieve that goal 
in a reasonable period of time.
    The budget request includes bill language earmarking not 
less than $264,000,000 of funds available within this account 
for continuing disability reviews and redeterminations of 
eligibility under Social Security's disability programs. An 
additional $240,000,000 earmark for continuing disability 
reviews and redeterminations of eligibility also was proposed 
in the budget request. The Committee recommendation includes 
the requested resources and earmarking language.

Social Security Advisory Board

    The Committee has included not less than $2,000,000 within 
the limitation on administrative expenses account for the 
Social Security Advisory Board for fiscal year 2009.

User Fees

    In addition to other amounts provided, the Committee 
recommends $146,000,000 for administrative activities funded 
from user fees. Of this amount, $145,000,000 is derived from 
fees paid to SSA by States that request SSA to administer State 
SSI supplementary payments. The remaining $1,000,000 will be 
generated from a fee payment process for non-attorney 
representatives of claimants.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2008....................................     $91,915,000
Budget estimate, 2009...................................      98,127,000
Committee recommendation................................      98,127,000

    The Committee recommends $98,127,000 for activities for the 
Office of the Inspector General, the same amount as the budget 
request. The comparable fiscal year 2008 funding level is 
$91,915,000 for this office. This includes a general fund 
appropriation of $28,000,000 together with an obligation 
limitation of $70,127,000 from the Federal old-age and 
survivors insurance trust fund and the Federal disability 
insurance trust fund.

                      TITLE V--GENERAL PROVISIONS

    The Committee recommendation includes provisions which: 
authorize transfers of unexpended balances (sec. 501); limit 
funding to 1 year availability unless otherwise specified (sec. 
502); limit lobbying and related activities (sec. 503); limit 
official representation expenses (sec. 504); prohibit funding 
of any program to carry out distribution of sterile needles for 
the hypodermic injection of any illegal drug (sec. 505); 
clarify Federal funding as a component of State and local grant 
funds (sec. 506); limit use of funds for abortion (sec. 507 and 
sec. 508); restrict human embryo research (sec. 509); limit the 
use of funds for promotion of legalization of controlled 
substances (sec. 510); prohibits the use of funds to promulgate 
regulations regarding the individual health identifier (sec. 
511); limits use of funds to enter into or review contracts 
with entities subject to the requirement in section 4212(d) of 
title 38, United States Code, if the report required by that 
section has not been submitted (sec. 512); prohibits transfer 
of funds made available in this Act to any department, agency, 
or instrumentality of the U.S. Government, except as otherwise 
provided by this or any other act (sec. 513); prohibits Federal 
funding in this act for libraries and elementary and secondary 
schools unless they are in compliance with the Children's 
Internet Protection Act (sec. 514 and sec. 515); maintains a 
procedure for reprogramming of funds (sec. 516); prohibits 
candidates for scientific advisory committees from having to 
disclose their political activities (sec. 517); requires the 
Secretaries of Labor, Health and Human Services, and Education 
to submit a report on the number and amounts of contracts, 
grants, and cooperative agreements awarded by the Departments 
on a non-competitive basis (sec. 518); continues a provision 
prohibiting the use of funds for a grant or contract exceeding 
$5,000,000 unless the prospective contractor or grantee, makes 
certain certifications regarding Federal tax liability (sec. 
519); and maintains certain assistance, programs and benefits 
for Afghan aliens granted special immigration status (sec. 
520).

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

    Paragraph 7 of rule XVI requires that Committee report on 
general appropriations bills identify each Committee amendment 
to the House bill ``which proposes an item of appropriation 
which is not made to carry out the provisions of an existing 
law, a treaty stipulation, or an act or resolution previously 
passed by the Senate during that session.''
    The Committee is filing an original bill, which is not 
covered under this rule, but reports this information in the 
spirit of full disclosure.
    The Committee recommends funding for the following programs 
and activities which currently lack authorization: No Child 
Left Behind Act; Workforce Investment Act; Trade Act of 2002; 
Homeless Veterans Reintegration Program; Trafficking Victims 
Protection Reauthorization Act of 2005; Title VII of the Public 
Health Service Act; Universal Newborn Hearing Screening; Organ 
Transplantation; Rural Hospital Flexibility Grants; Denali 
Commission; Family Planning; State Offices of Rural Health; 
Nurse Reinvestment Act; Public Health Improvement Act; Trauma/
EMS; Community Health Centers; National Health Service Corps; 
Children's Hospital Graduate Medical Education; Healthy Start; 
Telehealth; Health Professions Education Partnership Act; 
Children's Health Act; Women's Health Research and Prevention 
Amendments of 1998; Bioterrorism; Birth Defects Prevention, 
Preventive Health Amendments of 1993; Substance Abuse and 
Mental Health Services Programs, except for Stop Act programs; 
Agency for Healthcare Research and Quality; Low Income Home 
Energy Assistance Program; Refugee and Entrant Assistance 
programs; Child Abuse prevention; Adoption Incentives; Runaway 
and Homeless Youth; Child Care and Development Block Grant; 
Family violence programs; Developmental Disabilities programs; 
Native American Programs; Community Services Block Grant; Rural 
Facilities; Individual Development Accounts; Community Economic 
Development; Alzheimer's Disease Demonstration Grants; Title V 
of the Public Health Services Act; Adolescent Family Life; 
Office of Minority Health; Office of Disease Prevention 
Services; Rehabilitation Services and Disability Research, 
except sections 4, 5, and 6 of the Assistive Technology 
Program; Higher Education Act; National Technical Institute for 
the Deaf; Gallaudet University; Corporation for National and 
Community Service; Corporation for Public Broadcasting; and 
National Council on Disability.

