[House Report 111-220] [From the U.S. Government Publishing Office] 111th Congress } { Report 1st Session } HOUSE OF REPRESENTATIVES { 111-220 _______________________________________________________________________ DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2010 ---------- R E P O R T of the COMMITTEE ON APPROPRIATIONS together with MINORITY VIEWS [TO ACCOMPANY H.R. 3293] [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] July 22, 2009.--Committed to the Committee of the Whole House on the State of the Union and ordered to be printed DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2010 111th Congress } { Report 1st Session } HOUSE OF REPRESENTATIVES { 111-220 _______________________________________________________________________ DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2010 __________ R E P O R T of the COMMITTEE ON APPROPRIATIONS together with MINORITY VIEWS [TO ACCOMPANY H.R. 3293] [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] July 22, 2009.--Committed to the Committee of the Whole House on the State of the Union and ordered to be printed ---------- U.S. GOVERNMENT PRINTING OFFICE 51-123 WASHINGTON : 2009 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512-1800; DC area (202) 512-1800 Fax: (202) 512-2250 Mail: Stop SSOP, Washington, DC 20402-0001 111th Congress } { Report 1st Session } HOUSE OF REPRESENTATIVES { 111-220 ====================================================================== DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2010 _______ July 22, 2009.--Committed to the Committee of the Whole House on the State of the Union and ordered to be printed _______ Mr. Obey, from the Committee on Appropriations, submitted the following R E P O R T together with MINORITY VIEWS [To accompany H.R. 3293] The Committee on Appropriations submits the following report in explanation of the accompanying bill making appropriations for the Departments of Labor, Health and Human Services (except the Food and Drug Administration, the Agency for Toxic Substances and Disease Registry and the Indian Health Service), Education, Committee for Purchase From People Who Are Blind or Severely Disabled, Corporation for National and Community Service, Corporation for Public Broadcasting, Federal Mediation and Conciliation Service, Federal Mine Safety and Health Review Commission, Institute of Museum and Library Services, Medicare Payment Advisory Commission, National Council on Disability, National Labor Relations Board, National Mediation Board, Occupational Safety and Health Review Commission, Railroad Retirement Board, and the Social Security Administration for the fiscal year ending September 30, 2010, and for other purposes. INDEX TO BILL AND REPORT _______________________________________________________________________ Page number Bill Report Summary of Estimates and Appropriations.................... 3 General Summary of the Bill................................ 4 Title I--Department of Labor: Employment and Training Administration............. 2 18 Employee Benefits Security Administration.......... 15 32 Pension Benefit Guaranty Corporation............... 15 32 Employment Standards Administration................ 16 33 Occupational Safety and Health Administration...... 21 36 Mine Safety and Health Administration.............. 24 38 Bureau of Labor Statistics......................... 25 39 Office of Disability Employment Policy............. 26 40 Departmental Management............................ 26 40 Veterans Employment and Training........... 28 43 Office of Inspector General................ 29 44 General Provisions................................. 29 45 Title II--Department of Health and Human Services: Health Resources and Services Administration....... 33 46 Centers for Disease Control and Prevention......... 38 75 National Institutes of Health...................... 42 106 Substance Abuse and Mental Health Services Administration................................. 49 140 Agency for Healthcare Research and Quality......... 51 150 Centers for Medicare and Medicaid Services......... 51 156 Administration for Children and Families........... 55 160 Administration on Aging............................ 64 179 Office of the Secretary............................ 65 184 Office of Inspector General................ 68 190 Public Health and Social Services Emergency Fund................................... 69 191 General Provisions................................. 72 197 Title III--Department of Education: Education for the Disadvantaged.................... 81 198 Impact Aid......................................... 83 204 School Improvement Programs........................ 84 205 Indian Education................................... 86 209 State Fiscal Stabilization Fund.................... 221 Innovation and Improvement......................... 86 210 Safe Schools and Citizenship Education............. 90 221 English Language Acquisition....................... 91 225 Special Education.................................. 91 225 Rehabilitation Services and Disability Research.... 92 228 Special Institutions for Persons with Disabilities. 92 232 Career, Technical and Adult Education.............. 93 233 Student Financial Assistance....................... 96 236 Student Aid Administration......................... 96 238 Higher Education................................... 97 239 Howard University.................................. 100 252 College Housing and Academic Facilities Loans...... 100 252 Historically Black College and University Capital Financing...................................... 100 252 Institute of Education Sciences.................... 101 253 Departmental Management............................ 101 255 Office for Civil Rights............................ 102 257 Office of the Inspector General.................... 102 257 General Provisions................................. 102 258 Title IV--Related Agencies: Committee for Purchase From People Who Are Blind or Severely Disabled.............................. 104 258 Corporation for National and Community Service..... 104 258 Corporation for Public Broadcasting................ 108 263 Federal Mediation and Conciliation Service......... 110 264 Federal Mine Safety and Health Review Commission... 111 264 Institute of Museum and Library Services........... 111 265 Medicare Payment Advisory Commission............... 112 267 National Council on Disability..................... 112 268 National Labor Relations Board..................... 112 268 National Mediation Board........................... 113 268 Occupational Safety and Health Review Commission... 113 269 Railroad Retirement Board.......................... 113 269 Social Security Administration..................... 115 270 Title V--General Provisions: House of Representatives Report Requirements....... 273 Summary of Estimates and Appropriations The following table compares on a summary basis the appropriations, including trust funds for fiscal year 2009, the budget request for fiscal year 2010, and the Committee recommendation for fiscal year 2010 in the accompanying bill. All references to fiscal year 2009 funding exclude appropriations enacted under the American Recovery and Reinvestment Act of 2009 (Recovery Act), Public Law 111-5, unless the Recovery Act funds are referenced. 2010 LABOR, HHS, EDUCATION BILL [In millions of dollars] ---------------------------------------------------------------------------------------------------------------- Fiscal year-- 2010 Committee ------------------------------------ compared to-- ----------------------- 2009 2010 2010 2009 2010 Comparable Budget Committee Comparable Budget ---------------------------------------------------------------------------------------------------------------- Department of Labor................................. $17,077 $15,981 $15,959 -$1,118 -$22 Advances........................................ 2,519 2,508 2,508 -11 0 Department of Health and Human Services............. 536,715 586,246 588,274 +51,559 +2,028 Advances........................................ 74,500 89,739 89,739 +15,239 0 Department of Education............................. 61,619 67,777 67,759 +6,140 -18 Advances........................................ 21,906 21,906 21,906 0 0 Related Agencies.................................... 54,804 60,729 60,689 +5,885 -40 Advances........................................ 15,830 16,440 16,440 +610 0 Grand Total, current year........................... 670,215 730,733 732,681 +62,466 +1,948 Advances........................................ 114,755 130,593 130,593 +15,838 0 Current year total using 302(b) scorekeeping........ 671,515 728,547 730,460 +58,945 +1,913 Mandatory....................................... 518,768 566,995 567,060 +48,292 +65 Discretionary................................... 152,747 161,552 163,400 +10,653 +1,848 ---------------------------------------------------------------------------------------------------------------- Note.--For comparability, an adjustment should be made for the Low Income Home Energy Assistance Program (LIHEAP), which was funded in the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009. After the LIHEAP adjustment, the fiscal year 2010 funding level for the Department of Health and Human Services (HHS) is $46,459,000,000 more than the comparable fiscal year 2009 funding level. In addition, as requested, the Committee bill includes a one-time transfer of all remaining balances in the Project BioShield Special Reserve Fund from the Department of Homeland Security to HHS. The amount to be transferred is currently estimated to be $1,569,000,000. As a result of the LIHEAP comparability adjustment for HHS described above, the fiscal year 2010 Grand Total, current year for the Committee bill is $57,366,000,000 more than the comparable fiscal year 2009 funding level. Further, the Current year total using 302(b) scorekeeping for the fiscal year 2010 Committee bill is $56,165,000,000 more than the comparable fiscal year 2009 funding level. The discretionary amount within the Current year total using 302(b) scorekeeping for the fiscal year 2010 Committee bill is $7,873,000,000 more than the comparable fiscal year 2009 funding level. PROGRAM LEVEL DISCRETIONARY [In millions of dollars] ---------------------------------------------------------------------------------------------------------------- Fiscal year-- 2010 Committee ------------------------------------ compared to-- ----------------------- 2009 2010 2010 2009 2010 Comparable Budget Committee Comparable Budget ---------------------------------------------------------------------------------------------------------------- Department of Labor................................. $12,411 $13,280 $13,257 +$846 -$23 Department of Health and Human Services............. 66,285 71,758 73,721 +7,436 +1,963 Department of Education............................. 63,533 64,692 64,674 +1,141 -18 Related Agencies.................................... 12,748 14,028 13,989 +1,241 -39 ----------------------------------------------------------- Subtotal Program Level.......................... 154,977 163,758 $165,641 +$10,664 +$1,883 ---------------------------------------------------------------------------------------------------------------- Note.--As a result of the LIHEAP comparability adjustment for HHS described in the previous table's note, the fiscal year 2010 discretionary program level for HHS is $2,336,000,000 more than the comparable fiscal year 2009 funding level. Further, the Subtotal Program Level for the fiscal year 2010 Committee bill is $5,564,000,000 more than the comparable fiscal year 2009 funding level. General Summary of the Bill The country is experiencing the longest and deepest economic downturn since the Great Depression, with more than seven million jobs lost during the current recession. In June 2009, the unemployment rate reached 9.5 percent as there were nearly 15 million unemployed workers in the United States, according to the Bureau of Labor Statistics. This represents a 97 percent increase in unemployed workers since the beginning of the recession in December, 2007. More than four million, or 29 percent, of the unemployed had been out of work for six months or more--the highest proportion of long-term joblessness on record. Many families cannot pay their bills or mortgage payments, and trillions of dollars of wealth have been stripped from Americans' retirement accounts. Moreover, the recession has caused an economic crisis for many States. According to the Center on Budget and Policy Priorities, some 47 States are facing fiscal stress. Budget shortfalls for State fiscal years 2010 and 2011 may exceed $350,000,000,000. To close their budget gaps, at least 36 States are reducing vital services, including services to some of their most vulnerable families and individuals. In addition, according to several analyses, State budget shortfalls could result in a severe loss of jobs, including approximately 600,000 jobs in the education sector alone. In response to this crisis, this Committee led the way toward enactment of the Recovery Act in February 2009, which provided an unprecedented $124,150,000,000 to save and create jobs, invest in health care and education, provide fiscal relief to States and communities, and establish a foundation for long-term fiscal stability. The Recovery Act is beginning to save or create more than 3.5 million jobs over the next two years and deliver relief to millions of struggling families. The funds provided in this bill are intended to supplement the assistance provided in the Recovery Act to address continuing needs and priorities, and support essential activities that did not receive funding in the Recovery Act. Terminations and Reductions In order to invest in the critical priorities identified in this bill, and in an effort to build an economy that is on a solid foundation for growth to put the nation on a path toward prosperity, the Committee makes a number of hard choices by proposing in this bill a number of program terminations, reductions, and other savings from the fiscal year 2009 totaling $1,284,385,000. In addition, $3,426,565,000 in other savings from the budget request is recommended. These adjustments, no matter their size, are important to setting the right priorities within the spending allocation, for getting the deficit under control, and creating a government that is as efficient as it is effective. Program Integrity Provisions The Congress has an obligation to meet the needs of persons who qualify for the programs in this bill. In addition, the Congress has an obligation to ensure that taxpayer funds are utilized in a manner that provides the most effective use of those precious resources, avoids waste, and protects the taxpayer. Accordingly, this bill includes $1,129,000,000 for program integrity activities designed to reduce improper payments, fraud, and abuse, which is nearly double the fiscal year 2009 level and the amount requested by the Administration. These funds will allow the Department of Labor to conduct additional eligibility assessments and improper payment reviews under the Unemployment Insurance Program, expand the Department of Health and Human Services Health Care Fraud and Abuse Control Program, and enable the Social Security Administration to work down a backlog of continuing disability reviews to determine whether benefits are properly paid. These efforts could result in over $48,000,000,000 in savings and increased revenues over the next ten years. Moreover, the Committee fully funds the amounts requested for the various Inspectors General with audit and oversight responsibilities for the agencies included in the bill. Committee Priorities and Initiatives Employment and training investments American workers have spent the past 30 years contributing to national economic growth without receiving their fair share of the economic benefits in return. According to recent testimony to the Committee by Nobel Prize-winning economist Paul Krugman, median family income has grown by less than half a percent annually since 1979--and median family income actually decreased from 2000 to 2007. The Economic Policy Institute (EPI) reports that more than 90 percent of all income growth in the United States (U.S.) over the past 30 years went to the top 10 percent of income earners; and EPI's more recent figures show that although worker productivity increased by 19 percent from 2000 to 2007, the real median hourly wage rose by a mere 37 cents during the same period. The situation is even worse for the most vulnerable members of society. According to Dr. Krugman, ``none--none--of America's economic growth over the past generation has trickled down to the poor.'' The Committee believes that middle-class Americans simply are not receiving the fruits of their hard work. Employee benefits have eroded as union membership has fallen to only 12 percent of the workforce, and the rising annual incomes that were the common--though by no means universal--experience of middle-class workers a generation ago are now a thing of the past to all but the most fortunate ten percent at the top. The broadly shared national prosperity that existed after World War II has been replaced by job, health, housing, and retirement insecurity. In short, the economic rules have changed, leaving millions of hard-working families caught in a struggle for economic survival. In this bill, the Committee puts a high priority on re- invigorating the Department of Labor (DOL), which is the key Federal agency charged with increasing the competitiveness of America's workforce, strengthening worker rights and free collective bargaining, protecting safety and health for nearly 150 million workers, improving worker economic security by protecting retirement and health care benefits, and producing accurate and reliable employment, price and other national economic information. Key investments in this bill will help put unemployed youth and adults to work in this economic downturn through intensive employment assistance and case management, investment in skills training for displaced workers, and new approaches to helping the disadvantaged obtain decent and good-paying jobs:Dislocated Worker Employment and Training Activities: $1,398,891,000, which is $57,000,000 above the comparable fiscal year 2009 funding level and $14,109,000 below the budget request, to provide training and supportive services to workers affected by mass layoffs and plant closures. More than 500,000 workers lost their jobs in the first three months of 2009 due to mass layoffs. These workers will also be assisted by $1,450,000,000 in the Recovery Act. YouthBuild: $100,000,000, which is $30,000,000 above the fiscal year 2009 funding level and $14,476,000 below the budget request, to expand YouthBuild so that nearly 7,000 at-risk youth can gain high school credentials and construction skills training while building affordable housing for homeless families. The Recovery Act provided $50,000,000 for YouthBuild. Transitional Jobs: $50,000,000 for a new initiative based on a proven employment strategy to help noncustodial parents and workers with substantial barriers to entering the workforce. This is the amount of the Administration's request. Green Jobs: $50,000,000 to prepare workers for careers in energy efficiency and renewable energy, which is the same as the budget request. This new Administration initiative will support pre- apprenticeship programs, career pathways, and other gateways for more than 8,000 workers to enter careers in emerging green industries. The Recovery Act provided $500,000,000 for green jobs. Career Pathways Innovation Fund: $135,000,000 for new competitive grants to community colleges and partnerships with local adult education providers for career pathways to prepare workers for careers in high-demand and emerging industries, which is $10,000,000 above the combined fiscal year 2009 funding levels in the Departments of Labor and Education. The Committee directs that approximately half of these funds, $65,000,000, must be used to train workers for careers in the health care sector, with a focus on nursing professions. The Recovery Act provided $250,000,000 for training programs in high-growth industries. Older Workers: $615,425,000, which is $43,500,000 above the fiscal year 2009 funding level and $40,000,000 above the budget request, to provide community service opportunities for nearly 100,000 low- income seniors. The Recovery Act provided $120,000,000 for the Title V older workers program. Unemployment Insurance Operations: $3,245,645,000, which is $423,500,000 above the fiscal year 2009 funding level and the same as the budget request, to help States process unemployment insurance claims. Veterans Employment and Training: $265,127,000 to maximize employment and training opportunities for veterans transitioning to the civilian workforce, and to protect their employment rights, which is an increase of $25,688,000 over the fiscal year 2009 funding level and $10,000,000 over the request. This amount includes $257,127,000 in DOL and $8,000,000 in the Department of Education for a new Centers of Excellence for Veterans Success initiative to establish college- and university-based support centers for veterans seeking to obtain a postsecondary education. Worker Safety and Health Investing in America's workers also requires maintaining safe and secure workplaces. Almost 40 years ago the Congress passed the Occupational Safety and Health Act (OSHA) to improve conditions for our nation's workers. The Bureau of Labor Statistics estimates that, since its passage, OSHA-related activities have saved the lives of nearly 400,000 workers. However, there is still much work to be done. Since the passage of the Occupational Safety and Health Act, the number of workplaces and workers has more than doubled, while at the same time, the number of OSHA inspectors has been reduced. In 1992, OSHA could inspect workplaces under its jurisdiction once every 84 years. Now, it's once every 137 years. In 2007, 5,657 workers died as a result of job-related injuries--an average of more than 15 deaths per day. As many as 8 to 12 million workers sustain job-related injuries or illnesses each year--many of which went unreported during the past eight years because of weak enforcement policies by the previous administration. Approximately 50,000 workers die each year from illnesses in which workplace exposures are a contributing factor. These fatalities, injuries and illnesses are estimated to cost $145,000,000,000 to $290,000,000,000 in direct and indirect costs. Yet despite these consequences, regulatory action to protect American workers virtually halted at DOL under the prior Administration. Constant delays in the issuance of worker protection standards have resulted in workplaces that are less safe and created a backlog of health and safety issues that must be addressed immediately by the new Administration. Key investments in this bill will strengthen retirement benefit security, wage enforcement, and workplace safety, reversing years of erosion in funding for labor law enforcement agencies: Labor Law Enforcement: $1,548,629,000 to support up to 600 new full-time equivalent enforcement and compliance positions (an increase of 13 percent) at the Employment Benefits Security Administration (EBSA), Employment Standards Administration (ESA), the Occupational Safety and Health Administration (OSHA), and the Mine Safety and Health Administration (MHSA), which is $104,898,000 over the fiscal year 2009 funding level and $28,200,000 below the request. The Recovery Act provided an additional $80,000,000 for labor law enforcement activities. Health and Human Services Investments There is a health care crisis in America today. Nearly 50 million Americans are without health coverage and 16 million more are underinsured, putting necessary and lifesaving health care out of reach for far too many families. Moreover, the weak economy, with rising unemployment, is causing even more people to lose their health insurance. More than 100 million Americans do not have dental insurance--at least twice as many as those without health insurance. In addition, the nation has done a poor job of promoting health and preventing disease. According to a 2008 report by the Commonwealth Fund, the U.S. places last among 19 industrialized countries on deaths that might have been prevented with timely and effective medical care. Up to 101,000 fewer people would die prematurely if the U.S. could achieve leading, benchmark country rates. The four leading causes of death are chronic conditions: heart disease, cancer, stroke, and chronic lower respiratory disease, which are largely preventable, yet account for 75 percent of U.S. health care costs. The personal and economic consequences of the government's failure to invest in America's health are apparent. U.S. health care expenditures totaled over $2 trillion in 2007--16 percent of the gross domestic product. According to the Institute of Medicine, the societal cost of the lost productivity of uninsured Americans is estimated at $65,000,000,000 to $130,000,000,000 each year. Americans are demanding a better return on their health care investment. The Committee puts a high priority on health system reform and preparing the nation for universal health coverage. The Committee recognizes that the health care issues confronting the country are some of the largest pieces of unfinished business on the national agenda. One of the great causes of economic insecurity in this society is the fact that health care coverage can evaporate--average working families are just one pink slip, one divorce, or one serious illness away from bankruptcy. The Committee continues the investments begun in the Recovery Act to expand the capacity of the health care system to handle the increased demand that will come from health care reform and accelerate our knowledge base for better treatments and patient care. The key investments include: Community Health Centers: $2,190,022,000, which is the same as the comparable fiscal year 2009 funding level and the budget request. This funding will provide primary health care to 17 million patients, of whom 40 percent are uninsured, in 7,500 service delivery sites. These centers are likely to become medical homes for patients newly enfranchised by health care reform. They provide high quality care in both urban and rural underserved areas across the country. Patients will also be assisted by $2,000,000,000 provided in the Recovery Act for community health centers in fiscal years 2009 and 2010. Health Professions Workforce Shortages: $529,708,000, which is $136,982,000 above the comparable fiscal year 2009 funding level and $1,610,000 above the budget request. These programs were fortified by $200,000,000 provided in the Recovery Act for fiscal years 2009 and 2010. These funds will support the training of students across the health professions and nursing fields. Some of the programs are specifically targeted to disadvantaged, underserved populations. These students will provide the backbone of the health care system for underserved areas, especially if health care reform expands coverage. Within this total, the bill includes a $92,372,000 increase for nurse training. This substantial increase is essential because the U.S. is in the midst of a nursing shortage that is expected to intensify as baby boomers age and the need for health care grows. The Health Resources and Services Administration (HRSA) estimates that the nation's nursing shortage will grow to more than one million nurses by the year 2020, a number that is sure to skyrocket if health care reform brings millions of uninsured people into the health care system. The Committee directs HRSA and DOL to jointly establish a strategic plan to address emerging needs in the health care sector through a joint DOL-HRSA interagency task force. State Health Access Grants: $75,000,000, which maintains the comparable fiscal year 2009 level and is the same as the budget request. A second year of grants for this new program is an important transition to national health care reform. States can use this funding to expand coverage for subgroups of their population to test ideas before a national coverage system takes effect. National Institutes of Health (NIH): $31,258,788,000, which is $941,764,000 above the comparable fiscal year 2009 level and $500,000,000 above the budget request. Along with the unprecedented $10,400,000,000 provided for NIH in the Recovery Act for fiscal years 2009 and 2010, these funds will make it possible for biomedical research to improve health and reduce health care expenditures. NIH research will help doctors move away from today's costly and predominantly curative model to a presumptive model intervening before disease occurs. Further, NIH research will enhance the quality of health care as health system reform addresses universal access to it. Public Health: $6,681,895,000 for the discretionary public health programs administered by the Centers for Disease Control and Prevention (CDC), which is $67,294,000 more than the fiscal year 2009 program level and $38,435,000 more than the budget request. Increases are provided for a number of CDC programs, including: a $53,054,000 increase to support testing of up to 600,000 persons for HIV and to link HIV positive individuals with health services; a $13,982,000 increase to ensure continued collection of accurate core data on the health status of the U.S. population and the use of health services in order to gauge the success of health systems reform; an $11,102,000 increase for public health research and surveillance to reduce the approximately 170,000 deaths per year in the U.S. caused by infectious disease; a $10,149,000 increase for global immunization, which CDC estimates will lead to 25,000 fewer global measles- related deaths in fiscal year 2010; and, a $7,500,000 increase to double CDC's Climate Change initiative. Mental Health Services: $1,008,182,000 for mental health services programs administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), which is $39,030,000 more than the fiscal year 2009 program level and $22,363,000 more than the budget request. Increases are provided for a number of mental health services programs, including: a $16,943,000 increase for Children's Mental Health to provide 11,000 additional children who have mental, emotional, and behavioral disorders with community- based care and supports; an $8,360,000 increase for State homelessness grants to provide an estimated 11,000 additional homeless and seriously mentally ill individuals with community-based support services; and, a $7,000,000 increase to double an initiative that integrates primary and behavioral health care for an estimated three million Americans with severe mental illnesses. Substance Abuse Prevention and Treatment: $2,440,099,000 for substance abuse prevention and treatment programs administered by SAMHSA, which is $46,163,000 more than the fiscal year 2009 program level and $3,193,000 more than the budget request. Increases are provided for SAMHSA's criminal justice portfolio, as follows: a $35,000,000 increase for treatment drug courts to provide 5,200 additional individuals involved in juvenile, family, or adult drug courts with needed substance abuse treatment and recovery support services, including the provision of social services for an estimated 870 children with methamphetamine-addicted parents; and a $15,000,000 increase for the ex-offender re-entry program to provide 1,800 additional ex-offenders with substance abuse treatment services upon their return to the community. Healthcare-Associated Infections (HAIs): $203,533,000 to continue an aggressive campaign to dramatically reduce these life-threatening infections that patients acquire while receiving treatment for medical or surgical conditions. This amount is a $33,848,000 increase over the fiscal year 2009 level and $22,746,000 over the request. HAIs are among the top ten leading causes of death in the U.S., accounting for nearly 100,000 deaths, 1.7 million infections, and $28,000,000,000 to $33,000,000,000 in excess healthcare costs annually. The Committee bill includes $5,000,000 for the Department of Health and Human Services (HHS) Office of the Secretary to coordinate and integrate HAI-related activities across the Department and continue a national media campaign for health care providers and consumers launched in fiscal year 2009. New activities funded in this bill include increases of $17,696,000 in AHRQ for nationwide implementation of evidence-based HAI prevention training in over 5,000 hospitals and $5,050,000 in CDC to expand the National Healthcare Safety Network for increased HAI surveillance in hospitals. An $11,102,000 increase is provided for CDC's emerging infectious diseases portfolio, which includes HAIs, for expanded surveillance, public health research, and prevention activities. Finally, an increase of $53,772,000 over fiscal year 2009 is provided within Centers for Medicare and Medicaid Services (CMS) for enhanced State inspections in nursing homes and other medical facilities where HAI's are rising, giving inspectors greater opportunities to identify infection control problems. The Committee also directs CMS to include additional infection control measures in Hospital Compare and its ``pay for performance'' and ``pay for reporting'' systems. Protecting Vulnerable Populations Although some people in this country may be doing well, it is clear that many others are falling behind. The economic climate has made an already challenging situation worse for American families. Before the economic downturn, in 2007, over 37 million people in the U.S. lived in poverty, including 13 million children. In prior recessions the number of people living in poverty has significantly increased. If this recession is like previous ones--and all indications are that this recession is the worst in three-quarters of a century--the number of people living in poverty could increase by over 25 percent, which would leave almost 50 million people living in poverty. This will put added stress on families caring for young children and aging parents. Currently 14 million children are left home alone after school to care for themselves, while 26 percent of individuals over age 60 live alone. The Committee bill sustains critical support for America's most vulnerable families, makes investments in high quality early childhood education, and increases services for an aging population: Low Income Home Energy Assistance (LIHEAP): $5,100,000,000 to ensure that approximately 7.5 million low-income households continue to receive the home energy assistance they need in a volatile energy market, which is the same as the fiscal year 2009 funding level. The Administration proposed legislation to create a trigger mechanism that would make additional mandatory funding available if energy prices spike. Nonetheless, the Administration's discretionary request would cut LIHEAP by $1,900,000,000, eliminating the number of households receiving assistance by approximately 1.7 million. Head Start: $7,234,783,000 to sustain high- quality, comprehensive early childhood services, including educational, health, nutritional, and social services, to approximately 978,000 low-income children before they enter school, nearly 70,000 over the fiscal year 2008 level. This amount is $121,997,000 above the fiscal year 2009 level and the same as the request. The Recovery Act included $2,100,000,000 for Head Start and Early Head Start. Foster Care Innovation: $20,000,000 for a new initiative to improve outcomes for children in foster care by providing incentives to States to develop evidence-based improvements, which is the same amount as the request. Nutrition and Other Services for Seniors: $1,530,881,000 to boost nutrition, transportation, and other supportive services for elderly Americans, which is $37,038,000 above the fiscal year 2009 funding level and the budget request. This funding will support nearly 239 million meals to 2.5 million seniors, an increase of approximately three million meals. The Recovery Act provided $100,000,000 for senior nutrition. Reducing the Need for Abortion The Committee includes $7,839,336,000 for programs that may help reduce the number of abortions in America by alleviating the economic pressures and other real life conditions that can sometimes cause women to decide not to carry their pregnancies to term. This amount is $134,848,000 over the fiscal year 2009 funding level and $61,207,000 over the budget request. The Committee's recommendation includes $114,455,000 for a new evidence-based teenage pregnancy prevention initiative in the HHS Administration for Children and Families to address a rise in teenage births, following a 34 percent decline between 1991 and 2006. The overwhelming majority of teenage pregnancies are unplanned; therefore, reducing the incidence of teenage pregnancy can have untold individual and societal benefits, including reducing poverty, improving education outcomes, improving child well-being, and reducing the need for abortions. REDUCING THE NEED FOR ABORTIONS [Dollars in Thousands] ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- FY 2010 ------------------------------------- Budget Activity Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Department of Labor: Young Parents Training Pilot Program............... 5,500 +500 +5,500 Transitional Jobs.................................. 35,000 +35,000 -15,000 -------------------------------------------------------- Subtotal Department of Labor........................... 40,500 +35,500 -9,500 Department of Health and Human Services: Health Resources and Services Administration: Community Health Centers....................... 2,190,022 0 0 Maternal and Child Health Block Grant.......... 665,000 +2,879 +2,879 Increasing Public Awareness and Resources 4,956 0 0 For Women Preparing for Birth [nonadd].... Healthy Start.................................. 105,000 +2,628 +2,628 Family Planning (Title X)...................... 317,491 +10,000 0 Centers for Disease Control and Prevention: Teen Pregnancy Prevention...................... 15,800 +5,000 0 Administration for Children and Families: Child Care Development Block Grant............. 2,127,081 0 0 Runaway and Homeless Youth..................... 98,234 +1,000 +1,000 Prevention Grants to Reduce Abuse of Runaway 18,721 +1,000 +1,000 Youth......................................... Home Visitation Program........................ 15,000 +1,500 +1,500 Infant Adoption Awareness...................... 12,953 0 0 Community Services Block Grant................. 700,000 0 0 Family Violence Prevention Program............. 133,776 +6,000 +6,000 Teen Pregnancy Prevention/Abstinence Education. 114,455 +15,341 0 Office of the Secretary: Adolescent Family Life (Title XX).............. 29,778 0 0 Health Provider Domestic Violence Education.... 2,325 0 +1,700 -------------------------------------------------------- Subtotal Department of Health & Human 6,545,636 +45,348 +16,707 Services.................................. Department of Education: 21st Century After School Centers.................. 1,181,166 +50,000 +50,000 Elementary and Secondary School Counselors......... 55,000 +3,000 +3,000 Child Care Access for Student Parents.............. 17,034 +1,000 +1,000 -------------------------------------------------------- Subtotal Department of Education........... 1,253,200 +54,000 +54,000 -------------------------------------------------------- Total.................................. 7,839,336 +134,848 +61,207 ---------------------------------------------------------------------------------------------------------------- \1\The Administration's fiscal year 2010 budget also includes a legislative proposal for a new mandatory Home Visitation Program. Education investments The Condition of Education, 2009, shows that the country has made some progress in educational achievement, particularly for younger students, but significant challenges remain in educating a growing and increasingly diverse student population. Our nation must create a public school system-- enrolling more than 50 million students in 2009 and growing to nearly 54 million students by 2018--that adequately prepares its students for college and careers. Current statistics indicate, however, that approximately 1.2 million students fail to graduate from high school every year, destined for dead end jobs with daunting odds of success in a challenging labor market that rewards higher-order skills. In today's economy, a college degree matters more than ever before. Young adults with a bachelor's degree earn about twice as much as those who do not earn a high school diploma. Although college enrollment rates increased from 1972 to 2007 for students at all income levels, the nation has yet to achieve the goal whereby a student's brain, rather than bank account, is the only determinant of whether he or she can obtain a postsecondary education. Today, a low-achieving student from a wealthy family has about the same chance of attending college as a high-achieving student from a poor family. Moreover, for the country to remain a global competitor not only must low- and middle-income students enroll in college at higher rates, they must also actually complete their education and earn a college degree. In 2007, only 58 percent of college students earned a degree within six years. The country is falling behind its global competitors regarding college completion, having dropped from number two in the world to number eleven. The Committee believes that the Department of Education has a critical and compelling mission--to ensure that all Americans have the educational opportunity that is our most powerful tool in helping the poor and middle class climb up the economic ladder. The under-utilization of the human potential in the United States imposes heavy consequences on our society--lower productivity, lower earnings, poorer health, higher rates of incarceration, and less civic involvement. Key investments in this bill include: Title I Grants for Low-Income Children: $14,492,401,000 for Title I grants to school districts, which restores the proposed $1,500,000,000 cut to the program, in order to ensure that approximately 20 million disadvantaged children in nearly 55,000 public schools obtain the educational skills they need to compete in a global economy. The Recovery Act provided $10,000,000,000 for Title I eligible schools. School districts may use any portion or all of these funds to support early childhood education activities and, thus, the bill does not include a separate funding stream for early childhood programs requested by the Administration. School Improvement: $545,633,000 for assistance to approximately 13,000 schools across the country with chronically poor academic performance, which is the same as the fiscal year 2009 funding level. With the funds in this bill and Recovery Act funds, States will receive approximately $4,000,000,000 in total during fiscal year 2010 to assist these struggling schools. Teacher Incentive Fund: $445,864,000 for the Teacher Incentive Fund (TIF), which supports school districts and States that aim to reward effective teaching through compensation systems that reward entire high-need schools for raising student achievement. This amount is $348,594,000 above the fiscal year 2009 funding level and $41,406,000 below the budget request. The Recovery Act provided $200,000,000 for the Teacher Incentive Fund. Charter Schools: $256,031,000 to support the start-up of over 1,300 new charter schools in fiscal year 2010. This amount is $40,000,000 above the fiscal year 2009 funding level and $12,000,000 below the budget request. The bill also includes new accountability measures to ensure that charter schools are successful. Striving Readers: $146,000,000 for Striving Readers, which is more than a four-fold increase over the fiscal year 2009 funding level, to help struggling adolescents build their literacy skills, start a new early reading comprehensive initiative, and improve the integration of reading initiatives across the Department. High School Graduation Initiative: $50,000,000 for a new High School Graduation Initiative to target assistance on high school ``dropout factories''--schools that disproportionately contribute to the nation's dropout crisis, as proposed by the Administration. Individuals With Disabilities Act: the Committee provided a historic $11,300,000,000 for part B Grants to States in the Recovery Act to support a high quality education for 6.7 million students with disabilities. These funds, together with the $11,505,211,000 in this bill, will support a record 25 percent Federal contribution toward special education in each of fiscal years 2009 and 2010. This bill provides the same amount for Part B Grants to States that is requested by the Administration. Adult Education: $628,221,000 for Adult Basic Literacy Education State Grants, which is $74,099,000 above the fiscal year 2009 funding level and the same as the budget request. These State formula grants will enable over three million adults to acquire basic literacy skills, complete a secondary education, and become more employable, productive, and responsible citizens--316,000 more than in fiscal year 2009. Pell Grants: in fiscal year 2009, the Committee led the effort to provide an historic $619 increase in the maximum Pell award, to $5,350. Pell Grants are the foundation of the Federal commitment to ensure access to higher educational opportunities for low- and middle-income students by providing need-based financial assistance that helps them pay for college costs. This bill maintains the discretionary portion of the maximum Pell Grant award at $4,860, which, combined with a mandatory supplement of $690, will support a $5,550 maximum Pell Grant in fiscal year 2010, an increase of $200 over the 2009 award level. In total, 7.6 million students will receive Pell awards. The Recovery Act provided $17,114,000,000 for Pell Grants. Support for Developing Institutions: $652,943,000 to strengthen the capacity of Historically Black and Predominantly Black Colleges and Universities, Hispanic-serving Institutions, Tribal Colleges and Universities and Native American-serving Institutions, Asian Pacific Islander, and Native American institutions--a 29 percent increase over the fiscal year discretionary funding level and $110,000,000 over the budget request. In addition, the bill provides for $178,221,000 in new loan guarantees for Historically Black College and University facilities--nearly triple the fiscal year 2009 level. TRIO and GEAR UP: $868,089,000 for the TRIO programs and $333,212,000 for GEAR UP to assist approximately 1.7 million disadvantaged and first- generation college students to prepare for, enter, and complete college--an increase of 51,000 students over fiscal year 2009. The Committee investments are $20,000,000 above the fiscal year 2009 funding level and the budget request for each program. Volunteerism and Service to America The Committee strongly supports the President's call for Americans to serve their communities and country by providing a 19 percent increase for implementation of the new Edward M. Kennedy Serve America Act. The bill includes $1,059,016,000 for the Corporation for National and Community Service (CNCS), which is $169,150,000 above the fiscal year 2009 funding level and $90,000,000 below the budget request. This funding, together with Recovery Act funds, will increase the number of AmeriCorps members by 15,000 volunteers, from 74,000 to nearly 89,000, and the number of Senior Corps Volunteers by more than 9,000, from 473,000 to 482,000. In addition, the bill provides funds to support 2,000 students for a new Summer of Service program. Included within the total is an initial investment of $35,000,000 to launch a new Social Innovation Fund that will scale up proven programs and invest in promising new ideas in low-income communities. The Recovery Act provided $201,000,000 for CNCS. Corporation for Public Broadcasting The Committee provides a total of $541,000,000 for the Corporation for Public Broadcasting, which is $51,767,000 more than provided in the Omnibus Appropriations Act, 2009 and $40,000,000 more than the budget request. This amount includes: a fiscal year 2012 advance appropriation of $440,000,000, $36,000,000 for digital conversion grants, and $25,000,000 to complete the public radio satellite replacement and interconnection project. In recognition of the financial challenges confronting more than 1,000 public broadcasting stations in the current economic downturn, one-time fiscal stabilization grants totaling $40,000,000 are included in the bill to forestall layoffs and cutbacks in essential programming. Social Security Administration The Committee is dedicated to helping the Social Security Administration (SSA) address several challenges, including processing a rising number of retirement and disability claims, reducing the backlog of disability claims, and improving service to the public. Thus, the bill includes an $11,446,500,000 limitation on administrative expenses for SSA, which provides a $993,000,000 increase over the fiscal year 2009 funding level and is the same as the budget request. The Recovery Act provided $1,000,000,000 for SSA. Significant Policy Provisions The bill continues all prior restrictions on the use of funds in the Act for abortion. The bill continues a prohibition on the use of funds in the Act for research that creates or destroys human embryos. The bill continues a prohibition on the use of funds in the Act to process Social Security Benefits based on a fraudulent Social Security number. The bill includes a prohibition on the use of funds to implement a Social Security totalization agreement with Mexico. The bill includes a prohibition on the use of funds that contravene the 1996 Personal Responsibility and Work Opportunity Reconciliation Act. The bill includes a provision that prohibits the use of funds in the Act for needle exchange programs that are located within 1,000 feet of a public or private day care center, elementary school, vocational school, secondary school, college, junior college, or university, or any public swimming pool, park, playground, video arcade, or youth center, or an event sponsored by any such entity. Bill Total Total funding, including offsets, for the Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2010 is $730,460,039,000. For comparability, adjustments should be made for LIHEAP, which was funded in the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009. In addition, there is a one-time Project BioShield Special Reserve Fund transfer in the fiscal year 2010 budget request and the Committee bill. Adjustments to Discretionary Spending Limits.--The budget resolution allows for upward adjustments totaling $2,746,000,000 to the Subcommittee's discretionary allocation as follows: $846,000,000 for making investments in the program integrity activities related to unemployment insurance, Medicare and Medicaid, and Social Security benefits and $1,900,000,000 to provide funding for LIHEAP above the discretionary fiscal year 2010 budget request since a mandatory trigger has not been enacted. The discretionary funding totals listed here and detailed throughout the Committee report include this additional funding. After deducting these cap adjustments and making the LIHEAP comparability adjustment, the fiscal year 2010 discretionary total for the Committee bill is $5,604,836,000 and 3.6 percent more than the comparable fiscal year 2009 funding level. Discretionary programs.--For discretionary accounts for fiscal year 2010, the bill provides $163,400,000,000, including offsets. This is $10,652,508,000 above the fiscal year 2009 comparable funding level. For comparability, an adjustment should be made for LIHEAP, which was funded in the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009. After the LIHEAP adjustment, the fiscal year 2010 discretionary total for the Committee bill is $7,872,836,000 and 5.1 percent more than the comparable fiscal year 2009 funding level. Mandatory programs.--The bill provides $567,060,039,000 for mandatory programs in fiscal year 2010. This is $48,292,012,000 and 9.3 percent above the fiscal year 2009 comparable level. Funding requirements for entitlement programs are determined by the basic authorizing statutes. Mandatory programs include general fund support for the Medicare and Medicaid programs, Supplemental Security Income, Trade Adjustment Assistance, and Black Lung payments. The following chart indicates the funding levels for the major mandatory programs in fiscal years 2009 and 2010. MANDATORY [Dollars in thousands] ---------------------------------------------------------------------------------------------------------------- Program Fiscal year 2009 Fiscal year 2010 Change ---------------------------------------------------------------------------------------------------------------- Department of Labor: Federal Unemployment Benefits and Allowances....... $958,800 $1,818,400 +$859,600 Advances to the UI and other trust funds........... 422,000 120,000 -302,000 Special Benefits................................... 163,000 187,000 +24,000 Special Benefits for Disabled Coal Miners.......... 188,130 169,180 -18,950 Energy Employees Occupational Illness Compensation 49,654 51,197 +1,543 Fund.............................................. Black Lung Disability Trust Fund................... 2,822,683 300,099 -2,522,584 Department of Health and Human Services: Vaccine Injury Compensation Trust Fund............. 113,115 115,908 +2,793 Energy Employees Occupational Illness Compensation 55,358 55,358 0 Fund.............................................. Medicaid current law benefits...................... 241,748,640 276,957,508 +35,208,868 Medicaid State and local administration............ 12,021,152 12,381,233 +360,081 Vaccines for Children.............................. 3,377,911 3,323,770 -54,141 Medicare Payments to Healthcare Trust Funds........ 197,744,000 207,296,070 +9,552,070 Welfare Payments................................... 34,000 34,000 0 Child Support Enforcement.......................... 4,282,699 4,537,509 +254,810 Social Services Block Grant........................ 1,700,000 1,700,000 0 Promoting Safe and Stable Families................. 345,000 345,000 0 Payments for Foster Care and Permanency............ 5,409,000 5,532,000 +123,000 Medical Benefits for Commissioned Officers......... 434,694 474,557 +39,863 Department of Education: Vocational Rehabilitation.......................... 2,974,635 3,084,696 +110,061 Related Agencies: Federal Payments to the Railroad Retirement Account 150 150 0 Payments to Social Security Trust Funds............ 20,406 20,404 -2 Supplemental Security Income....................... 