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE STANDING RULES OF THE 
                                 SENATE

    Pursuant to paragraph 7(c) of rule XXVI, on June 26, 2008, 
the Committee ordered reported an original bill (S. 3230) 
making appropriations for the Departments of Labor, Health and 
Human Services, and Education, and related agencies for the 
fiscal year ending September 30, 2009, and authorized the 
chairman of the committee or the chairman of the subcommittee 
to offer the text of the Senate bill as a committee amendment 
in the nature of a substitute to the House companion measure, 
with the bill subject to amendment and subject to the budget 
allocations, by a recorded vote of 26-3, a quorum being 
present. The vote was as follows:
        Yeas                          Nays
Chairman Byrd                       Mr. Gregg
Mr. Inouye                          Mr. Brownback
Mr. Leahy                           Mr. Allard
Mr. Harkin
Ms. Mikulski
Mr. Kohl
Mrs. Murray
Mr. Dorgan
Mrs. Feinstein
Mr. Durbin
Mr. Johnson
Ms. Landrieu
Mr. Reed
Mr. Lautenberg
Mr. Nelson
Mr. Cochran
Mr. Stevens
Mr. Specter
Mr. Domenici
Mr. Bond
Mr. McConnell
Mr. Shelby
Mr. Bennett
Mr. Craig
Mrs. Hutchison
Mr. Alexander

 COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE STANDING RULES OF THE 
                                 SENATE

    Paragraph 12 of rule XXVI requires that Committee reports 
on a bill or a joint resolution repealing or amending any 
statute include ``(a) the text of the statute or part thereof 
which is proposed to be repealed; and (b) a comparative print 
of that part of the bill or joint resolution making the 
amendment and of the statute or part thereof proposed to be 
amended, showing by stricken through type and italics, parallel 
columns, or other appropriate typographical devices the 
omissions and insertions which would be made by the bill or 
joint resolution if enacted in the form recommended by the 
committee.''

TITLE 42--THE PUBLIC HEALTH AND WELFARE

           *       *       *       *       *       *       *



CHAPTER 7--SOCIAL SECURITY

           *       *       *       *       *       *       *



SUBCHAPTER XIX--GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS

           *       *       *       *       *       *       *



Sec. 1396r-8. Payment for covered outpatient drugs

(a) * * *

           *       *       *       *       *       *       *

(c) Determination of amount of rebate

    (1) Basic rebate for single source drugs and innovator 
            multiple source drugs

                (A) In general

           *       *       *       *       *       *       *

                (C) ``Best price'' defined

           *       *       *       *       *       *       *

                    (D) Limitation on sales at a nominal 
                price.--
                            (i) In general.--For purposes of 
                        subparagraph (C)(ii)(III) and 
                        subsection (b)(3)(A)(iii)(III), only 
                        sales by a manufacturer of covered 
                        outpatient drugs at nominal prices to 
                        the following shall be considered to be 
                        sales at a nominal price or merely 
                        nominal in amount:
                                    (I) A covered entity 
                                described in section 340B(a)(4) 
                                of the Public Health Service 
                                Act.
                                    (II) An intermediate care 
                                facility for the mentally 
                                retarded.
                                    (III) A State-owned or 
                                operated nursing facility.
                                    (IV) An entity that--
                                            (aa) is described 
                                        in section 501(c)(3) of 
                                        the Internal Revenue 
                                        Code of 1986 and exempt 
                                        from tax under section 
                                        501(a) of such Act or 
                                        is State-owned or 
                                        operated; and
                                            (bb) would be a 
                                        covered entity 
                                        described in section 
                                        340(B)(a)(4) of the 
                                        Public Health Service