42,065,000 46,700,000 +4,635,000 ---------------------------------------------------------------------------------------------------------------- TITLE I--DEPARTMENT OF LABOR The Committee recommends a discretionary program level total of $13,256,746,000, which is $845,737,000 more than the fiscal year 2009 funding level and $22,871,000 below the budget request. More than half of the increase above fiscal year 2009--a total of $423,500,000--is to enable States to process millions of additional unemployment claims. The substantial funding increase is a necessary response to unemployment levels that have doubled since the onset of the recession in December 2007. In addition, the Recovery Act provided a total of $4,806,000,000 in discretionary funding for workforce development programs, community service opportunities for seniors, and unemployment services operations. The Committee commends the Administration for renewing the Department's commitment to workforce development and workforce protection by focusing additional funds on these core priorities. As the nation begins to deal with the worst economic downturn since the Great Depression, the Department of Labor will play an integral role in the economic recovery by providing job training or employment services for nearly 20 million workers; offering apprenticeships, mentoring and career training for 350,000 low-income and at-risk youth; overseeing and enforcing health and safety standards in the workplace for 137 million private-sector workers and 10 million public-sector workers; and protecting retirement and health benefits for more than 150 million workers, retirees and their families. Employment and Training Administration TRAINING AND EMPLOYMENT SERVICES (INCLUDING TRANSFER OF FUNDS) The Committee recommends $3,802,961,000 for this account, which provides funding authorized primarily by the Workforce Investment Act of 1998 (WIA). This amount is $176,513,000 above the fiscal year 2009 funding level and $30,602,000 below the budget request. The increase above fiscal year 2009 provides a strong response to the deep economic downturn by boosting the national reserve fund that cushions local communities against the effects of mass layoffs; increasing funds to train at-risk youth that are disproportionally affected by recent job losses; and initiating a program to train workers for careers in the emerging green energy sector. These targeted investments are necessary to support the ongoing economic recovery and to provide a foundation for stable and long-term economic growth. The Recovery Act provided an additional $3,950,000,000 for workforce training activities in the Training and Employment Services account in program years 2008 and 2009. The Training and Employment Services account is comprised of programs that enhance the employment and earnings of those in need of such services, operated through a decentralized system of skill training activities and related services. The account is mostly forward-funded on a July to June program cycle, with funds provided for fiscal year 2010 supporting activities from July 1, 2010, through June 30, 2011. The Committee repeats a provision allowing local boards to transfer up to 30 percent of funds made available for dislocated workers and adult activities between these funding streams, upon approval by the Governor. The Committee also includes a provision from the Recovery Act that provides flexibility for workforce investment boards to use Adult and Dislocated Worker formula funds to award contracts to institutions of higher education and other eligible training providers. Adult Employment and Training Activities For Adult Employment and Training Activities, the Committee recommends $861,540,000, which is the same amount as the fiscal year 2009 funding level and the budget request. Of the amount recommended, $712,000,000 will become available on October 1, 2010. The Recovery Act provided an additional $500,000,000 for adult training in program years 2008 and 2009. These funds are allocated by formula to States and further distributed to local Workforce Investment Boards. Services for adults are provided through the One-Stop Career Center system and most customers receiving training use individual training accounts to determine which programs and providers fit their needs. WIA authorizes core services available to all adults with no eligibility requirements and intensive and training services for unemployed individuals who are not able to find jobs through core services alone. Dislocated Worker Employment and Training Activities For Dislocated Worker Employment and Training Activities, the Committee recommends $1,398,891,000, which is $57,000,000 above the comparable fiscal year 2009 funding level and $14,109,000 below the budget request. Of the amount recommended, $1,060,000,000 will become available on October 1, 2010. Of the total, $1,183,840,000 is designated for State formula grants that provide core and intensive services, training, and supportive services for dislocated workers. In addition, States use these funds for rapid response assistance to help workers affected by mass layoffs and plant closures. The Recovery Act provided an additional $1,450,000,000 for these grants in program years 2008 and 2009. The Committee recommendation includes $215,051,000 for the Dislocated Worker Assistance National Reserve, which is $57,000,000 above the comparable fiscal 2009 level and $14,109,000 below the budget request. The National Reserve supports National Emergency Grants to respond to mass layoffs, plant and/or military base closings, and natural disasters, since the need for such funds cannot be anticipated in formula allocations. National Reserve funds also support Statewide and multiple sector activities, as well as technical assistance and pilot and demonstration projects. The Committee recommends that these activities be coordinated with area economic development needs. According to the Bureau of Labor Statistics (BLS), more than 500,000 workers lost their jobs in the first three months of 2009 due to mass layoffs. A mass layoff occurs when at least 50 workers are separated from a single employer. Since BLS began tracking this data in 1996, the mass layoffs are the worst ever recorded in the first quarter--including all-time highs in each of the four regions of the country. The Committee recognizes that many economic sectors, including manufacturing, will continue to experience mass layoffs even after the economy begins to recover. This bill increases the Dislocated Worker National Reserve by nearly 30 percent to provide necessary resources for displaced workers to receive job training for careers in emerging and high-growth industries. As in prior years, the bill provides that dislocated worker funds available under section 171(d) may be used for demonstration projects that provide assistance to new entrants in the workforce and incumbent workers. Youth Employment and Training Activities For Youth Employment and Training Activities, the Committee recommends $924,069,000, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $1,200,000,000 for youth activities, including summer employment, in program years 2008 and 2009. WIA consolidated the Summer Youth Employment and Training Program and Youth Training Grants under the Job Training Partnership Act into a single youth training activity. The funds are allocated by formula to States and further distributed to local workforce investment areas in accordance with WIA. Youth funds are made available one quarter earlier than the adult and dislocated worker funds to allow for summer jobs programming. Native Americans For the Indian and Native Americans Program, the Committee recommends $52,758,000, which is the same as the fiscal year 2009 funding level and the budget request. This program, authorized by WIA, is designed to improve the economic well being of Native Americans (Indians, Eskimos, Aleuts, and Native Hawaiians) through the provision of training, work experience, and other employment-related services and opportunities that are intended to aid the participants in securing permanent, unsubsidized jobs. The Department of Labor allocates formula grants to Indian tribes and other Native American groups whose eligibility for such grants is established in accordance with Department regulations. Migrant and Seasonal Farmworkers For the National Farmworkers Jobs Program (NFJP), the Committee recommends $84,620,000, which is $2,000,000 above the fiscal year 2009 funding level and the budget request. Authorized by WIA, this program is designed to serve members of economically disadvantaged families whose principal livelihood is derived from migratory and other forms of seasonal farm work, fishing, or logging activities. Enrollees and their families are provided with training and related services intended to prepare them for stable, year-round employment within and outside of the agriculture industry. The Committee continues language providing that not less than 70 percent of program funds be spent on employment and training services, together with language that prohibits the Department from restricting the provision of ``related assistance'' services by grantees. These provisions ensure that the program primarily addresses the employment and training needs of the target population while allowing grantees to provide related services, such as child care and transportation, that are often critical to the stabilization and availability of the farm labor workforce. Within the amount provided, the Committee bill includes $5,500,000 for migrant and seasonal farmworker housing grants and $510,000 for other discretionary purposes, which include training and technical assistance, and migrant rest center activities. The bill further directs that not less than 70 percent of the amount provided for housing grants be used for permanent housing. The Committee remains interested in the use of funds for temporary housing and the conditions under which these funds are used. The Committee directs the Department of Labor to submit a summary report for the last complete program year, and quarterly reports thereafter, to the Committees on Appropriations of the House of Representatives and the Senate documenting the use of farmworker housing funds. In particular, the Department should provide information on the amount of funds used for permanent and temporary housing activities, respectively; a list of the communities served; a list of the grantees and the States in which they are located; the total number of individuals and families served; and a list of allowable temporary housing activities. YouthBuild For YouthBuild, the Committee recommends $100,000,000, which is $30,000,000 above the fiscal year 2009 funding level and $14,476,000 below the budget request. The Recovery Act provided an additional $50,000,000 to expand the number of YouthBuild grantees in program years 2009 and 2010. YouthBuild is an approach to workforce development that supports disadvantaged young people at risk of long-term unemployment, and effectively connects them with basic, secondary, and post-secondary education; employment training and job placement; and personal counseling. Participants split time between the classroom and the construction site--earning high school diplomas while providing a valuable community service by constructing or rehabilitating affordable housing in their communities. YouthBuild grants are awarded on a competitive basis. However, the Committee believes continuity in funding is important for the long-term stability of the YouthBuild program and encourages the Department to consider three-year grants instead of the current policy of two-year grants. In June 2009, the Labor Department announced grants to 183 YouthBuild communities across the country, including 50 grantees receiving awards for the first time. The awards included 108 grants funded through the Omnibus Appropriations Act, 2009, and another 75 grants funded through the Recovery Act. The Committee bill includes sufficient funding in fiscal year 2010 to provide continuation grants for each of the 183 grantees and also allows for the provision of additional YouthBuild awards, expanding the program to serve nearly 7,000 youth. The YouthBuild program is conducting a rigorous nationwide evaluation of program year 2009 grantees and the Committee looks forward to receiving the results of the evaluation. The Committee bill permanently extends a provision that allows YouthBuild grantees to serve youth who have dropped out of school and re-enrolled in an alternative school. Women in Apprenticeship and Non-Traditional Occupations For the Women in Apprenticeship and Non-Traditional Occupations program, the Committee recommends $1,000,000, which is the same as the fiscal year 2009 funding level and the budget request. This program finances grants to employers, unions, and community-based organizations in support of activities to train, retrain, and place women in non- traditional jobs and occupations so as to provide expanded access to careers with family-sustaining wages. National Activities Pilots, Demonstrations and Research.--The Committee recommends $66,990,000 for grants or contracts to conduct research, pilots, or demonstrations that improve techniques or demonstrate the effectiveness of programs. This is $18,209,000 above the fiscal year 2009 funding level and $9,490,000 above the budget request. These funds are made available from April 1, 2010 through June 30, 2010 to accommodate those youth programs that include a summer component. Within the amount provided, the Committee bill designates $35,000,000 for a new competitive grant program to provide Transitional Jobs activities. Combined with $15,000,000 in the Reintegration of Ex-Offenders account, the total allocation for Transitional Jobs is the same as the budget request. Transitional Jobs programs are a proven employment strategy for workers with substantial barriers to entering the workforce. In addition, these programs have the potential to lower costs to local and State governments by reducing recidivism rates among ex-offenders, decreasing reliance on public assistance, and boosting tax receipts from participants that are able to maintain unsubsidized employment. An analysis conducted for the State of New York by the Fiscal Policy Institute estimated that cost savings for the State equaled more than $100,000,000 over three years after subtracting the State's initial funding investment in Transitional Jobs programs. The Committee also supports the Administration's intention to focus assistance on non-custodial parents and directs the Department of Labor to consult with the Department of Health and Human Services' Administration for Children and Families in designing the grant competition and awarding grants. In addition, the Committee stipulates that a sufficient portion of these funds shall be used for an evaluation of the program and directs the Secretary to consult with the Administration for Children and Families in designing and implementing the evaluation. Within the amount provided, the Committee also designates $5,500,000 to continue the Young Parents Demonstration Program. This set-aside was initiated in fiscal year 2008 in order to provide young parents (both mothers and fathers) and expectant mothers ages 16 to 24 with occupational skills training, education, and supportive services leading to family economic self-sufficiency. The Committee directs that the Department continue to award these competitive grants based on the criteria outlined in House Report 110-231. The bill includes $24,490,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Access Community Health Network, Chicago, IL for a $400,000 job training initiative............................. Alabama Institute for the Deaf and Blind, Talladega, 200,000 AL for an employer training and job development initiative.......................................... Arkansas State University--Beebe, Searcy, AR for a 200,000 training program for employment in the natural gas industry............................................ Atlanta Christian College, East Point, GA, for 350,000 curriculum development.............................. Beth Medrash Govoha, Lakewood, NJ for a job training 150,000 initiative.......................................... Brevard Workforce Development Board, Rockledge, FL 1,000,000 for a job training initiative....................... Bridge to Independence & Career Opportunities, 100,000 Danbury, CT for job training and job placement...... Bristol Community College, Fall River, MA for job 100,000 placement services for veterans..................... Bucks County Community College, Newtown, PA for the 600,000 Renewable Energy Academy............................ Campbellsville-Taylor County Industrial Development 500,000 Authority, Campbellsville, KY for a job training initiative.......................................... Center for Employment Training, San Jose, CA for 350,000 training dislocated workers and out-of-school youth for green jobs...................................... Central Pennsylvania Institute of Science and 250,000 Technology, Pleasant Gap, PA for job training programs............................................ Chicago House and Social Service Agency, Chicago, IL 200,000 for an employment training and transitional jobs program............................................. City of Baltimore, Office of Employment Development, 400,000 MD for its BRAC Employment Preparedness Program..... City of Chesapeake, VA for a job training initiative. 250,000 City of Detroit, MI for its Summer Youth Services 500,000 Program............................................. City of East Palo Alto, CA for workforce training in 600,000 green jobs.......................................... City of Grand Rapids, MI for the Our Community's 350,000 Children job training initiative.................... City of Petersburg, Clearwater, FL for an employment 200,000 readiness program................................... City of Richmond, CA for the Richmond BUILD Pre- 500,000 apprenticeship Construction Skills & Solar Installation Training Program....................... City of St. Petersburg, FL for the Summer Youth 300,000 Internship/Green Workforce Readiness Training Program............................................. City of West Palm Beach, FL for its Youth Empowerment 400,000 Centers............................................. Closing the Digital Gap, Lansing, MI for a computer- 250,000 based job training initiative....................... Coastal Enterprises, Inc., Wiscasset, ME to launch 250,000 the CEI Green Business Investment and Job Creation Initiative.......................................... Columbia Gorge Community College, The Dalles, OR to 350,000 develop a renewable energy training program, including purchase of equipment..................... Community Learning Center, Inc., Ft. Worth, TX for a 500,000 job training initiative............................. Conservation Corps of Long Beach, Long Beach, CA for 225,000 a job training program for at-risk youth............ Covenant House Florida, Fort Lauderdale, FL for job 550,000 readiness training.................................. Cypress Mandela Training Center, Inc., Oakland, CA 275,000 for pre-apprentice construction training for solar and green jobs...................................... Danville Community College, Danville, VA for training 100,000 at its Wood Products Advanced Manufacturing Lab..... Davinci Center for Community Progress, Providence, RI 200,000 for workforce education and training................ DaytonDefense, Beavercreek, OH for a job training 300,000 initiative.......................................... Des Moines Area Community College, Ankeny, IA for 350,000 dislocated worker training and job placement in financial services, health care and construction.... Digital Workforce Academy, Austin, TX for a job 300,000 training initiative................................. Duke Media Foundation, Hollywood, CA for career 100,000 exploration and training for at-risk youth for jobs in filmmaking....................................... Easter Seals Arc of NE Indiana, Ft. Wayne, IN for a 100,000 job training program for adults with disabilities... Fighting Back Partnership, Vallejo, CA for workforce 250,000 recidivism services for state parolees to reduce recidivism.......................................... Filipino-American Service Group, Los Angeles, CA for 250,000 case management and job training for homeless individuals......................................... Fordham Bedford Children's Services, Bronx, NY for 100,000 job placement, training, and workforce development.. Germanna Community College, Fredericksburg, VA for 100,000 nursing curriculum development...................... Give Every Child A Chance, Manteca, CA for employment 500,000 mentoring........................................... Guadalupe Centers, Inc., Kansas City, MO for its 200,000 Culinary Arts Institute job training and employment program............................................. HARBEL Community Organization, Baltimore, MD for 250,000 unemployed and underemployed individuals............ Hard Hatted Women, Warren, OH for the Tradeswomen 200,000 TOOLS program....................................... Highline Community College, Des Moines, WA for a 250,000 workforce training, education, and outreach initiative.......................................... Homeboy Industries, Los Angeles, CA for solar panel 300,000 installation training and certification for at-risk young individuals in Los Angeles.................... Hopkins House, Alexandria, VA for workforce 250,000 development and training in early childhood education........................................... IndependenceFirst, Milwaukee, WI to provide 100,000 employment support services to persons with disabilities........................................ Innovative Productivity, Inc., Louisville, KY for a 150,000 job training initiative............................. Jacksonville Center for the Arts, Floyd, VA for 150,000 workforce training.................................. JobPath, Inc., Tucson, AZ for underserved adults job 200,000 training............................................ Johnstown Area Regional Industries, Inc., Johnstown, 200,000 PA for its workforce development program............ Lansing Community College, Lansing, MI for a job 420,000 training initiative focused on alternative automotive technologies............................. Living Classrooms of the National Capital Region, 350,000 Washington, DC for its youth workforce development program............................................. Los Angeles Community College District/Valley 300,000 College, Valley Glen, CA for workforce development in energy efficiency and green technology fields.... Macomb Community College, Warren, MI for training 550,000 displaced workers in the aerospace and defense industries.......................................... MAGNET, Cleveland, OH for veterans workforce 200,000 development, training, and job placement in the manufacturing industry.............................. Make the Road New York, Brooklyn, NY for English 200,000 language and economic literacy training in low- income, primarily immigrant communities............. McHenry County, Woodstock, IL for short-term 250,000 occupational training............................... Metropolitan Community Colleges, Kansas City, MO for 500,000 its Sustainability Training Center.................. Michigan Works, Benton Harbor, MI for the basic 250,000 workforce transformation program.................... National Center for Family Literacy, Louisville, KY 100,000 for integration of career awareness and job readiness activities into a family literacy program. National Council of Negro Women, Washington, DC for a 350,000 job readiness, life skills, and training program for disadvantaged women................................. Northern Marianas Trade Institute, Saipan, MP for 200,000 vocational and technical training programs.......... Ocean Bay Community Development Corporation, Averne, 100,000 NY for a workforce preparation program for youth and young adults residing in public housing............. Oklahoma City Community College, Oklahoma City, OK 200,000 for a veterans job training initiative.............. People for the Parks, Venice, CA for a program to 165,000 train at-risk youth to maintain and operate sustainable parks................................... San Jacinto College, Pasadena, TX for purchase of 350,000 equipment........................................... Southeastern Louisiana University, Hammond, LA for a 150,000 workforce development initiative.................... Southwest Virginia Community College, Richlands, VA 400,000 for green jobs training in rural communities........ St. Nicholas Neighborhood Preservation Corporation, 150,000 Brooklyn, NY for a workforce development center..... Summit Academy OIC, Minneapolis, MN for a program 400,000 focused on weatherization technician training and residential energy auditing......................... Tulane University, New Orleans, LA for a community 250,000 health worker training program...................... UMWA Career Centers, Inc., Washington, PA for its 550,000 mine worker training and employment programs........ University of West Florida, Pensacola, FL for the 450,000 Hometown Heroes Reach Out and Raise Hope program.... Upper Rio Grande Workforce Solutions, El Paso, TX for 200,000 its Rural Initiatives Program....................... Vanguard Services Unlimited, Arlington, VA for a 250,000 comprehensive vocational counselor training project. Wake Technical Community College, Raleigh, NC for job 400,000 training in the computer simulation and green automotive technologies industries.................. West Los Angeles College, Culver City, CA for the 600,000 Pathways to 21st Century Careers program............ Workforce Services Unlimited, Inc., Circleville, OH 350,000 for a job training initiative....................... WRTP/BIG STEP, Milwaukee, WI for workforce skills 100,000 training to match needs in the construction, manufacturing and healthcare sectors................ Youngstown Neighborhood Development Corporation, 305,000 Youngstown, OH for its Youngstown Grey to Green Initiative to provide training in green jobs........ Youth Radio, Oakland, CA for training of at-risk 250,000 youth in media production, digital technology and broadcast engineering............................... ------------------------------------------------------------------------ Reintegration of Ex-offenders.--The Committee recommends $108,493,000 for ex-offender retraining and reintegration activities, which is the same as the fiscal year 2009 funding level and $6,507,000 below the budget request. Within the amount provided, the bill designates that no less than $34,000,000 be used for adult ex-offender activities authorized in the Second Chance Act--including continuation of workforce training grant programs. These funds are in addition to $100,000,000 for Second Chance Act Offender Reentry programs implemented by the Bureau of Prisons in the Department of Justice. Of the funds designated in the Committee bill for adult ex-offender activities, $15,000,000 is provided for a competitive grant program to administer Transitional Jobs activities and related services. The Committee notes that Transitional Jobs programs have been successful in reducing recidivism and removing employment barriers for ex-offenders. A recent MDRC study in New York City found that reincarceration rates decreased by 50 percent for parolees entering a Transitional Jobs program within 90 days of release from prison; and a separate study in Minnesota showed that homeless participants entering a Transitional Jobs program were 41 percent more likely to obtain unsubsidized employment than homeless people not entering a Transitional Jobs program. The Committee directs the Department of Labor to consult with the Department of Justice in awarding these competitive grants. Of the funds provided for youth ex-offender activities, no less than $20,000,000 is included for continuation of fiscal year 2009 awards for national and regional intermediary grants for minority communities. The Committee also designates that full continuation funding of $18,715,000 be provided for program year 2008 planning, state/local implementation, and intermediary reentry grants. In addition, the Committee designates $17,847,000 for the balance of continuation costs for program year 2008 mentoring grants, as specified in the Joint Explanatory Statement for the Omnibus Appropriations Act, 2009. This funding level is sufficient for continuation costs for mentoring grants, as new awards in program year 2009 are two-year grants that will not accrue continuation costs in fiscal year 2010. Evaluation.--The Committee recommends $9,600,000 to provide for the continuing evaluation of programs conducted under the Workforce Investment Act of 1998, as well as evaluation of Federally-funded employment-related activities under other provisions of law. This is $2,682,000 above the fiscal year 2009 funding level and $2,000,000 below the budget request. The Committee agrees with the Administration's focus on rigorous scientific evaluation of ongoing programs. Evaluations are intended to expand the approaches that work best, improve the ones that get mixed-results, and eliminate those that are failing. Denali Commission.--The Administration's fiscal year 2010 budget proposes to eliminate funding for the Denali Commission in the Department of Labor, mirroring a similar termination of funding for the Denali Commission in the Department of Health and Human Services. The Committee adopts this recommendation. The Administration argues that grants provided under this program lack accountability and are duplicative of other programs in the budget. Specifically, the Administration has requested an appropriation of $11,965,000 for the Denali Commission in a separate part of its budget. Green Jobs.--The Committee recommends $50,000,000 for a new competitive grant program that prepares workers for careers in energy efficiency and renewable energy, which is the same as the budget request. The Committee supports this new Administration initiative to fund pre-apprenticeship programs, career pathways, and other gateways for workers to enter careers in green industries and expects the Department of Labor to build on investments made with funds in the Recovery Act. The Recovery Act provided an additional $500,000,000 for similar activities in program year 2009. Green jobs have the potential to substantially increase the standard of living for middle-class workers in the United States. Many green jobs are in construction trades that pay 10 to 20 percent higher wages than other occupations, according to the Bureau of Labor Statistics (BLS). And a significant percentage of green jobs will be located in the manufacturing sector, with a workforce that is more likely to have union representation and full benefits. Moreover, the focus of this grant program is on pre-apprenticeships and job training for careers that promote renewable energy and energy efficiency, thereby reducing the nation's dependence on carbon-based energy and foreign oil. This new initiative is projected to train more than 8,000 workers for careers in the emerging green economy. Career Pathways Innovation Fund.--The Committee recommends $130,000,000 to support a dedicated account for competitive grants for career pathways, which is $5,000,000 above the comparable fiscal year 2009 funding level. The competitive grants for community colleges are intended to prepare workers for careers in high-demand and emerging industries, with flexibility for workers to enter and exit each career pathway at multiple levels. The Committee also includes $5,000,000 for a ``Career Pathways for Adults'' initiative under the Career, Technical and Adult Education Program in the Department of Education to award competitive grants for partnership models between community colleges and local adult education providers. The combined total of $135,000,000 for career pathways programs is the same as the budget request. The Recovery Act also provided $250,000,000 for competitive grants for worker training in high-growth and emerging industries in program year 2009. The Career Pathways Innovation Fund replaces the Community-Based Job Training Grants program, which previously received funding under the Dislocated Worker Assistance National Reserve account. The Administration's fiscal year 2010 budget request proposed to establish the program as its own line item. The Committee adopts this recommendation. Health Care Sector Initiative.--The Committee designates that not less than $65,000,000 of the Career Pathways Innovation Fund shall be for competitive grants that prepare workers for careers in the health care sector, with a focus on nursing professions. BLS produces the most detailed national data available about the supply and demand for health professions. In recent testimony before the Committee, the BLS Commissioner projected that a growing senior population would spur rapid employment growth throughout the health care sector--resulting in three million job openings over the next decade. Within the BLS projection, an estimated 125,000 annual job openings will emerge for certified nurses assistants (CNAs), licensed practical nurses (LPNs) and home health aides. In addition, Congress is considering health reform legislation this year. If millions of currently uninsured Americans gain access to health coverage, the need will increase for all levels of nurses--from CNAs and LPNs to Registered Nurses and Nurse Practitioners. According to the BLS Commissioner, all of these new positions will require at least some postsecondary education or training--precisely the type of positions supported by the Career Pathways Innovation Fund. Both DOL and HRSA provide funding for programs to address the nationwide shortage of nurses and other health professionals. In the past few years, DOL has awarded more than 30 percent of its grants under the High-Growth Job Training Initiative (HGJTI) and the Community-Based Job Training Grants (CBJTG) to programs that train workers for careers in the health care sector; within the total for HGJTI and CBJTG, approximately 60 percent of health care grants were directed to nurse training. Similarly, WIA formula grants for Adult Training and Dislocated Worker Training in program years 2006 and 2007 directed about 30 percent of their grants to careers in the health care sector; within the total for formula grants, approximately 60 percent of health care grants were awarded for nurse training. However, it is clear that DOL has not coordinated its grant programs with HRSA to comprehensively address the growing nationwide shortage of nurses and other health care professionals. For example, the primary recipient of DOL's CBJTG program is the nation's network of community colleges, which also compete for HRSA grants for their RN degree programs; and both DOL and HRSA support career ladder programs for nurses, but don't take advantage of each other's participating constituencies. The Committee feels it is important for DOL and HRSA to work together to build a framework of coordination with their efforts. The Committee directs DOL and HRSA to jointly establish a strategic plan for use of fiscal year 2010 resources and to extend that plan to future years to address emerging needs in the health care sector, particularly in the event of large- scale health care reform. This plan should be drafted by a DOL- HRSA interagency taskforce, to be established by October 1, 2009, with the strategic plan due to the Committees on Appropriations of the House of Representatives and the Senate by April 1, 2010. The taskforce should also include participants from the Departments of Education and Veterans Affairs. The Committee intends that the taskforce continue to meet regularly after the completion of the strategic plan to guide the two agencies' efforts to maximize the impact of their separate programs. Workforce Data Quality Initiative.--The Committee recommends $15,000,000, which is the same as the budget request, for a new initiative to support the development of longitudinal data systems that integrate education and workforce data. The Committee supports the Administration's plan to bolster data-collection infrastructure that will provide high quality information for participants, practitioners and policymakers to more accurately evaluate current workforce training programs. The Committee directs the Department of Labor to collaborate with the Department of Education in designing the competitive grant competition and awarding grants. Quarterly Reports.--The Committee directs the Department of Labor to continue to submit quarterly reports to the Committees on Appropriations of the House of Representatives and the Senate on the status of grants made from H-1B fees, National Emergency Grants (including grants made under the authority for dislocated worker demonstration and pilot projects), High- Growth Job Training Initiative awards from all sources, and awards made for pilot, demonstration, multi-service, research, and multi-State projects. These reports shall be submitted to the Committees of Appropriations of the House of Representatives and the Senate no later than 15 days after the end of each quarter and shall summarize by funding source all grants awarded. Reports shall also include a list of all awards made during the quarter and, for each award, shall include: the grantee; the amount of the award; the funding source of the award; whether the award was made competitively or by sole source and, if sole sourced, the justification; the purpose of the award; the number of workers to be trained; and other expected outcomes. This will allow for continued evaluation of the use of sole source contracting for those remaining grants where the bill does not require competitive procurement. H-1B Training Grants.--The Committee bill continues a provision that requires the Secretary of Labor to award grants for training for employment in high-growth industries on a competitive basis. The bill also continues language that requires that funds available to the Department under the American Competitiveness and Workforce Improvement Act be available only for grants for training in the occupations and industries for which employers use the visas that generate these funds, and that related activities be limited to those necessary to support such training. The Committee does not apply this restriction to multi-year grants awarded prior to June 30, 2007. This permits the Department to fund the obligations made in three rounds of Workforce Innovation in Regional Economic Development (WIRED) grants to States. COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS The Committee recommends $615,425,000 for Community Service Employment for Older Americans. This amount is $43,500,000 above the fiscal year 2009 funding level and $40,000,000 above the budget request. The Recovery Act provided an additional $120,000,000 to increase this formula grant program and provide community service opportunities for an additional 15,000 to 20,000 seniors in program years 2008 and 2009. Authorized by Title V of the Older Americans Act, this program provides grants to public and private nonprofit organizations that subsidize part-time work in community service activities for unemployed persons aged 55 and older whose family's annual income does not exceed 125 percent of the poverty level. According to a report by the Urban Institute, unemployment among adults age 65 and above in 2009 reached its highest recorded level since the Federal government began tracking the statistic in 1948. The Community Service Employment for Older Americans program responds to this crisis by placing low-income seniors in community service positions that are mutually beneficial for seniors and local communities that have been hit hard by the recession. The Committee's recommendation is intended to avoid a drastic reduction in the program slot level as funds from the Recovery Act expire on June 30, 2010. The recommended funding increase in the Committee bill will enable the program to serve more than 5,000 additional seniors, while the overall program will provide community service opportunities for nearly 100,000 low-income seniors in program year 2010. FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES The Committee recommends $1,818,400,000 for Federal Unemployment Benefits and Allowances, which is $859,600,000 above the fiscal year 2009 funding level and the same as the budget request. The Trade Adjustment Assistance program (TAA) provides assistance to certified workers adversely affected by imports or trade with countries covered by the North America Free Trade Agreement, the Andean Trade Preference Act, African Growth and Opportunity Act, or the Caribbean Basin Economic Recovery Act. As part of the Recovery Act, President Obama signed the Trade and Globalization Adjustment Assistance Act of 2009 to reauthorize the TAA program until December 31, 2010. The reauthorization expands eligibility for the program, enhances benefits and services for eligible workers, and increases the cap on funding for State TAA training programs from $220,000,000 to $575,000,000 per year. Funding will provide for the payment of trade adjustment benefit payments, training, job search allowances, relocation allowances and associated administrative costs, and alternative trade adjustment assistance wage supplements. The increase in mandatory funding reflects the Department of Labor's estimate that the program will serve 31,609 more participants in fiscal year 2010 for a total of over 136,975. The continued growth in this program demonstrates the impact of foreign trade on U.S. manufacturing. The Committee is concerned that far greater numbers of individuals are covered by certifications for TAA than receive benefits or services under the program. In order to address the needs of these individuals and their families, the Committee continues to encourage the Department to maximize its outreach to trade-affected workers to ensure that eligible workers learn about the program. STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS The Committee recommends $4,097,056,000 for State Unemployment Insurance and Employment Service Operations, which is $402,191,000 above the fiscal year 2009 funding level and $4,500,000 below the budget request. Included within the total, $4,027,153,000 is from the Employment Security Administration Account in the Unemployment Trust Fund and $69,903,000 is from the General Fund of the Treasury. The funds in this account are used to support the administration of Federal and State unemployment compensation laws and to provide assistance to State agencies that operate the public Employment Service. The Recovery Act provided an additional $400,000,000 for State Unemployment Service Operations in fiscal year 2009. Unemployment Insurance Operations.--For Unemployment Insurance (UI) Operations, the Committee recommends $3,256,955,000, which is $423,500,000 above the fiscal year 2009 funding level and the same as the budget request. The total includes $3,245,645,000 for State operations and $11,310,000 for National Activities. The funds provided for State Operations are available through December 31, 2010. However, funds used for automation acquisitions are available for obligation by the States through September 30, 2012. In June 2009, the unemployment rate reached 9.5 percent as there were nearly 15 million unemployed workers in the United States, according to the BLS. This represents a 97 percent increase in unemployed workers since the beginning of the recession in December, 2007. In addition, a total of 14 states have unemployment rates in the double digits and the Congressional Budget Office estimates that the unemployment rate will average 9.0 percent in 2010. The Committee provides sufficient funds in this bill for States to manage the corresponding increase in the unemployment workload. The recommendation for State UI Operations includes $10,000,000 to conduct in-person reemployment and eligibility assessments in One-Stop Career Centers. An additional $50,000,000 is available for this purpose through a discretionary cap adjustment, as included in the budget request and the Concurrent Resolution on the Budget for Fiscal Year 2010. This recommendation is $10,000,000 above the fiscal year 2009 funding level and the same as the budget request. These assessments are conducted by State employment security agency staff. The Committee concurs with the budget request, which cites that a number of States have already used these assessments to reduce improper payments and speed reemployment. The Committee emphasizes that successful program integrity activities are vital to maintain the public's support for continuing benefits to recipients deserving of assistance. The Committee also urges that program integrity activities be administered in a way that will not adversely affect workers who receive unemployment benefits and, instead, will enhance their knowledge of, and referral to, necessary reemployment services. The bill provides for contingency funding for increased workloads that States may face in the administration of Unemployment Insurance by specifying that an additional $28,600,000 shall be available from the Unemployment Insurance Trust Fund for every 100,000 increase in the number of average weekly insured claims above 5,059,000. Employment Service (ES) Operations.--The Committee recommends $703,576,000, which is the same as the fiscal year 2009 funding level and the budget request. The total includes $680,893,000 from the Employment Security Administration Account in the Unemployment Trust Fund and $22,683,000 from the General Fund of the Treasury. The recommendation builds on $400,000,000 provided in the Recovery Act to assist States as they provide employment services to an influx of unemployed workers during the economic downturn. Authorized by the Wagner- Peyser Act and financed by employer taxes, the Employment Service helps jobseekers and employers by matching individuals seeking employment to job vacancies. The program serves 16 million participants annually--not including additional services funded through the Recovery Act--and plays an important role in administering the work search requirement for UI claimants. The Committee recommends $20,869,000 for ES National Activities, which is the same as the fiscal year 2009 funding level and the budget request. Within the amount for National Activities, $18,520,000 is provided for administration of the Work Opportunity Tax Credit (WOTC). The WOTC is a tax credit incentive for private sector businesses to hire members of certain targeted groups. Foreign Labor Certification.--The Committee recommends $68,436,000 for Foreign Labor Certification activities, which is $486,000 above the fiscal year 2009 funding level and the same as the budget request. The Department of Labor administers a number of Foreign Labor Certification programs under which U.S. employers can obtain approval to hire foreign workers. Of the amount provided, $53,307,000 is for the Federal Administration of Foreign Labor Certification activities, which is $486,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee also provides $15,129,000 for grants to States for the administration of Foreign Labor Certification (FLC) activities. The amount provided for grants to the States is the same as the fiscal year 2009 level and the budget request. The Office of FLC provides grants to State workforce agencies in 54 States and U.S. territories for their work, including posting job orders, processing prevailing wage determinations, and conducting other activities related to Foreign Labor Certification. One-Stop Career Center and Labor Market Information.--The Committee recommends $47,220,000 for One-Stop Career Center and Labor Market Information, which is $4,500,000 below the fiscal year 2009 funding level and the budget request. The savings reflect the Committee's elimination of a competitive grant program for State agencies to conduct market research on green industries. The grant competition is no longer necessary because the Recovery Act included $500,000,000 for a Green Jobs program and a portion of the provided funds will be used for labor market research. Work Incentive Grants.--The Administration's fiscal year 2010 budget proposes to eliminate funding for Work Incentive Grants. The Committee adopts this recommendation. This pilot program has accomplished its mission of improving the accessibility of One-Stop Career Centers to job seekers with disabilities. The Committee notes that lessons from the Disability Program Navigators will be incorporated into new initiatives funded under the Office of Disability Employment Policy (ODEP). The Committee bill provides an increase of $10,352,000 to ODEP to continue providing employment and training services to the disabled. ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS The Committee recommends such sums as necessary for Advances to the Unemployment Trust Fund and Other Funds. The Committee estimates that $120,000,000 will be required for this account, which is $302,000,000 below the fiscal year 2009 funding level and the same as the Administration's estimate. The appropriation is available to provide advances to several accounts for purposes authorized under various Federal and State unemployment insurance laws and the Black Lung Disability Trust Fund, whenever balances in such accounts prove insufficient. Program Administration The Committee recommends $146,406,000 for Program Administration. The Committee recommendation provides $15,943,000 above the fiscal year 2009 level and $1,500,000 below the budget request. The total amount includes $96,266,000 in funds from the General Fund of the Treasury and $50,140,000 from the Employment Security Administration Account in the Unemployment Trust Fund. Apprenticeship Services.--For Apprenticeship Services, the Committee recommends $27,784,000, an increase of $6,337,000 over the fiscal year 2009 funding level and the same as the budget request. The funding is sufficient to reallocate 27 full-time equivalents, partially restoring staffing levels that existed prior to cuts imposed in the last eight years. Employee Benefits Security Administration SALARIES AND EXPENSES The Committee recommends $154,060,000 for the Employee Benefits Security Administration (EBSA), which is $10,641,000 above the fiscal year 2009 funding level and $2,000,000 below the budget request. 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. This involves ERISA fiduciary and reporting/disclosure requirements. In addition, EBSA is responsible for enforcement of sections 8477 and 8478 of the Federal Employees' Retirement Security Act of 1986. The agency also was given responsibilities under the Health Insurance Portability and Accountability Act of 1996. The Committee fully supports the Administration's goal of rebuilding EBSA's enforcement staff and returning to the enforcement capacity that existed prior to cuts imposed during the last eight years. The Committee provides sufficient funding for EBSA to hire more than 50 new enforcement staff in fiscal year 2010 and intends to annualize these costs in future appropriations. The addition of new enforcement staff will enable EBSA to conduct an additional 400 civil and 20 criminal investigations in fiscal year 2010--an increase of approximately ten percent over fiscal year 2009. Pension Benefit Guaranty Corporation PENSION BENEFIT GUARANTY CORPORATION FUND The Committee includes an obligation limitation of $464,067,000 for the Pension Benefit Guaranty Corporation (Corporation), which is $19,345,000 above the fiscal year 2009 funding level and the same as the budget request. The Corporation is a wholly-owned government corporation established by ERISA. The law places it within the Department of Labor and makes the Secretary of Labor the chairperson of its board of directors. The Corporation receives its income from insurance premiums collected from covered pension plans, collection of employer liabilities imposed by ERISA, and investment earnings, and is authorized to borrow up to $100,000,000 from the U.S. Treasury. The primary purpose of the Corporation is to guarantee the payment of pension plan benefits to participants if covered plans fail or go out of existence. The Committee continues bill language to permit workload driven increases in obligational authority based on the number of new plan participants in plans terminated by the Corporation. In addition, the bill continues language that permits similar workload driven increases to cover the investment management fees based on increases in assets received by the Corporation as a result of new plan terminations or asset growth, after approval by the Office of Management and Budget and notification of the Committees of Appropriations of the House of Representatives and the Senate. New bill language is also included that makes workload driven increases available until September 30, 2011 so that funds remain available if the trigger is reached late in the fiscal year. Employment Standards Administration SALARIES AND EXPENSES (INCLUDING RESCISSION) The Committee recommends $486,756,000 for the Employment Standards Administration (ESA), which is $46,489,000 above the fiscal year 2009 funding level and $16,700,000 below the budget request. The bill includes $484,632,000 in General Funds of the Treasury for this account and contains authority to expend $2,124,000 from the Special Fund established by the Longshore and Harbor Workers' Compensation Act. ESA 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, the Longshore and Harbor Workers' Compensation Act, and the Federal Mine Safety and Health Act (black lung provisions). The agency also administers Executive Order 11246 related to affirmative action by Federal contractors and the Labor-Management Reporting and Disclosure Act. The Committee fully supports the Administration's goal of rebuilding ESA's enforcement staff and returning the agency to its enforcement capacity that existed prior to cuts imposed during the last eight years. The Committee provides sufficient funding for ESA to hire more than 350 new enforcement staff in fiscal year 2010 and intends to annualize these costs in future appropriations. The Committee requests an updated report on ESA's human capital strategy to be submitted to the Committees on Appropriations of the House of Representatives and the Senate within 90 days of enactment of this Act. The report should include the number of staff hired with funds from the Recovery Act and the Omnibus Appropriations Act, 2009, respectively; and a detailed hiring plan for the additional full-time equivalents the agency plans to hire in fiscal year 2010. Wage and Hour Division.--The Committee recommends $220,156,000 for the Wage and Hour Division (WHD), which is $27,064,000 above the fiscal year 2009 funding level and $7,500,000 below the budget request. These additional funds are intended to increase staffing levels for enforcement activities, returning WHD to a better balance between direct enforcement programs and complaint-driven enforcement programs. Once the division is fully staffed and the new employees are properly trained, new investigators will conduct an additional 6,000 investigations per year and support staff will handle an additional 4,500 of the conciliations currently handled by investigators. These increases are included because the Committee remains concerned about the continued prevalence of wage theft, particularly against low-wage workers who have little recourse to legal counsel. A recent report by the Government Accountability Office (GAO) describes WHD's frequently inadequate and ineffective responses to complaints, resulting in low-wage workers' continued vulnerability to wage theft. However, the GAO also concluded that when WHD adequately investigates and follows through on cases they are often successful in protecting low-wage workers. The Committee believes the GAO report is strong evidence in support of the increased funding level for enforcement activities at WHD. Worker Misclassification.--The Committee continues to be concerned about employer misclassification of employees as independent contractors, which undermines enforcement of the nation's worker-protection laws. The Committee encourages WHD to continue its increased enforcement attention and resources on detecting and taking enforcement actions against the illegal misclassification of workers and unreported cash pay. The Committee requests that the Department submit a report on the feasibility of tracking the following information: the source of complaints on misclassification of workers and the number of investigations; 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 Secretary should submit the report to the Committees on Appropriations of the House of Representatives and the Senate by May 1, 2010. Office of Federal Contract Compliance Programs.--The Committee recommends $101,521,000 for the Office of Federal Contract Compliance Programs (OFCCP), which is $19,414,000 above the fiscal year 2009 funding level and $8,000,000 below the budget request. These funds are also intended to support a restoration of enforcement capacity and to ensure that Federal contractors are complying with non-discrimination and equal opportunity statutes. Once OFCCP is fully staffed it is projected to conduct more than 5,000 compliance evaluations per year--an increase of more than 20 percent over fiscal year 2009. Office of Labor Management Standards.--The Administration's fiscal year 2010 budget proposes to reduce funding for the Office of Labor Management Standards (OLMS) to $40,557,000, which is $4,381,000 below the fiscal year 2009 funding level. The Committee adopts this recommendation. The Committee notes that the OLMS budget increased by 57 percent from fiscal year 2001 to fiscal year 2007, while the level of full-time equivalents at OLMS increased 32 percent over the same period. The Committee is also concerned about apparent fabrications and misreporting of data by OLMS. According to a 2007 report from the Center for American Progress, OLMS frequently double or triple-counted criminal enforcement cases in its database-- thereby exaggerating the level of criminal activity in this area and misrepresenting the effectiveness of OLMS. Considering the circumstances, the Committee believes that sufficient resources are provided in this bill for OLMS to accomplish its core mission and that available resources should be used to replenish enforcement agencies whose budgets have been cut since 2001. The Committee includes a rescission of $65,000,000 from unobligated funds collected pursuant to section 286(v) of the Immigration and Nationality Act. This amount reflects the Department's estimates of the unobligated balance in this account through the third quarter of fiscal year 2010, assuming the enactment of the Administration's proposed legislation to expand the authorized use of these funds. The budget request proposed a rescission of $30,000,000. SPECIAL BENEFITS (INCLUDING TRANSFER OF FUNDS) The Committee bill includes $187,000,000 for Special Benefits, which is $24,000,000 above the fiscal year 2009 funding level and the same as the budget request. This appropriation primarily provides benefits under the Federal Employees' Compensation Act. These payments are required by law. In fiscal year 2010, an estimated 132,000 injured Federal workers or their survivors will file claims, and 49,000 will receive long-term wage replacement benefits for job-related injuries, diseases, or death. SPECIAL BENEFITS FOR DISABLED COAL MINERS The Committee recommends an appropriation of $169,180,000 for Special Benefits for Disabled Coal Miners, as requested. This amount is in addition to the $56,000,000 appropriated last year as an advance for the first quarter of fiscal year 2010. The total program level of $225,180,000 is $24,950,000 below the program level for fiscal year 2009 and the same as the budget request. These funds are used to provide monthly benefits to coal miners disabled by black lung disease and to their surviving spouses and certain other dependents, as well as to pay related administrative costs. The Committee recommends an advance appropriation of $45,000,000 for the first quarter of fiscal year 2011, which is the same as the budget request. These funds will ensure uninterrupted benefit payments to coal miners, their surviving spouses, and dependents. ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION FUND The Committee recommends $51,197,000, to remain available until expended, for the Energy Employees Occupational Illness Compensation Program Act authorized by Title XXXVI of the National Defense Authorization Act of 2001. This amount is $1,543,000 above the fiscal year 2009 funding level and the same as the budget request. Funds will be used to administer the program that provides compensation to employees or survivors of employees of the Department of Energy (DOE); its contractors and subcontractors; companies that provided beryllium to DOE; atomic weapons employees who suffer from a radiation-related cancer, beryllium-related disease, or chronic silicosis as a result of their work in producing or testing nuclear weapons; and uranium workers covered under the Radiation Exposure Compensation Act. BLACK LUNG DISABILITY TRUST FUND (INCLUDING TRANSFER OF FUNDS) The Committee recommends such sums as necessary for payment of benefits and interest on advances for the Black Lung Disability program. The Committee estimates that $300,099,000 will be required for this account, which is $2,522,584,000 below the fiscal year 2009 level and the same as the Administration's estimate. The Black Lung Disability Trust Fund (BLDTF) pays all black lung compensation/medical and survivor benefit expenses when no responsible mine operator can be assigned liability for such benefits, or when coal mine employment ceased prior to 1970. Administrative costs that are incurred in administering the benefits program and operating the trust fund are also covered. The basic financing for the trust fund comes from a coal excise tax for underground and surface-mined coal. Additional funds come from reimbursement payments from mine operators for benefit payments made by the trust fund before the mine operator is found liable. The Emergency Economic Stabilization Act of 2008, enacted on October 2, 2008, authorized restructuring of the BLDTF debt. Pursuant to this Act, the debt is to be retired using the BLDTF's annual operating surpluses until all of its remaining obligations have been paid. Occupational Safety and Health Administration SALARIES AND EXPENSES The Committee recommends $554,620,000 for the Occupational Safety and Health Administration (OSHA), which is $41,578,000 above the fiscal year 2009 funding level and $9,000,000 below the budget request. OSHA enforces the Occupational Safety and Health Act of 1970 in the nation's workplaces. The Committee fully supports the Administration's goal of rebuilding OSHA's enforcement staff and returning to the enforcement capacity that existed prior to cuts imposed during the last eight years. The Committee provides sufficient funding for OSHA to hire more than 150 new enforcement staff across the agency in fiscal year 2010 and intends to annualize these costs in future appropriations. The Committee also requests an updated report on OSHA's human capital strategy to be submitted to the Committees on Appropriations of the House of Representatives and the Senate within 90 days of enactment of this Act. The report should include the number of staff hired with funds from the Recovery Act and the Omnibus Appropriations Act, 2009, respectively; and a detailed hiring plan for the additional full-time equivalents the agency plans to hire in fiscal year 2010. Statistics released by OSHA in 2009 confirm the need for increased enforcement personnel to improve safety and health conditions for America's workers. The agency reports that more than 5,000 workers are killed annually as a result of traumatic injuries sustained in the workplace--an average of 15 workers per day; in addition, more than 10,000 workers get sick or injured every day as a result of conditions in their working environment; and another 50,000 workers die each year from occupational diseases in which workplace exposures are a contributing factor. The cost of these injuries and illnesses to our economy is estimated to exceed $150,000,000,000 per year. Ergonomics.--According to the Bureau of Labor Statistics, musculoskeletal disorders (MSDs) are the largest single source of workplace injuries and illnesses, accounting for almost 30 percent of lost workday cases. To improve awareness of employers and employees about this serious problem, the Committee encourages OSHA to consider recording MSDs in a separate column on its injury recordkeeping form. The Committee believes that more accurate recording of MSD injuries in the workplace is necessary to track whether OSHA is making progress on this issue. Pandemic Protection for Healthcare Workers.--The recent experience with the 2009 outbreak of the novel H1N1 virus has identified significant deficiencies in efforts to protect healthcare workers in the event of a pandemic. Currently there is no comprehensive OSHA standard to protect healthcare workers from pandemic influenza or airborne infectious diseases. OSHA and the Centers for Disease Control and Prevention guidelines recommending the use of certified respirators and other control measures to protect healthcare workers from pandemic influenza and the H1N1 virus have not been followed by many State and local health departments and healthcare facilities. The Committee notes that in May 2009, the State of California adopted a comprehensive standard on aerosol transmissible diseases to protect healthcare workers, emergency responders and other workers from infectious agents. The Committee urges OSHA to move expeditiously to develop and adopt a similar standard so that all healthcare and other workers will be protected from airborne infectious diseases, including pandemic flu and the novel H1N1 virus. Federal Enforcement.--For Federal Enforcement, the Committee recommends $221,149,000, an increase of $23,203,000 over the fiscal year 2009 funding level and $6,000,000 below the budget request. The fiscal year 2009 bill included support for a minimum of 30 new personnel in Federal Enforcement. The Committee's recommendation for fiscal year 2010 is the next step in a multi-year process of rebuilding enforcement capacity and includes sufficient funding to hire an additional 125 investigators and compliance personnel. The additional personnel will enable OSHA to expand implementation of new and ongoing enforcement initiatives, including the Severe Violators Inspection Program, the Site Specific Targeting Program, and the National Emphasis Programs. The Committee is concerned about a 2009 audit by the DOL Inspector General (IG) that identifies serious deficiencies in the implementation of OSHA's Enhanced Enforcement Program (EEP) from 2003 through 2008. The audit states that OSHA did not comply with its own program requirements in 97 percent of cases sampled by the IG. The worst failures included a lack of follow-up inspections at worksites that had been cited for violations to ensure that problems had been corrected, and the lack of any inspections at related company-wide worksites even when safety and health issues indicated that workers at these sites were at risk for serious injuries or death. In addition, the previous administration issued a revised directive in 2008 that sharply reduced the number of serious cases being referred to the EEP. Following implementation of the new directive, the percentage of cases involving fatalities being referred for enhanced enforcement plunged from 50 percent to 7 percent. The Committee urges the Department to correct any deficiencies remaining in this program and to review the 2008 EEP directive. The Committee requests a report on the Department's response to the IG report and its subsequent activities to improve the EEP. The Secretary shall transmit the report to the Committees on Appropriations of the House of Representatives and the Senate no later than December 15, 2010. State Programs.--The Committee provides $103,393,000 for OSHA State Programs, which is $10,800,000 above the fiscal year 2009 funding level and $3,000,000 below the budget request. These funds support States that have assumed responsibility for administering their own occupational safety and health programs under State Plans approved and monitored by OSHA. States are required to establish and implement enforcement activities at least as effective as the Federal program. Federal Compliance Assistance.--Within the amount recommended for Compliance Assistance, the Committee provides $73,380,000 for Federal Compliance Assistance, which is $721,000 above the fiscal year 2009 funding level and the same as the budget request. Training Grants.--The bill includes $10,000,000 for the OSHA Susan Harwood Training Grant Program to support worker safety and health training programs, which is the same as the fiscal year 2009 funding level and the budget request. This year the bill removes the requirement that $3,144,000 be directed to the continuation of the existing Institutional Competency Building grants. However, the Committee believes that these longer-term grants that build safety and health competency, as well as train workers to understand the requirements of OSHA regulations and standards, should be the focus of OSHA's safety and health training program. The Committee expects the agency to devote the majority of the $10,000,000 for Susan Harwood grants to support these types of training programs. Mine Safety and Health Administration SALARIES AND EXPENSES The Committee recommends $353,193,000 for the Mine Safety and Health Administration (MSHA), which is $6,190,000 above the fiscal year 2009 funding level and $500,000 below the budget request. This agency enforces the Federal Mine Safety and Health Act in underground and surface coal mines and in metal and non-metal mines. The Committee continues bill language designating up to $2,000,000 within the funds provided for mine rescue recovery activities. The Committee recommendation provides sufficient funds for the Metal and Nonmetal program to hire up to ten additional personnel to enhance inspection activities and reduce accidents and injuries in the workplace. The Committee recommendation also provides sufficient funds for MSHA to conduct 100 percent of mandatory inspections of both coal and metal/non-metal mines. The Committee continues its request for regular quarterly progress reports on MSHA's progress in filling all allocated inspector positions and completing the training of new inspectors hired in fiscal years 2006 through 2009. These quarterly reports should be submitted to the Committees on Appropriations of the House of Representatives and the Senate within 30 days after the end of each quarter. The Committee also maintains its request that MSHA submit a report to the Committees on Appropriations of the House of Representatives and the Senate within 90 days of enactment of this Act, and quarterly thereafter, listing mine operators who are challenging citations regardless of merit. The bill includes language to permanently authorize the Secretary of Labor to recognize the Joseph A. Holmes Safety Association as a principal safety association, permitting the provision of funds and the participation of Departmental staff in the national organization or local chapters. The Committee understands that this organization receives small contracts from the Department of Labor on a non-competitive basis, supplemented by the official participation of MSHA personnel. Bureau of Labor Statistics SALARIES AND EXPENSES The Committee includes $611,623,000 for the Bureau of Labor Statistics (BLS), which is $14,441,000 above the fiscal year 2009 funding level and the same as the budget request. Within this total, $533,359,000 is from the General Fund of the Treasury and $78,264,000 is from the Employment Security Administration Account in the Unemployment Trust Fund. The BLS is an independent national statistical agency that collects, processes, analyzes, and disseminates essential economic data to the U.S. Congress, other Federal agencies, State and local governments, business, labor, and the American public. Its principal surveys include the Consumer Price Index and the monthly unemployment series. The Committee recommendation provides a modest annual increase to cover the built-in costs for four of the budget activities at BLS: Prices and Cost of Living; Compensation and Working Conditions; Productivity and Technology; and Executive Direction and Staff Services. These modest increases will fund required cost-of-living adjustments for existing personnel and enable the agencies to continue producing important data like the Consumer Price Index and the Producer Price Index. Each of these programs will maintain its current number of full-time equivalents. The Committee continues bill language providing that $1,500,000 may be used for the mass layoff statistics program under section 15 of the Wagner-Peyser Act. This program provides information on mass layoff actions that result in workers being separated from their jobs. This information assists in identifying the causes and scope of worker dislocation and the characteristics of dislocated workers and can be used by the workforce investment and economic development systems in assisting employers and/or workers at the local level. The Committee also continues bill language providing that the Current Employment Survey shall maintain the content of the survey issued prior to June 2005 with respect to the collection of data for the women worker series. Employment and Unemployment Statistics.--The Committee recommends $198,028,000 for Employment and Unemployment Services, which is $9,822,000 above the fiscal year 2009 funding level and the same as the budget request. The increase will begin to correct a history of severe underfunding for this vital program that produces the Current Population Survey, National Longitudinal Surveys, and many other important publications used by the private sector, researchers, and policymakers across the country. Employment and Unemployment Statistics will also initiate a new data series in fiscal year 2010 on the green energy sector that will provide much-needed economic information on the emergence and long-term development of industries related to renewable energy and energy efficiency. Office of Disability Employment Policy SALARIES AND EXPENSES The Committee recommends $37,031,000 for the Office of Disability Employment Policy (ODEP), which is $10,352,000 above the fiscal year 2009 funding level and the same as the budget request. ODEP provides policy guidance and leadership to eliminate employment barriers to people with disabilities. The Committee supports the expansion of these activities to include a new competitive grant program that will coordinate with One- Stop Career Centers to facilitate the hiring and retention of individuals with disabilities--incorporating lessons learned from the Work Incentive Grant's Disability Program Navigators. The Committee also supports the Administration's plan to develop an entrepreneurship program for young people with disabilities from minority communities, focusing on collaboration with minority Chambers of Commerce. The Committee commends ODEP for its collaboration with the Bureau of Labor Statistics to finalize a disability-focused survey supplement to be included in the Current Population Survey in 2012. Departmental Management SALARIES AND EXPENSES (INCLUDING TRANSFER OF FUNDS) The Committee recommends $351,154,000 for Departmental Management, which is $36,956,000 above the fiscal year 2009 funding level and $4,000,000 below the budget request. This amount includes $350,827,000 from the General Fund of the Treasury, along with $327,000 from the Employment Security Administration Account in the Unemployment Trust Fund. The Recovery Act provided $80,000,000 in additional funding for enforcement and oversight of activities funded in the Recovery Act. These funds were transferred to the appropriate agencies that are responsible for carrying out enforcement and oversight activities. The Departmental Management appropriation finances staff responsible for formulating and overseeing the implementation of Departmental policy and management activities. In addition, this appropriation includes a variety of operating programs and activities that are not involved in Departmental Management functions, but for which other salaries and expenses appropriations are not suitable. Coordination on Farmworker Issues.--The Committee believes that migrant and seasonal farmworkers encounter unique employment problems that warrant close attention by the Department of Labor. In the 1980s and 1990s, the Department maintained a staff level working group to coordinate policy across multiple agencies and ensure enforcement of farmworker laws; however, the working group disappeared in recent years. The Committee encourages the Secretary to reconstitute this multi-agency coordination on farmworker policy and requests an update on the Department's activities on this issue. The Secretary should transmit this letter to the Committees on Appropriations of the House of Representatives and the Senate no later than 90 days after enactment of this Act. Legal Services.--The Committee recommends $113,621,000 for the Office of the Solicitor, which is $16,239,000 above the fiscal year 2009 funding level and $3,500,000 below the budget request. The Committee recommendation is sufficient to hire at least 60 new personnel and increase the agency's resolution of pending litigation and regulatory issues. The Committee expects to annualize these costs in future appropriations to ensure that the agency has adequate legal staff to support the Department's reinvigorated enforcement agenda. International Labor Affairs Bureau.--The Committee recommends $91,419,000 for the International Labor Affairs Bureau (ILAB), which is $5,345,000 above the fiscal year 2009 funding level and the same as the budget request.Within this amount, the bill provides funding at the fiscal year 2009 level for continuation of activities to prevent child labor and trafficking. The Committee also continues to designate $6,500,000 for model programs to address worker rights issues in countries with which the United States has trade preference programs--a program initially funded in the Consolidated Appropriations Act, 2008. In addition, the Committee designates that funding increases in this bill shall be used to add 12 full-time equivalents to allow ILAB to fulfill its mandate related to the enforcement of labor provisions of free trade agreements, as well as to improve labor diplomacy and international cooperation programs and strengthen research and reporting on labor exploitation and worker rights. The Committee believes that these resources will help level the playing field for American workers by allowing ILAB to significantly improve technical assistance and monitoring of worker rights in countries that maintain free trade agreements with the United States. Women's Bureau.--The Committee recommends $12,604,000 for the Women's Bureau, which is $2,185,000 above the fiscal year 2009 funding level and $2,000,000 above the budget request. The Women's Bureau has a mission of promoting the welfare of wage- earning women by advancing their opportunities for profitable employment and improving their working conditions. The Committee encourages the Women's Bureau to continue to support national networks for women's employment that advance women in the workplace through education and advocacy. The Committee believes that organizations which continue to exceed annual performance goals and are strategically aligned with the goals of the Women's Bureau deserve increased support. The recommendation therefore includes funds for the expansion of competitive contracts to provide technical assistance to local women's employment and training programs. Federal Contracting with Women-Owned Firms, Minority-Owned Firms, and Small Businesses.--The Office of Small Business Programs (OSBP) at the Department of Labor is responsible for promoting the use of small, socially and economically disadvantaged, and women-owned small businesses in compliance with Federal laws, regulations, and policies. OSBP also assists such firms seeking procurement opportunities with the Department. To further this goal, the Committee directs the Secretary to provide a report on the Department's ongoing activities to assist these firms. The report should include the percentage of Federal procurement contracts and subcontracts awarded in fiscal year 2009 to women-owned firms, minority- owned firms, and small businesses; a review of the Department's technical assistance and outreach to women-owned firms, minority-owned firms, and small businesses; and the Department's plan for increasing the number of Federal contracts that are awarded to such firms. The Secretary should submit this report to the Committees on Appropriations of the House of Representatives and the Senate by March 1, 2010. OFFICE OF JOB CORPS The Committee recommends $1,705,320,000 for Job Corps, which is $21,382,000 over the fiscal year 2009 funding level and $3,931,000 above the budget request. The Recovery Act included an additional $250,000,000 for construction, rehabilitation, and acquisition of Job Corps Centers. Within the Recovery Act funds, up to 15 percent was available for operational needs of current Job Corps Centers. Job Corps, authorized by WIA, is a nationwide network of residential facilities chartered by Federal law to provide a comprehensive and intensive array of training, job placement, and support services to at-risk young adults. Job Corps provides training and post-program services to more than 100,000 young adults per year. The mission of Job Corps is to teach eligible young adults the skills they need to become employable and independent and to place them in meaningful jobs or further education. Participation in the program is open to youth and young adults ages 16 through 24 who are unemployed, have dropped out of school, or who are at risk of involvement in the criminal corrections system. The bill includes a provision requiring DOL to submit to the Committees on Appropriations of the House of Representatives and the Senate a transfer plan prior to moving the Office of Job Corps back to the Employment and Training Administration. Operations.--For Job Corps Operations the Committee recommends $1,576,130,000, which is $35,854,000 above the fiscal year 2009 funding level and $18,931,000 above the budget request. Of the amount recommended, $985,130,000 is available for the period July 1, 2010 through June 30, 2011 and $591,000,000 is available for the period October 1, 2010 through June 30, 2011. The funds provided are intended to support the operations of 124 Job Corps centers, including the new Milwaukee Job Corps Center that is scheduled to open in program year 2010. The increase above the request for Job Corps operations includes sufficient resources to provide a salary increase for professional staff at Job Corps centers. As a result of a 2006 study on pay parity for teachers, instructors, and counselors, the Office of Job Corps has provided two wage increases, but these professional staff continue to be paid approximately 91 percent of the market-level salary for their positions. The Committee supports using part of the funding increase in this bill to begin to eliminate the salary gap between Job Corps professional staff and their peers in other teaching and training institutions. Construction and Renovation.--The Committee recommends $100,000,000 for construction, rehabilitation and acquisition of Job Corps centers, which is $15,000,000 below the fiscal year 2009 funding level and the budget request. Of the amount recommended, $100,000,000 is available from October 1, 2010 through June 30, 2013. The Committee notes that construction costs of projects funded through the Recovery Act have been less expensive than previously estimated--thereby reducing the funding needs for construction and renovation in the fiscal year 2010 bill. The Committee intends that funds in this bill support the budget request of $29,610,000 for the construction of a new Job Corps Center previously approved through a competitive application process. Additional funds shall be used to diminish the growing backlog of repairs at Job Corps centers and to renovate existing facilities, including retrofits and other projects to improve energy efficiency. The Committee urges the Department to prepare to consider ways to structure a new competition for additional Job Corps centers that include a focus on rural workforce development, including the use of the Civilian Conservation Center model. The Committee requests that the Office of Job Corps identify interested communities meeting the aforementioned description and respond to requests for technical assistance to begin the process of establishing additional centers. Administration.--The Committee recommends $29,190,000 for necessary expenses of the Office of Job Corps, which is $528,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee continues bill language that provides contracting authority to the Office of Job Corps and a provision that no funds from any other appropriation shall be used to provide meal services at or for Job Corps centers. VETERANS EMPLOYMENT AND TRAINING The Committee recommends $257,127,000 for Veterans Employment and Training, which is $17,688,000 above the fiscal year 2009 funding level and $2,00,000 above the budget request. Within this amount, $210,156,000 is from the Employment Security Administration Account in the Unemployment Trust Fund for the State and Federal administration of veterans' employment and training activities and $46,971,000 is from the General Fund of the Treasury, of which $9,641,000 is available from July 1, 2010 through June 30, 2011. The Committee agrees with the request to increase funding by $3,500,000 for the State grants that finance the State personnel who assist veterans in their job search. These Local Veterans' Employment Representatives and Disabled Veterans' Outreach Specialists are located within State Employment Service agencies and are expected to assist more than 650,000 veterans in fiscal year 2010. The Employment Service provides the necessary infrastructure for the successful delivery of services to veterans and this infrastructure is maintained in the Committee recommendation. For the Homeless Veterans' Reintegration Program, the Committee provides $37,330,000, which is an increase of $11,000,000 over the fiscal year 2009 funding level and $2,000,000 above the budget request. This program has shown success in getting veterans who are homeless back into the economic mainstream. The Committee bill includes sufficient funding to increase the number of homeless veterans receiving assistance from 15,000 to more than 20,000 in program year 2010. In addition, $9,641,000 is provided for the Veteran's Workforce Investment Program, which is an increase of $2,000,000 above the fiscal year 2009 funding level and the same as the budget request. This program will serve nearly 5,000 veterans with severe economic and employment hardships. The additional funding for these programs is essential as more veterans are returning from Iraq and Afghanistan to a slumping economy, causing heightened difficulties in finding stable housing and employment. The Committee also supports the efforts within both the homeless veterans program and the State grant program to address the employment needs of incarcerated veterans to assure their successful reintegration into the community. Within the increase for homeless veterans, the Committee supports the Administration's plan to use up to $4,000,000 to serve incarcerated veterans. The Committee fully funds the increases in the budget request for State grants, the Homeless Veterans' Reintegration Program, and the Veterans' Workforce Investment Program. In addition, the Committee provides $8,000,000 within the Higher Education account within the Department of Education to support new centers of excellence for veteran student success on college campuses. OFFICE OF INSPECTOR GENERAL The Committee recommends $84,014,000 for the Office of Inspector General (OIG), which is $1,873,000 above the fiscal year 2009 funding level and the same as the budget request. This amount includes $78,093,000 from the General Fund of the Treasury along with $5,921,000 from the Employment Security Administration Account in the Unemployment Trust Fund. The OIG was created to protect the integrity of Departmental programs as well as the welfare of beneficiaries served by those programs. Through a program of audits, investigations, and program evaluations, the OIG attempts to reduce the incidence of fraud, waste, abuse, and mismanagement, and to promote economy, efficiency, and effectiveness throughout the Department. General Provisions Sec. 101. The Committee continues a provision to prohibit the use of Job Corps funds for the salary of an individual at a rate in excess of Executive Level I. (TRANSFER OF FUNDS) Sec. 102. The Committee continues a provision providing the Secretary of Labor with the authority to transfer up to one percent of discretionary funds between a program, project, or activity, provided that no program, project, or activity is increased by more than three percent by any such transfer. This transfer authority is available only to meet emergency needs. The Committees on Appropriations of the House of Representatives and the Senate are to be notified 15 days in advance of any transfer. Sec. 103. The Committee continues a prohibition on the purchase of goods that are in any part produced by indentured children. Sec. 104. The Committee continues a requirement that the Department report to the Committees on Appropriations of the House of Representatives and the Senate on its plan for the use of demonstration, pilot, multiservice, research, and multi- State projects under the Workforce Investment Act, including the up to ten percent set-aside within the dislocated workers assistance national reserve, prior to the obligation of funds for these activities. Sec. 105. The Committee continues a requirement that grants made from funds available to the Department under the American Competitiveness and Workforce Improvement Act be used only for training activities in the occupations and industries for which employers use the visas that generate these funds, and that related activities be limited to those necessary to support such training. The bill does not apply this restriction to multi-year grant awards made prior to June 30, 2007. Sec. 106. The Committee modifies a provision that requires the Secretary of Labor to award Career Pathways Innovation Fund grants and grants made under the American Competitiveness and Workforce Improvement Act for training and employment in high- growth industries on a competitive basis. Reports prepared by the Congressional Research Service, the Government Accountability Office, and the Department of Labor's Inspector General have documented that prior to this requirement the majority of these grants were awarded without competition. Sec. 107. The Committee continues a provision to prohibit recipients of funds provided to the Employment and Training Administration from using such funds for the compensation of any individual at a rate in excess of Executive Level II. Sec. 108. The Committee directs the Secretary to submit a plan for the transfer of the administration of the Job Corps program from the Office of the Secretary to the Employment and Training Administration. Not less than 30 days after submitting the plan to the Committees on Appropriations of the House of Representatives and the Senate, the Secretary may transfer the administration and appropriation of the Job Corps program from the Office of the Secretary and the provisions of section 102 of Public Law 109-149 shall no longer be applicable. TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES For fiscal year 2010, the Committee recommends a discretionary program level total of $73,720,604,000 for the Department of Health and Human Services (HHS), which is $7,435,858,000 above the fiscal year 2009 funding level and $1,962,852,000 above the budget request. For comparability, an adjustment should be made for the Low Income Home Energy Assistance Program (LIHEAP), which was funded in the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009. After the LIHEAP adjustment, the Committee's fiscal year 2010 discretionary program level for HHS is $2,335,858,000 above the comparable fiscal year 2009 funding level. In addition, as requested, the Committee bill includes a one-time transfer of all remaining balances in the Project BioShield Special Reserve Fund from the Department of Homeland Security to HHS. The amount to be transferred is currently estimated to be $1,569,000,000. The Recovery Act provided $21,917,000,000 in discretionary resources for such activities as community health care services, public health prevention and wellness activities, health information technology, children and community support services, and scientific and health care research. This funding will increase access to health care, protect those in greatest need, create jobs, expand educational opportunities, lay the groundwork for successful health reform, and provide relief to States and local communities as they struggle to provide safety net health and social services to growing numbers of Americans who need assistance during the current economic downturn. Health Resources and Services Administration HEALTH RESOURCES AND SERVICES For fiscal year 2010, the Committee includes a program level total of $7,330,817,000 for Health Resources and Services programs, which is $71,381,000 above the fiscal year 2009 funding level and $179,117,000 above the budget request. The Health Resources and Services Administration (HRSA) supports programs that provide health services to disadvantaged, medically underserved, and special populations; decrease infant mortality rates; assist in the education of health professionals; and provide technical assistance regarding the utilization of health resources and facilities. Community Health Centers The Committee provides $2,190,022,000 for Community Health Centers (CHCs), which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $2,000,000,000 for CHCs for fiscal years 2009 and 2010. These funds support CHCs, Migrant Health Centers, Health Care for the Homeless, and Public Housing Health Service grants. Funding will support the care of 17 million patients in over 7,500 service delivery sites nationwide. CHCs provide a medical home for underserved and disadvantaged populations. More than 90 percent of patients have incomes below 200 percent of poverty and 40 percent are uninsured. If health reform increases access for the uninsured, CHCs will serve in the important role of health providers in medical shortage areas. The Committee includes bill language providing $44,055,000 for the Federal Tort Claims Act program, which is the same as the fiscal year 2009 funding level and the budget request. The program provides medical malpractice liability protection to Federally-supported health centers. The Committee supports continued efforts to expand the CHC program into those areas of the country with high need and no current access to a health center. Further, the Committee urges HRSA to make funding available to increase capacity at existing centers, and for service expansion awards to increase access to mental health services, dental services, and pharmacy services, as well as outreach to special populations. While the Committee supports the expansion of the health centers program, it recognizes the narrow operating margins of most existing health centers. Therefore, within the amount provided, $56,000,000 is allocated in bill language to offset the rising cost of health care at existing centers and to resolve specific financial situations beyond the control of the local health center, such as unusual increases in the number of uninsured and underserved patients seeking care. The Committee recognizes that the provision of preventive and primary care to patients served in off-site, institutional and/or residential locations and sites is important to address the needs of medically underserved communities, whose patients have diverse and complicated health care needs and encounter many obstacles in accessing services. To facilitate appropriate and timely access to care, the Committee encourages HRSA to approve the health centers' proposed scope of project changes necessary to meet the comprehensive needs of medically underserved populations who may require services provided in off-site, institutional and/or residential locations and sites. The Committee believes that adequate funding for technical assistance and networking is important for the successful operation of the health centers program. Funds are available within the amount provided to centers within the bill to expand technical assistance to support existing centers, foster expansion to new communities, and ensure timely and effective implementation of the funds provided under the Recovery Act. State Health Access Grants The Committee provides $75,000,000 for State Health Access Grants to begin to address the problems faced by the nearly 50 million uninsured individuals in the U.S. This amount is the same as the fiscal year 2009 funding level and the budget request. The Committee believes it is important to continue this program while comprehensive health reform is being debated to give States tools to provide coverage for groups of uninsured populations. The Committee intends that the program be administered in the same manner as in 2009, with grants awarded competitively to States that demonstrate they have a program which will expand access to affordable health care coverage for the uninsured populations in that State. The types of activities that will be supported through these grants include: ``three share'' community coverage (employer, State or local government, and the individual); reinsurance plans that subsidize a certain share of carrier losses within a certain risk corridor; subsidized high-risk insurance pools; health insurance premium assistance; creation of a State insurance ``connector'' authority to develop new, less expensive, portable benefit packages for small employers and part-time and seasonal workers; development of statewide or automated enrollment systems for public assistance programs; and innovative strategies to insure low-income childless adults. The Committee directs HRSA to submit a comprehensive report to the Committees on Appropriations of the House of Representatives and the Senate about the outcomes and lessons learned from each of the State demonstrations 18 months after their five-year grant period ends. Free Clinics Medical Malpractice The Committee provides $40,000 for payments of claims under the Federal Tort Claims Act (FTCA) to be made available for volunteer free clinic health care professionals, which is the same as the fiscal year 2009 funding level and the budget request. The program extends FTCA coverage to health care professional volunteers in free clinics in order to expand access to health care services to low-income individuals in medically underserved areas. A free clinic must apply, consistent with the provisions applicable to community health centers, to have each health care professional ``deemed'' an employee of the Public Health Service, and therefore eligible for coverage under the FTCA. In 2008, 3,006 volunteer healthcare providers received Federal malpractice coverage through the program and 93 clinics operated with FTCA-deemed volunteer clinicians. National Hansen's Disease Program The Committee provides $16,109,000 for the National Hansen's Disease Program, which is the same as the fiscal year 2009 funding level and the budget request. The program provides medical care to any patient living in the U.S. through direct patient care at its facilities in Louisiana, through grants to an inpatient program in Hawaii, and by contracting with 11 regional outpatient clinics. These programs provide treatment to 2,900 active Hansen's disease patients. National Hansen's Disease Program--Buildings and Facilities The Committee provides $129,000 for National Hansen's Disease Buildings and Facilities, which is the same as the fiscal year 2009 funding level and the budget request. These funds are used to finance the repair and upkeep of buildings at the Gillis W. Long Hansen's Disease Center in Carville, Louisiana. Payment to Hawaii for Treatment of Hansen's Disease The Committee provides $1,976,000 for the treatment of persons with Hansen's Disease in the State of Hawaii, which is the same as the fiscal year 2009 funding level and the budget request. Payments are made to the State of Hawaii for the medical care and treatment of persons with Hansen's Disease in its hospital and clinic facilities at Kalaupapa, Molokai, and Honolulu. National Health Service Corps (NHSC): Field Placements The Committee provides $39,736,000 for NHSC Field Placements, which is the same as the fiscal year 2009 funding level and $6,676,000 below the budget request. The Recovery Act provided an additional $60,000,000 for field placement activities for fiscal years 2009 and 2010. These funds are used to support the activities of NHSC obligors and volunteers in the field, including travel and transportation costs of assignees, training and education, recruitment of students, residents and clinicians, and retention activities. Salary costs of most new assignees are paid by the employing entity. In fiscal year 2010, the NHSC will support more than 8,100 clinicians across the country who will provide medical and dental services to almost 8.5 million people in low-income and underserved communities. The Committee recognizes that the NHSC is an essential tool for recruitment and retention of primary care health professionals at community, migrant, homeless, and public housing health centers, especially given recent efforts to expand the health centers program. The Committee encourages HRSA to work to increase the proportion of NHSC personnel being assigned to health centers. National Health Service Corps: Recruitment The Committee provides $102,114,000 for NHSC recruitment activities, which is $6,884,000 above the fiscal year 2009 funding level and $20,474,000 below the budget request. The Recovery Act provided an additional $240,000,000 for recruitment activities in fiscal years 2009 and 2010. The program awards scholarships to health professions students and assists graduates in repaying their student loans. In return for every year of support, these individuals are obligated to provide a year of service in health professional shortage areas of greatest need. The minimum obligation is two years. This funding will support the recruitment of more than 1,200 practitioners through the loan repayment and scholarship programs. The Committee continues bill language, also proposed in the budget request, permitting funding for NHSC recruitment as well as for the Nurse Loan Repayment and Scholarship Program to be used to make prior year adjustments to awards. This language was recommended as a corrective action by an outside investigation of a HRSA Anti-Deficiency Act violation. Health Professions The Committee provides $529,708,000 for health professions, which is $136,982,000 above the fiscal year 2009 funding level and $1,610,000 above the budget request to continue training opportunities for those working in underserved areas and for disadvantaged populations. The Recovery Act provided an additional $200,000,000 for health professions programs in fiscal years 2009 and 2010. TRAINING FOR DIVERSITY As a step toward the restoration and expansion of the diversity programs, the Committee provides $100,843,000 training for diversity, which is $14,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee is acutely aware of the needs identified in the landmark Institute of Medicine report, ``Unequal Treatment,'' which issued recommendations to begin closing the profound gaps that exist in health care delivery and treatment. The report recommended increases in these diversity programs because they are the pipeline for training minority students in the health professions to serve in medically-underserved communities. Centers of Excellence.--The Committee provides $24,602,000 for Centers of Excellence, which is $4,000,000 above the fiscal year 2009 funding level and the same as the budget request. The program is designed to strengthen the national capacity to educate underrepresented minority (URM) students in the health professions by offering special support to those institutions that train a significant number of URM individuals. Funds are used for the recruitment and retention of students and faculty, information resources and curricula, faculty and student research, and the development of plans to achieve institutional improvements. This increase will permit HRSA to fund five additional Center of Excellence grants for a total of 18 centers. The Committee is pleased that HRSA has re-focused the 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 $22,133,000 for the Health Careers Opportunity Program (HCOP), which is $3,000,000 above the fiscal year 2009 funding level and the same as the budget request. The program provides grants to eligible schools and health educational entities with the goal of increasing the number of disadvantaged students entering health and allied health professions programs. These funds will support 34 HCOP grantees to operate programs that will prepare 3,000 disadvantaged students at the earliest levels of the educational pipeline for careers in health and allied health professions. The Committee urges HRSA to give priority consideration to awarding grants to those institutions with an historic mission of training minorities in the health professions. Faculty Loan Repayment.--The Committee provides $1,266,000 for the Faculty Loan Repayment program, which is the same as the fiscal year 2009 funding level and the budget request. The program provides loan repayment for disadvantaged health professions students who serve as faculty for a minimum of two years. Their institutions are also required to make matching payments. The funding provided will support approximately 20 faculty with loan repayments of up to $20,000 per year. Scholarships for Disadvantaged Students.--The Committee provides $52,842,000 for Scholarships for Disadvantaged Students, which is $7,000,000 above the fiscal year 2009 funding level and the same as the budget request. The program provides grants to eligible health professions and nursing schools to provide scholarships to eligible individuals from disadvantaged backgrounds, including students who are members of racial and ethnic minority groups. By statute, not less than 16 percent of the funds must go to schools of nursing. This funding level will permit over 17,000 students to receive scholarships. Training in Primary Care Medicine and Dentistry The Committee provides $56,425,000 for Training in Primary Care and Dentistry, which is $8,000,000 above the fiscal year 2009 funding level and the same as the budget request. The training program is comprised of four elements: (1) family medicine; (2) general internal medicine and general pediatrics; (3) physician assistants; and (4) general and pediatric dentistry. The Committee continues bill language, also proposed in the budget request, directing that the general and pediatric dentistry programs each receive no less than $5,000,000 and that the family medicine program be allocated no less than $29,025,000. This funding level will support a total of 245 grants, supporting over 21,500 students, a 13 percent increase over fiscal year 2009. INTERDISCIPLINARY COMMUNITY-BASED LINKAGES Area Health Education Centers The Committee provides $34,150,000 for the Area Health Education Centers (AHEC) program, which is $1,610,000 above the fiscal year 2009 funding level and the budget request. The program provides cooperative agreements to medical and nursing schools to encourage the establishment and maintenance of community-based training programs in off-campus rural and underserved areas. Emphasis is placed on enhancing the diversity of the health personnel workforce and improving the practice environment and the quality of care available in underserved areas. This funding increase will permit the 56 AHECs, which operate in 47 States, to expand their networks of community-based training programs. Allied Health and Other Disciplines The Committee provides $23,890,000 for Allied Health and Other Disciplines, which is $10,000,000 above the fiscal year 2009 funding level and the same as the budget request. Within the total, the Committee includes the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Dental Health.......................................... 20,000,000 +10,000,000 $0 Chiropractic........................................... 1,945,000 0 0 Graduate Psychology Education.......................... 1,945,000 0 0 ---------------------------------------------------------------------------------------------------------------- Dental Health Improvement Grants.--The Committee provides $20,000,000 for up to 45 competitive State grants to help expand access to oral health services. States may use these grants for the purposes outlined in the Dental Health Improvement Act, such as encouraging more dentists to practice in shortage areas through such mechanisms as loan forgiveness and repayment for dentists; providing grants to establish or expand oral health services in community-based facilities; and expanding dental residency programs. States also may use these funds to integrate oral health services into the medical home concept for children with special health care needs and for grants to ensure low-income pregnant women and women of child- bearing age have access to appropriate oral health services. Chiropractic Demonstration Project Grants.--These demonstrations will support five research projects in which chiropractors and physicians collaborate to identify and provide effective treatments for spinal and/or lower back conditions. Graduate Psychology Education.--Fiscal year 2010 funding will support 18 awards to train an estimated 96 trainees. The need for behavioral and mental health services in an integrated health care system is significant and well documented. Numerous reports have projected continuing increases in demand for treatment of psychological conditions in our nation's civilian, veterans' and military health care systems. With a rapidly growing generation of elderly and significant numbers of returning war veterans, the nation's mental health infrastructure is certain to experience increased strain as individuals and their families increasingly turn to mental health care professionals in local communities. Geriatric Programs The Committee provides $41,997,000 for Geriatric Programs, which is $11,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Geriatric Programs are comprised of three activities: (1) Geriatric Education Centers; (2) the Geriatric Training Program for physicians, dentists, and behavioral health professionals; and (3) Geriatric Academic Career Awards. This funding will support 54 Geriatric Education Centers, 14 Geriatric Training grants, and 98 Geriatric Academic Career Awards. Public Health, Preventive Medicine, and Dental Public Health Programs The Committee provides $9,000,000 for Public Health, Preventive Medicine, and Dental Public Health Programs, which is the same as the fiscal year 2009 funding level and the budget request. The program awards grants to support the education and training of the public health workforce to deal with new and unanticipated problems and to place these specialists in underserved areas. This funding will support almost 3,600 students with traineeships and medical residencies. NURSING WORKFORCE The U.S. is in the midst of a nursing shortage that is expected to intensify as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care. In March 2009, the U.S. Bureau of Labor Statistics (BLS) reported that the health care sector of the American economy is continuing to grow, despite steep job losses in nearly all major industries. Over the next 20 years, the average age of a registered nurse (RN) will increase and the size of the workforce will plateau as large numbers of RNs retire. Because demand for RNs will increase during this time, a large and prolonged shortage of nurses is expected to hit the U.S. in the latter half of the next decade. HRSA projects that the nation's nursing shortage will grow to more than one million nurses by the year 2020. But this is not only a problem for the future--the nursing shortage exists now. According to the American Hospital Association, U.S. hospitals need approximately 116,000 RNs to fill vacant positions nationwide, translating into a national RN vacancy rate of 8.1 percent. This growing nursing shortage is having a detrimental impact on the entire health care system. Numerous studies have shown that nursing shortages contribute to medical errors, poor patient outcomes, and increased mortality rates. A number of factors contribute to the nursing shortage: Nursing school enrollment is not growing fast enough to meet the projected demand for RNs; a shortage of nursing school faculty is restricting nursing program enrollments; and changing demographics create a need for more nurses to care for the aging population, creating pressures for both supply and demand. A significant future factor will be the enactment of a health care reform plan that brings millions of uninsured people into the health care system. Both HRSA and the Department of Labor (DOL) are working to address the nurse shortage. As discussed in the individual program sections that follow, HRSA supports loan repayment and scholarships for students entering nursing school; loan programs to create incentives for nurses to continue their education to become faculty; advanced nursing training; practice and retention programs to encourage nurses to stay in the profession and enhance their skills; and diversity programs to broaden the pool of nursing school candidates. DOL supports nurse training through its high growth job training initiative and its community-based career pathways program. The Committee provides increases for these programs in both HRSA and DOL, but believes it is important for the two agencies to build a framework to coordinate these efforts. For example, DOL programs work through community colleges, which also compete for HRSA grants for their RN degree programs. HRSA and DOL both support career ladder programs for nurses, but do not take advantage of each other's participating constituencies. The BLS produces the most detailed national data available about the supply and demand for health professions. Yet HRSA and DOL do not coordinate their grant-making, strategic planning, or development of sectoral or geographic targeting based on the BLS data. The Committee directs HRSA and DOL to jointly establish a strategic plan for the use of fiscal year 2010 resources and to extend that plan to future years to address emerging needs in the health care sector, particularly in the event of large- scale health care reform. This plan should be drafted by a DOL- HRSA interagency taskforce, to be established by October 1, 2009, with the strategic plan due to the Committees on Appropriation of the House of Representatives and the Senate by April 1, 2010. The taskforce also should include participants from the Departments of Education and Veterans Affairs. The Committee intends for the taskforce to continue to meet regularly after the completion of the strategic plan to guide the two agencies' efforts to maximize the impact of their separate programs. In addition, the Committee urges HRSA to expand its outreach program to community colleges and to bring DOL and the Department of Education into the effort. In its grant-making, the Committee encourages HRSA to increase its focus on associate degree programs that culminate in an RN degree as a way to accelerate the production of RNs. In the awarding of nurse education, practice and retention grants, HRSA should establish as a high priority those proposals that create career ladders leading to an RN degree, as well as those that address equipment needs of nursing programs. Nurse Training Programs The Committee provides $263,403,000 for Nursing Training programs, which is $92,372,000 over the fiscal year 2009 funding level and the same as the budget request. Advanced Education Nursing.--The Committee provides $64,438,000 for Advanced Education Nursing, which is the same as the fiscal year 2009 funding level and the budget request. The program provides grant support to eligible entities to meet the costs of: (1) projects that support the enhancement of advanced nursing education and practice; and (2) traineeships for individuals in advanced nursing education programs. The program prepares registered nurses as nurse faculty, nurse practitioners, clinical nurse specialists, nurse midwives, nurse anesthetists, nurse administrators, public health nurses, and other nurse specialists for advanced practice roles. In fiscal year 2010, almost 3,700 students and 9,500 trainees will be supported. Within the allocation, the Committee encourages HRSA to allocate funding at least at the fiscal year 2007 level for nurse anesthetist education. Nurse Education, Practice, and Retention.--The Committee provides $37,291,000 for Nurse Education, Practice, and Retention, which is the same as the fiscal year 2009 funding level and the budget request. The Nurse Education, Practice, and Retention program is a broad authority with targeted purposes under three priority areas--education, practice, and retention--in response to the growing nursing shortage. Funding will support 3,000 baccalaureate nursing students, 104,000 primary care encounters in nurse practice arrangements, and 13,000 internship and residency nurse participants. Nursing Workforce Diversity.--The Committee provides $16,107,000 for Nursing Workforce Diversity, which is the same as the fiscal year 2009 funding level and the budget request. The program provides grants and contracts to schools of nursing and other eligible entities to meet the costs of special projects to increase nursing education opportunities for individuals who are from disadvantaged backgrounds, including racial and ethnic minorities, by providing student scholarships or stipends, pre-entry preparation, and retention activities. The program also contributes to the basic preparation of disadvantaged and minority nurses for leadership positions within the nursing and health care community. In fiscal year 2010, 15,800 minority and white disadvantaged students are expected to participate in the program. About 550 will receive scholarships. Loan Repayment and Scholarship Program.--The Committee provides $125,000,000 for the Loan Repayment and Scholarship Program, which is $87,872,000 above the fiscal year 2009 funding level and the same as the budget request. This program offers student loan repayment to nurses, or scholarships to nursing students in exchange for an agreement to serve not less than two years at a health care facility with a critical shortage of nurses. This funding will provide 990 loan repayment agreements and 619 scholarships. Comprehensive Geriatric Nurse Education.--The Committee provides $4,567,000 for Comprehensive Geriatric Nurse Education, which is the same as the fiscal year 2009 funding level and the budget request. The Comprehensive Geriatric Nurse Education program supports grants for: (1) providing training to individuals who will provide geriatric care; (2) develop and disseminate curricula relating to the treatment of the health care problems of elderly individuals; (3) train faculty members in geriatrics; and (4) provide continuing education to individuals who provide geriatric care. In fiscal year 2010, 27 training projects are expected to be funded. Nursing Faculty Loan Program.--The Committee provides $16,000,000 for the Nursing Faculty Loan Program, which is $4,500,000 above the fiscal year 2009 funding level and the same as the budget request. The Nursing Faculty Loan Program supports the development of a student loan fund in schools of nursing to increase the number of qualified nursing faculty. Students may receive loans of up to $30,000 per year for a maximum of five years. The program has a cancellation provision for up to 85 percent of the loan for recipients working full- time as nursing faculty for a period of four years. Fiscal year 2010 funding is expected to support grants to 139 institutions that operate loan funds and provide loans to 550 students. The Committee recognizes that the continuing nurse faculty shortage is directly linked to the national shortage of registered nurses. Despite the economic downturn, the BLS reported the creation of over 27,000 new hospital, long-term care, and ambulatory care positions in the month of February 2009 alone. Although nurses are needed for many of these new positions, the current faculty shortage hinders the ability of nursing schools to graduate enough new clinicians to fill these and more than 140,000 other vacant nursing positions nationwide. According to the American Association of Colleges of Nursing, almost two-thirds of the nursing schools offering baccalaureate and graduate nursing programs pointed to faculty shortages as the primary reason for turning away nearly 50,000 qualified applicants in 2008. Compounding the problem is the fact that a wave of nurse faculty retirements is projected for the next ten years that will only worsen the crisis. The Committee urges HRSA to continue efforts to address the nurse faculty shortage and strengthen the pipeline of nurses entering graduate nursing programs. Children's Hospitals Graduate Medical Education Payment Program The Committee provides $320,000,000 for the Children's Hospitals Graduate Medical Education Payment Program, which is $10,000,000 above the fiscal year 2009 funding level and the budget request. The program provides support for graduate medical education training in children's teaching hospitals that have a separate Medicare provider number (``free- standing'' children's hospitals). The funding in this program is intended to make the level of Federal graduate medical education support more consistent with other teaching hospitals, including children's hospitals, which share provider numbers with other teaching hospitals. Payments are determined by formula, which is based on a national per-resident amount. Payments support training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. The Committee believes this program is important to restoring the reimbursement inequity faced by pediatric hospitals, which provide high quality care to children with difficult and expensive conditions. This program supports 60 free-standing children's hospitals and the training of more than 5,400 medical residents on- and off-site. Patient Navigator Program The Committee provides $4,000,000 for the Patient Navigator Program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides demonstration grants to community organizations that assist underserved populations in the coordination of health care services and provides referrals for prevention or early detection services for cancer and other diseases. National Practitioner Data Bank The Committee assumes $19,750,000 for the National Practitioner Data Bank for fiscal year 2010, the same level as fiscal year 2009. The Committee recommendation and the budget request assume that the data bank will be self-supporting, with collections of $19,750,000 in user fees. Bill language is continued to ensure that user fees are collected to cover the full costs of the data bank operations. The National Practitioner Data Bank receives, stores, and disseminates information on paid medical malpractice judgments and settlements, sanctions taken by Boards of Medical Examiners, losses of membership in professional societies, and certain professional review actions taken by health care entities. Insurance companies, State licensure boards and authorities, and other health care entities and professional societies are required to report information to the data bank within 30 days of each action. The coverage of the data bank includes dentists and physicians, and, with respect to malpractice settlements and judgments, other categories of licensed health professionals. Hospitals are required to search the data bank when a health care provider applies for employment and once every two years thereafter. State licensing boards, other health care entities, licensing authorities, and professional societies also have access to the data bank. In fiscal year 2010, the bank is expected to process more than 5,200,000 queries. Health Care Integrity and Protection Data Bank The Committee assumes $3,758,000 for the Health Care Integrity and Protection Data Bank (HIPDB) for fiscal year 2010, the same level as fiscal year 2009. The Committee recommendation and the budget request assume that the data bank will be self-supporting, with collections of $3,758,000 in user fees. Bill language is continued to ensure that user fees are collected to cover the full costs of the data bank operations. HIPDB receives, stores, and disseminates information on final adverse actions taken against health care providers, suppliers, and practitioners, health care-related civil judgments and criminal convictions. This information is collected from and made available to Government agencies and health plans. HIPDB responded to over five million queries in 2008. Maternal and Child Health Block Grant The Committee provides $665,000,000 for the Maternal and Child Health (MCH) Block Grant, which is $2,879,000 above the fiscal year 2009 funding level and the budget request. States use the MCH block grant to improve access to care for mothers, children, and their families; reduce infant mortality; provide pre- and post-natal care; support screening and health assessments for children; and provide systems of care for children with special health care needs. States served 31.7 million children under the block grant in 2007. The Committee continues bill language, as proposed in the budget request, identifying specific amounts for Special Projects of Regional and National Significance (SPRANS) and Community Integrated Service Systems (CISS). The Committee intends that the following amounts be provided within SPRANS: ---------------------------------------------------------------------------------------------------------------- FY 2010 committee compared to-- ------------------------------------- Budget activity FY 2010 committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Set-aside for oral health.............................. 4,859 $0 $0 Set-aside for epilepsy................................. 4,000 +584 +584 Set-aside for sickle cell disease...................... 3,774 0 0 Set-aside for first time motherhood.................... 4,956 0 0 Set-aside for doulas................................... 1,504 0 0 Set-aside for fetal alcohol syndrome demo.............. 0 -486 -486 ---------------------------------------------------------------------------------------------------------------- Dental Health Projects.--The Committee provides $4,859,000 to encourage HRSA to support early childhood oral health interventions and prevention programs encompassing the medical/ dental interface, topical fluorides, school and community-based sealant programs, and systems building with the Women, Infants, and Children (WIC) and Head Start programs. Epilepsy.--The Committee has provided $4,000,000 for the expansion of a technical assistance support center and state demonstration programs which develop and implement systems of care to improve access to comprehensive, coordinated health care and related services for children and youth with epilepsy living in medically underserved areas. Sickle Cell Disease.--The Committee provides $3,774,000 to support the continuation of the 17 community-based sickle cell disease outreach and supportive service centers. These centers coordinate follow-up on needs identified in sickle cell screening, provide referrals to networks of services, and support community education. The Committee also provides $5,250,000 for sickle cell anemia demonstrations, as discussed later in this report, which are comprehensive, university-based screening and treatment centers. Public Awareness for First-time Parents.--These grants provide $4,956,000 in competitive funding to States to increase public awareness of resources available to new parents and women preparing for childbirth through advertising campaigns and toll-free hotlines. Community-Based Doula Activities.--The Committee provides $1,504,000 for grants to organizations to support community- based doula activities, including technical assistance. Doula grants can be allocated to urban and rural settings, as determined by HRSA. Urban settings should be focused on supporting and expanding community-based activities. Rural settings should emphasize breastfeeding initiation and retention. Vision Screening.--The Committee recognizes that vision disorders are the leading cause of impaired health in childhood and is concerned that one in four school-aged children has a vision problem significant enough to affect learning. Many serious ocular conditions in children are treatable if diagnosed at an early stage. The Committee understands that HRSA requires States to report on a set of core performance measures and that these performance measures, when successfully addressed, can lead to better health outcomes. The Committee urges HRSA to develop and report on the nationwide implementation of a State Title V core performance measure related to vision screening. Sickle Cell Anemia Demonstration Program The Committee provides $5,250,000 for the Sickle Cell Anemia Demonstration Program, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. This program was created to develop systemic mechanisms for the prevention and treatment of sickle cell disease. It supports seven university-based networks linked to local Community Health Centers that provide treatment, education, continuity of care, and provider training for sickle cell anemia patients. The increase in funding will permit the support of two to three additional projects. Traumatic Brain Injury The Committee provides $10,000,000 for the Traumatic Brain Injury (TBI) program. This is $123,000 above the fiscal year 2009 funding level and the budget request. The TBI program funds the development and implementation of statewide systems to ensure access to care, including pre-hospital care, emergency department care, hospital care, rehabilitation, transitional services, education and employment, and long-term community support. Grants also go to State protection and advocacy systems. In fiscal year 2009, 16 States will receive TBI awards, and 57 State and territorial protection and advocacy systems will be funded. The Committee intends that HRSA allocate the TBI funding increase to State grants and protection and advocacy programs in the same proportions as they received with fiscal year 2009 funding. The Committee urges HRSA to better align the administrative requirements (including for reporting, monitoring and the application process) of the TBI protection and advocacy program with the administrative requirements of the Protection and Advocacy for Individuals with Mental Illness (PAIMI) program operated by the Substance Abuse and Mental Health Services Administration. The Committee also encourages HRSA to provide technical assistance through a grantee with established legal expertise to provide assistance to protection and advocacy systems on legal matters. Such assistance could address the complex legal matters that arise in the protection and advocacy program. Autism and Other Related Developmental Disorders The Committee provides $48,000,000 for activities authorized in the Combating Autism Act, which is $6,000,000 above the fiscal year 2009 funding level and the same as the budget request. Within the total, the Committee provides $28,200,000 for the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program to enhance the capacity of existing LEND programs and expand the number of sites and professionals trained to diagnose, treat, and provide interventions to individuals with autism spectrum disorders. This increase of $2,200,000 will help these programs initiate or expand their work in the area of interdisciplinary leadership training to meet the needs of children with autism spectrum disorders and related neurodevelopmental disabilities. Heritable Disorders The Committee provides $10,013,000 for the Heritable Disorders program, which is the same as the fiscal year 2009 funding level and the budget request. These funds support the Advisory Committee on Heritable Disorders in Newborns and Children in its work recommending conditions to be added to the screening panel. The program also supports seven genetic and newborn screening service collaboratives and a national coordinating center. The collaboratives support telemedicine strategies for genetic services and counseling to families, education and dissemination of information to health providers, and State panel standardization and testing harmonization. Congenital Disabilities The Committee does not provide funding for the congenital disabilities program, which is $1,000,000 below the fiscal year 2009 level and the budget request. This amount is too small to have any impact on providing services to families receiving a diagnosis of Down syndrome, spina bifida or other prenatally or postnatally congenital diagnosed conditions. Instead, the Committee provides $665,000,000 for the MCH block grant. That program is statutorily required to implement family-centered, community-based systems of coordinated care for children with special health care needs. Healthy Start The Committee provides $105,000,000 for Healthy Start, which is $2,628,000 above the fiscal year 2009 funding level and the budget request. Healthy Start provides discretionary grants to communities with high rates of infant mortality to provide ongoing sources of primary and preventive health care to mothers and their infants. Currently, 102 communities have Healthy Start grants. The increase provided in the bill will support two to three new grants to communities. The National Fetal Infant Mortality Review (NFIMR) program, an important component of many Healthy Start programs, provides evidence-based interventions crucial to improving infant health in high risk communities. The Committee believes HRSA should continue to use Healthy Start funds to support the NFIMR program and that all Healthy Start Programs should be encouraged to implement NFIMR. James T. Walsh Universal Newborn Hearing Screening Program The Committee includes $19,000,000 for the James T. Walsh Universal Newborn Hearing Screening Program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides competitive grants to States for universal newborn hearing screening by means of physiologic testing prior to hospital discharge, audiologic evaluation by three months of age, and entry into a program of early intervention by six months of age. Emergency Medical Services for Children The Committee provides $20,000,000 for the Emergency Medical Services for Children (EMSC) Program, which is the same as the fiscal year 2009 funding level and the budget request. Grants are provided to States and territories to incorporate pediatric components into existing emergency medical services systems and to schools of medicine to develop and evaluate improved procedures and protocols for treating children. In fiscal year 2009, 54 grants were awarded to States and territories. Ryan White HIV/AIDS Programs The Committee provides a program level of $2,292,414,000 for Ryan White HIV/AIDS Programs, which is $53,993,000 above the fiscal year 2009 funding level and the same as the budget request. The bill makes available $25,000,000 in program evaluation funding under section 241 of the Public Health Service Act for Special Projects of National Significance. The bill continues language to make funds appropriated for Parts A and B available for three years, consistent with the authorization. Within the total, the Committee provides $142,900,000 for the Minority HIV/AIDS Initiative, which is $3,900,000 above the fiscal year 2009 funding level and the same as the budget request. These programs 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. Emergency Assistance.--The Committee provides $679,074,000 for the Part A Emergency Assistance Program, which is $15,992,000 above the fiscal year 2009 funding level and $7,999,000 above the budget request. These funds provide grants to metropolitan areas with very high numbers of HIV/AIDS cases for outpatient and ambulatory health and social support services. Half of the amount appropriated is allocated by formula and half is allocated to eligible areas demonstrating additional need through a competitive grant process. The program will provide awards to 24 eligible metropolitan areas and 32 transitional areas in fiscal year 2010. An estimated 300,000 people are served by Part A. The Committee provides funds within the Part A program to prevent substantial funding losses in both eligible metropolitan areas and transitional grant areas. Changes in the reauthorization significantly altered the method for allocating Part A funds, and additional funds are required to create a stop loss against unanticipated cuts that threaten to disrupt access to needed medical care and support services for people living with HIV and AIDS. The Committee includes bill language to cap maximum fiscal year 2009 losses at 92.4 percent of the fiscal year 2006 level for eligible metropolitan areas and transitional grant areas. When allocating fiscal year 2010 supplemental funds under Part A of the Ryan White CARE Act, the Committee urges HRSA to provide additional increases to jurisdictions that have experienced cuts in their total awards relative to the amount awarded in fiscal year 2006. Comprehensive Care Programs.--The Committee provides $1,253,791,000 for Part B Comprehensive Care programs, which is $30,000,000 above the fiscal year 2009 funding level and the same as the budget request. The funds provide formula grants to States for the operation of HIV service delivery consortia in the localities most heavily affected, the provision of home- and community-based care, continuation of health insurance coverage for infected persons, and purchase of therapeutic drugs. The Committee includes bill language identifying $835,000,000 of this total to support State AIDS Drug Assistance Programs (ADAP), which is $20,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Part B program provides 59 grants to States and territories. In fiscal year 2010, 150,000 clients were served by ADAP. Early Intervention Program.--The Committee provides $206,823,000 for the Part C Early Intervention Services Program, which is $4,946,000 above the fiscal year 2009 funding level and $5,054,000 below the budget request. Funds are used for discretionary grants to Community Health Centers, Family Planning agencies, comprehensive hemophilia diagnostic and treatment centers, Federally-qualified Health Centers, county and municipal health departments, and other non-profit community-based programs that provide comprehensive primary care services to populations with or at risk for HIV disease. The grantees provide testing, risk reduction counseling, transmission prevention, oral health, nutritional and mental health services, and clinical care. Optional services include case management, outreach, and eligibility assistance. Currently, 353 grantees provide comprehensive, primary care services to approximately 232,000 people in 52 States and territories. Children, Youth, Women, and Families.--The Committee provides $78,728,000 for Part D Children, Youth, Women, and Families Programs, which is $1,883,000 above the fiscal year 2009 funding level and the budget request. HIV-infected children, youth, women, and affected family members have multiple, complex medical, economic, and social service needs, which often require more intensive care coordination, intensive case management, child and respite care, and direct service delivery to engage and maintain adolescents and mothers in care. Funds support innovative and unique strategies and models to organize, arrange for, and deliver comprehensive services through integration into ongoing systems of care. In fiscal year 2010, 90 grants will support health care and support services for over 80,000 women, infants, children and youth living in 34 States, D.C., and Puerto Rico. AIDS Dental Services.--The Committee provides $13,758,000 for AIDS Dental Services, which is $329,000 above the fiscal year 2009 funding level and $1,671,000 below the budget request. The program includes two components: (1) the dental reimbursement program, which reimburses dental education programs for non-reimbursed costs incurred in providing care to AIDS patients; and (2) the community-based dental partnership, which increases access to oral health services and provider training in community settings. In fiscal year 2008, 64 dental schools and post-doctoral dental education programs received partial reimbursements for the costs of serving 33,500 patients. In addition, 16 community-based dental partnership grants provided training to students and residents enrolled in dental education programs that provide care for people with HIV under direction of dentists in the community. Education and Training Centers.--The Committee provides $35,240,000 for AIDS Education and Training Centers, which is $843,000 above the fiscal year 2009 funding level and $3,157,000 below the budget request. The program supports a network of 11 regional centers with more than 130 associated sites that conduct targeted, multi-disciplinary HIV education and training for health care providers. Organ Transplantation The Committee provides $24,049,000 for Organ Donation and Transplantation activities, which is the same as the fiscal year 2009 funding level and the budget request. 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, through a contract with the United Network for Organ Sharing (UNOS). In fiscal year 2010, more than 29,000 deceased donor organs are expected to be transplanted. The Committee commends HRSA's Division of Transplantation and 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. The Committee notes that the Breakthrough Collaborative successfully increased the rates of organ donation each year since it was launched in fiscal year 2003, but the rates of increase have flattened since fiscal year 2008. The Committee requests that HRSA submit a report to the Committees on Appropriations of the House of Representatives and the Senate on additional initiatives and programs that would help the Division of Transplantation reach its stated goal of a 75 percent organ donation conversion rate. National Cord Blood Inventory Program The Committee provides $11,983,000 for the National Cord Blood Inventory Program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides funds to cord blood banks to build an inventory of the highest quality cord blood units for transplantation. Currently more than 38,000 cord blood units have been collected, and 233 units have been released 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 same as the fiscal year 2009 funding level and the budget request. The C.W. ``Bill'' Young Cell Transplantation Program is the successor to the National Bone Marrow Donor Registry. Its purpose is to increase the number of transplants for recipients suitably matched to biologically unrelated donors of bone marrow and cord blood. In 2008, a total of 7.2 million adult volunteers were listed in the registry. Office of Pharmacy Affairs The Committee provides $1,470,000 for the Office of Pharmacy Affairs, which is the same as the fiscal year 2009 funding level and $1,500,000 below the budget request. The Office administers the 340B Drug Pricing program, which requires drug manufacturers to give covered entities such as Community Health Centers a discount on drugs they dispense. The number of covered entities is expected to reach 14,400 in fiscal year 2010. Poison Control Centers The Committee provides $28,314,000 for Poison Control Centers, which is the same as the fiscal year 2009 funding level and the budget request. These funds support a grant program for 61 Poison Control Centers. In addition, funds are used to maintain a national toll-free number and to implement a media campaign to advertise that number, as well as to support the development of uniform patient management guidelines and the improvement of data collection. Rural Programs The Committee provides $312,000,000 for key rural health programs, which fully meets the amount identified by the Congressional Rural Health Care Coalition and other primary stakeholders. This level is $23,192,000 above the fiscal year 2009 funding level and $13,291,000 below the budget request. Rural Outreach Grants.--The Committee provides $56,600,000 for Rural Outreach Grants, which is $2,700,000 above the fiscal year 2009 funding level and $1,150,000 above the budget request. In fiscal year 2010, the program is expected to award 245 grants to deliver and improve rural health care services to 950,000 rural residents. Rural Health Research.--The Committee provides $10,200,000 for Rural Health Research, which is $500,000 above the fiscal year 2009 funding level and the budget request. This activity supports six rural health research centers, health services data analysis grants, and the Secretary's rural health advisory committee. Rural Hospital Flexibility Grants.--The Committee provides $41,200,000 for Rural Hospital Flexibility Grants, which is $2,000,000 above the fiscal year 2009 funding level and the budget request. Under this program, HRSA works with 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 Program. In fiscal year 2010, 1,600 grants are expected to be awarded to small rural hospitals for these activities. Delta Health Initiative.--The Administration's budget proposes to eliminate funding for the Delta Health Initiative. The Committee concurs with the budget request. The fiscal year 2009 funding level was $26,000,000. Rural and Community Access to Emergency Devices.--The Committee provides $3,300,000 for Rural and Community Access to Emergency Devices, which is $1,549,000 above the fiscal year 2009 funding level and the budget request. The program assists both urban and rural communities in increasing survivability from sudden cardiac arrest by providing funding for the purchase, placement, and training in the use of automated external defibrillators (AED). These funds will support the placement of 1,400 AEDs and training for 3,700 individuals. Only an estimated eight percent of victims who suffer a sudden cardiac arrest outside of a hospital survive. Immediate cardiopulmonary resuscitation and early intervention, using an AED, can more than double a patient's chance of survival. Communities with comprehensive AED programs, including training of anticipated rescuers, have achieved survival rates of 40 percent or higher. State Offices of Rural Health.--The Committee provides $9,700,000 for State Offices of Rural Health, which is $499,000 above the fiscal year 2009 funding level and $250,000 above the budget request. The State Offices of Rural Health program creates a focal point for rural health within each State. In each State, the office collects and disseminates information on rural health, coordinates rural health resources and activities, provides technical assistance to rural providers and communities, and helps communities recruit and retain health professionals. In fiscal year 2010, more than 5,200 communities will be assisted. Black Lung Clinics.--The Committee provides $7,200,000 for Black Lung Clinics, which is the same as the fiscal year 2009 funding level and the budget request. The program supports 15 grantees that treat approximately 11,600 patients who are active and retired coal miners and others with occupation- related respiratory and pulmonary impairments. Radiation Exposure Screening and Education Program.--The Committee provides $1,952,000 for the Radiation Exposure Screening and Education Program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides grants to States, local governments, and health care organizations for the education, prevention, and early detection of radiogenic cancers and diseases resulting from exposure to uranium during mining and milling at nuclear test sites. There are 1,900 patients served by the program. Denali Commission The Administration's budget request proposes to eliminate funding for the Denali Commission in HHS, mirroring a similar termination in the Department of Labor. The Committee concurs with the budget request. The fiscal year 2009 funding level was $19,642,000. Family Planning The Committee provides $317,491,000 for the Family Planning program, which is $10,000,000 above the fiscal year 2009 funding level and the same as the budget request. In fiscal year 2010, the program is expected to serve 5.2 million low- income women and men at 4,500 clinics nationwide. This funding level will allow the program to prevent over one million unintended pregnancies. The program provides grants to public and private non- profit agencies to support a range of family planning and reproductive services, as well as related preventive health services, such as patient education and counseling; breast and cervical cancer examinations; STD and HIV prevention education, counseling, testing and referral; and pregnancy diagnosis and counseling. The program is the only source of health care for many of its clients. Healthcare-related Facilities and Other Programs The Committee includes $179,330,000 for construction and renovation (including equipment) of health care and other facilities and other health-related activities. The budget request does not include funding for this purpose. HRSA should use no more than one percent of the funds allocated for projects for agency administrative expenses. The bill includes funding for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Advocate Good Shepherd Hospital, Barrington, IL for $70,000 facilities and equipment............................ Advocate South Suburban Hospital, Hazel Crest, IL for 300,000 facilities and equipment............................ Advocates for a Healthy Community, Inc., Springfield, 250,000 MO for facilities and equipment..................... Akron Children's Hospital, Akron, OH for facilities 250,000 and equipment....................................... Alexandria Neighborhood Health Services, Inc., 500,000 Alexandria, VA for facilities and equipment......... Alivio Medical Center, Chicago, IL for facilities and 600,000 equipment for a community health center in Cicero, IL.................................................. All Children's Hospital, St. Petersburg, FL for 350,000 facilities and equipment............................ Alton Memorial Hospital, Alton, IL for facilities and 250,000 equipment........................................... American Oncologic Hospital, Fox Chase Cancer Center, 1,000,000 Philadelphia, PA for facilities and equipment for the American Russian Cancer Alliance................ Anchorage Neighborhood Health Center, Anchorage, AK 100,000 for facilities and equipment........................ Angelina College, Lufkin, TX for purchase of 200,000 equipment........................................... Arcadia Methodist Hospital, Arcadia, CA for an 750,000 electronic medical records initiative............... Arkansas Methodist Medical Center, Paragould, AR for 100,000 facilities and equipment............................ Ashtabula County Council on Aging, Inc., dba 250,000 Ashtabula Senior Center, Ashtabula, OH for facilities and equipment............................ Asian Health Services, Oakland, CA for facilities and 275,000 equipment........................................... Association for Utah Community Health, Salt Lake 350,000 City, UT for facilities and equipment............... Athol Memorial Hospital, Athol, MA for facilities and 250,000 equipment........................................... Atlantic Health System, Morristown, NJ for facilities 750,000 and equipment....................................... AtlantiCare, Egg Harbor Township, NJ for facilities 200,000 and equipment....................................... Avis Goodwin Community Health Center, Dover, NH for 100,000 facilities and equipment............................ Bacharach Institute for Rehabilitation, Pomona, NJ 250,000 for facilities and equipment........................ Bacon County Hospital, Alma, GA for facilities and 993,000 equipment........................................... Baltimore Medical System, Baltimore, MD for 250,000 facilities and equipment for the Highlandtown Health Living Center....................................... Baptist Hospitals of Southeast Texas, Beaumont, TX 200,000 for facilities and equipment........................ Barnesville Hospital, Barnesville, OH for facilities 600,000 and equipment....................................... Bassett Hospital of Schoharie County dba Cobleskill 350,000 Regional Hospital, Cobleskill, NY for facilities and equipment........................................... Bay Regional Medical Center, Bay City, MI for 350,000 facilities and equipment............................ BayCare Health System, Clearwater, FL for facilities 1,000,000 and equipment....................................... Bear Lake Memorial Hospital, Montpelier, ID for 300,000 facilities and equipment............................ Ben Archer Health Center, Hatch, NM for facilities 300,000 and equipment....................................... Benefis Health System, Great Falls, MT for facilities 500,000 and equipment....................................... Billings Clinic, Billings, MT for a rural health 250,000 outreach program, including purchase of equipment... BioInnovation Institute of Akron, Akron, OH for 600,000 facilities and equipment............................ Bisbee Hospital Association, Bisbee, AZ for 400,000 facilities and equipment............................ Boston Medical Center, Boston, MA for facilities and 500,000 equipment for the Carl J. and Ruth Shapiro Ambulatory Care Center.............................. Bothwell Region Health Center, Sedalia, MO for 370,000 facilities and equipment............................ Bradley Hospital, East Providence, RI for facilities 500,000 and equipment....................................... Branch-Hillsdale-St. Joseph Community Health Agency, 400,000 Coldwater, MI for facilities and equipment for a Hillsdale public health dental clinic............... Bronx Regional Health Information Organization, 310,000 Bronx, NY for facilities and equipment.............. Bronx-Lebanon Hospital Center, Bronx, NY for 600,000 facilities and equipment............................ Brookhaven Memorial Hospital Medical Center, 150,000 Patchogue, NY for facilities and equipment.......... Brownsville Community Development Corporation, 400,000 Brooklyn, NY for facilities and equipment........... Cabell Huntington Hospital Foundation, Huntington, WV 650,000 for facilities and equipment........................ Calhoun Liberty Hospital, Blountstown, FL for 450,000 facilities and equipment............................ California State University Channel Islands, 195,000 Camarillo, CA for nursing curriculum development, including purchase of equipment..................... California State University San Bernardino, San 100,000 Bernardino, CA for facilities and equipment......... California State University, Bakersfield, CA for 150,000 purchase of equipment............................... California State University, Long Beach, Department 200,000 of Nursing, Long Beach, CA for nursing programs..... Camillus House, Inc., Miami, FL for facilities and 500,000 equipment........................................... Caritas Christi Health Care, Boston, MA for 400,000 facilities and equipment for Carney Hospital, Dorchester, MA...................................... Caroline's Room/Community Foundation of Greater New 300,000 Haven, New Haven, CT for facilities and equipment... Catskill Regional Medical Center, Harris, NY for 300,000 facilities and equipment............................ Center for Asbestos Related Disease (CARD), Libby, MT 350,000 for an asbestos surveillance initiative............. Central Suffolk Hospital dba Peconic Bay Medical 100,000 Center, Riverhead, NY for facilities and equipment.. Central Washington Hospital, Wenatchee, WA for 600,000 facilities and equipment............................ Charles T. Sitrin Health Care Center, New Hartford, 250,000 NY for facilities and equipment..................... Chicago Family Health Project, Chicago, IL for 250,000 facilities and equipment............................ Chickaloon Native Village, Chickaloon, AK for 250,000 facilities and equipment............................ Child Protection Center, Sarasota, FL for facilities 150,000 and equipment....................................... Childersburg Medical Clinic Board, Childersburg, AL 200,000 for facilities and equipment at the Regional Diabetic Care and Advanced Wound Care Center........ Children's Hospital and Clinics of Minnesota, St. 675,000 Paul, MN for facilities and equipment............... Children's Hospital of The King's Daughters Health 200,000 System, Chesapeake, VA for facilities and equipment. Children's Hospital of the King's Daughters, Norfolk, 250,000 VA for facilities and equipment..................... Children's Hospital, Aurora, CO for facilities and 225,000 equipment........................................... Children's Hospitals and Clinics of Minnesota, 450,000 Minneapolis, MN for facilities and equipment........ Children's Institute of Pittsburgh, Pittsburgh, PA 600,000 for facilities and equipment........................ Children's Memorial Hospital, Chicago, IL for 380,000 facilities and equipment............................ Chinese Hospital, San Francisco, CA for facilities 350,000 and equipment....................................... CHOICE Regional Health Network, Olympia, WA for rural 115,000 health outreach..................................... CHRISTUS Health St. Francis Cabrini Hospital, 400,000 Alexandria, LA for an electronic medical records initiative.......................................... CHRISTUS Health System, Shreveport, LA for a rural 350,000 health initiative................................... Cincinnati Children's Hospital Cincinnati, OH for 500,000 facilities and equipment............................ Citizens for a Fair Ferndale, Hazel Park, MI for 150,000 facilities and equipment for Ferndale Free Clinic... City of Bethlehem, PA for facilities and equipment... 100,000 City of Hopewell, VA for facilities and equipment.... 257,000 City of New Orleans, LA for facilities and equipment 450,000 associated with replacement of Methodist Hospital... City of Philadelphia, PA for facilities and equipment 535,000 for electronic health records....................... City of Springville, AL for facilities and equipment. 250,000 City of Sumter, SC for facilities and equipment for 250,000 Central Carolina Technical College.................. City of Vineland, NJ for facilities and equipment.... 300,000 Clarian Health and Riley Hospital for Children, 400,000 Indianapolis, IN for facilities and equipment....... Clarian Health, Indianapolis, IN for facilities and 200,000 equipment........................................... Clayton County Board of Commissioners, Jonesboro, GA 350,000 for facilities and equipment for Alzheimer's Disease services............................................ Clinica Family Health Services, Lafayette, CO for 250,000 facilities and equipment............................ Clinica Sierra Vista, Bakersfield, CA for facilities 550,000 and equipment....................................... Clinicas de Salud del Pueblo, Inc., Brawley, CA for 400,000 facilities and equipment............................ Clinics of Hope, USA, Knoxville, TN for facilities 200,000 and equipment....................................... Coastal Bend College, Beeville, TX for facilities and 220,000 equipment........................................... Coastal Medical Access Project, Brunswick, GA for 100,000 facilities and equipment............................ Cobb County Government, Marietta, GA for facilities 500,000 and equipment....................................... College of Notre Dame of Maryland, Baltimore, MD for 450,000 facilities and equipment for the school of pharmacy. College of Southern Maryland, La Plata, MD for 400,000 facilities and equipment............................ College of St. Catherine, St. Paul, MN for health 600,000 professions training................................ College of St. Scholastica, Duluth, MN for a rural 350,000 health technology project........................... Collier County, FL for a health care access network 600,000 for the uninsured, including purchase of equipment.. Colorado State University--Pueblo, Pueblo, CO for 300,000 facilities and equipment for the Nursing Education program............................................. Colorado State University, Ft. Collins, CO for 500,000 facilities and equipment for a biocontainment training facility................................... Columbus Community Hospital, Columbus, WI for 500,000 facilities and equipment............................ Columbus County Department of Aging and Adult 450,000 Services, Whiteville, NC for facilities and equipment........................................... Columbus Regional Hospital, Columbus, IN for 500,000 facilities and equipment............................ Community Care Services, Taunton, MA for facilities 200,000 and equipment....................................... Community Health Alliance of Pasadena, Pasadena, CA 100,000 for facilities and equipment........................ Community Health Center of Franklin County, Inc., 200,000 Turners Falls, MA for facilities and equipment...... Community Health Development, Inc., Uvalde, TX for 600,000 facilities and equipment............................ Community Health Integrated Partnership, Inc., Glen 500,000 Burnie, MD for facilities and equipment............. Community Health Service Agency, Greenville, TX for 300,000 facilities and equipment............................ Community Hospital Association, Inc., Fairfax, MO for 500,000 facilities and equipment............................ Community Medical Center, Missoula, MT for facilities 500,000 and equipment....................................... Community Medical Center, Toms River, NJ for 400,000 facilities and equipment............................ Cooper Health System, Camden, NJ for facilities and 200,000 equipment........................................... Cortland Regional Medical Center, Inc., Cortland, NY 250,000 for facilities and equipment........................ County Commissioners of Charles County, MD, La Plata, 250,000 MD for facilities and equipment..................... County of Brunswick, Bolivia, NC for facilities and 250,000 equipment........................................... County of Custer, ID for facilities and equipment.... 400,000 County of Hood River, OR for facilities and equipment 150,000 County of Sarasota, FL for facilities and equipment.. 350,000 County of Washington, Hillsboro, OR for facilities 350,000 and equipment for a mental health clinic............ Creighton University, Omaha, NE for facilities and 1,000,000 equipment........................................... Cullman Regional Medical Center, Cullman, AL for 1,000,000 facilities and equipment............................ Daniel Memorial, Inc., Jacksonville, FL for 500,000 facilities and equipment............................ Daniels Memorial Hospital Association, Scobey, MT for 400,000 facilities and equipment............................ DCH Health System, Northport, AL for facilities and 350,000 equipment........................................... Moffitt Cancer Center, Tampa, FL for the Cancer 700,000 LifeLink program.................................... DCH Health System/Fayette Medical Center, Fayette, AL 600,000 for facilities and equipment........................ Denver Health and Hospital Authority, Denver, CO for 500,000 facilities and equipment............................ Department of Health and Mental Hygiene, Baltimore, 500,000 MD for facilities and equipment..................... Dubois Regional Medical Center, Dubois, PA for 100,000 facilities and equipment............................ DuPage County Health Department, Wheaton, IL for 150,000 purchase of equipment............................... E.J. Noble Hospital, Gouverneur, NY for facilities 350,000 and equipment....................................... East Carolina University, Greenville, NC for 222,000 facilities and equipment............................ East Harlem Council for Human Services, Inc., New 300,000 York, NY for facilities and equipment............... Easter Seals-Goodwill Northern Rocky Mountain, Inc., 500,000 Great Falls, MT for facilities and equipment........ Eastside Eye Care Clinic, San Antonio, TX for 250,000 facilities and equipment............................ Edgerton Care Center, Edgerton, WI for facilities and 150,000 equipment........................................... Edward Waters College, Jacksonville, FL for 500,000 facilities and equipment............................ Eisenhower Medical Center, Rancho Mirage, CA for 350,000 facilities and equipment............................ El Proyecto del Barrio Inc., Arleta, CA for 300,000 facilities and equipment for a community health clinic in Winnetka, CA.............................. Endless Mountains Health Systems, Montrose, PA for 700,000 facilities and equipment............................ Enrichment Center of Hernando County, Brooksville, FL 600,000 for facilities and equipment........................ Excela Health Frick Hospital, Mt. Pleasant, PA for 150,000 facilities and equipment............................ Family Health Centers Worcester, Worcester, MA for 250,000 facilities and equipment............................ Family Service of RI, Providence, RI for facilities 400,000 and equipment....................................... Ferrum College, Ferrum, VA for facilities and 200,000 equipment........................................... Flambeau Hospital, Park Falls, WI for facilities and 750,000 equipment........................................... Florida Blood Services, St. Petersburg, FL for 200,000 purchase of equipment............................... Florida Community College at Jacksonville, FL for 250,000 facilities and equipment............................ Florida Hospital Altamonte, Altamonte Springs, FL for 100,000 facilities and equipment............................ Florida Southern College, Lakeland, FL for facilities 400,000 and equipment....................................... Floyd Medical Center, Rome, GA for facilities and 250,000 equipment........................................... Forsyth Institute, Boston, MA for facilities and 450,000 equipment........................................... FoundCare, Palm Springs, FL for facilities and 200,000 equipment........................................... Frank R. Howard Foundation, Willits, CA for 350,000 facilities and equipment............................ Gonzaga University, Spokane, WA for purchase of 250,000 equipment........................................... Good Samaritan Hospital, Los Angeles, CA for 400,000 facilities and equipment............................ Gordon Hospital, Calhoun, GA for an electronic 150,000 medical records system.............................. Graceland University, Lamoni, IA for facilities and 150,000 equipment........................................... Grady Health System, Atlanta, GA for facilities and 900,000 equipment........................................... Grand Rapids Public Schools, Grand Rapids, MI for 500,000 facilities and equipment at the Central Health Science Campus...................................... Griffin Hospital, Derby, CT for facilities and 300,000 equipment........................................... Grimes St. Joseph Health Center, Navasota, TX for 150,000 facilities and equipment............................ Gulf Coast Jewish Family Services, Clearwater, FL for 500,000 facilities and equipment............................ Gulf County Health Department, Port St. Joe, FL for 200,000 facilities and equipment............................ Halifax Community College, Weldon, NC for facilities 150,000 and equipment....................................... Hamilton Memorial Hospital, McLeansboro, IL for an 200,000 electronic medical records initiative............... Hancock Medical Center, Bay Saint Louis, MS for 500,000 facilities and equipment............................ Hanover Hospital, Hanover, PA for an electronic 450,000 medical records initiative.......................... Happiness House/Finger Lakes Cerebral Palsy 30,000 Association, Geneva, NY for facilities and equipment Harnett County Central Campus Hospital, Dunn, NC for 400,000 facilities and equipment............................ Harris County Hospital District, Houston, TX for 300,000 facilities and equipment............................ Harris County Hospital District, Houston, TX for 100,000 facilities and equipment for the Nurse Call Triage System.............................................. Harrison Memorial Hospital, Cynthiana, KY for 100,000 facilities and equipment............................ Health Alliance, Lake Katrine, NY for facilities and 300,000 equipment........................................... Healthy Learners Midlands, Columbia, SC for rural 110,000 health outreach..................................... Hendricks Regional Health, Danville, IN for 550,000 facilities and equipment............................ Hennepin County Medical Center, Minneapolis, MN for 300,000 facilities and equipment............................ Henry Mayo Newhall Memorial Hospital, Valencia, CA 350,000 for facilities and equipment........................ Hidalgo County Health Department, Edinburg, TX for 230,000 facilities and equipment............................ Highland Community Hospital, Hattiesburg, MS for 200,000 facilities and equipment............................ Highlands Hospital, Connellsville, PA for facilities 300,000 and equipment....................................... Holy Name Hospital, Teaneck, NJ for facilities and 500,000 equipment........................................... Holyoke Medical Center, Holyoke, MA for facilities 300,000 and equipment....................................... Hormel Foundation, Austin, MN for facilities and 500,000 equipment for biomedical research................... Hospice of Tuscarawas County, Inc., Dover, OH for 400,000 facilities and equipment............................ Hospital Authority of Jefferson County, Louisville, 150,000 GA for facilities and equipment..................... Houlton Regional Hospital, Houlton, ME for facilities 250,000 and equipment....................................... Hudson Headwaters Health Network, Queensbury, NY for 350,000 facilities and equipment............................ Hudson River HealthCare, Inc., Peekskill, NY for 400,000 facilities and equipment............................ Huguley Memorial Medical Center, Burleson, TX for 380,000 facilities and equipment............................ Hurley Medical Center, Flint, MI for facilities and 350,000 equipment........................................... Idaho Caring Foundation for Children, Boise, ID for 300,000 dental services for low-income children............. Idaho State University, Pocatello, ID for facilities 400,000 and equipment....................................... Illinois Capital Development Board, Springfield, IL 200,000 for facilities and equipment........................ Illinois State University, Normal, IL for curriculum 500,000 development......................................... Indian Health Center of Santa Clara County, San Jose, 300,000 CA for facilities and equipment..................... Indiana Regional Medical Center, Indiana, PA for an 350,000 electronic medical records initiative............... Infirmary Health System, Mobile, AL for an electronic 250,000 medical records initiative.......................... Ingham Regional Medical Center, Lansing, MI for 100,000 purchase of equipment............................... Iowa State University, Ames, IA for facilities and 650,000 equipment........................................... Iowa Western Community College, Council Bluffs, IA 250,000 for facilities and equipment........................ J.C. Blair Memorial Hospital, Huntingdon, PA for 180,000 facilities and equipment............................ Jackson Health System, Miami, FL for health 500,000 information technology upgrades..................... Jacksonville University, Jacksonville, FL for 250,000 facilities and equipment............................ Jamaica Hospital Medical Center, Jamaica, NY for 250,000 facilities and equipment............................ Jasper Memorial Hospital, Monticello, GA for 100,000 facilities and equipment............................ Jenkins County Hospital, Millen, GA for facilities 200,000 and equipment....................................... Jewish Hospital & St. Mary's Foundation, Louisville, 600,000 KY for facilities and equipment..................... JFK Medical Center, Edison, NJ for facilities and 300,000 equipment........................................... John Kanzius Cancer Research Foundation, Erie, PA for 700,000 facilities and equipment............................ John T. Mather Memorial Hospital, Port Jefferson, NY 450,000 for facilities and equipment........................ Kaleida Health, Buffalo, NY for facilities and 300,000 equipment........................................... Kennesaw State University, Kennesaw, GA for 100,000 facilities and equipment............................ KVC Behavioral Health Care, Kansas City, KS for 500,000 facilities and equipment............................ La Porte Regional Health System, La Porte, IN for 350,000 facilities and equipment............................ La Rabida Children's Hospital, Chicago, IL for 325,000 facilities and equipment............................ Lake City Community College, Lake City, FL for 250,000 purchase of mobile clinical training laboratories... Lake Hospital System, Painesville, OH for an 500,000 electronic medical records initiative............... Lakeland Community College, Kirtland, OH for purchase 250,000 of equipment........................................ Lamar University, Beaumont, TX for the Community and 350,000 University Partnership Service, including facilities and equipment....................................... Lamprey Health Care, Inc., Newmarket, NH for 400,000 facilities and equipment............................ Lane Community College, Eugene, OR for facilities and 400,000 equipment........................................... LBJ Tropical Medical Center, Pago Pago, AS for 700,000 facilities and equipment............................ Lehigh Valley Coalition for Kids, Allentown, PA to 150,000 purchase and equip mobile health clinics............ Little Rivers Health Care, Bradford, VT for 200,000 facilities and equipment............................ Long Beach Memorial Medical Center, Long Beach, CA 350,000 for facilities and equipment........................ Los Angeles Southwest College, Los Angeles, CA for 300,000 health professions training......................... Lowell Community Health Center, Lowell, MA for 600,000 facilities and equipment............................ Lutheran Medical Center, Brooklyn, NY for facilities 150,000 and equipment....................................... Lutheran Social Services of Minnesota, St. Paul, MN 450,000 for facilities and equipment........................ Mackinac Straits Health System, Inc., St. Ignace, MI 150,000 for facilities and equipment........................ Madison County Health Care Center, Winterset, IA for 250,000 an electronic medical records initiative............ Madison County Memorial Hospital, Rexburg, ID for an 350,000 electronic medical records initiative............... Madonna Rehabilitation Hospital, Lincoln, NE for 250,000 facilities and equipment............................ Manchester Community Health Center, Manchester, NH 250,000 for facilities and equipment........................ Marian Medical Center, Santa Maria, CA for facilities 500,000 and equipment....................................... Marquette University, Milwaukee, WI for rural dental 410,000 health outreach..................................... Marshfield Clinic, Marshfield, WI for facilities and 1,000,000 equipment........................................... Martin Methodist College, Pulaski, TN for facilities 1,000,000 and equipment....................................... Mary Queen of Vietnam Community Development 400,000 Corporation, New Orleans, LA for facilities and equipment........................................... Massachusetts College of Pharmacy and Health 400,000 Sciences, Worcester, MA for health professions training............................................ McCurtain Memorial Hospital, Idabel, OK for 250,000 facilities and equipment............................ McKay-Dee Hospital Center, Ogden, UT for facilities 150,000 and equipment....................................... Medical University of South Carolina--Hollings Cancer 200,000 Center, Charleston, SC for facilities and equipment. Memorial Healthcare System, Hollywood, FL for 450,000 facilities and equipment............................ Memorial Hermann Foundation, Houston, TX for 250,000 facilities and equipment............................ Memorial Hermann Healthcare System, Houston, TX for 1,000,000 facilities and equipment............................ Memorial Hospital, Miramar, FL for facilities and 250,000 equipment........................................... Mena Regional Health System, Mena, AR for facilities 500,000 and equipment....................................... Mental Health Association in High Point, NC for 247,000 facilities and equipment............................ Mercy Health Foundation, Durango, CO for facilities 400,000 and equipment for a primary health clinic in La Plata County........................................ Mercy Medical Center--North Iowa, Mason City, IA for 350,000 an electronic medical records initiative............ Meridian Health, Neptune, NJ for facilities and 100,000 equipment........................................... Miami Beach Community Health Center, North Miami, FL 200,000 for facilities and equipment........................ Miami Children's Hospital, Miami, FL for facilities 450,000 and equipment....................................... Miami Jewish Home and Hospital for the Aged, Miami, 500,000 FL for facilities and equipment..................... Middlesex Community College, Bedford, MA for 300,000 facilities and equipment for the Lowell dental hygiene clinic...................................... Mid-Illinois Medical District, Springfield, IL for 250,000 facilities and equipment............................ MidState Medical Center, Meridien, CT for facilities 250,000 and equipment....................................... Milwaukee Health Services, Milwaukee, WI for 100,000 facilities and equipment............................ Missouri Baptist Hospital, St. Louis, MO for 400,000 facilities and equipment............................ Missouri State University, Springfield, MO, for a 250,000 nursing clinical simulation laboratory, including facilities and equipment............................ Monmouth Medical Center, Long Branch, NJ for 400,000 facilities and equipment............................ Monongahela Valley Hospital, Monongahela, PA for 400,000 facilities and equipment............................ Monongalia General Hospital, Morgantown, WV for 450,000 facilities and equipment............................ Montana Wyoming Tribal Leaders Council, Billings, MT 100,000 for facilities and equipment........................ Montgomery College, Rockville, MD for facilities and 550,000 equipment........................................... Morehead State University, Morehead, KY for a rural 250,000 health initiative................................... Morehouse School of Medicine, Atlanta, GA for 100,000 facilities and equipment............................ Morris College, Sumter, SC for facilities and 275,000 equipment........................................... Morrisania Diagnostic and Treatment Center, Bronx, NY 200,000 for facilities and equipment........................ Mount Nittany Medical Center, State College, PA for 150,000 facilities and equipment............................ Mount St. Mary's Hospital, Lewiston, NY for 300,000 facilities and equipment............................ MultiCare Health System, Tacoma, WA for facilities 250,000 and equipment....................................... Murphy Medical Center, Murphy, NC for facilities and 350,000 equipment........................................... Nanticoke Senior Center, Seaford, DE for facilities 100,000 and equipment....................................... Nathan Littauer Hospital Association, Gloversville, 350,000 NY for facilities and equipment..................... National Association of Hispanic Nurses, Washington, 500,000 DC for health professions training.................. National Kidney Registry, Babylon, NY for purchase of 177,000 equipment........................................... Native Women's Health Care, Rapid City, SD for 60,000 facilities and equipment............................ NC Dental Health Fund, Cary, NC for facilities and 300,000 equipment for the Missions of Mercy (MOM) free dental clinics...................................... Nemours/Alfred I. duPont Hospital for Children, 350,000 Wilmington, DE for facilities and equipment......... New Horizons Health System, Owenton, KY for 250,000 facilities and equipment............................ New York Eye and Ear Infirmary, New York, NY for 150,000 facilities and equipment for ophthalmology and otolaryngology surgery.............................. New York Eye and Ear Infirmary, New York, NY for 200,000 facilities and ultrasound equipment................. New York University Langone Medical Center, New York, 270,000 NY for facilities and equipment at Columbus Medical in Reno Park, Queens................................ Newton Memorial Hospital, Newton, NJ for facilities 300,000 and equipment....................................... Norman Regional Health System, Norman, OK for 1,715,000 facilities and equipment............................ North General Hospital, New York, NY for facilities 450,000 and equipment....................................... North Shore Community College, Danvers, MA for 200,000 facilities and equipment for allied health training. North Shore Long Island Jewish Health System, Great 200,000 Neck, NY for facilities and equipment............... North Woods Community Health Center, Minong, WI for 100,000 facilities and equipment............................ Northeastern Ohio Universities Colleges of Medicine 200,000 and Pharmacy, Rootstown, OH for facilities and equipment........................................... Northern Dutchess Hospital, Rhinebeck, NY for 350,000 facilities and equipment............................ Northern Oswego County Health Services, Inc., 150,000 Pulaski, NY for facilities and equipment............ Northwest Alabama Mental Health Center, Jasper, AL 200,000 for facilities and equipment........................ NorthWest Arkansas Community College, Bentonville, AR 400,000 for facilities and equipment........................ Oakland Primary Health Services, Pontiac, MI for 500,000 facilities and equipment............................ Ohio State University Comprehensive Cancer Center-- 700,000 James Cancer Hospital and Richard Solove Institute, Columbus, OH for facilities and equipment........... Oklahoma City Community College, Oklahoma City, OK 250,000 for facilities and equipment........................ Oklahoma Medical Research Foundation, Oklahoma City, 300,000 OK for facilities and equipment..................... Oklahoma State University--Center for Health Systems, 300,000 Tulsa, OK for purchase of equipment, including a mobile clinic....................................... Oklahoma State University, Stillwater, OK for 350,000 facilities and equipment............................ Oregon Health & Science University, Portland, OR for 175,000 facilities and equipment............................ Oregon Institute of Technology, Klamath Falls, OR for 250,000 purchase of equipment............................... Oregon Institute of Technology, Klamath Falls, OR for 100,000 purchase of equipment............................... OSF St. Francis Hospital and Medical Group, Escanaba, 250,000 MI for facilities and equipment..................... Our Lady of Resurrection Medical Center, Chicago, IL 125,000 for facilities and equipment........................ Ozark Tri-County Health Care Consortium, Neosho, MO 500,000 for facilities and equipment........................ Ozarks Medical Center, West Plains, MO for facilities 500,000 and equipment....................................... Pacific Northwest University of Health Sciences, 400,000 Yakima, WA for facilities and equipment............. Palisades Medical Center, North Bergen, NJ for 350,000 facilities and equipment............................ Palmetto Health Foundation, Columbia, SC for 375,000 facilities and equipment............................ Parkland Health and Hospital System, Dallas, TX for 400,000 facilities and equipment for the Pharmacy Inpatient Robotics program.................................... Parkland Health and Hospital System, Dallas, TX for 100,000 facilities and equipment............................ Pennsylvania State University--Altoona, PA for 320,000 facilities and equipment............................ Petaluma Health Center, Petaluma, CA for facilities 500,000 and equipment....................................... Peter Christensen Health Center, Lac du Flambeau, WI 140,000 for facilities and equipment........................ Phoenix Children's Hospital, Phoenix, AZ for 200,000 facilities and equipment for a Computerized Tomography (CT) scanner for the emergency department Pine Rest Christian Mental Health Services , Grand 200,000 Rapids, MI for an electronic medical records initiative.......................................... Pioneer Valley Life Sciences Institute--Baystate 500,000 Medical Center, Springfield, MA for facilities and equipment........................................... Porter-Starke Services, Inc., Valparaiso, IN for 550,000 facilities and equipment............................ Providence Health and Services, Anchorage, AK for a 350,000 physician recruitment and retention initiative...... Providence Hospital, Mobile, AL for facilities and 250,000 equipment........................................... Providence St. Joseph Medical Center, Burbank, CA for 500,000 facilities and equipment............................ Providence St. Mary Medical Center, Walla Walla, WA 100,000 for facilities and equipment........................ Puget Sound Neighborhood Health Centers, Seattle, WA 500,000 for facilities and equipment for the Rainier Beach Medical and Dental Clinic........................... Range Regional Health Services, Hibbing, MN for 400,000 facilities and equipment............................ Red Cliff Band of Lake Superior Chippewa, Bayfield, 750,000 WI for facilities and equipment..................... Redlands Community Hospital, Redlands, CA for 500,000 facilities and equipment............................ Refuah, Spring Valley, NY for facilities and 390,000 equipment........................................... Renown Health Systems, Reno, NV for facilities and 800,000 equipment........................................... Rice University, Houston, TX for facilities and 150,000 equipment........................................... Richland Parish Hospital, Delhi, LA for facilities 1,025,000 and equipment....................................... Richmond University Medical Center, Staten Island, NY 150,000 for facilities and equipment........................ Riverside Community College District, Riverside, CA 150,000 for facilities and equipment........................ Riverside County Regional Medical Center, Moreno 400,000 Valley, CA for facilities and equipment............. Roane County Committee on Aging, Inc., Spencer, WV 100,000 for facilities and equipment........................ Rochester General Health System, Newark, NY for 100,000 facilities and equipment............................ Rome Memorial Hospital Foundation, Rome, NY for 250,000 facilities and equipment............................ Roper/St. Francis Hospital, Charleston, SC for 200,000 purchase of equipment............................... Sacred Heart Hospital, Allentown, PA for facilities 350,000 and equipment....................................... Saddleback Memorial Medical Center, San Clemente, CA 150,000 for an electronic medical records initiative........ SafeHaven of Tarrant County, Fort Worth, TX for a 200,000 domestic violence prevention initiative............. San Antonio Community Hospital, Upland, CA for 750,000 facilities and equipment............................ San Francisco Human Services Agency, San Francisco, 350,000 CA for facilities and equipment for the Child Advocacy Center..................................... San Francisco State University, San Francisco, CA for 500,000 facilities and equipment for health professions training............................................ San Gorgonio Memorial Hospital, Banning, CA for 340,000 facilities and equipment............................ San Luis Obispo County Community College District, 100,000 San Luis Obispo, CA for facilities and equipment.... San Ysidro Health Center, San Ysidro, CA for 250,000 facilities and equipment............................ Santa Clara Valley Health and Hospital System, San 292,000 Jose, CA for facilities and equipment............... Santa Fe College, Gainesville, FL for facilities and 150,000 equipment........................................... Schuylkill Health System, Pottsville, PA for 400,000 facilities and equipment............................ Seton Hill University, Greensburg, PA to develop the 500,000 Advanced Certificate in Orthodontics, including purchase of equipment............................... Shore Memorial Hospital, Somers Point, NJ for 500,000 facilities and equipment............................ Sisters of Providence Health System, Springfield, MA 200,000 for facilities and equipment........................ Sisters of St. Francis Health Services, Inc., Olympia 350,000 Fields, IL for facilities and equipment............. Skagit Valley Hospital, Mount Vernon, WA for 400,000 facilities and equipment............................ Somerset Medical Center, Somerville, NJ for an 600,000 electronic medical records initiative............... South Boston Community Health Center, Boston, MA for 100,000 facilities and equipment............................ South Shore Hospital, Chicago, IL for facilities and 250,000 equipment........................................... Southeast Arkansas College, Pine Bluff, AR for 200,000 facilities and equipment for the nursing school..... Southeast Georgia Health System, Brunswick, GA for 1,000,000 facilities and equipment............................ Southeast Missouri State University, Cape Girardeau, 205,000 MO for the SHOW Mobile initiative................... Southern Utah University, Cedar City, UT for 350,000 facilities and equipment............................ Southwest Center for HIV/AIDS, Phoenix, AZ for 300,000 facilities and equipment............................ Sparrow Health System, Lansing, MI for an electronic 300,000 medical records initiative.......................... Spectrum Health, Grand Rapids, MI for purchase of 200,000 equipment........................................... SSM St. Mary's Health Center, Jefferson City, MO for 200,000 facilities and equipment............................ St. Ambrose University, Davenport, IA for facilities 300,000 and equipment....................................... St. Bernardine Medical Center, San Bernardino, CA for 500,000 facilities and equipment............................ St. Bernardine Medical Center, San Bernardino, CA for 500,000 facilities and equipment for an MRI system.......... St. Bernards Development Foundation, Jonesboro, AR 300,000 for facilities and equipment........................ St. Clare's Health System, Denville, NJ for 600,000 facilities and equipment............................ St. Elizabeth Regional Health, Lafayette, IN for 300,000 facilities and equipment............................ St. Francis Hospital, Charleston, WV for facilities 650,000 and equipment....................................... St. Francis Medical Center, Trenton, NJ for 350,000 facilities and equipment............................ St. Francis Memorial Hospital, San Francisco, CA for 500,000 facilities and equipment............................ St. John West Shore Hospital, Westlake, OH for 300,000 facilities and equipment............................ St. John's Hospital, Berryville, AR for facilities 200,000 and equipment....................................... St. John's Hospital, Maplewood, MN for facilities and 675,000 equipment........................................... St. John's Riverside Hospital, Yonkers, NY for 250,000 facilities and equipment............................ St. Joseph Health System, Inc., Tawas City, MI for 400,000 facilities and equipment............................ St. Joseph Hospital, Eureka, CA for facilities and 350,000 equipment........................................... St. Joseph Hospital/Peace Health, Bellingham, WA for 300,000 facilities and equipment............................ St. Joseph of the Pines, Southern Pines, NC for 453,000 purchase and outfitting of a mobile health unit..... St. Joseph's Mercy Care Services, Inc., Atlanta, GA 200,000 for facilities and equipment........................ St. Joseph's/Candler Health System, Savannah, GA for 350,000 facilities and equipment............................ St. Luke's Health System, Boise, ID for facilities 350,000 and equipment....................................... St. Mary's Hospital, Passaic, NJ for facilities and 400,000 equipment........................................... St. Mary's Regional Medical Center, Reno, NV for 700,000 facilities and equipment............................ St. Patrick Hospital and Health Sciences Center, 300,000 Missoula, MT for the Western Montana Telemedicine Network, including purchase of equipment............ St. Vincent Charity Hospital, Cleveland, OH for 500,000 facilities and equipment............................ St. Vincent Healthcare Foundation, Billings, MT for 400,000 facilities and equipment............................ St. Vincent Mercy Medical Center, Toledo, OH for 200,000 facilities and equipment............................ Staten Island University Hospital, Staten Island, NY 400,000 for facilities and equipment........................ Stewart-Marchman-Act Foundation, Inc., Daytona Beach, 700,000 FL for facilities and equipment..................... Summa Foundation, Akron, OH for facilities and 250,000 equipment for the Center for Minority Health and Health Disparities Solutions........................ Sun Life Family Health Center, Casa Grande, AZ for 300,000 facilities and equipment............................ Taunton Nursing Home, Taunton, MA for facilities and 650,000 equipment........................................... Temple Health and Bioscience Economic Development 750,000 District, Temple, TX for facilities and equipment... Texas Health Harris Methodist Hospital Fort Worth, 300,000 Ft. Worth, TX for facilities and equipment.......... Texas Tech University Health Sciences Center, 300,000 Lubbock, TX for facilities and equipment............ Texas Tech University, Lubbock, TX for facilities and 480,000 equipment........................................... Texas Tech University, Lubbock, TX for the Center for 250,000 the Study of Addiction.............................. Texas Wesleyan University, Ft. Worth, TX for 650,000 facilities and equipment............................ Thomas Jefferson University Hospital, Philadelphia, 700,000 PA for facilities and equipment..................... Translational Genomics Research Institute (TGen), 300,000 Phoenix, AZ for facilities and equipment............ Trinity Regional Medical Center, Ft. Dodge, IA for 694,000 facilities and equipment............................ Troy University, Troy, AL for facilities and 500,000 equipment........................................... U.S. Virgin Islands Department of Health, St. Thomas, 500,000 VI for facilities and equipment for an Emergency Medical Services Administrative and Clinical Health Center.............................................. U.S. Virgin Islands Department of Health, St. Thomas, 200,000 VI for facilities and equipment for the Eldra Schulterbrandt Long-Term Care Facility.............. UAW Local 1005, Parma, OH for facilities and 300,000 equipment for a health clinic....................... Union College, Barbourville, KY for facilities and 500,000 equipment........................................... Unity Health System, Rochester, NY for facilities and 800,000 equipment........................................... University Hospitals, Chardon, OH for an electronic 250,000 medical records initiative.......................... University Medical Center Foundation, El Paso, TX for 600,000 facilities and equipment............................ University of Arkansas for Medical Sciences, Little 600,000 Rock, AR for facilities and equipment............... University of California--Riverside, Riverside, CA 3,400,000 for facilities and equipment........................ University of California, Davis Medical Center, 375,000 Sacramento, CA for facilities and equipment for the surgery and emergency services pavilion............. University of California, San Diego, San Diego, CA 500,000 for health professions training..................... University of Colorado Denver School of Medicine, 975,000 Aurora, CO for facilities and equipment for the Linda Crnic Institute for Down Syndrome............. University of Colorado School of Medicine, Aurora, CO 300,000 for health professions training through the Physician Pipeline for Rural Colorado............... University of Florida, Gainesville, FL for facilities 350,000 and equipment....................................... University of Guam, Mangilao, GU for facilities and 400,000 equipment........................................... University of Illinois at Chicago College of Medicine 250,000 at Rockford, IL for facilities and equipment........ University of Illinois College of Medicine at Peoria, 400,000 Peoria, IL for facilities and equipment............. University of Kansas Medical Center, Wichita, KS for 500,000 development of the Clinical Skills Simulation Laboratory, including curriculum development and purchase of equipment............................... University of Kansas, Lawrence, KS for facilities and 1,500,000 equipment........................................... University of Louisiana at Monroe, Monroe, LA for 840,000 facilities and equipment, including purchase of a mobile dental unit.................................. University of Maine Bangor, Augusta, ME for 300,000 facilities and equipment............................ University of Maryland Medical System, Baltimore, MD 400,000 for facilities and equipment for an emergency medical facility in Queen Anne's County............. University of Miami, Coral Gables, FL for facilities 750,000 and equipment....................................... University of Michigan Health System, Ann Arbor, MI 500,000 for facilities and equipment........................ University of Nebraska Medical Center, Omaha, NE for 150,000 a rural health initiative........................... University of North Alabama, Florence, AL for 700,000 facilities and equipment............................ University of Oklahoma--College of Medicine, Tulsa, 300,000 OK for facilities and equipment..................... University of Puerto Rico Medical Sciences Campus, 300,000 San Juan, PR for facilities and equipment for the Unit of Comparative Medicine........................ University of South Alabama, Mobile, AL for 2,500,000 facilities and equipment............................ University of South Florida Sarasota-Manatee, Tampa, 250,000 FL for nursing program facilities and equipment..... University of South Florida, Tampa, FL for the Cancer 500,000 Clinical Trial project.............................. University of Southern Maine, Portland, ME for 475,000 facilities and equipment for the nursing simulation laboratory.......................................... University of St. Francis, Fort Wayne, IN for 200,000 facilities and equipment for nurse training......... University of Tennessee Medical Center, Knoxville, TN 350,000 for facilities and equipment........................ University of Texas at Arlington, Arlington, TX for 650,000 facilities and equipment............................ University of Texas at Brownsville, Brownsville, TX 500,000 for facilities and equipment........................ University of Texas Health Science Center, Houston, 100,000 TX for facilities and equipment..................... University of Texas Health Science Center, San 150,000 Antonio, TX for facilities and equipment............ University of Texas Health Science Center, San 270,000 Antonio, TX for facilities and equipment............ University of Texas M. D. Anderson Cancer Center, 1,000,000 Houston, TX for facilities and equipment............ Valley Presbyterian Hospital, Van Nuys, CA for 300,000 facilities and equipment............................ Van Wert County Hospital, Van Wert, OH for facilities 840,000 and equipment....................................... Vanguard University, Costa Mesa, CA for facilities 300,000 and equipment....................................... Variety--The Children's Charity of Wisconsin, 40,000 Milwaukee, WI for facilities and equipment.......... Victor Valley Community Hospital, Victorville, CA for 250,000 facilities and equipment............................ Virginia Commonwealth University, Richmond, VA for 600,000 facilities and equipment for the Massey Cancer Center.............................................. Visiting Nurse Services of Putnam County, Avon, IN 100,000 for facilities and equipment........................ Visiting Nurses Association Healthcare Partners of 100,000 Ohio, Cleveland, OH for health professions training. Wadsworth-Rittman Hospital Foundation, Wadsworth, OH 600,000 for facilities and equipment........................ Wake Health Services, Inc., Raleigh, NC for 550,000 facilities and equipment............................ Warren Achievement Center, Inc., Monmouth, IL for 100,000 rural health outreach............................... Warren County Community College, Washington, NJ for 350,000 facilities and equipment............................ Warren County Planning Commission, Warren, PA for 350,000 health care facilities and equipment................ Washington County Hospital, Hagerstown, MD for 750,000 facilities and equipment and for an electronic medical records initiative.......................... Washington County, North Carolina, Plymouth, NC for 150,000 facilities and equipment............................ Washington State University, Spokane, WA for distance 150,000 learning technologies and purchase of equipment related to nursing programs......................... Weber State University, Ogden, UT for expansion of 350,000 nursing programs, including purchase of equipment... WellSpan Health, York, PA for purchase of equipment.. 100,000 West Jefferson Medical Center, Marrero, LA for 100,000 facilities and equipment............................ West Liberty State College, West Liberty, WV for 50,000 facilities and equipment............................ WestCare Health Systems, Sylva, NC for facilities and 350,000 equipment........................................... Wheeling Hospital, Inc., Wheeling, WV for facilities 150,000 and equipment....................................... White Memorial Medical Charitable Foundation, Los 500,000 Angeles, CA for facilities and equipment............ White Plains Hospital Center, White Plains, NY for 250,000 facilities and equipment............................ Wills Eye Health System, Philadelphia, PA for 150,000 facilities and equipment............................ Wilmington College, Wilmington, OH for facilities and 200,000 equipment........................................... World Impact Good Samaritan Clinic, Wichita, KS for 1,000,000 facilities and equipment............................ Xavier University of New Orleans, LA for facilities 350,000 and equipment....................................... Youth Dynamics, Inc., Billings, MT for facilities and 100,000 equipment........................................... Zufall Health Center, Dover, NJ for facilities and 225,000 equipment........................................... ------------------------------------------------------------------------ Telehealth The Committee provides $15,000,000 for Telehealth, which is $7,450,000 above the fiscal year 2009 funding level and $6,800,000 above the budget request. The Telehealth program works with and supports communities in their efforts to develop cost-effective uses of telehealth technologies. These technologies bring health services to isolated populations and health-related education to the practitioners who serve them. Program Management The Committee provides $146,000,000 for the cost of Federal staff and related activities to coordinate, direct, and manage the programs of HRSA, which is $3,976,000 above the fiscal year 2009 funding level and $1,052,000 below the budget request. The Committee was pleased to learn that HRSA has named a Chief Dental Officer and urges the agency to establish an Office of Oral Health, headed by the Chief Dental Officer, to rebuild the dental regional workforce and provide leadership and oversight of HRSA dental programs. The Committee urges HRSA to withdraw the proposed guidance for the 340B drug program, ``Regarding Section 602 of the Veterans Health Care Act of 1992 Definition of Patient'' issued on January 12, 2007 and directs that any subsequent changes to the 340B Patient Definition be issued in proposed form with stakeholders having an opportunity to provide comments. The Committee is concerned that the January 12, 2007 guidelines may dramatically change the degree to which safety net health facilities are able to participate in the program. The Committee also requests that HRSA consider a patient definition permitting safety net health facilities eligible for grant funding under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 to use 340B pricing to purchase drugs needed to enhance preparedness for and response to bioterrorism or other public health emergencies. If HRSA chooses not to follow this request, the Committee expects a written explanation before the agency publishes final guidance. HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT The Health Education Assistance Loans (HEAL) program insures loans provided by non-Federal lenders to students in health professions schools. Under the accounting rules established in the Budget Enforcement Act of 1990, one account is maintained to pay the obligations arising from loans guaranteed prior to fiscal year 1992. A second account pays obligations and collects income from premiums on loans guaranteed in fiscal year 1992 and beyond. Each annual cohort of loans is independently tracked in this account. The authority for this program expired in fiscal year 1999. Fiscal year 1998 was the last year in which loans were obligated to previous borrowers under the HEAL authority. The Committee provides $1,000,000 to liquidate obligations from loans guaranteed prior to 1992, which is the same as the fiscal year 2009 funding level and the budget request. The Committee provides $2,847,000 for HEAL program management, which is the same as the fiscal year 2009 funding level and the budget request. VACCINE INJURY COMPENSATION PROGRAM TRUST FUND The Committee estimates that $122,410,000 will be released from the Vaccine Injury Compensation Trust Fund, which is $3,891,000 above the fiscal year 2009 funding level and the same as the budget request. The National Vaccine Injury Compensation Program provides a system of compensation for individuals with vaccine-associated injuries or deaths. Funds for claims from vaccines administered on or after October 1, 1988 are generated by a per-dose excise tax on the sale of selected prescribed vaccines. Revenues raised by this tax are maintained in a Vaccine Injury Compensation Trust Fund. Trust funds made available will support the liability costs of vaccines administered after September 30, 1988. They also will support the $6,502,000 in costs incurred by HRSA in the operation of the program, which is $1,098,000 above the fiscal year 2009 funding level and the same as the budget request. These funds are required to maintain current service levels. Program workload is expected to increase by 260 percent from 2008 to 2010 because of the thousands of pending autism cases. COVERED COUNTERMEASURE PROCESS FUND The Committee does not make available funding for the Covered Countermeasure Process Fund created in the Public Readiness and Emergency Preparedness Act. The budget requested $5,000,000 as first-time funding for this activity. Pandemic influenza funding included in the fiscal year 2009 supplemental appropriation, P.L. 111-32, may be used for this purpose. Centers for Disease Control and Prevention DISEASE CONTROL, RESEARCH, AND TRAINING The Committee provides a discretionary program level total of $6,681,895,000 for the Centers for Disease Control and Prevention (CDC), which is $67,294,000 above the fiscal year 2009 funding level and $38,435,000 above the budget request. Of the funds provided, $368,863,000 shall be derived from evaluation set-aside funds available under section 241 of the Public Health Service Act, which is $37,612,000 above the fiscal year 2009 set-aside and $38,011,000 above the requested set-aside. In addition, the Committee provides $55,358,000 for CDC to administer the mandatory Energy Employees Occupational Illness Compensation Program, which is the same as the fiscal year 2009 funding level and the budget request. The CDC assists State and local health authorities and other non-governmental health-related organizations to understand, control, and reduce disease and other health problems. The activities of CDC focus on several major priorities, including providing core public health functions, responding to urgent public health threats, monitoring the nation's health using scientific methods, building the nation's public health infrastructure, promoting health throughout each life-stage, and providing 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 provides a program level of $2,030,123,000 for Infectious Diseases, which is $82,296,000 above the fiscal year 2009 funding level and $10,501,000 above the budget request. Of the funds provided, $12,864,000 shall be derived from evaluation set-aside funds available under section 241 of the Public Health Service Act, as proposed in the budget request. Immunization and Respiratory Diseases The Committee provides a program level of $717,460,000 for Immunization and Respiratory Diseases, which is $1,412,000 above the fiscal year 2009 funding level and the same as the budget request. Of the amount provided, $12,864,000 is to be derived from section 241 evaluation set-aside funds, as proposed in the budget request. In addition, the current Vaccines for Children (VFC) program is expected to provide $3,323,770,000 in vaccine purchases and distribution support in fiscal year 2010, for a total of $4,041,230,000 for Immunization and Respiratory Diseases activities in fiscal year 2010. In addition, the Recovery Act provided an additional $300,000,000 in the Prevention and Wellness Fund for the section 317 immunization program in fiscal years 2009 and 2010. Immunization project grants are awarded to States and local agencies for planning, developing, and conducting childhood and adult immunization programs including enhancement of the vaccine delivery infrastructure. CDC directly maintains a stockpile of vaccines, supports consolidated purchase of vaccines for State and local health agencies, and conducts surveillance, investigations, and research into the safety and efficacy of new and presently used vaccines. Within the total for Immunization and respiratory diseases, the Committee includes the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Section 317 Immunization Program....................... $496,847,000 +$946,000 0 Program Operations..................................... 61,621,000 +163,000 0 Influenza.............................................. 158,992,000 +303,000 0 Pandemic Influenza................................. 156,344,000 +298,000 0 ---------------------------------------------------------------------------------------------------------------- Section 317 Immunization Program.--Vaccines are one of the proven successes of public health in that they are cost- effective and have demonstrated the ability to save lives and greatly reduce illness. The Committee recommendation in this bill and through appropriations provided in the Recovery Act is a step toward the goal of fully immunizing all eligible individuals. Prior to 2000 and the introduction of new vaccines and expanded recommendations for existing vaccines, the 317 immunization program was adequately providing vaccines to children and adolescents traditionally dependent on the public sector for support, but who were not eligible for the VFC program. The Committee is pleased that CDC has moved forward to provide funding to States and local organizations that receive section 317 immunization program 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. These models should include existing and new efforts planned within existing resources as well as new activities needed and estimates for those needs. The Committee also is 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 to the Committees on Appropriations of the House of Representatives and the Senate by no later than February 1, 2010, to reflect fiscal year 2011 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 electronic medical record systems; innovative strategies to increase coverage rates in hard-to- reach populations and geographic pockets of need; and 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 and have been underfunded. The Committee understands that according to the CDC, adult vaccination rates remain extremely low--resulting in deaths of more than 40,000 adults from vaccine preventable diseases annually. The Committee requests that the section 317 immunization program report also include a discussion of specific strategies to reduce barriers and increase adult immunization rates in the U.S. While the Committee understands that the section 317 immunization program does not pay administration fees, it is nonetheless an authorized expenditure, and the Committee expects this estimate to be included in the report. Recent studies in the medical literature reveal that vaccine administration and purchase payments throughout the country often do not cover the full costs of immunizing children, which has the potential to undermine the vaccine-delivery system in the future. Federal and State programs vary greatly on the reimbursement rates for vaccine administration for children, adolescents, and adults. The updated report should include information from the National Vaccine Advisory Financing Workgroup's Report on Vaccine Financing on what the most appropriate immunization administration reimbursement rate would be to optimize immunization rates whether or not they are administered through the section 317 immunization program. Additionally according to the Advisory Committee on Immunization Practices (ACIP) guidelines, ``To minimize the number of injections children receive, parenteral combination vaccines should be used, if licensed and indicated for the patient's age, instead of their equivalent component vaccines.'' The report should include whether an antigen-based vaccine administration system would remove the financial disincentive for and increase the use of combination vaccines. Influenza Vaccines.--The Committee recognizes that ACIP now recommends routine influenza vaccination for all children aged six months through 18 years. However, despite the new recommendation large numbers of school-aged children remain unvaccinated. The Committee encourages CDC to work to increase the rates of vaccination in school-aged children. HIV/AIDS, Viral Hepatitis, STD and TB Prevention The Committee provides $1,062,082,000 for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases (STD), and Tuberculosis (TB) prevention, which is $55,707,000 above the fiscal year 2009 funding level and $1,783,000 above the budget request. Within the total for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, the Committee includes the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Domestic HIV/AIDS Prevention & Research................ $744,914,000 +$53,054,000 $0 State/Local Health Dept. Prevention Coop. 348,109,000 +26,888,000 +15,000,000 Agreements........................................ Domestic HIV/AIDS Testing Initiative............... 65,425,000 +12,147,000 -15,000,000 Early Diagnosis Grants......................... 0 -15,000,000 -15,000,000 National/Regional/Other Organizations.............. 171,300,000 +5,957,000 0 Viral Hepatitis........................................ 20,150,000 +1,834,000 +1,783,000 Sexually Transmitted Diseases.......................... 152,750,000 +421,000 0 Tuberculosis........................................... 144,268,000 +398,000 0 ---------------------------------------------------------------------------------------------------------------- The Domestic HIV/AIDS Prevention and Research program provides national leadership and support for HIV prevention research and the development, implementation, and evaluation of evidence-based HIV prevention programs serving persons affected by, or at risk for, HIV infection. Activities include surveillance, epidemiologic and laboratory studies, and prevention activities. CDC provides funds to State and local health departments to develop and implement integrated community prevention plans. HIV/AIDS in American Indian and Alaska Native Communities.--The Committee recognizes that American Indians and Alaska Natives have the known third highest rate of new HIV infection in the U.S. after African Americans and Hispanics. The Committee is concerned that of the 63 evidence-based prevention interventions contained in the 2008 Compendium of Evidence-Based HIV Prevention Interventions, none target Native American communities. The Committee urges CDC to increase the number of interventions for these populations and to work with the National Institutes of Health (NIH) and other behavioral research groups to accomplish this work. The Committee further encourages CDC to work directly with the Tribal Epidemiology Centers to support their culturally-competent approach in order to gain needed epidemiology in the area of HIV/AIDS surveillance within American Indian and Alaska Native communities. HIV/AIDS in High Risk Youth.--The Committee recognizes that seven of the 63 evidence-based prevention interventions contained in CDC's 2008 Compendium of Evidence-Based HIV Prevention Interventions target high risk youth, and that data indicate that more than one-third of new infections were among youth aged 13-29. The Committee is concerned that none of the evidence-based prevention interventions target homeless individuals and only one intervention targets runaway youth in shelters to prevent HIV/AIDS. The Committee urges CDC to increase the number of targeted interventions for these populations and to work with NIH and other behavioral research groups to accomplish this work. HIV/AIDS Testing Initiative.--The Committee commends CDC for the prioritization of the domestic HIV/AIDS testing initiative among African Americans. The Committee requests that CDC provide an updated comprehensive report to the Committees on Appropriations of the House of Representatives and the Senate no later than April 1, 2010 on the progress of the testing initiative to date, including the number of individuals reached, testing positive for HIV, and accessing treatment as a result of their HIV positive diagnosis. The Committee continues to be supportive of CDC's promotion of rapid HIV tests in its HIV/AIDS testing activities. Microbicides.--The Committee requests that in the future, CDC include information in the HIV/AIDS section of the Congressional budget justification on the amount of anticipated and actual funding it allocates to activities related to research and development of microbicides for HIV prevention. The Committee urges CDC to work with NIH, USAID, and other appropriate agencies to develop processes for coordinated investment and prioritization for microbicide development, approval, and access. Minority AIDS Initiative.--Within the total provided, $95,700,000 is provided for the Minority AIDS Initiative to support activities that are targeted to address the growing HIV/AIDS epidemic and its disparate impact on communities of color, including African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders. This amount is $300,000 more than the fiscal year 2009 funding level and the same as the budget request. The Division of Viral Hepatitis provides the scientific and programmatic foundation for the prevention, control, and elimination of hepatitis virus infections in the U.S. CDC conducts surveillance, research, education, training, and program development focusing on activities related to Hepatitis A virus, Hepatitis B virus (HBV), and Hepatitis C virus (HCV). Hepatitis Education, Prevention, and Surveillance.--The Division of Viral Hepatitis is the centerpiece of the Federal response to controlling, reducing, and preventing the suffering and deaths resulting from viral hepatitis. CDC estimates that over 4.5 million Americans have chronic HCV and HBV infections and that each year up to 15,000 Americans die of HBV and HCV related disease. In addition, chronic Hepatitis B and C are the leading causes of liver cancer, now among the top ten killers of Americans over the age of 25, and now one of the leading killers of Americans living with HIV/AIDS. The Committee urges CDC to target funding increases for viral hepatitis toward the identification of chronically infected persons and their referral to medical care, particularly focusing on groups disproportionately affected by chronic HCV and HBV. In addition, the Committee encourages CDC to provide States with funds to implement a chronic Hepatitis B and C surveillance system, which currently does not exist. This information is critical to understanding the impact of Hepatitis epidemics and for targeting limited resources for greatest impact. Hepatitis Testing.--The Committee recognizes the high incidence of Hepatitis and its often undocumented state. In fiscal year 2009 the Committee urged 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. The Committee requests a status report on CDC's plan to implement Hepatitis testing to be included in the fiscal year 2011 Congressional budget justification. 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 health care settings. These outbreaks are entirely preventable with well-known infection control practices. The Committee urges CDC to support activities such as provider education and patient awareness, detection and tracking, and engineering and innovation activities focused on injection safety and infection control guidelines in the delivery of outpatient care. CDC is encouraged to partner with industry and university researchers to identify the best interventions to reduce the possibility of disease transmission in the health care setting. The Committee directs the CDC to provide a report to the Committees on Appropriations of the House of Representatives and the Senate by April 1, 2010 on the direction pursued and the status of CDC's efforts. The Division of STD Prevention provides national leadership through research, policy development, and support of effective services to prevent sexually transmitted diseases and their complications such as infertility, adverse outcomes of pregnancy, and reproductive tract cancer. CDC assists health departments, health-care providers, and non-governmental organizations and collaborates with other governmental entities through the development, syntheses, translation, and dissemination of timely, science-based information; the development of national goals and science-based policy; and the development and support of science-based programs that meet the needs of communities. The CDC Tuberculosis (TB) program provides grants to States and localities for a broad range of tuberculosis control activities. In addition, the CDC supports State and local laboratories and conducts research, epidemiological investigations, and education and training seminars. TB Administrative Grant Costs.--The Committee is pleased that CDC is working with States, territories, and localities to ensure equitable TB funding to all jurisdictions through the distribution formula. The Committee encourages grantees to keep administrative costs at or below ten percent to ensure adequate funds to all jurisdictions in proportion to the number and complexity of TB cases. County Departments of Public Health.--The Committee lauds CDC's efforts to improve and update the funding formula for TB treatment and education, but recognizes that county departments of public health should be included in stakeholder meetings on changes to the funding formula. The Committee directs CDC to reach out to and include stakeholders from county departments of public health suffering from a disproportionate number of TB cases to participate in and contribute to discussion groups involved in the creation of new administrative funding formulas. Zoonotic, Vector-Borne, and Enteric Diseases The Committee provides $76,790,000 for Zoonotic, Vector- Borne, and Enteric Diseases, which is $8,812,000 more than the fiscal year 2009 funding level and $3,668,000 more than the budget request. The National Center for Zoonotic, Vector-Borne, and Enteric Diseases provides national and international scientific and programmatic leadership addressing zoonotic, vector-borne, foodborne, waterborne, mycotic, and related infections to identify, investigate, diagnose, treat, and prevent these diseases. The programs focus on the continuing challenge of emerging and re-emerging zoonoses and the ecologies from which these diseases have emerged, while recognizing the importance of working collaboratively, not just across CDC and the traditional public health community, but also with agricultural, wildlife, companion animal, and environmental agencies and organizations. Within the total for Zoonotic, Vector-Borne, and Enteric Diseases, the Committee includes the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Vector-borne Diseases, including West Nile Virus....... $26,717,000 +$418,000 $0 Lyme Disease........................................... 8,938,000 +3,668,000 +3,668,000 Food Safety............................................ 26,942,000 +4,422,000 0 Prion Disease...................................... 5,474,000 +86,000 0 Chronic Fatigue Syndrome............................... 4,825,000 +75,000 0 ---------------------------------------------------------------------------------------------------------------- Food Safety.--The Committee supports CDC's increased investment in food safety. Improving foodborne outbreak detection and response remains a critical priority for CDC, as well as the Federal, State, and local food safety regulatory agencies. CDC's proposed enhancement of PulseNet and other surveillance tools and capacities will help ensure continuing improvement in this area. The Committee also believes that an equally important priority for CDC is to invest in generating the epidemiological data and conducting the analyses that regulatory agencies and the food industry need to target to implement effective prevention strategies. The Committee expects CDC to focus an increasing share of its management attention and resources on such prevention-related activities and to work closely with the Food and Drug Administration and other key parties to help prevent foodborne illness. Lyme Disease.--The Committee encourages CDC to expand its activities related to developing sensitive and more accurate diagnostic tools and tests for Lyme disease, including the evaluation of emerging diagnostic methods and improving utilization of diagnostic testing to account for the multiple clinical manifestations of acute and chronic Lyme disease; to expand its epidemiological research activities on tick-borne diseases to include an objective to determine the long-term course of illness for Lyme disease; to improve surveillance and reporting of Lyme and other tick-borne diseases in order to produce more accurate data on their prevalence; to evaluate the feasibility of developing a national reporting system on Lyme disease, including laboratory reporting; and to expand prevention of Lyme and tick-borne diseases through increased community-based public education and creating a physician education program that includes the full spectrum of scientific research on the diseases. Preparedness, Detection, and Control of Infectious Diseases The Committee provides $173,791,000 for Preparedness, Detection, and Control of Infectious Diseases, which is $16,365,000 more than the fiscal year 2009 funding level and $5,050,000 more than the budget request. In addition, the Recovery Act provided an additional $40,000,000 in the Prevention and Wellness Fund for States to develop and implement healthcare-associated infection reduction plans in fiscal years 2009 and 2010. The National Center for Preparedness, Detection, and Control of Infectious Diseases provides focus on preparedness and response capacity for new and complex infectious disease outbreaks, and manages and coordinates emerging infectious diseases, integrates laboratory groups, and facilitates increased quality and capacity in clinical laboratories. The Center serves as a focal point for engaging outside agencies and partners in quality laboratory systems and improved healthcare settings. Antimicrobial Resistance.--The Committee is concerned that there are significant gaps in CDC's ability to track and monitor life-threatening antimicrobial resistant pathogens, such as Klebsiella species, Pseudomonas aeruginosa, and methicillin-resistant Staphylococcus aureus, as these emerge in hospital and community settings. In particular, the Committee is concerned about the lack of capacity to do sentinel surveillance to describe and confirm regional outbreaks, and urges CDC to build upon existing structures, as well as add new sites, to cultivate a geographically distributed sentinel surveillance network. This network should collect and analyze a variety of locally available clinical specimens and help CDC to describe, confirm, and intervene against emerging outbreaks of resistant pathogens. Blood Safety Surveillance.--The Committee supports the National Healthcare Safety Network (NHSN), a surveillance tool used by hospitals and other health care facilities to better understand and prevent healthcare-associated infections. The Committee is aware that CDC has added an additional module to NHSN to collect, analyze and report national data on adverse events and medical errors occurring during blood transfusions. The Committee encourages CDC to move forward in implementing the transfusion data network, in collaboration with private sector experts to maximize hospital participation, adequately train staff, analyze data, and develop effective interventions. Emerging Infectious Diseases.--The Committee provides increased resources for the Emerging Infectious Diseases program to protect the public from infectious disease threats. In the U.S., deaths from infectious illnesses average approximately 170,000 per year. Although modern medical advances have conquered many diseases, new infections and drug- resistance are constantly emerging. Funding will be used to support the following infectious disease control and prevention activities: (1) diagnostic analysis of infectious agents both domestically and internationally through epidemiology and laboratory capacity; (2) development and production of reagents to test additional specimens; (3) providing support to State and local health departments to address infectious diseases; (4) development of new diagnostic tests; and (5) providing additional funding to allow CDC to respond to and control infectious diseases in hospitals and other settings. Healthcare-Associated Infections and the National Healthcare Safety Network.--The Committee continues to emphasize the reduction of healthcare-associated infections (HAIs) as a top priority for Federal resources. Through the National Healthcare Safety Network (NHSN), CDC monitors infections, antimicrobial resistance, and other adverse events in hospitals in all 50 States, Puerto Rico, and the District of Columbia. Increased funding will be used to develop improved surveillance in an additional 1,500 hospitals taking the total to 4,500 participating hospitals, which is 75 percent of all hospitals. Funding will also be used to expand to other healthcare settings to better understand the prevalence of HAIs outside the hospital setting, train healthcare staff to use the NHSN system, and demonstrate model prevention programs. As more States require hospitals and other healthcare settings to use the NHSN to track the incidence of HAIs, the system must be enhanced and expanded to meet this increased demand. Health Promotion The Committee provides $1,051,694,000 for Health Promotion, which is $31,986,000 above the fiscal year 2009 funding level and $13,439,000 above the budget request. Chronic Disease Prevention, Health Promotion, and Genomics The Committee provides $910,812,000 for Chronic Disease Prevention, Health Promotion, and Genomics, which is $29,126,000 more than the fiscal year 2009 funding level and $14,573,000 more than the budget request. Chronic diseases have had a profound human and economic toll on our nation. More than 1.7 million Americans die of a chronic disease each year, accounting for approximately 70 percent of all deaths in the U.S. The programs funded through this budget activity provide support for State and community programs, surveillance, prevention research, evaluation, and health promotion. In addition, the Recovery Act provided an additional $650,000,000 in the Prevention and Wellness Fund to carry out evidence-based clinical and community-based prevention and wellness strategies that address chronic diseases in fiscal years 2009 and 2010. Within the total provided, the Committee includes the following amounts for Chronic Disease Prevention, Health Promotion, and Genomics activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Heart Disease and Stroke............................... $54,221,000 +$125,000 $0 Delta Health Intervention.......................... 3,007,000 +7,000 0 Diabetes............................................... 65,998,000 +151,000 0 Cancer Prevention and Control.......................... 349,454,000 +9,154,000 +8,373,000 Breast and Cervical Cancer......................... 214,699,000 +8,846,000 +8,373,000 WISEWOMAN...................................... 20,573,000 +1,045,000 +1,000,000 Cancer Registries.................................. 46,472,000 +106,000 0 Colorectal Cancer.................................. 39,063,000 +89,000 0 Comprehensive Cancer............................... 16,386,000 +38,000 0 Johanna's Law...................................... 6,807,000 +16,000 0 Ovarian Cancer..................................... 5,414,000 +12,000 0 Prostate Cancer.................................... 13,275,000 +30,000 0 Skin Cancer........................................ 1,880,000 +4,000 0 Geraldine Ferraro Cancer Education Program......... 4,677,000 +11,000 0 Cancer Survivorship Resource Center................ 781,000 +2,000 0 Arthritis and Other Chronic Diseases................... 26,803,000 +1,558,000 +1,500,000 Arthritis.......................................... 13,318,000 +31,000 0 Psoriasis.......................................... 1,500,000 +1,500,000 +1,500,000 Epilepsy........................................... 7,976,000 +18,000 0 National Lupus Patient Registry.................... 4,009,000 +9,000 0 Tobacco................................................ 106,408,000 +244,000 0 Nutrition, Physical Activity, and Obesity.............. 44,402,000 +102,000 0 Health Promotion....................................... 27,803,000 -738,000 +700,000 Behavioral Risk Factor Surveillance System......... 7,316,000 +16,000 0 Community Health Promotion......................... 6,468,000 +15,000 0 Sleep Disorders................................ 861,000 +2,000 0 Mind-Body Institute................................ 0 -1,500,000 0 Glaucoma........................................... 3,519,000 +8,000 0 Visual Screening Education......................... 3,229,000 +7,000 0 Alzheimer's Disease................................ 1,692,000 +4,000 0 Inflammatory Bowel Disease......................... 686,000 +2,000 0 Interstitial Cystitis.............................. 660,000 +2,000 0 Excessive Alcohol Use.............................. 2,000,000 +500,000 +497,000 Chronic Kidney Disease............................. 2,233,000 +208,000 +203,000 School Health.......................................... 62,780,000 +5,144,000 0 Healthy Passages Study............................. 3,493,000 +8,000 0 Food Allergies..................................... 497,000 +1,000 0 Safe Motherhood/Infant Health.......................... 49,891,000 +5,114,000 0 Preterm Birth...................................... 2,005,000 +5,000 0 Sudden Infant Death Syndrome....................... 207,000 0 0 Oral Health............................................ 15,074,000 +2,030,000 +2,000,000 Prevention Research Centers............................ 33,203,000 +2,071,000 +2,000,000 Healthy Communities.................................... 22,823,000 +52,000 0 Racial & Ethnic Approaches to Community Health (REACH). 39,644,000 +4,091,000 0 Genomics............................................... 12,308,000 +28,000 0 Primary Immune Deficiency Syndrome................. 3,107,000 +7,000 0 Public Health Genomics............................. 9,201,000 +21,000 0 ---------------------------------------------------------------------------------------------------------------- Breast Cancer Awareness for Young Women.--Breast cancer is the most commonly diagnosed cancer among women. There are approximately 180,000 new cases and 40,000 deaths from breast cancer annually. According to data from U.S. Cancer Statistics Report from 2001-2005, approximately five percent of all female invasive breast cancers are among women under 40 years of age. Raising awareness among providers and the public about the importance of early detection can result in improved outcomes and quality of life for cancer survivors. Within the total for breast and cervical cancer, the Committee includes $5,000,000 for breast cancer awareness for young women. The Committee encourages CDC, in collaboration with HHS, the National Cancer Institute, and the Agency for Healthcare Research and Quality to develop evidence-based initiatives to advance understanding and awareness of breast health and breast cancer among women at high risk for developing breast cancer, including women under 40. Chronic Kidney Disease.--The Committee previously has expressed concern regarding the need to expand public health strategies to combat chronic kidney disease (CKD) given that many individuals are diagnosed too late to initiate treatment regimens that could reduce morbidity and mortality. Up to 26 million Americans have CKD, and millions more are at risk of developing the disease. Individuals with diabetes or hypertension have especially high vulnerability. Kidney disease is the ninth leading cause of death in the U.S., and death by cardiovascular disease is 15 to 30 times higher in patients with end stage renal disease than in the general population. The Committee has included funding to continue planning for capacity and infrastructure at CDC for its kidney disease program and to institute a CKD surveillance system. The Committee is pleased that CDC convened an expert panel on CKD and that the recommendations have been published. The Committee urges CDC to prioritize and begin implementation of the recommendations. The Committee urges CDC to support additional grants for State-based, culturally appropriate, community demonstration projects for CKD detection, to expand on the pilot screenings that have occurred in four States through previous Federal funding. The demonstration projects will include efforts to track the progression of CKD in patients who have been diagnosed, as well as identify the onset of CKD among individuals who are members of high risk groups but have not been diagnosed. Chronic Obstructive Pulmonary Disease (COPD).--COPD is the fourth leading cause of death in the U.S. and the only one of the top five causes of death that is on the rise. The Committee notes that CDC does not yet have a dedicated program to address COPD--a major source of illness and death in the U.S. The Committee continues to urge the National Center for Chronic Disease Prevention and Health Promotion to establish a COPD program and to develop, in consultation with appropriate stakeholders, a Federal plan to respond to COPD. Colorectal Cancer.--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. It is estimated that if every American aged 50 or older had regular screening tests, as many as 60 percent of deaths from colorectal cancer could be prevented. Since 2005, CDC has conducted 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 commends CDC on its efforts to implement screening activities and public awareness through partnerships with health departments, professional organizations, and voluntary health groups and believes that an investment in this kind of prevention is critical. The Committee requests that CDC submit a report to the Committees on Appropriations of the House of Representatives and the Senate on CDC's activities in this important public health matter no later than April 1, 2010. Division of Adolescent and School Health (DASH).-- Currently, CDC funds 22 State education agencies and one tribal government to establish a partnership with their State health agency to focus on reducing chronic disease risk factors such as tobacco use, poor nutrition, and physical inactivity. The $5,000,000 programmatic increase provided for DASH will allow CDC to support ten additional State education agencies. An economic evaluation of school-based programs to prevent cigarette use among middle and high school students showed that for every $1 invested in tobacco prevention programs almost $20 in future medical care costs would be saved. Epilepsy.--The Committee supports the CDC epilepsy program, which has made considerable progress over the past decade in establishing and advancing a public health agenda to meet the needs of Americans with epilepsy. The Committee encourages CDC to develop and implement a national outcome measurement protocol to evaluate the impact that public health programs have on employment, school, social life, and general well being of youth, seniors, young adults, and others living with epilepsy. The findings of these measures will help families understand the relationships between medications, co-morbid conditions, and epilepsy, and will build a platform for a national call to action for additional training for schools, employers, first responders, and adult day care providers. Excessive Alcohol Use.--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, and urges CDC to develop and continue its work to monitor and report on the level of risk faced by youth from exposure to alcohol advertising. Gynecologic Cancer Education and Awareness Program.--The Committee is encouraged by the progress that has been made by CDC, in coordination with the Office of Women's Health and qualified nonprofit private sector entities to initiate a national education campaign on gynecologic cancers and available prevention strategies. The Committee urges CDC to continue and enhance the current public education activities to increase women's knowledge regarding gynecologic cancers. Healthy Brain Initiative.--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 aggressively educate the public and health professionals about ways to reduce the risks of developing Alzheimer's by maintaining a healthy lifestyle. The Committee recommends funding to continue this program and 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. Heart Disease and Stroke.--Recognizing that cardiovascular disease is the number one killer in the U.S., the Committee strongly supports the ultimate goal of providing basic implementation funding to each State for the competitively awarded Heart Disease and Stroke Prevention Program. The Committee is concerned that only 14 States receive basic implementation funding, nine States receive no funds, and many States have been stalled at the capacity building level for years--a few for a decade. Further, the Committee understands the importance of the CDC's continued efforts to work collaboratively with States to establish a comprehensive cardiovascular disease surveillance system to monitor and track these disorders at the national, State, and local levels. Inflammatory Bowel Disease.--The Committee continues to prioritize CDC's inflammatory bowel disease (IBD) epidemiology study and has included funding to continue this important initiative. The Committee encourages CDC to initiate the establishment of a pediatric IBD patient registry. Interstitial Cystitis.--The Committee is pleased with CDC's program activities and public and professional awareness campaign on Interstitial Cystitis and has provided sufficient funds for CDC to continue its efforts on this debilitating disorder. Infertility.--The Committee has included funding within Safe Motherhood/Infant Health for the development of a national public health plan for the prevention, detection, and management of infertility. The development of this plan is critical to the efforts of more than two million women who battle this medical condition across the U.S. The Committee supports the goal of CDC's national plan to identify public health priorities and encourages the integration of existing programs and initiatives regarding infertility, as well as creation of new programs as deemed necessary. The Committee requests that CDC report on the development of this plan to the Committees on Appropriations of the House of Representatives and the Senate no later than April 1, 2010. Maternal and Child Health.--The Committee is concerned that declines in infant mortality have stalled in the U.S. Each year, 12 percent of babies are born too early, and eight percent are born with low birth-weight, putting them at higher risk for infant death and for developmental disabilities. The Committee notes that many experts believe that prenatal care, which usually begins during the first three months of a pregnancy, comes too late to prevent many serious maternal and child health problems and are calling for improved preconception care. The Committee encourages CDC and its partners to study how best to communicate with women about the need for preconception care. The Committee urges CDC to continue to make research on preconception health and health care a priority. National Sleep Awareness Roundtable.--The Committee is pleased with the activities of the National Sleep Awareness Roundtable (NSART), a partnership between CDC, other Federal agencies, and the voluntary health community. The Committee expects CDC to support NSART and has provided funding within the Community Health Promotion program for this initiative and to incorporate sleep and sleep-related disturbances into established CDC surveillance systems. Obesity.--More than one-third of American adults, or over 72 million people, are obese, and approximately 16 percent of children are obese. In 2000 alone, the cost of obesity in the U.S. exceeded $100,000,000,000. From 1987 through 2001, increases in obesity prevalence alone accounted for 12 percent of the growth in health spending. Research has shown that investing in proven community-based programs to increase physical activity and improve nutrition could substantially reduce health care costs. The Committee is supportive of CDC's efforts to reduce chronic diseases and obesity through State, school-based, and community programs; research; surveillance; training; intervention development; policy and environmental change; communication; and social marketing. To effectively address this epidemic, the Committee urges CDC to provide leadership and coordination for the Federal government's efforts to address overweight and obesity. In this leadership role, CDC should develop a national plan to prevent overweight and obesity among children, adolescents, and adults. On an annual basis, CDC should issue a report to the Nation on trends, research, and prevention efforts related to overweight and obesity in children, adolescents, and adults, including CDC's investments in State and community obesity prevention programs. Obesity and Built Environments.--The Committee recognizes the importance of the built environment for promoting healthy behaviors. The Committee encourages CDC to work with the Secretary of Transportation and encourages CDC grantees to work with local transit officials to coordinate the goals of population-level prevention programs with transportation projects that support healthy lifestyles and enhanced physical activity. Oral Health.--The Committee recognizes that reducing disparities in oral disease will require additional and sustained support in proven strategies at the State and local levels. The Committee provides funding for States to strengthen their capacities to assess the prevalence of oral diseases and the associated health burden, to target resources and interventions and prevention programs to the underserved, and to evaluate changes in policies and programs. The Committee encourages CDC to advance efforts to reduce the health disparities and burden from oral diseases, including those that are linked to chronic diseases. Pediatric Cancer.--The Committee encourages CDC to enhance and expand the infrastructure to track the epidemiology of pediatric cancer into a comprehensive nationwide registry of actual occurrences of pediatric cancer, as authorized by the Caroline Pryce Walker Conquer Childhood Cancer Act. Physical Fitness in Underserved Communities.--The obesity epidemic currently sweeping the U.S. is a particularly poignant problem for the nation's children. Among minority populations in this country, the numbers are particularly alarming. Statistics from CDC show that more than 22 percent of Mexican- American males aged 12 to 19 are obese, as are over 18 percent of African-American males and over 17 percent of non-Hispanic white males in the same age group. As for females aged 12 to 19, almost 28 percent of African-Americans and almost 20 percent of Mexican-Americans are obese, compared to more than 14 percent of non-Hispanic whites. The Committee encourages CDC to work with national and locally-based organizations to promote school-based and after-school programs that combine physical fitness and nutrition education. Particular emphasis should be given to low-impact team sports that have the greatest appeal to specific communities, such as soccer in Latino and immigrant communities. Preterm Birth.--Preterm birth affects more than 540,000 babies each year in the U.S. and nearly 50 percent of all premature births have no known cause. Within the funds provided, the Committee encourages CDC to expand epidemiological research on the causes and prevention of preterm birth and to establish systems for the collection of maternal-infant clinical and biomedical information to link with the Pregnancy Risk Assessment Monitoring System in an effort to identify ways to prevent preterm birth and reduce racial disparities. Primary Immune Deficiency Diseases.--The Committee remains supportive of the Primary Immune Deficiency Diseases program that has demonstrated great success in identifying and moving into treatment persons with undiagnosed diseases that pose a public health threat. The Committee believes this program should continue to move forward in a public-private partnership as it currently operates. Psoriasis.--As many as 7.5 million Americans are affected by psoriasis and/or psoriatic arthritis--chronic, inflammatory, painful, and disfiguring autoimmune diseases for which there are limited treatment options and no cure. Recent studies show people with psoriasis are at elevated risk for other chronic and debilitating health conditions, such as heart attack and diabetes and that people with severe psoriasis have a 50 percent higher risk of mortality. The Committee is concerned that there is a lack of epidemiological and longitudinal data on individuals with psoriasis and psoriatic arthritis, including children and adolescents. The Committee provides funding to support such data collection in order to better understand the co-morbidities associated with psoriasis, examine the relationship of psoriasis to other public health concerns such as the high rate of smoking and obesity among those with the disease, and gain insight into the long-term impact and treatment of these two conditions. The Committee encourages CDC to work with national organizations and stakeholders to examine and develop options and recommendations for psoriasis and psoriatic arthritis data collection, including a registry. Pulmonary Hypertension.--The Committee continues to be interested in pulmonary hypertension (PH) and encourages CDC to expand its partnership with the PH community aimed at increasing awareness of this devastating disease among the general public and health care providers. Scleroderma.--The Committee is aware that scleroderma, an over-production of collagen resulting in the hardening of skin and joints, affects an estimated 300,000 people in the U.S. The Committee continues to encourage CDC to undertake steps to increase awareness in the public and larger health care community to allow for earlier diagnosis and treatment. Teen Pregnancy Prevention.--The Committee is aware that one-third of girls in the U.S. get pregnant before age 20. In 2006, over 435,000 infants were born to mothers aged 15 to 19 years and that 80 percent of these births were unintended. The increase of $5,000,000 within Safe Motherhood/Infant Health will bring the total resources devoted to teen pregnancy prevention at CDC to $15,800,000. These funds will allow CDC to expand efforts to promote evidence-based interventions that provide medically accurate and age appropriate information to youth. Eight additional State-based teen pregnancy prevention coalitions will be supported, which will bring the total to 17. These coalitions work with State departments of education to implement innovative science-based prevention programs in youth-serving organizations and schools. Vision Health.--The Committee recognizes that good vision is an integral component to health and well being, affects virtually all activities of daily living, and impacts individuals physically, emotionally, socially and financially. Vision-related conditions affect people across the lifespan from childhood through elder years. The Committee supports CDC's vision health initiative, which focuses on eye disease surveillance and evaluation systems so that our nation has much-needed epidemiological data regarding overall burden and high-risk populations to formulate and evaluate strategies to prevent and reduce the economic and social costs associated with vision loss and eye disease. WISEWOMAN (Well-Integrated Screening and Evaluation for Women Across the Nation).--The Committee includes funding to increase support for the current WISEWOMAN grantees. WISEWOMAN screens uninsured and under-insured low-income women ages 40 to 64 for heart disease and stroke risk and provides counseling, education, referral, and follow-up to those with abnormal results. Since January 2000, WISEWOMAN has screened more than 84,000 women and has provided more than 210,000 lifestyle intervention sessions. An estimated 94 percent of these women were found to have at least one risk factor or border-line risk factor for heart disease, stroke, or other forms of cardiovascular disease. Birth Defects, Developmental Disabilities, Disability, and Health The Committee provides $140,882,000 for Birth Defects, Developmental Disabilities, Disability, and Health, which is $2,860,000 more than the fiscal year 2009 funding level and $1,134,000 less than the budget request. This program collects, analyzes, and makes available data on the incidence and causes of birth defects and developmental disabilities. Within the total, the Committee provides the following amounts for Birth Defects, Developmental Disabilities, Disability, and Health activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Birth Defects and Developmental Disabilities........... $42,776,000 +$717,000 +$600,000 Birth Defects...................................... 21,182,000 +59,000 0 Craniofacial Malformation...................... 1,755,000 +5,000 0 Fetal Death.................................... 846,000 +2,000 0 Alveolar Capillary Dysplasia................... 247,000 +1,000 0 Fetal Alcohol Syndrome............................. 10,140,000 +28,000 0 Folic Acid......................................... 3,426,000 +608,000 +600,000 Infant Health...................................... 8,028,000 +22,000 0 Human Development and Disability....................... 78,194,000 +2,088,000 -1,734,000 Disability & Health (including Child Development 13,611,000 +39,000 0 Studies).......................................... Limb Loss.......................................... 2,906,000 +8,000 0 Tourette Syndrome.................................. 1,749,000 +5,000 0 Early Hearing Detection and Intervention........... 10,888,000 +30,000 0 Muscular Dystrophy................................. 6,291,000 +17,000 0 Special Olympics Healthy Athletes.................. 5,534,000 +15,000 0 Paralysis Resource Center.......................... 6,015,000 +288,000 -1,733,000 Attention Deficit Hyperactivity Disorder........... 1,751,000 +5,000 0 Fragile X.......................................... 1,905,000 +5,000 0 Spina Bifida....................................... 5,483,000 +15,000 0 Autism............................................. 22,061,000 +1,661,000 0 Blood Disorders........................................ 19,912,000 +55,000 0 Hemophilia......................................... 17,203,000 +48,000 0 Thallasemia........................................ 1,865,000 +5,000 0 Diamond Blackfan Anemia............................ 517,000 +1,000 0 Hemachromatosis.................................... 327,000 +1,000 0 ---------------------------------------------------------------------------------------------------------------- Attention Deficit/Hyperactivity Disorder (AD/HD).--The Committee continues to support the AD/HD activities of CDC, including the National Resources Center on AD/HD. Funding is provided to maintain and expand the activities at the National Resource Center as it responds to the demand for information and support services, reaches special populations in need, and educates health and education professionals on the impact of AD/HD on the ability of individuals to lead successful, economically self-sufficient, and independent lives integrated into their communities with the necessary accommodations and supports. Blood Disorders.--The Committee recognizes the many accomplishments of the Blood Disorders Division at CDC, especially those achieved through its partnership with the network of Hemophilia Treatment Centers. This program remains an essential part of CDC's blood disorders programs and needs to be maintained in order to respond to increasing needs of men and women with bleeding and clotting disorders. Within the total for blood disorders, the Committee encourages CDC to develop and implement a hemoglobinopathy surveillance and registry program with particular attention to Sickle Cell Disease. Cerebral Palsy.--In 2008, the Committee requested a report from CDC about the types of data that are most needed for a public health response to cerebral palsy and the strengths and weaknesses of the various methods of collecting epidemiologic data in this population. As a result of the report's findings, the Committee urges CDC to establish cerebral palsy surveillance and epidemiology systems that would work in concert with similar disorders. Folic Acid Education Campaign.--The daily consumption of the vitamin folic acid has been shown to significantly reduce serious birth defects, such as spina bifida and anencephaly. Since fortification of U.S. enriched grain products with folic acid, the rate of those birth defects has decreased by 26 percent. CDC estimates, however, that up to 70 percent of neural tube defects could be prevented if all women of childbearing age consume 400 micrograms of folic acid daily. To achieve the full prevention potential of folic acid, CDC's national public and health professions education campaign should be expanded to inform more women, particularly non- pregnant Hispanic women and women age 18-24, as well as health care providers about the benefits of folic acid. Fragile X.--The Committee urges CDC to support the continuation of public health activities in the areas of Fragile X Syndrome and Associated Disorders. The Committee urges CDC to focus its efforts on identifying ongoing needs and effective treatments by increasing epidemiological research, surveillance, screening efforts, and the introduction of early interventions and supports for individuals living with Fragile X Syndrome and Associated Disorders. The CDC should focus funds within the Fragile X program on the continued growth and development of initiatives that support health promotion activities and foster rapid, high-impact translational research practice for the successful treatment of Fragile X Syndrome and Associated Disorders. Limb Loss.--The Committee supports the CDC Limb Loss Information Center program, which has made considerable progress in establishing and advancing a public health agenda to meet the needs of Americans with limb loss. There are more than 1.8 million Americans living with limb loss. The vast majority of these limb losses are attributed to diabetic infection resulting in limb amputation and current military/war events and practices. The Committee urges CDC to continue efforts to expand public health activities on behalf of persons with limb loss and recommends establishing a registry for limb loss to capture its true impact. A registry will estimate the incidence and prevalence of limb loss, promote a better understanding of limb loss, and provide data that will be useful for research on improving limb loss management and developing standards of care. Marfan Syndrome.--The Committee continues to be interested in Marfan syndrome. Many individuals affected by Marfan syndrome are undiagnosed or misdiagnosed until they experience a cardiac complication. Increasing awareness of this genetic condition is vital to ensuring timely diagnosis and appropriate management and treatment. The Committee encourages CDC to work to increase awareness of this disease among the public and health care providers. National Birth Defects Prevention Study.--The Committee commends CDC's work in the area of birth defects surveillance, research, and prevention. With the funds provided the Committee urges CDC to enhance research on congenital heart defects, conduct genetic analysis of the samples collected via the National Birth Defects Prevention Study, and maintain assistance to the regional birth defects centers of excellence and aid to States to implement and expand community-based birth defects tracking and referral systems. National Spina Bifida Program.--The Committee recognizes that Spina Bifida is the leading permanently disabling birth defect in the U.S. While Spina Bifida and related neural tube defects are highly preventable through adequate daily folic acid consumption, there are more than 70,000 individuals living with this complex birth defect. While its secondary effects can be mitigated through appropriate and proactive medical care and management, such efforts have not been adequately supported to result in significant reductions of these difficult and costly conditions. In an effort to continue to improve the quality-of- life of individuals affected by Spina Bifida and to reduce and prevent the occurrence of, and suffering from, this birth defect, the Committee continues to support CDC's National Spina Bifida Program. CDC is urged to support the implementation of the National Spina Bifida Patient Registry to improve the efficiency and quality of care in the nation's Spina Bifida clinics. Prenatally and Postnatally Diagnosed Conditions.--The Committee encourages CDC to increase the provision of scientifically sound information and support services to patients receiving a positive test result for Down syndrome or other pre- or postnatally diagnosed conditions by using available funds to award grants, contracts, or cooperative agreements to collect, synthesize, and disseminate current and accurate information about the tested condition; and coordinate the provision of, and access to, supportive services for patients affected, which should include a telephone hotline, an information clearinghouse, parent-support programs, and a registry of families willing to adopt children affected by such conditions. CDC is encouraged to provide assistance to State and local health departments to integrate the results of prenatal testing and pregnancy outcomes into State-based vital statistics and birth defects surveillance programs. Thalassemia.--The Committee believes that the thalassemia program, which provides blood safety surveillance to patients with this fatal genetic blood disease, has benefitted those patients by assuring that they are monitored closely by major research centers, while at the same time benefitting the general population by providing an early warning system of potential problems in the blood supply. CDC is encouraged to work closely with the patient community to maximize the impact of this program. Venous Thromboembolism.--Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE), collectively known as venous thromboembolism (VTE) is estimated to affect one million Americans each year, with approximately one third of the cases being fatal PE. The Surgeon General's Call to Action to Prevent DVT and PE, as well as a report on VTE surveillance published in CDC's Morbidity and Mortality Weekly Report, recognize the need for strengthened disease surveillance and for the translation into practice of appropriate prevention measures. The Committee encourages CDC to develop a surveillance plan, which includes the resources needed to implement the recommendations of the Call to Action. Health Information and Service The Committee provides a program level total of $291,784,000 for Health Information and Service, which is $12,428,000 more than the fiscal year 2009 program level and the same as the budget request. Of the funds provided, $233,105,000 shall be derived from evaluation set-aside funds available under section 241 of the Public Health Service Act. The evaluation set-aside is $36,873,000 more than the fiscal year 2009 funding level and $38,011,000 more than the budget request. Health Statistics The Committee provides $138,683,000 for Health Statistics, which is $13,982,000 more than the fiscal year 2009 funding level and the same as the budget request. The Health Statistics program is responsible for collecting, interpreting, and disseminating data on the health status of the U.S. population and the use of health services. Surveys include the National Health Interview Survey (NHIS), the National Health and Nutrition Examination Survey (NHANES), the National Health Care Survey, the National Vital Statistics System, and the National Survey of Family Growth. National Health Interview Survey.--The Committee is concerned over the lack of health care data about the lesbian, gay, bi-sexual and transgendered community. The Committee continues to urge CDC to enhance the National Health Interview Survey to collect data regarding the sexual orientation and gender identity of survey respondents using tested methods for doing so with the greatest possible accuracy. Nutrition Monitoring.--The Committee affirms America's commitment to nutrition for all, and seeks to ensure sufficient resources for the national nutrition monitoring activities, continuously conducted jointly by the National Center for Health Statistics (NCHS) and the Agricultural Research Service at the U.S. Department of Agriculture. 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. Preserving the Integrity of Seminal Health Surveys.--The Committee encourages the National Center for Health Statistics (NCHS) to fully support its ongoing seminal health surveys, in particular the NHIS and NHANES. These surveys provide unique insights into the health status of the American people and are an important resource to policymakers at the Federal, State, and local levels of government. The Committee expects NCHS to protect these core surveys without compromising data quality or accessibility, particularly with regard to minority populations. Further cuts to the sample sizes of these surveys could compromise our ability to monitor health disparities at a time when our society becomes increasingly diverse. Vital Statistics.--The Committee values NCHS and its critical role in monitoring our nation's health. The Committee has reservations about NCHS' plan to purchase only core items of birth and death data from States through the National Vital Statistics System. This plan will result in a reduction of over three-fourths of the number of enhanced data items that are routinely used to monitor maternal and infant health, such as use of prenatal care, smoking during pregnancy, medical risk factors, and educational attainment of parents, among others. The Committee urges NCHS to purchase the core and enhanced data currently collected by vital statistics jurisdictions and collect 12 months of these data within the calendar year. Public Health Informatics/Health Marketing The Committee provides a program level total of $153,101,000 for Public Health Informatics and Health Marketing, which is $1,554,000 less than the fiscal year 2009 funding level and the same as the budget request. Within the program level total, $70,597,000 is for Public Health Informatics, which is $522,000 more than the fiscal year 2009 funding level and the same as the budget request. Information systems and information technology extend the traditional reach of public health professionals. Activities funded through Public Health Informatics include on-going collaborative efforts to build a national network of public health information systems to enhance detection and monitoring, surveillance, data analysis and interpretation, preparedness, communications, and response. Also within the program level total, $82,504,000 is for Health Marketing, which is $2,076,000 less than the fiscal year 2009 funding level and the same as the budget request. Health Marketing uses commercial, non-profit and public service marketing, and communication science practices to better understand people's health-related needs and preferences, to motivate changes in individuals and organizations to protect and improve health, and to develop and enhance partnerships with public and private organizations. Environmental Health and Injury Prevention The Committee provides $339,638,000 for Environmental Health and Injury Prevention, which is $8,981,000 more than the fiscal year 2009 funding level and $4,622,000 more than the budget request. Environmental Health The Committee provides $191,023,000 for Environmental Health, which is $5,608,000 more than the fiscal year 2009 funding level and $4,622,000 more than the budget request. The Environmental Health program focuses on preventing disability, disease, and death caused by environmental factors through laboratory and field research. Within the total, the Committee provides the following amounts for Environmental Health activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Environmental Health Laboratory........................ $43,729,000 +$994,000 +$767,000 Newborn Screening Quality Assurance Program........ 6,915,000 +37,000 0 Newborn Screening for Severe Combined 988,000 +5,000 0 Immunodeficiency Diseases......................... Environmental Health Activities........................ 81,565,000 +4,266,000 +3,855,000 Arctic Health...................................... 0 -292,000 -294,000 Climate Change..................................... 15,000,000 +7,500,000 +7,460,000 Safe Water......................................... 7,237,000 +38,000 0 Volcanic Emissions................................. 0 -98,000 -99,000 Environmental and Health Outcome Tracking Network.. 33,124,000 +1,981,000 +1,815,000 Amyotrophic Lateral Sclerosis (ALS) Registry....... 5,027,000 +27,000 0 Polycythemia Vera Cluster.......................... 0 -5,000,000 -5,027,000 Asthma................................................. 30,924,000 +164,000 0 Healthy Homes/Childhood Lead Poisoning................. 34,805,000 +184,000 0 ---------------------------------------------------------------------------------------------------------------- Asthma.--The Committee urges CDC to work with States and the asthma community to implement evidence-based best practices for policy interventions, with specific emphasis on indoor and outdoor air pollution, which will reduce asthma morbidity and mortality. Biomonitoring.--The Committee is aware of the potential connection between environmental hazards and the incidence and distribution of chronic disease. Environmental hazards have been linked to birth defects and diseases such as asthma and cancer. The Committee applauds CDC's biomonitoring efforts. Biomonitoring measures are direct measures of people's exposure to toxic substances in the environment. Information obtained from biomonitoring helps public health officials determine which population groups are at high risk for exposure and adverse health effects, assess public health interventions, and monitor exposure trends over time. The Committee encourages the CDC to direct increases for CDC's Environmental Health Laboratory to States with existing biomonitoring programs in order to expand State public health laboratory capabilities; to conduct subpopulation studies; to conduct representative analyses of routinely collected blood, cord blood and other biospecimens; to develop protocols for conducting biomonitoring of sensitive subpopulations such as children; and to support biomonitoring field operations such as participant enrollment, sample collection, data analysis, report generation and results communications. CDC is also encouraged to focus on developing new methods for identifying chemical sources and routes of exposure using model exposure questionnaires and the collection of relevant household and other environmental samples. Childhood Lead Poisoning Screening.--The Committee commends CDC for supporting the development of a Clinical Laboratory Improvement Amendment (CLIA)-waived, point-of-care lead poisoning screening device. This FDA approved technology holds great promise for increasing testing rates in underserved communities. The Committee continues to encourage CDC to promote broader use of this screening tool among its lead poisoning prevention grantees. Climate Change.--The Committee is aware that public health professionals are starting to consider health a central dimension of climate change. The Committee notes that the potential health effects of climate change have been extensively reviewed and key concerns include injuries and fatalities related to severe weather events and heat waves; infectious diseases; allergic symptoms; respiratory and cardiovascular disease; and nutritional and water shortages. The Committee recognizes the importance of developing climate change mitigation and adaptation strategies. The Committee provides increased resources for a Climate Change Program at CDC. In continuing to develop this program, the Committee urges CDC to support State climate change preparedness activities, public health education and communications about health and climate change, training for public health professionals on climate change and health, and research and surveillance. The Committee urges CDC to fund research on the health impacts and implications of climate change, the health impacts of potential mitigation strategies and the development of tools for modeling and forecasting climate change at the regional, State, and local levels. CDC should work with partners at the National Institute of Environmental Health Sciences, the National Oceanic and Atmospheric Association, the National Aeronautics and Space Administration, and the Environmental Protection Agency to develop a coordinated research agenda on climate change and health. National Environmental and Health Outcome Tracking Network.--The World Health Organization estimates that 13 million deaths annually are due to preventable environmental causes. Chronic diseases such as asthma and cancer are among the most frequent adverse health effects of environmental hazards in the U.S. The Committee recognizes the important role of the Environmental and Health Outcome Tracking Network in understanding the relationship between environmental exposures and the incidence and distribution of disease, including potential health effects related to climate change. Health tracking through the integration of environmental and health outcome data enables public health officials to better target preventive services so that health care providers can offer better care and the public will be able to develop a clear understanding of what is occurring in their communities and how overall health can be improved. The Committee supports the continued development of the National Environmental and Health Outcome Tracking Network. With the increased resources provided in fiscal year 2009, five new grantees will be funded taking the total number of grants to 22. In fiscal year 2010, the Committee provides increased funding to enable at least one additional State to integrate environmental and health outcome data and participate in National Environmental and Health Outcome Tracking Network. In awarding funds, the Committee encourages CDC to give preference to current and former grantees and States that have invested in health tracking infrastructure. National Report on Dietary and Nutritional Indicators in the U.S. Population.--The Committee supports the efforts of the Environmental Health Laboratory and its commitment to improving the measurement of dietary and nutritional indicators in the American people. The Committee recognizes that future reports will provide this essential information, which is not available in any other document in either the public or private sector. The Committee urges CDC to expand the report from the original 27 indicators to other important nutritional markers such as trans fats and omega-3 fatty acids and encourages the Environmental Health Laboratory to improve and standardize selected laboratory tests used for the diagnosis, treatment, and prevention of chronic diseases such as cardiovascular disease, diabetes, and cancer. Newborn Screening for Severe Combined Immune Deficiency.-- The Committee is pleased that this newborn screening program has supported pilot projects in the States, which have led to the identification, treatment, and cure of patients with this fatal disease. CDC is encouraged to pilot this program in additional States in fiscal year 2010. Injury Prevention and Control The Committee provides $148,615,000 for Injury Prevention and Control, which is $3,373,000 more than the fiscal year 2009 funding level and the same as the budget request. Injuries are the leading cause of death among children and adults under 44 years of age in the U.S. In 2004, more than 167,000 people died from injuries and violence and over 29 million people sustained injuries serious enough to require treatment in an emergency department. The injury prevention and control program supports intramural research, injury control research centers, extramural research grants, and technical assistance to State and local health departments to prevent premature death and disability and to reduce human suffering and medical costs caused by injury and violence. Within the total for Injury Prevention and Control the Committee includes the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Intentional Injury..................................... $102,648,000 +$3,267,000 $0 Domestic Violence and Sexual Violence.............. 31,900,000 +3,086,000 0 Child Maltreatment............................. 7,104,000 +18,000 0 Youth Violence Prevention.......................... 20,076,000 +54,000 0 Domestic Violence Community Projects............... 5,525,000 +14,000 0 Rape Prevention.................................... 42,623,000 +107,000 0 All Other Intentional Injury....................... 2,524,000 +6,000 0 Unintentional Injury................................... 31,704,000 +361,000 0 Traumatic Brain Injury............................. 6,152,000 +15,000 0 All Other Unintentional Injury..................... 25,552,000 +346,000 0 Elderly Falls.................................. 2,000,000 0 0 Injury Control Research Centers........................ 10,719,000 -264,000 0 National Violent Death Reporting System................ 3,544,000 +9,000 0 ---------------------------------------------------------------------------------------------------------------- Fostering Public Health Responses Program.--Nearly one third of American women report being physically or sexually abused by a husband or boyfriend at some point in their lives. The problem has immense financial considerations, with the health-related costs of intimate partner violence in the U.S. exceeding $5,900,000,000 each year. Early detection and treatment of victims and potential victims not only addresses the victims' needs, but can financially benefit health care systems in the long run. Therefore, the Committee urges the development of the Fostering Public Health Responses Program to coordinate the public health response to domestic violence. Gun Control Advocacy.--The Committee maintains bill language prohibiting funds in this bill from being used to lobby for or against the passage of specific Federal, State, or local legislation intended to advocate or promote gun control. The Committee understands that CDC's responsibility in this area is primarily data collection and the dissemination of that information and expects the research in this area to be objective and grants to be awarded through an impartial, scientific peer review process. Injury Control Research Centers.--Within the total for Injury Prevention and Control, the Committee includes funding specifically for Injury Control Research Centers. Funds are provided to the centers to support core operations, conduct the research necessary to fill gaps in the evidence base for developing and evaluating new injury control interventions and improve translation of effective interventions, conduct training of injury control professionals, and undertake other programmatic activities to reduce the burden of injury. Intersection between Domestic Violence and Child Maltreatment.--The Committee urges CDC to support training and collaboration on the intersection between domestic violence and child maltreatment. Such a program would support cross-training to enhance community responses to families where there is both child abuse and domestic violence. Law enforcement, courts, child welfare agencies, domestic and sexual violence service providers, and other community organizations could be able to deal with both problems simultaneously, allowing for a better use of our limited resources. As the two problems often occur together, dealing with one problem and not the other is at the peril of our children. National Institute for Occupational Safety and Health The Committee provides a program level total of $369,341,000 for the National Institute for Occupational Safety and Health (NIOSH), which is $9,282,000 more than the fiscal year 2009 funding level and $953,000 more than the budget request. Of the amount provided, $91,724,000 is to be derived from section 241 evaluation set-aside funds as proposed in the budget request, rather than $91,225,000 as provided in fiscal year 2009. NIOSH conducts applied research, develops criteria for occupational safety and health standards, and provides technical services to government, labor and industry, including training for the prevention of work-related diseases and injuries. This appropriation supports surveillance, health hazard evaluations, intramural and extramural research, instrument and methods development, dissemination, and training grants. Within the total, the Committee provides the following program levels for NIOSH: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Education and Research Centers......................... $23,740,000 +$243,000 0 Personal Protective Technology......................... 17,218,000 +176,000 0 Pandemic Flu Preparedness for Healthcare Workers... 3,031,000 +31,000 0 Healthier Workforce Centers............................ 4,072,000 +42,000 0 National Occupational Research Agenda.................. 117,406,000 +5,762,000 0 World Trade Center..................................... 70,723,000 +723,000 0 Mining Research........................................ 51,469,000 +1,469,000 +953,000 Other Occupational Safety and Health Research.......... 84,713,000 +867,000 0 Miners Choice...................................... 648,000 +7,000 0 National Mesothelioma Registry and Tissue Bank..... 1,024,000 +10,000 0 ---------------------------------------------------------------------------------------------------------------- Mine Technology and Safety Test Bed.--The Committee encourages NIOSH to develop a Mine Technology and Safety Test Bed, which will facilitate real-time situational awareness and improve miners' safety. The program should, at a minimum, consist of NIOSH-approved communications capable of supporting and integrating a multi-channel, digital voice, data and text messaging system that can establish connections to external networks. The system should also include real-time three dimensional immersive surveillance tracking capabilities. The system shall be MINER Act compliant and meet or exceed Mine Safety and Health Administration standards. The network infrastructure should be self-healing, redundant, and survivable during day-to-day operations and in emergency situations. Nanotechnology.--NIOSH is the leading Federal agency conducting research and providing guidance on the occupational safety and health implications of nanotechnology and nanomaterials. Nanotechnology has potentially revolutionary applications related to many key industrial sectors, including aerospace, biotechnology, homeland security and national defense, energy, information technology, and medicine. An estimated one million U.S. workers will be working in the nanotechnology field by 2015. For that reason, there is a significant need to understand the health effects and to develop the evidence base and guidance on risks and controls for workers in this burgeoning field. With increased resources in fiscal year 2010, NIOSH will focus its activities on a variety of occupational safety and health research activities, including developing recommendations for controlling occupational exposure to fine and ultrafine particles, determining the extent of workplace exposures in 25 facilities across the U.S., and conducting research on the explosive potential of various nanomaterials. Pandemic Influenza.--The experience with the 2009 outbreak of the novel H1N1 virus has identified significant deficiencies in efforts to protect health care workers in the event of a pandemic influenza. Currently there is no comprehensive Occupational Safety and Health Administration (OSHA) standard to protect health care workers from pandemic influenza and airborne infectious diseases. OSHA and CDC guidelines recommending the use of NIOSH certified respirators and other control measures to protect health care workers from pandemic influenza and the H1N1 virus have not been followed by many State and local health departments who instead have recommended lesser degrees of protection. OSHA and NIOSH, the agencies with legal responsibility for and expertise in worker protection, should take the lead in developing and implementing recommendations and requirements to protect healthcare workers from pandemic influenza and other infectious agents. To further implement the recommendations of the 2008 Institute of Medicine (IOM) report on protecting health care workers from pandemic influenza, the bill includes funding in the NIOSH budget to study the transmissibility of pandemic influenza and other pathogenic bioaerosols and to evaluate the efficacy of respiratory protection and other control measures to protect health care workers from these infectious agents. As recommended by the IOM, such studies should include workplace studies during outbreaks and occurrences of influenza. World Trade Center.--The Committee remains concerned about the World Trade Center (WTC) program. Funding for the WTC Medical Monitoring and Treatment Program should support the following activities, in addition to its current activities: continued development of outreach services to all eligible participants (including eligible participants living outside the New York City metropolitan area) to ensure they are aware of the services available to them; expanded benefits counseling services to all eligible participants in order to ensure they receive all necessary services and benefits available to them; and evaluate the monitoring and treatment data being collected in the current program in order to detect emerging disease patterns and the effectiveness of the medical care being provided. Additionally, funding should also continue to support the WTC Health Registry. The Committee reiterates its direction that NIOSH submit a report to the Committees on Appropriations of the House of Representatives and the Senate containing cost estimates and budget obligations for each contract or grant associated with the WTC Medical Monitoring and Treatment Program no later than 15 days after the end of each quarter. Included in the report should be detailed information concerning the numbers of first response emergency personnel, residents, students, and others who are monitored or treated in the New York City area and throughout the country; and the predominant health conditions for which those exposed to the toxins at or around the WTC site or associated cleanup sites continue to experience. Quarterly reports should update cost estimates, budget obligations, and numbers of people served, as well as prevalent health conditions impacting participants. Energy Employees Occupational Illness Compensation Program The Committee provides $55,358,000 for CDC to administer the mandatory Energy Employees Occupational Illness Compensation Program Act (EEOICPA), which is the same as the fiscal year 2009 funding level and the budget request. EEOICPA provides compensation to employees or survivors of employees of Department of Energy facilities and private contractors who have been diagnosed with a radiation-related cancer, beryllium-related disease, or chronic silicosis as a result of their work. NIOSH estimates occupational radiation exposure for cancer cases, considers and issues determinations for adding classes of workers to the Special Exposure Cohort, and provides administrative support to the Advisory Board on Radiation and Worker Health. Global Health The Committee provides $323,134,000 for Global Health, which is $14,310,000 above the fiscal year 2009 funding level and $4,000,000 above the budget request. Through its Global Health activities, CDC coordinates, cooperates, participates with, and provides consultation to other nations, U.S. agencies, and international organizations to prevent and contain diseases and environmental health problems and to develop and apply health promotion activities. In cooperation with Ministries of Health and other appropriate organizations, CDC tracks and assesses evolving global health issues and identifies and develops activities to apply CDC's technical expertise to be of maximum public health benefit. Within the total, the following amounts are included for Global Health activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Global AIDS Program.................................... $118,979,000 +$116,000 $0 Global Immunization Program............................ 153,475,000 +10,149,000 0 Polio Eradication.................................. 101,599,000 +99,000 0 Other Global/Measles............................... 51,876,000 +10,050,000 0 Global Disease Detection............................... 37,756,000 +4,033,000 +4,000,000 Global Malaria Program................................. 9,405,000 +9,000 0 Other Global Health.................................... 3,519,000 +3,000 0 ---------------------------------------------------------------------------------------------------------------- Global Disease Detection Program.--The Committee commends the work of CDC in coordinating cross-cutting disease detection and response activities across the agency and for establishing the Global Disease Detection (GDD) Regional Centers to strengthen capacity for rapid identification and response to a broad range of emerging infectious disease outbreaks and health threats. In fiscal year 2009, one additional GDD Regional Center will be added to the program for a total of seven centers. With the increased funding provided in this bill, the Committee has included sufficient funding for at least one additional GDD Regional Center to give CDC a more extensive global presence. The Committee encourages increased involvement of CDC's global health staff worldwide as a first response to emerging health threats. In addition, the Committee encourages CDC to leverage the infrastructure of the GDD Regional Centers and the broader network of expertise at CDC headquarters to provide regional training and increase public health capacity in support of the International Health Regulations. Global Immunization/Measles.--Childhood immunization is one of the most cost-effective of all health interventions. In the past two decades, immunization has prevented an estimated 20 million deaths globally from vaccine-preventable diseases. However, much more needs to be done. Measles caused an estimated 197,000 deaths worldwide in 2007 and is the leading cause of childhood deaths from a disease for which there is a widely available vaccine. A significant portion of the increased investment provided in this bill for global immunization will support expanded measles vaccination campaigns in South Asia and Africa to protect the U.S. by decreasing the risk of importations of vaccine-preventable diseases. CDC estimates that with this increased funding in fiscal year 2010, there will be 25,000 fewer global measles- related deaths. Malaria.--The Committee supports CDC's global malaria program. It is essential, as the threat of drug and pesticide resistance looms, that CDC continues research leading to new tools that will be available to replace current interventions once they are no longer effective. The Committee urges CDC to expand its important malaria work, and recognizes that without CDC's contributions, the overall U.S. effort against malaria will be considerably less effective. Further, the Committee encourages CDC to expand its support for public-private partnerships involved in the discovery, development, and delivery of effective and affordable anti-malarial drugs. Pre-Exposure Prophylaxis.--The Committee is aware that there are currently seven clinical trials testing the safety and effectiveness of Pre-Exposure Prophylaxis (PrEP), and that PrEP is considered among the most promising of potential HIV prevention interventions now being studied. The Committee encourages the agencies sponsoring these trials--NIH, CDC, and the U.S. Agency for International Development--to jointly develop a five year coordinated PrEP research plan. Terrorism Preparedness and Response The Committee provides $1,546,809,000 for Terrorism Preparedness and Response, which is $32,152,000 above the fiscal year 2009 funding level and the same as the budget request. CDC distributes grants to State, local, and territorial public health agencies, Centers for Public Health Preparedness, and others to support infrastructure upgrades to respond to all potential hazards, including acts of terrorism or infectious disease outbreaks. Funds are used for needs assessments, terrorism response planning, training, strengthening epidemiology and surveillance, and upgrading laboratory capacity and communications systems. Activities support the establishment of procedures and response systems, and build the infrastructure necessary to respond to a variety of disaster scenarios. Within the total, the Committee provides the following amounts for Terrorism Preparedness and Response activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Public Health Emergency Preparedness Cooperative $714,949,000 +$14,484,000 $0 Agreements............................................ Centers for Public Health Preparedness................. 30,013,000 +13,000 0 Advanced Practice Centers.............................. 5,263,000 +2,000 0 All Other State and Local Capacity..................... 10,875,000 +5,000 0 Upgrading CDC Capacity................................. 120,795,000 +51,000 0 Anthrax................................................ 0 -7,875,000 0 BioSense............................................... 34,404,000 +15,000 0 Quarantine............................................. 26,518,000 +11,000 0 Real-time Lab Reporting................................ 8,243,000 +4,000 0 Strategic National Stockpile........................... 595,749,000 +25,442,000 0 ---------------------------------------------------------------------------------------------------------------- Cities Readiness Initiative.--The Cities Readiness Initiative (CRI) provides resources to cities and metropolitan areas around the country to better distribute countermeasures during public health emergencies. As CDC expanded the number of cities receiving CRI, it has revised the formula for allocation and several large high-risk cities are facing significant reductions (up to 25 percent) that could impact their readiness to coordinate a regional response and disburse countermeasures in a large metropolitan area. CDC should review this formula and the amount allocated to CRI and ensure that the funding level for these cities is maintained in fiscal year 2010 at appropriate levels. Further, the Committee requests that CDC submit a report to the Committees on Appropriations of the House of Representatives and the Senate making recommendations for ensuring the maximum readiness level of high-risk cities no later than April 1, 2010. State-by-State Preparedness Data.--Ensuring national preparedness requires regular review of State preparedness efforts by Federal, State, and local governments, and the public. The Committee commends CDC for releasing ``Public Health Preparedness: Strengthening CDC's Emergency Response''. The Committee is pleased that the report provides an overview of public health preparedness activities and details accomplishments and challenges. The Committee expects the Department to collect and review State-by-State data on benchmarks and performance measures developed pursuant to the provisions of the Pandemic and All-Hazards Preparedness Act and to detail how preparedness funding is spent in each State. These data should be made available to the Congress, State and local health departments, State and local governments, and to the public. The Committee further expects that as the Department collects and evaluates State pandemic response plans, the results of these evaluations will be made available to the Congress and to the public. Public Health Research The Committee provides $31,170,000 for Public Health Research, which is $170,000 more than the fiscal year 2009 funding level and the same as the budget request. The Committee provides these funds through the section 241 evaluation set- aside funds as provided in fiscal year 2009 and as proposed in the budget request. Through the public health research funding, CDC supports high-quality public health research that studies the best methods for making the transition from research to practice. Funds support research that is proposed by experienced investigators working with communities, health practitioners, and policymakers to address local priority health concerns. Public Health Improvement and Leadership The Committee provides $199,093,000 for Public Health Improvement and Leadership, which is $10,043,000 below the fiscal year 2009 funding level and $10,507,000 above the budget request. This activity supports several cross-cutting areas within CDC. Included is the CDC's leadership and management function, which funds the CDC Office of the Director, coordinating centers, and each constituent center and office. The Public Health Improvement and Leadership funding also supports the CDC's public health workforce and career development efforts. Within the total, the Committee provides the following amounts for Public Health Improvement and Leadership activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Leadership and Management.............................. $149,986,000 +$654,000 $0 Director's Discretionary Fund.......................... 0 -2,948,000 -2,948,000 Public Health Workforce Development.................... 35,652,000 +793,000 0 Applied Epidemiology Fellowship Training........... 991,000 +9,000 0 ---------------------------------------------------------------------------------------------------------------- The bill includes $13,455,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Access Community Health Network, Chicago, IL for a $200,000 program to reduce cancer disparities through comprehensive early detection....................... Alameda County Department of Public Health, Office of 300,000 AIDS, Oakland, CA for an HIV/AIDS prevention and testing initiative.................................. Alliance for the Prudent Use of Antibiotics, Boston, 100,000 MA for a comprehensive program to review antibiotic resistance trends, interventions, and prevention methods, including a public information campaign.... Allina Hospitals and Clinics, Minneapolis, MN for a 200,000 heart disease prevention program.................... American Red Cross, San Juan, PR for testing the 400,000 Puerto Rico blood supply for the dengue virus....... Betty Jean Kerr Peoples Health Center, St. Louis, MO 150,000 for the prostate cancer screening program........... Broward County, Ft. Lauderdale, FL for a pediatric 275,000 mortality public awareness campaign................. Children's Health Fund, New York, NY for health 100,000 assessments, outreach, and education services for children and their families......................... City of Laredo, TX for a community health assessment. 200,000 County of Marin, San Rafael, CA for research and 200,000 analysis related to breast cancer incidence and mortality in the county and breast cancer screening. Dillard University, New Orleans, LA for facilities 300,000 and equipment....................................... East Carolina University, Greenville, NC for a 400,000 program to reduce health disparities through chronic disease management.................................. El Puente, Inc., Brooklyn, NY for a youth and family 500,000 wellness program.................................... Family Hospice and Palliative Care, Pittsburgh, PA 100,000 for the Center for Compassionate Care Education Outreach program.................................... Friends of the Congressional Glaucoma Caucus 50,000 Foundation, Lake Success, NY for glaucoma screenings in Northern Virginia................................ Ft. Valley State University, Ft. Valley, GA for a 100,000 food and nutrition education program (EFNEP) aimed at curbing obesity, particularly among young minorities.......................................... Haitian American Association Against Cancer, Inc., 300,000 Miami, FL for cancer education, outreach, screening, and related programs................................ Huntington Breast Cancer Action Coalition, 100,000 Huntington, NY for providing services and programs to underserved populations on how to reduce the risks of cancer..................................... Inland Northwest Health Services, Spokane, WA for a 350,000 public health surveillance initiative............... International Rett Syndrome Foundation, Cincinnati, 180,000 OH for education and awareness programs regarding Rett Syndrome....................................... Iowa Chronic Care Consortium/Des Moines University, 200,000 Des Moines, IA for a preventive health initiative... Iowa State University, Ames, IA for facilities and 1,000,000 equipment........................................... Latino Health Access, Santa Ana, CA for a youth 150,000 obesity prevention program.......................... Lupus LA, Los Angeles, CA for increasing public 250,000 awareness of lupus.................................. Mario Lemieux Foundation, Bridgeville, PA for the 100,000 Hodgkin's Disease Patient and Public Education Outreach Initiative................................. Mary Bird Perkins Cancer Center, Baton Rouge, LA for 350,000 continuation and expansion of the CARE network...... Middle Tennessee State University, Murfreesboro, TN 400,000 for a program to improve the physical fitness of children and adolescents in Middle Tennessee........ Morgan State University, Baltimore, MD for a program 200,000 to understand the social determinants and the impact of health disparities on the health of urban and underserved populations............................. National Marfan Foundation, Port Washington, NY for 250,000 an awareness and education campaign for Marfan Syndrome............................................ Nevada Cancer Institute, Las Vegas, NV for cancer 400,000 education and outreach services..................... New York Junior Tennis League, Woodside, NY for a 250,000 childhood obesity program for high-risk youth from low-income families................................. Padres Contra El Cancer, Los Angeles, CA for 250,000 educational resources and outreach programs to serve families with children with cancer.................. Polycystic Kidney Disease Foundation, Kansas City, MO 100,000 for developing education and awareness programs about chronic kidney disease........................ Prevent Blindness Florida, Tampa, FL for the See the 200,000 Difference Vision Screening Program................. Puerto Rican Cultural Center, Chicago, IL for an HIV/ 100,000 AIDS outreach and education program................. Pulmonary Hypertension Association, Silver Spring, MD 250,000 for a pulmonary hypertension prevention and awareness initiative................................ San Antonio Metropolitan Health District, San 500,000 Antonio, TX for a program to assess the health behaviors of the Kelly community and address health issues such as lead poisoning, asthma, and indoor pollutants.......................................... Schneider Children's Hospital, New Hyde Park, NY for 300,000 comprehensive Diamond Blackfan Anemia awareness and surveillance........................................ Shelby County Community Services, Memphis, TN for an 200,000 infant mortality prevention and education program... Silent Spring Institute, Newton, MA for studies of 350,000 the impact of environmental pollutants on breast cancer and women's health........................... South Carolina HIV/AIDS Council, Columbia, SC for an 200,000 HIV/AIDS prevention program......................... Texas AgriLife Extension Service, College Station, TX 300,000 for a youth obesity prevention initiative........... Texas Tech University Health Science Center, Lubbock, 200,000 TX for the West Texas Center for Influenza Research, Education and Treatment............................. Thundermist Health Center, Woonsocket, RI for the 200,000 active teen challenge project to reduce childhood obesity............................................. UMOS, Inc., Milwaukee, WI for a teen pregnancy and 100,000 sexually transmitted infections prevention program.. University of New Mexico, Albuquerque, NM for a 350,000 prevention program aimed at reducing diabetes- related heart and blood vessel diseases in New Mexico.............................................. University of Texas, M.D. Anderson Cancer Center, 500,000 Houston, TX for a comprehensive cancer control program to address the needs of minority and medically underserved populations................... University of Texas-Pan American, Edinburg, TX for 250,000 research and education activities at the South Texas Border Health Disparities Center.................... University of Wisconsin-Milwaukee School of Public 300,000 Health, Milwaukee, WI for a healthy birth outcomes program............................................. Valentine Boys and Girls Club of Chicago, Chicago, IL 150,000 for a health and physical education program to prevent obesity and promote healthy development..... Visiting Nurses Association, Council Bluffs, IA for a 350,000 telehealth initiative, including purchase of equipment........................................... Watts Healthcare Corporation, Los Angeles, CA for a 250,000 project to improve breastfeeding rates.............. ------------------------------------------------------------------------ Preventive Health and Health Services Block Grant The Committee provides $102,034,000 for the Preventive Health and Health Services Block Grant, which is $34,000 above the fiscal year 2009 funding level and the same as the budget request. This block grant provides flexible funds to States by formula for a wide range of public and preventive health activities. The flexibility afforded to the States allows them to target funds to address chronic diseases, such as diabetes, arthritis, heart disease, and stroke; to direct funds to meet challenges of outbreaks of infectious diseases such as West Nile virus and influenza; and/or to implement prevention and control programs related to injury and abuse. Buildings and facilities The Committee provides $30,000,000 for CDC buildings and facilities, which is $121,500,000 less than the fiscal year 2009 funding level and the same as the budget request. This funding supports continued repairs and improvement to existing CDC buildings and facilities to protect the interest and investment of the government so that deterioration of CDC facilities does not occur. Business Services and Support The Committee provides $367,075,000 for Business Services and Support, which is $7,198,000 more than the fiscal year 2009 funding level and $5,587,000 less than the budget request. Some of the activities that are supported through this funding are administrative services and programs, the human resources center, capital planning and investment control, financial management, security and emergency preparedness, and information technology services. It is the Committee's intention that funds provided in business services and support are sufficient to carry out CDC's business functions. The Committee will not support programmatic ``tapping'' to achieve additional funding in this area and appreciates that CDC has made efforts to curtail this practice. If additional funding is required for activities within this or any other budget line, the Committee expects CDC to work with the Department of Health and Human Services to prepare timely and detailed reprogramming or transfer requests to be submitted to the Committees on Appropriations of the House of Representatives and the Senate. National Institutes of Health The Committee recommends an appropriation of $31,258,788,000 for the National Institutes of Health (NIH), which is $941,764,000 above the fiscal year 2009 appropriation and $500,000,000 above the budget request. The Recovery Act provided an additional $10,400,000,000 for NIH in fiscal years 2009 and 2010. Fiscal year 2009 has been a year of unprecedented opportunity for NIH. The combination of Recovery Act funding and the fiscal year 2009 Omnibus Appropriations Act increased the NIH appropriation by almost 40 percent. NIH is required to spend all Recovery Act funding in two years in order to spur economic recovery. NIH has risen to that challenge and has created new types of grants that aim to produce defined results in a two-year period, along with expanding current grants to pursue new inquiries. NIH is on track to obligate all Recovery Act funding by the end of fiscal year 2010. The Committee is convinced that investing now in NIH research will generate untold breakthroughs that will improve health and reduce health care expenditures in the future. The nation's return on investment in NIH includes declines in death rates for cardiovascular diseases and an increase in cancer survivorship, as just two examples. NIH is the largest single engine for biomedical research in the world. The pace of discovery in the biomedical sciences has never been as rapid or as promising. NIH funding supports more than 300,000 scientists and research personnel affiliated with more than 3,100 organizations in all 50 States. The Committee is concerned by the harmful precedent established in the Administration's budget of setting specific funding levels for particular diseases. The Committee believes it is more appropriate to allocate funding in a way that permits scientific peer review to decide the most promising research to support. The serendipitous nature of science is documented each year, with breakthroughs in one disease area emanating from a finding in a completely unrelated field. The Committee recognizes these unanticipated opportunities by recommending a funding level which provides a comparable inflationary adjustment to the fiscal year 2009 levels for each institute and center to offset biomedical research inflation; includes resources to finance 10,739 new and competing grants, an increase of 914 over fiscal year 2009 (excluding the grants supported with Recovery Act funding); and provides an average two percent increase for both new and continuing grants to maintain the grants' purchasing power. The number of total grants will rise to 38,888, an increase of 1,105 over fiscal year 2009. The recommendation is attentive to the pipeline issue, providing funding for two programs to support young investigators as well as a two percent average increase in research training stipends. The Committee fully funds the Administration's request of $300,000,000 for transfer to the Global Fund for AIDS, Malaria and Tuberculosis and continues the National Children's Study with an appropriation of $194,400,000. The Common Fund is supported as a set-aside within the Office of the Director at $534,066,000. The following chart displays the funding provided to each of the 27 appropriations that comprise the total NIH appropriation. The full name of each institute and center is included in the table along with its acronym. These acronyms will be used throughout the report rather than repeating the full name of the institute or center. Funding levels are also shown in the detailed table at the back of the report. ---------------------------------------------------------------------------------------------------------------- 2010 Committee compared to-- ------------------------------------- Institutes/Centers FY 2010 Committee 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- National Cancer Institute (NCI)........................ $5,150,170 $181,197 $0 National Heart, Lung, and Blood Institute (NHLBI)...... 3,123,403 107,714 73,047 National Institute of Dental & Craniofacial Research 417,032 14,380 8,995 (NIDCR)............................................... Nat. Inst. of Diabetes & Digestive & Kidney Diseases 1,824,251 62,913 42,757 (NIDDKD).............................................. National Institute of Neurological Disorders and Stroke 1,650,253 56,909 37,508 (NINDS)............................................... National Institute of Allergy and Infectious Diseases 4,859,502 156,930 99,207 (NIAID)............................................... National Institute of General Medical Sciences (NIGMS). 2,069,156 71,355 45,479 Nat. Inst. of Child Health and Human Development 1,341,120 46,226 27,446 (NICHD)............................................... National Eye Institute (NEI)........................... 713,072 24,592 17,283 National Institute of Environmental Health Sciences 695,497 32,677 11,240 (NIEHS)............................................... National Institute on Aging (NIA)...................... 1,119,404 38,608 26,261 Nat. Inst. Arthritis & Musculoskeletal & Skin Diseases 543,621 18,749 12,796 (NIAMS)............................................... Nat. Inst. on Deafness & Other Communication Disorders 422,308 15,049 9,282 (NIDCD)............................................... National Institute of Nursing Research (NINR).......... 146,945 5,066 3,196 National Institute on Alcohol Abuse and Alcoholism 466,308 16,078 11,159 (NIAAA)............................................... National Institute on Drug Abuse (NIDA)................ 1,069,583 36,824 24,199 National Institute of Mental Health (NIMH)............. 1,502,266 51,775 27,590 National Human Genome Research Institute (NHGRI)....... 520,311 17,944 10,717 National Institute of Biomedical Imaging and 319,217 11,009 6,530 Bioegineering (NIBIB)................................. National Center for Research Resources (NCRR).......... 1,280,031 53,768 27,987 National Center for Complementary and Alternative 129,953 4,482 2,712 Medicine (NCCAM)...................................... National Center on Minority Health and Health 213,316 7,357 4,472 Disparities (NCMHHD).................................. John E. Fogarty International Center (FIC)............. 70,780 2,089 1,553 National Library of Medicine (NLM)..................... 342,585 11,814 8,238 Office of the Director (OD)............................ 1,168,704 -78,160 -14,073 Buildings and Facilities............................... 100,000 -25,581 -25,581 Total.............................................. $31,258,788 $941,764 $500,000 ---------------------------------------------------------------------------------------------------------------- National Cancer Institute Mission.--NCI conducts and supports basic and applied cancer research in early detection, diagnosis, prevention, treatment, and rehabilitation. NCI provides training support for research scientists, clinicians and educators, and maintains a national network of cancer centers, clinical cooperative groups, and community clinical oncology programs, along with cancer prevention and control initiatives and outreach programs to rapidly translate basic research findings into clinical practice. The Committee continues bill language identifying up to $8,000,000 for repairs and improvements at the NCI-Frederick Federally Funded Research and Development Center in Frederick, MD. Adult Acute Leukemia.--The Committee is encouraged by ongoing research on adult acute leukemia, particularly in understanding how changes in a person's DNA can cause bone marrow cells to develop into leukemia, the detection of minimal residual disease which can indicate a relapse in the disease, and the discovery of more effective chemotherapy drugs. The Committee encourages NCI to expand current studies and support promising new research through all available mechanisms. Blood Cancers.--The Committee is aware that there are currently over 800,000 blood cancer patients living in the United States, and that the incidence of certain blood cancers has increased in recent decades. Public Law 107-172 directed NIH to expand, intensify, and coordinate programs for the conduct and support of research with respect to blood cancer, and particularly with respect to leukemia, lymphoma, and multiple myeloma. These diseases constitute one of the leading causes of cancer deaths. In addition, the Committee urges NCI to increase its focus on more rare forms of blood cancer such as Waldenstrom's macroglobulinemia. CIS Partnership Program.--The Committee is concerned about NCI's decision to eliminate the Cancer Information Service (CIS) Partnership program, which has provided high quality, accurate information to more than 10 million Americans at a vulnerable time in their lives. The Congressional mandate for this program states--``to provide and contract for a program to disseminate and interpret, on a current basis, for practitioners and other health professionals, scientists and the general public, scientific and other information respecting the cause, prevention, diagnosis and treatment of cancer''. The CIS Partnership program supports over 750 partners who work with a diverse population who make use of its cancer information and communications research laboratory. The Committee recommends that NCI keep the present CIS Partnership office in place until 2011 and requests that NCI conduct an evaluation of the program, develop a detailed plan on how it intends to fulfill the Congressional mandate for CIS, and report its findings to the Committees on Appropriations of the House of Representatives and the Senate no later than February 1, 2010. Gastrointestinal (GI) Cancer.--The Committee is concerned that early diagnosis of most GI cancers is difficult or impossible, especially aggressive GI cancers in young people, and curative treatment options are non-existent at later stages. The Committee encourages NCI to study GI cancers in people age 40 and under, giving emphasis particularly to late- stage cancers for whom curative treatment options are unavailable. In addition, the Committee requests NCI to consider developing an interconnected gastrointestinal cancer biorepository with consistent, interoperable systems for collection, storage, annotation, and information sharing. Gynecologic Cancer SPOREs.--The Committee is encouraged by the success of the gynecological cancer SPORE program. At present there is no available screening test for ovarian cancer to identify the disease at an early stage and improve survival. Given the inadequacies of current tools, there is a pressing need for new effective screening technologies, as well as for the development of new targeted therapies to decrease the mortality and morbidity of this disease. In addition, there is a need for research that is focused on endometrial and uterine cancer. The Committee encourages NCI to support existing gynecologic cancer SPORES as well as to consider increasing their overall number. Gynecologic Oncology Clinical Trials.--The Committee is concerned that the gynecology clinical trials network has not been able to fully fund an institution's research costs when it enrolls patients in a trial. This may have the impact of limiting access for patients to these trials which are offering cutting edge cancer treatments. This may also negatively impact the pace with which these clinical trials can be completed and results evaluated and published. The Committee encourages NCI to reconsider the per patient research costs of these clinical trials. Hematology.--The Committee is aware of efforts being made by the Institute's Office of Latin American Cancer Program Development to train physicians and scientists in the development of clinical trials and collaborative research networks focused on blood cancers. The Committee encourages NCI to support these international programs, which will improve research mechanisms and access to novel treatments for cancer patients. HPV Vaccine and Cervical Cancer.--The Committee encourages NCI to study clinical and cost analysis benefits of prospectively tracking cytologic screening and HPV test results and outcomes in communities where HPV vaccines are being implemented. The Committee encourages NCI to fund research, including registry-based tools, that will permit identification of the most cost-effective management strategy for cervical cancer screening in the era of HPV vaccines and will identify the circumstances where current screening protocols fail. Liver Cancer.--The Committee urges NCI to focus research efforts on liver cancer, which continues to be one of the fastest growing cancers in the U.S. The Committee encourages NCI to pursue new interventions and treatments, as well as new methods for early detection and prognosis. Lung Cancer.--The Committee remains concerned about increased lung cancer rates among women and urges NCI to support research for lung cancer diagnosis and treatment. Melanoma.--The Committee is encouraged by the collaboration between NCI and the advocacy and research community on prioritizing NIH-funded melanoma research that resulted in a community-oriented strategic action plan for melanoma research. The Committee encourages NCI to support the areas of research identified by the strategic research plan. Furthermore, the Committee encourages NCI to include melanoma in the Cancer Genome Atlas consortium to help identify new markers for classification, detection and risk-assessment, particularly in high-risk populations. Mitochondrial DNA and Cancer.--The Committee is aware that mitochondrial DNA mutations are associated with numerous cancers and that NCI has increased its efforts to better understand this relationship. The Committee encourages the Institute to continue its involvement in this area of research. National Disparities.-- NCI has developed and supported a national network of designated cancer centers at academic medical centers across the nation as a premier vehicle for promoting cancer research and outreach. These centers are particularly valued in their regions and States for their role in supporting all facets of cancer research, prevention, control and education. The Committee notes the incidence of national disparities in cancer prevalence, diagnosis, treatment, and control, particularly within regions with large underserved and minority populations with poor access to these centers. In order to reach these populations and extend the benefits of designated cancer centers, the Committee recommends that NCI consider supporting developing centers through the renewal of the NCI planning grant program. This grant mechanism will support the development of additional designated cancer centers that will bring the benefits of cancer research, prevention, control, and outreach fostered at these centers to those populations most in need. Neuroblastoma.--The Committee continues to encourage NCI to accelerate support for neuroblastoma research, with a focus on clinical trials for high-risk patients. Given the poor survival rates for children with advanced disease, the Committee encourages NCI to prioritize support for all promising neuroblastoma research, both intramural and extramural. Pancreatic Cancer.--While there has been a continuing decline in mortality rates for many types of cancer, mortality rates for pancreatic cancer have changed little in the past 30 years. Further, survival rates have changed little in the last 30 years. The Committee last year urged NCI to launch a pancreatic cancer-specific research and training initiative. To further these efforts, the Committee encourages NCI to convene a conference of internal program and research staff to jointly assess the current status of the pancreatic cancer research and training initiative and to develop an action plan for the use of fiscal year 2010 funding. The Committee requests a report on the results of that meeting within 60 days of its occurrence. Pediatric Cancer.--The Committee urges NCI to intensify pediatric cancer research, including laboratory research, to identify and evaluate potential therapies, preclinical testing, and clinical trials through cooperative clinical trials groups. This research should include research on the causes, prevention, diagnosis, treatment, and late effects of pediatric cancer. The Committee also requests that NCI report to the Committees on Appropriations of the House of Representatives and the Senate by June 1, 2010 on the actions it has taken to implement the research-specific portions of the Caroline Pryce Walker Conquer Childhood Cancer Act. Reproductive Scientists Development Program.--The Committee urges NCI to continue its partnership with NICHD with regard to training the next generation of gynecologic cancer researchers. The success of the Reproductive Scientists Development Program Fellows is reflected in the fact that a majority of these individuals receive an investigator-initiated grant and continue to prosper as a career-clinician scientist. National Heart, Lung, and Blood Institute Mission.--NHLBI provides leadership for a national research program in diseases of the heart, blood vessels, lungs, and blood, in blood resources, and in sleep disorders through support of basic, clinical, and population-based and health education research. Atrial Fibrillation.--The Committee is aware that atrial fibrillation (AFib), the most common chronic cardiac arrhythmia, substantially increases risk for stroke and premature death and affects an estimated 2.3 million Americans. The disease is more common in men, with prevalence increasing significantly with age. The number of patients with AFib is projected to increase at least 2.5-fold by 2050, underscoring a substantial public health risk. Not only does the disorder present a significant burden on health care costs, AFib has significant morbidity and mortality consequences, increasing the risk of stroke approximately five-fold and causing an estimated 15 percent of all strokes in the United States. The Committee encourages NHLBI to convene a scientific workshop to identify evidence-based best practices for identification and management of AFib, and to disseminate the findings of the workshop to the patient and healthcare provider community. Cardiovascular Diseases.--The Committee urges NHLBI to strengthen current studies, support new research, and continue to implement priorities outlined in its Division of Cardiovascular Diseases Strategic Plan. Diabetic Cardiovascular Disease.--Research has shown that heart disease begins as early as childhood or adolescence in type 1 diabetes patients, and leads to a higher fatality and shorter survival. As much as 10 percent of premature cardiovascular disease morbidity and mortality in the general population is due to type 1 diabetes. Several clinical trials have demonstrated the benefit of statin therapy in Type 2 diabetes. However, there is little data regarding statin therapy in young (below 45 years of age) people with type 1 diabetes. The Committee encourages NHLBI to develop clinical research to determine the benefits of statin therapy for those with type 1 diabetes. Gender Differences.--The Committee requests NHBLI to focus research on several key questions about women and heart disease, including research on gender differences. These questions include: the best tools and methods for assessing women's risk of heart disease; the best strategies for preventing heart disease in women; which treatments for heart disease work best for women; what are the most effective treatments for diastolic heart failure, which is the most common form of congestive heart failure in women; what is the role of inflammation in heart disease in women; and why women aged 50 and younger are more likely to die following a heart attack than men of the same age. Hematology.--With the rising incidence in the U.S. of Myelodysplastic Syndrome (MDS), an increasingly common and often fatal bone marrow failure disorder that primarily affects individuals over 60 years of age, a vigorous research program into the causes of this disorder and the development of effective treatments is needed. In 2008, a panel of outside experts, in collaboration with several NIH institutes, recommended a research agenda for MDS. The Committee encourages NHLBI, working with NCI, NIDDK, and NIA, to develop a plan to implement the MDS research agenda beginning in 2010. Lymphangioleiomyomatosis (LAM).--The Committee remains very interested in efforts to find a cure for LAM, a progressive and often fatal lung disease in women with no effective treatment. The Committee supports both intramural and extramural means of expanding research on LAM and encourages NHLBI to use all available mechanisms as appropriate, including support of state-of-the-science symposia, request for applications, and facilitating access to human tissues, to stimulate a broad range of clinical and basic LAM research. The Committee understands that recent scientific findings have presented new treatment approaches for clinical testing, and that experimental drug trials have begun. The Committee encourages the support of extramural phase I and phase II clinical treatment trials to capitalize on the LAM patient populations that NHLBI and the Rare Lung Disease Consortium have assembled. The Committee is also aware of the potential benefit of establishing regional LAM centers, and suggests 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 involving a medication for high blood pressure. The Committee encourages the Institute to continue to prioritize support for this promising research in 2010 and work to advance additional research related to aortic aneurysms, including studies of surgical outcomes for procedures to repair compromised aortas and valves. Obesity.--NHLBI, along with NIDDK, first published guidelines on the identification, evaluation, and treatment of overweight and obesity for the adult population in 1998. In the 11 years since the guidelines were published, a great deal of scientific advancement has occurred in the areas of identification, prevention, management, and treatment of this disease. Yet the obesity guidelines have not been updated to reflect new evidence and practice. The Committee believes NIH's obesity guidelines should be updated and re-issued. Although NHLBI began the process of updating the clinical guidelines in September, 2008, it remains unclear when the guidelines will actually be published. The Committee encourages NIH to update the obesity guidelines to ensure the most up-to-date, effective management and treatment of overweight and obesity are available to help healthcare professionals, as well as families and communities, address the challenges associated with the obesity epidemic confronting the nation. Pulmonary Hypertension (PH).--The Committee commends NHLBI for its strong leadership on pulmonary hypertension (PH). The Committee continues to encourage the Institute to work with the PH community to support the establishment of a Pulmonary Hypertension Clinical Research Network to expand clinical trials and facilitate collaboration and data sharing among PH investigators. Sickle Cell Disease.--The NHLBI research program on sickle cell disease is a core program that has advanced physicians' understanding of how to diagnose, treat, and manage this chronic blood disease. The Committee encourages NHLBI to strengthen its funding for the Basic and Translational Research Program in sickle cell disease. The Committee takes note of NHLBI's Request for Information to identify sites with sufficient research infrastructure and patient population to undertake clinical studies in hemoglobinopathies with an emphasis on sickle cell disease and thalassemia. This research network, along with the surveillance system and disease registry under development with CDC, will improve knowledge and lead to better treatments for sickle cell disease and other hemaglobinopathies. Sleep Disorder Research.--The Committee applauds the Institute's investment in sleep-related research through the National Center on Sleep Disorders Research. The Committee notes the growing understanding of the link between sleep and cardiovascular health and encourages further research to better understand and modify the link between sleep disorders and cardiovascular disease. Thalassemia.--Thalassemia, or Cooley's anemia, is a fatal genetic blood disease. NHLBI has operated the Thalassemia Clinical Research Network for nine years to advance the science of treating this disease. The Committee strongly encourages NHLBI to renew its focus on thalassemia, which has implications for other blood-related disorders. National Institute of Dental and Craniofacial Research Mission.--The mission of NIDCR is to improve the Nation's oral, dental and craniofacial health through research, research training, and the dissemination of health information. NIDCR accomplishes its mission by performing and supporting basic and clinical research; conducting and funding research training and career development programs to ensure that there is an adequate number of talented, well-prepared, and diverse investigators; coordinating and assisting relevant research and research- related activities among all sectors of the research community; and promoting the timely transfer of knowledge gained from research and its implications for health to the public, health professionals, researchers, and policy-makers. National Institute of Diabetes and Digestive and Kidney Diseases Mission.--NIDDK supports research in three major disease categories: diabetes, endocrinology, and metabolic diseases; digestive diseases and nutrition; and kidney, urologic, and hematologic diseases. NIDDK supports a coordinated program of fundamental and clinical research and demonstration projects relating to the causes, prevention, diagnosis, and treatment of diseases within these categories. The Institute also supports efforts to transfer the knowledge gained from its research program to health professionals, patients, and the general public. Digestive Diseases.--Diseases of the digestive system continue to affect more than one-half of all Americans at some time in their lives. The Committee urges NIDDK to prioritize and begin to implement the recommendations of the recently completed Long-Range Research Plan for Digestive Diseases produced by the National Commission on Digestive Diseases. The Committee is pleased that irritable bowel syndrome has been included in the action plan. The Committee also encourages NIDDK to establish an advisory body to guide the implementation of the recommendations of the Commission on a long-term basis. Genetics of Diabetic Kidney Disease.--The Committee recognizes NIDDK for supporting studies to identify the genetic factors that make some diabetic patients more susceptible to kidney disease. The Committee encourages NIDDK to develop programs to translate this new knowledge into therapies to treat and prevent kidney disease. Genetics of Type 1 Diabetes.--The Committee commends NIDDK for its management of the International Type 1 Diabetes Genetics Consortium, which has taken a lead role in providing data and samples to investigators for studies to understand the genetic causes of type 1 diabetes. Glomerular Disease Research.--Focal segmental glomerulosclerosis and nephrotic syndrome are serious glomerular diseases that have a disproportionate impact on children and young adults. The Committee urges NIDDK to continue to strengthen the glomerular disease research portfolio through collaboration with other NIH institutes and centers. The Committee continues to be interested in the establishment of a national patient registry on glomerular disease. Hemophilia and Hepatitis C.--The Committee understands that hepatitis C (HCV) continues to have a devastating impact on the hemophilia population, with nearly half of all persons with hemophilia having contracted HCV, and many of these individuals co-infected with HIV. The Committee encourages NIDDK to pursue research initiatives on co-infection and the progression of liver disease in this population. Hepatitis B.--The Committee notes that NIDDK has responded to the challenges surrounding the management of chronic hepatitis B by establishing a Hepatitis B Clinical Research Network and by conducting a Consensus Development Conference on the management and treatment of hepatitis B. The Committee encourages the Hepatitis B Clinical Research Network to increase its focus on pregnant women and pediatric cases of hepatitis B and further urges that a research plan be developed to address the research priorities identified by the Consensus Development Conference. In particular, better understanding of the nature of the different clinical categories of hepatitis B and of fibrosis and cirrhosis are needed. New medical interventions for management of hepatitis B and the diseases with which it is associated, including fibrosis and cirrhosis, are also needed. Hepatitis C.--The Committee urges a continuing focus on the development of new treatments for hepatitis C and notes that without new medical interventions the projected direct and indirect costs of hepatitis C will be more than $85,000,000,000 over the next 10 years. Incontinence.--The Committee is pleased that NIDDK collaborated with NICHD and the Office of Medical Applications of Research on a state-of-the-science conference on incontinence. The Committee urges the Institute to prioritize and begin to implement the recommendations of this conference. Inflammatory Bowel Disease (IBD).--The Committee commends NIDDK for its leadership on inflammatory bowel disease (IBD) and encourages the institute to strengthen its support for genetic and clinical IBD research and other opportunities outlined in the research agenda, Challenges in Inflammatory Bowel Disease. The Committee particularly encourages NIDDK to support pediatric IBD research. Kidney Disease.--The Committee is aware of the increasingly high prevalence of kidney disease in the American population. The Committee also recognizes that while research has led to various treatments to slow the progression of the disease, there is currently no cure. The Committee urges NIDDK to prioritize research on the disease's relationship with its leading causes, particularly diabetes, hypertension, and obesity; methods for prevention; and effective therapies that improve mortality statistics. In particular, the Committee also urges NIDDK to prioritize investigator-initiated research that studies: acute kidney injury, diabetic nephropathy, glomerular disease, hypertension, transplantation, and kidney-related cardiovascular toxicity. Additional work is required to (1) develop new disease biomarkers and imaging technologies which are critical for the management of kidney diseases, (2) implement necessary infrastructure for disease-specific registries and clinical trials networks to better allow investigators to bridge the gap from the bench to the bedside, and (3) track data on patient race and ethnicity to understand the disparities related to morbidity and mortality of kidney disease among underrepresented minority patients. Polycystic Kidney Disease (PKD).--The Committee encourages NIDDK to work via 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. These centers should work in collaboration with clinical and translational science awards and PKD Centers of Excellence to ensure that PKD patients can participate in promising clinical trials and pilot studies. The Committee encourages NIDDK to also facilitate the establishment of a centralized facility for the volumetric analysis of kidney images, PKD genotyping and surrogate marker analysis. The Committee urges NIDDK to maintain its support of clinical trials and the PKD Diagnostic and Clinical Treatment Centers. The Committee encourages NIDDK to convene a blue ribbon panel to plan the future strategic direction of PKD research, to expand the number of PKD researchers, and implement best practices in order to strengthen current efforts. The Committee also encourages NIDDK to consider the feasibility of establishing a core repository of laboratory animals for renal cystic diseases like PKD, which will help lower research costs and enhance scientific discoveries in this area of translational research. Thalassemia.--The Committee urges NIDDK to play a significant role in the Thalassemia Clinical Research Network because the iron chelation and non-invasive iron measurement issues addressed by the institute are important to the quality of life of thalassemia patients. Type 1 Diabetes Clinical Trials.--The Committee urges NIDDK to continue to expand the pipeline of new therapies being tested by the Type 1 Diabetes TrialNet. Implementing the sharing of study samples and data fosters mechanistic and clinical research aimed at understanding how these drugs work, so they can be optimized to reduce side effects and to benefit all patient populations. Type 1 Diabetes Research Biosamples.--The Committee commends 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 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. National Institute of Neurological Disorders and Stroke Mission.--NINDS supports and conducts basic, translational, and clinical neurological research and research training to increase understanding of the brain and improve the prevention and treatment of neurological and neuromuscular disorders. The NINDS mission encompasses over 600 disorders, including stroke, head and spinal cord injury, epilepsy, multiple sclerosis, and neurodegenerative disorders such as Parkinson's disease. Charcot-Marie-Tooth (CMT).--The Committee commends NINDS for its recent efforts to advance understanding and development of therapies for CMT and related neurodegenerative diseases. NIH has undertaken an innovative partnership with a voluntary health association involving high throughput screens to identify candidate treatments that will quickly be brought to clinical trials. The Committee supports this effort and believes that such translational research has the greatest potential to rapidly develop therapies for patients with CMT and other degenerative disorders. The Committee encourages NINDS to develop innovative communications mechanisms to ensure that information on treatments can be shared in an accurate and timely manner with practitioners and patients. Chiari.--The Committee recognizes that a research conference titled ``Chiari Malformation: State of the Research and New Directions'' was convened in November 2008 to identify the current state of knowledge and to identify key areas of research. The Committee encourages aggressive measures toward implementing these recommendations, including but not limited to: using advanced engineering and imaging analysis to develop an objective diagnostic test for symptomatic Chiari, understanding the genetic basis of Chiari, and increasing focus on pediatric patients including symptoms, optimal treatments, and quality of life issues. The Committee requests NINDS to submit a report to the Committees on Appropriations of the House of Representatives and the Senate by April 30, 2010 detailing its progress. Dystonia.--The Committee continues to support research on treatment regarding the neurological movement disorder, dystonia, and recommends that NINDS consider updating the recent program announcement on dystonia research. Epilepsy.--Epilepsy affects the lives of more than 3 million Americans and their families. The Committee applauds NINDS for hosting the ``Curing Epilepsy 2007'' conference that has resulted in community-determined benchmarks designed to fast-forward the progress of finding a cure for epilepsy. While recognizing that NINDS is working toward advancement of a cure through all of the benchmarks, the Committee is particularly interested in three areas of epilepsy research and encourages NINDS to focus attention on grants and mechanisms that address epileptogenesis, co-morbidities, and sudden unexplained death in epilepsy. Epilepsy often occurs as the result of changes in the brain following a head trauma. Such trauma is prevalent in soldiers who suffer traumatic brain injury, which leads to post- traumatic epilepsy in subsequent months. Epileptogenesis research on the origin of this disorder can lead to new approaches to preventing epilepsy and its progression through new insights for treating post-traumatic epilepsy both on and off the battlefield. Epilepsy is often accompanied by other neurological conditions such as stroke, Alzheimer's and autism. By understanding that epilepsy is not just an isolated condition causing seizures but may be the connection among various cognitive disorders, researchers can study co-morbidities and address the problem of senior citizens experiencing seizures for the first time. The Committee encourages researchers to study family history, interactions with medications, and create animal models to help solve the mysteries of sudden unexplained death in epilepsy and prevent death from seizures. The Committee recognizes that clinical researchers are needed to carry out trials and studies to test findings and further develop the research initiatives from the Curing Epilepsy 2007 conference. The Committee encourages NINDS to provide sufficient support to carry out such clinical research. Familial dysautonomia (FD).--The Committee commends NIH for supporting research that has led to progress in FD-related genetic therapy and animal models, and encourages NINDS to place a high priority on basic, clinical and translational research that could lead to advances in medical outcomes for people suffering from FD. The Committee is concerned that people suffering from rare autonomic disorders, and specifically people suffering from FD, continue to face premature mortality and severe morbidity. Despite recent advances in FD life expectancy, the Committee believes that more research is needed to better understand the underlying mechanisms of this disease, to develop more effective treatments, and to prevent or slow down the degenerative effects of FD. Headache Disorders.--The Committee urges NINDS to: (1) solicit grant applications for fundamental and translational research on headache disorders with Requests for Applications, and (2) recruit new investigators with career training and transition awards. The Committee encourages NINDS to establish a screening program for therapies for headache disorders comparable in scope to the Anticonvulsant Screening Program. The Committee commends NINDS for recently initiating a process towards defining Headache Disorders Research Benchmarks and requests a report to the Committees on Appropriations of the House of Representatives and the Senate on the progress of this program by December 1, 2009. Hypoglycemia.--The Committee recognizes NINDS's efforts to organize a workshop of leading experts to identify the challenges and opportunities for preventing episodes of dangerously low blood-sugar levels (hypoglycemia). Hypoglycemic episodes affect the majority of people with diabetes, and the threat and incidence of hypoglycemia is a major limiting factor in intensive glucose control. The Committee requests that NINDS consider a pilot study to improve the understanding of hypoglycemia. Opsoclonus-Myoclonus Syndrome (OMS).--OMS is a rare, autoimmune disorder that targets the brain. In childhood it is associated with neuroblastoma of the chest, abdomen or pelvis. Besides the symptoms of involuntary eye movements, tremulousness, muscle jerks, and gait disorder, the patients have rages, inability to sleep, and may become mute and unable to sit or stand. Permanent problems in motor control, language development, behavior and cognition--even mental retardation-- are common. The available treatment options for OMS are extremely limited. The Committee urges NINDS to accelerate research efforts to identify OMS susceptibility genes and biomarkers, and to develop innovative immunotherapeutic strategies. The Committee also encourages NINDS to develop grant opportunities to support further research and to work with private associations in NIH sponsored workshops on OMS. Peripheral and Autonomic Neuropathy.--NINDS is urged to consider renewing its focus on methods to prevent and treat nerve damage due to disease, especially diabetes. Stroke.--The Committee encourages NINDS to expand current stroke studies and related activities, support new stroke initiatives, and to implement priorities in its Stroke Progress Review Group Report. National Institute of Allergy and Infectious Diseases (INCLUDING TRANSFER OF FUNDS) Mission.--NIAID supports and conducts basic, applied, and clinical research and research training programs in infectious, immunologic, and allergic diseases. NIAID-supported research includes research on HIV/AIDS, malaria, tuberculosis, sexually transmitted infections, neglected tropical diseases, emerging and re-emerging infectious diseases, asthma, allergic and autoimmune diseases, and transplantation. The goals of NIAID research are to increase understanding of disease pathogenesis and the immune system, to improve disease diagnosis, to develop new and improved drugs to treat such diseases, and to develop new and improved vaccines and other approaches to prevent such diseases, many of which significantly affect public health. The Committee includes bill language transferring $500,000,000 from the Project BioShield Special Reserve Fund advance appropriation provided in the Department of Homeland Security Appropriations Act, 2004, to the appropriation for NIAID. The Committee notes that the Project BioShield program has encountered great difficulty in procuring medical countermeasures. Without significant increased investment in early stage development through NIAID programs and later stage advanced research and development through the Biomedical Advanced Research and Development Authority (BARDA), products cannot move along the development pipeline to be procured through Project BioShield. This investment of the Reserve Fund in NIAID is essential to jumpstart Project BioShield's activities. Antimicrobial Resistance Research.--The Committee is encouraged by NIAID's commitment to a wide range of research addressing antimicrobial resistance--the development of antimicrobials and diagnostics for drug-resistant bacteria and parasites, partnerships for development of vaccines for selected pathogens, in vitro assessments for antimicrobial activity, and targeted clinical trials. The Committee encourages NIAID to consider additional opportunities to advance research related to antimicrobial resistance and related product development. Drug-Resistant Tuberculosis (TB).--Drug-resistant TB is on the rise globally, with 500,000 cases reported in 2006. Without the development of new diagnostics, drugs and vaccines, the number of people with drug-resistant TB will continue to increase. The Committee encourages NIAID to intensify research into developing new diagnostics, drugs and vaccines to halt the spread of drug-resistant TB. Hepatitis B.--The Committee supports NIAID's plans to fund experimental models of hepatitis B (HBV) and to continue support for a specialized animal model of hepatitis virus. The Committee notes that NIAID has effectively responded to the challenges surrounding the management of other infectious diseases with specific programs and networks, and suggests the same be done for HBV. The Committee understands that although there are now a number of medications approved for the treatment of HBV, they are of limited therapeutic value since most of them target the same virus functions. The Committee encourages NIAID to support research on different courses of treatment as well as ways to identify new cellular and antiviral targets. In addition, the Committee believes that special attention to the problems associated with co-infections of hepatitis B with hepatitis C and HIV is needed. Immune Tolerance Network (ITN).--The Committee commends NIAID for its oversight of ITN, which designs and conducts clinical trials of new immune-modulating therapies for Type 1 diabetes and other diseases. The Committee encourages NIAID to implement the sharing of samples and data from these trials, in order to expedite the development of new therapies for Type 1 diabetes. Inflammatory Bowel Disease (IBD).--The Committee encourages NIAID to accelerate its inflammatory bowel disease research portfolio and explore partnerships with the IBD community aimed at fostering additional research on the role of the immune system in the development and progression of IBD in both adult and pediatric populations. Malaria.--The Committee encourages NIAID to strengthen its support for public-private partnerships involved in the research and development of antimalarial drugs, and particularly notes the activities of the Medicines for Malaria Venture (MMV). The Committee is aware that NIAID-funded scientists recently decoded the genome of Plasmodium vivax, the malaria-causing parasite most common in Asia and Latin America. This achievement is expected to significantly advance scientific understanding in several areas key to malaria control and prevention, including drug resistance. The Committee urges NIAID to continue this work and help to ensure that new tools are available when current interventions begin to lose their effectiveness. Microbicides.--Encouraging results from a recent NIH Microbicide Trials Network safety and effectiveness study of particular microbicide candidate showed that the product was safe and approximately 30 percent effective in preventing HIV infection. While data from this study are not definitive and results from additional trials are needed to confirm the findings, this study supports the concept that a microbicide could prevent HIV infection. The Committee urges NIH to work with USAID, CDC, and other appropriate agencies to develop processes for coordinated investment and prioritization for microbicide development, approval, and access. Scleroderma.--The Committee is aware of emerging opportunities in scleroderma research and continues to encourage the Institute to partner with the scleroderma patient community in convening a state-of-the-science conference in this important area. National Institute of General Medical Sciences Mission.--NIGMS supports research and research training in the basic biomedical sciences. Institute grantees, working in such fields as cell biology, biophysics, genetics, developmental biology, pharmacology, physiology, biological chemistry, bioinformatics, and computational biology study normal biological processes to better understand what goes wrong when disease occurs. In this way, NIGMS supports the development of new knowledge, theories, and technologies that can then be applied to the disease-targeted studies supported by other NIH components. NIGMS-supported basic research advances also find applications in the biotechnology and pharmaceutical industries. The Institute's training programs help provide the scientists needed by industry and academia. NIGMS also has programs to increase the diversity of the biomedical workforce. Eunice Kennedy Shriver National Institute of Child Health and Human Development Mission.--The NICHD conducts and supports basic, translational, and clinical research and training on the reproductive, developmental, and behavioral processes that determine and maintain--and rehabilitation that restores and improves--the health and well-being of children, adults, families and populations. Demographic Research.--The Committee encourages NICHD to continue its support of trans-NIH behavioral and social science research initiatives on disasters and health outcomes to develop more data on the consequences of disasters on the health of children and vulnerable groups. Further, the Committee encourages NICHD to continue its investment in large- scale data sets, such as the New Immigrant Study and National Longitudinal Study of Adolescent Health, because of their value and accessibility to researchers worldwide. Finally, the Committee encourages NICHD to continue research on how the structure and characteristics of the work environment affect child and family health and well-being and how health and well- being in the early years affect health and well-being later in life. Developmental Disabilities Research Centers.--The Committee recognizes the important contributions of the Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Centers (IDDRC) toward understanding why child development goes awry, discovering ways to prevent developmental disabilities, and discovering treatments and interventions to improve the lives of people with developmental disabilities and their families. The Committee is particularly pleased with IDDRC contributions in the areas of autism, fragile X syndrome, Down syndrome and other genetic and environmentally induced disorders. The Committee urges NICHD to strengthen its support of the IDDRCs so that they can conduct basic and translational research to develop effective prevention, treatment and intervention strategies for children and adults with developmental disabilities. Fetal Origins of Adult Disease.--Research suggests that an inadequate prenatal environment may permanently alter and program the fetus for the onset of many diseases later in life, including hypertension, diabetes, cardiovascular disease, and obesity, as well as psychiatric and behavioral disorders. The Committee encourages NICHD to focus on efforts to improve pregnancy, pregnancy outcomes and ultimately improve the long- term health of the nation by predicting and preventing the onset of these chronic diseases. First Pregnancy Complications.--The Committee commends NICHD for identifying complications in first pregnancies as an important area requiring further research. This understudied group of women is at highest risk of developing preeclampsia, which puts them at risk for multiple devastating maternal complications, fetal death and preterm delivery. In the last decade, the rate of preterm births among first pregnancies increased 50 percent. The Committee encourages NICHD to move forward with initiatives to identify predictors and interventions to improve the outcome for first pregnancies and to lower the risks in subsequent pregnancies. Healthy babies.--The Committee encourages NICHD to continue its research to pinpoint the connections and causations between maternal obesity, diabetes, and heart disease and low birthweight babies, as well as other likely causes of poor infant health. Late Preterm Births.--The Committee is aware that preterm birth rates continue to rise, reaching over 12 percent, and that the largest component of those births is in the late preterm birth category (deliveries between 34 and 37 weeks of gestation). The Committee understands that morbidity is significant for the babies, including respiratory complications, difficulty transitioning after delivery, and feeding issues. The Committee encourages NICHD to strengthen its research efforts to understand the causes of late preterm births and to facilitate research into better management and identification of interventions for their prevention. The Committee applauds NICHD for planning and conducting the Surgeon Generals' Conference on Preterm Birth. The Committee encourages NICHD to support research on preterm birth as outlined in the research agenda produced at the Conference. Maternal Fetal Medicine Units Network (MFMU).--The MFMU has changed obstetrical practice by identifying new therapies and identifying practices that are not useful. The Committee encourages NICHD to vigorously support the MFMU so that therapies and preventive strategies that have significant impact on the health of mothers and their babies will not be delayed. Pregnancy Effects on Pancreatic Beta Cells.--During pregnancy, functional pancreatic beta cell mass increases in the mother to meet the increased metabolic demands associated with pregnancy. An inadequate expansion of functional beta cell mass may contribute to gestational diabetes. Insights into the mechanisms underlying the increased beta cell response may lead to new therapeutic directions for treatment of gestational diabetes, and also provide important insights into the biochemical signals and pathways promoting beta cell function. By understanding these mechanisms and pathways, insights will be gained that may help design therapies to expand, maintain or restore beta cell mass in gestational diabetes and potentially all major forms of diabetes. NIDDK and NICHD are encouraged to work together to promote research to explore the effects of pregnancy on beta-cell growth and function. National Eye Institute Mission.--NEI conducts and supports basic and clinical research, research training, and other programs with respect to blinding eye diseases, visual disorders, mechanisms of visual function, preservation of sight, and the special health problems and needs of individuals who are visually-impaired or blind. In addition, NEI is responsible for the dissemination of information, specifically public and professional education programs aimed at the prevention of blindness. Age-related Macular Degeneration (AMD).--The Committee commends NEI for its trans-institute research into the cause, prevention, and treatment of AMD, the nation's leading cause of blindness. The Committee is pleased that NEI plans initial safety trials of a protective version of the gene variant as a means to treat and even preempt the disease. The Committee also recognizes NEI research into a protein pathway as another means to prevent and reverse AMD. The Committee applauds NEI for the ongoing work in the second phase of its Age-related Eye Disease Study, in which additional dietary supplements are being studied to determine whether they demonstrate or enhance protective effects against the progression to advanced AMD. National Institute of Environmental Health Sciences Mission.--The mission of NIEHS is to prevent and reduce the burden of human illness and disability by understanding how the environment influences the development and progression of human disease. In addition, NIEHS is responsible for the research of the National Toxicology Program whose mission is to coordinate toxicity testing across the Federal government and to evaluate substances of public health concern. Endocrine Disruptors.--Increasing evidence suggests that numerous chemicals, both natural and man-made, may interfere with the endocrine system at all stages of life and produce adverse effects in humans. The Committee is concerned about the lack of research relating to the dangers of endocrine- disrupting chemicals in the home, workplace, schools, and indoor and outdoor recreational environments. The Committee encourages NIEHS, in conjunction with the National Toxicology Program, to support, directly or by grant or cooperative agreement, state-of-the-art studies to increase efforts to understand the true nature and scope of the impact of endocrine disruptors. This research should address areas related to neurobiology, behavior and reproduction. Translational Research.--The Committee recognizes the importance of translational research programs and applauds NIEHS's investment in clinical research through the Disease Investigation Through Specialized Clinically-Oriented Ventures in Environmental Research program. National Institute on Aging Mission.--NIA supports and conducts biomedical, social and behavioral research, training, and health information dissemination with respect to the aging process and the diseases and other special problems and needs of older Americans. Alzheimer's Disease.--An estimated 2.4 to 5.1 million Americans suffer from Alzheimer's disease. As the baby boom generation ages, the number of persons affected is projected to grow to 7.7 million by 2030 and as many as 13.2 million by 2050. The Committee encourages NIA to accelerate 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. NIA is urged to work closely with NINDS and NIMH in these efforts. Demographic and Economic Research.--The Committee is aware that in 2010 NIA will be making five-year awards as part of its Demography of Aging Centers and Roybal Centers for Research on Applied Gerontology programs. If enough high quality applications are received, the Committee encourages the Institute, with support from its funding partners, to consider expanding the program. In addition, the Committee encourages NIA to increase the minority sample size of the Health and Retirement Study to understand the impact of the economic downturn on pre-retirees and retirees in those groups. Hematology.--The Committee commends NIA for establishing a consortium of research centers focused on anemia of the elderly, with the goal of developing effective prevention and treatment strategies to reduce the burden of this disease. National Institute of Arthritis and Musculoskeletal and Skin Diseases Mission.--NIAMS conducts and supports basic and clinical research and research training, and the dissemination of health information on the more than 100 forms of arthritis; osteoporosis and other bone diseases; muscle biology and muscle diseases; orthopedic disorders, such as back pain and sports injuries; and numerous skin diseases. Arthritis.--The Committee encourages NIAMS to consider developing a national network of cooperating clinical centers for the care and study of children with arthritis. Federal funding of similar initiatives in childhood cancer have resulted in markedly improved outcomes, supporting the idea that participation in research protocols improves the standard for all children with cancer. Bone Loss.--The Committee urges NIAMS 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. The Committee also encourages NIAMS to support research in the assessment of microarchitecture and bone remodeling rates to more accurately determine fracture risk, as well as anabolic approaches to increase bone mass, novel molecular and cell-based therapies for bone and cartilage regeneration. Lupus.--The Committee urges NIAMS to strengthen support for research on the causes of and cures for lupus, a life-altering disease that affects women, men and children, but disproportionately women in the 15- to 44-year old age range and people of color. Further research is needed to expand knowledge on a possible genetic link and conditions that may trigger the disease, as well as on the disease's effect on specific organs. Marfan Syndrome.--The Committee encourages NIAMS to strengthen its support for collaborative, multi-investigator research related to Marfan syndrome and to collaborate with NHLBI in support of the Pediatric Heart Network's clinical trial on Marfan syndrome. Musculoskeletal Conditions.--The Committee notes that musculoskeletal conditions are among the most disabling and costly conditions suffered by Americans. These diseases affect over 107 million Americans, with females suffering a higher rate of occurrence than males. The Committee encourages NIAMS to focus research on women and musculoskeletal conditions, including research on gender differences. The Committee requests that NIAMS provide a report to the Committees on Appropriations of the House of Representatives and the Senate by September 30, 2010 on its plans to sharpen its research focus into women and musculoskeletal conditions. This report should include the number of grants made that specify research into gender differences in these conditions. National Institute on Deafness and Other Communication Disorders Mission.--NIDCD funds and conducts research in human communication. Included in its program areas are research and research training in the normal and disordered mechanisms of hearing, balance, smell, taste, voice, speech and language. The Institute addresses special biomedical and behavioral problems associated with people who have communication impairments or disorders. In addition, NIDCD is actively involved in health promotion and disease prevention, dissemination of research results, and supports efforts to create devices that substitute for lost and impaired sensory and communication functions. Tinnitus.--The Committee is aware that the incidence of tinnitus continues to increase and that tinnitus remains the number one service-connected disability for returning military personnel. Because tinnitus research will benefit all populations, the Committee remains interested in a multi- disciplinary approach to promote accurate diagnosis and treatment for tinnitus. The Committee encourages NIDCD to move ahead with a collaborative research initiative with the Department of Defense and the Department of Veterans Affairs and requests an update on the progress of such efforts in the FY 2011 budget justification report. National Institute of Nursing Research Mission.--NINR supports and conducts scientific research and research training to reduce the burden of illness and disability; improve health-related quality of life; enhance end-of-life and palliative care; and establish better approaches to promote health and prevent disease. National Institute on Alcohol Abuse and Alcoholism Mission.--NIAAA supports research to generate new knowledge to answer crucial questions about why people drink; why some individuals are vulnerable to alcohol dependence or alcohol- related diseases and others are not; the relationship between genetic and environmental factors involved in alcoholism; the mechanisms whereby alcohol produces its disabling effects, including organ damage; how to prevent alcohol abuse and associated damage, especially in the underage population; and how alcoholism treatment can be improved. NIAAA addresses these questions through a program of biomedical, behavioral, and epidemiologic research on alcoholism, alcohol abuse, and related problems. Underage Drinking Research.--The Committee continues to encourage NIAAA to study alcohol advertising issues as an underage drinking prevention research priority. The Committee requests a description for the Committees on Appropriations of the House of Representatives and the Senate of NIAAA's plans to conduct such research, as well as a detailed breakdown of NIAAA's research activity in the area of underage drinking prevention by subject area by February 1, 2010. National Institute on Drug Abuse Mission.--NIDA-supported science addresses questions about drug abuse and addiction, which range from its causes and consequences to its prevention and treatment. NIDA research explores how drugs of abuse affect the brain and behavior and develops effective prevention and treatment strategies. The institute works to ensure the transfer of scientific data to policymakers, practitioners, and the public. Pulmonary Hypertension.--The Committee continues to note with concern a significant increase in the number of pulmonary hypertension diagnoses related to the abuse of methamphetamine. The Committee encourages NIDA, in partnership with the pulmonary hypertension community, to initiate appropriate research and awareness activities focused on this growing public health problem. Reducing Health Disparities.--The Committee notes that the consequences of drug abuse disproportionately impact minorities, especially African American populations, and is pleased to learn that NIDA continues to encourage researchers to conduct more studies in this population, particularly in geographic areas where HIV/AIDS is high and/or growing among African Americans, including in criminal justice settings. National Institute of Mental Health Mission.--NIMH is responsible for basic and clinical research to improve diagnosis, treatments, and overall quality of care for persons with mental illnesses. Disorders of high priority to NIMH include schizophrenia; depression and manic depressive illness; obsessive-compulsive disorder; anxiety disorders and other mental and behavioral disorders that occur across the lifespan, which include childhood mental disorders such as autism and attention-deficit/hyperactivity disorder; eating disorders; and other illnesses. NIMH supports and conducts fundamental research in neuroscience, genetics, and behavioral science. In addition to laboratory and controlled clinical studies, the NIMH supports research on the mental health needs of special populations and health services research. Borderline Personality Disorder (BPD).--The Committee encourages NIMH to convene a panel of experts to make recommendations for enhancing development and dissemination of early detection tools, effective treatments and family education for BPD, and requests that NIMH submit a report to the Committees on Appropriations of the House of Representatives and the Senate by April 1, 2010 detailing NIMH's plans to strengthen its programs for BPD. National Human Genome Research Institute Mission.--NHGRI provides leadership for the development of resources and technology to accelerate genome research and its application to human health. NHGRI-supported activities include basic and translational research to understand the sequence and function of both human and non-human genomes, human genetic variation, and the genetic and environmental basis of disease. Also central to NHGRI research goals are training programs and a strong focus on the ethical, legal, and social implications of genomic science and medicine. National Institute of Biomedical Imaging and Bioengineering Mission.--The NIBIB mission is to improve human health by leading the development and accelerating the application of biomedical technologies. The Institute is committed to integrating the engineering and physical sciences with the life sciences to advance basic research and medical care. National Center for Research Resources Mission.--NCRR provides laboratory scientists and clinical researchers with environments and tools that they can use to prevent, detect, and treat a wide range of diseases. This support enables discoveries that begin at the molecular and cellular level, move to animal-based studies, and then are translated to patient-oriented clinical research, resulting in cures and treatments for both common and rare diseases. NCRR connects researchers with each other and with patients and communities across the nation to bring the power of shared resources and research to improve human health. Within the $10,400,000,000 provided for NIH in the Recovery Act, $1,300,000,000 was allocated for NCRR for fiscal years 2009 and 2010--$1,000,000,000 for extramural facility construction and renovation and $300,000,000 for shared instrumentation grants. Clinical and Translational Science Awards (CTSAs).--For the CTSA program, the Committee assumes the same funding level and budget allocation between NCRR and the Common Fund as in the budget request. The Committee is pleased with the progress of the CTSA program and urges NCRR to continue to support the implementation of this initiative consistent with the plan outlined in the budget justification. The Committee is pleased that the K-30 Clinical Research Curriculum Awards mechanism has been continued for those institutions that have not yet received a CTSA Award. National Center for Complementary and Alternative Medicine Mission.--NCCAM was established to stimulate, develop, and support rigorous and relevant research of high quality and open, objective inquiry into the safety and effectiveness of complementary and alternative medicine (CAM) practices and to train individuals to apply the tools of exacting science to CAM systems and modalities in order to provide health care professionals and the American public with reliable information about these practices. National Center on Minority Health and Health Disparities Mission.--NCMHD conducts and supports research, training, information dissemination, and other programs aimed at reducing the disproportionately high incidence and prevalence of disease, burden of illness and mortality experienced by certain American populations, including racial and ethnic minorities and other groups, such as the urban and rural poor, with disparate health status. Project EXPORT.--The Committee commends NCMHD for its successful Project EXPORT initiative and urges continued support for this important program. Research Endowment.--The Committee commends NCMHD for its leadership in addressing the longstanding problem of health status disparities in minority and medically underserved populations, and encourages NCMHD to continue its successful research endowment program as an ongoing initiative. John E. Fogarty International Center Mission.--FIC was established to improve the health of the people of the United States and other nations through international collaborations in the biomedical sciences. In support of this mission, the FIC pursues the following four goals: (1) mobilize international research efforts against global health threats; (2) advance science through international cooperation; (3) develop human resources to meet global research challenges; and (4) provide leadership in international science policy and research strategies. Global Health Research Training and Workforce Capacity.-- The Committee commends FIC for its continuing work to strengthen biomedical research capacity in the developing world, and by doing so advancing the global efforts against malaria, neglected tropical diseases, and other health issues that disproportionately impact the developing world. The Committee is aware that having a trained and expert local workforce as well as a research infrastructure for them to use has significant benefits for efforts to research and combat diseases of global priority. The Committee recognizes that expanding in-country research capacity will complement associated United States efforts to improve global health, and strongly supports FIC's efforts to achieve these objectives. National Library of Medicine Mission.--NLM collects, organizes, and disseminates information important to biomedicine; serves as a national information resource for medical education, research, and health service activities; enhances access to biomedical literature through electronic services; serves the public by providing electronic access to reliable health information for consumers; supports and directs the national network of libraries of medicine; provides grants for research in biomedical communications, medical library development, and training health information specialists; conducts and supports research in biomedical informatics and computational biology; and creates information resources for genomics, molecular biology, toxicology, medical images, environmental health, emergency preparedness and response, and health services research. Office of the Director Mission.--OD provides leadership to the NIH research enterprise and coordinates and directs initiatives that cross- cut NIH. OD is responsible for the development and management of intramural and extramural research and research training policy, the review of program quality and effectiveness, the coordination of selected NIH-wide program activities, and the administration of centralized support activities essential to the operations of NIH. The Committee includes bill language identifying $534,066,000 for the total support of the Common Fund. The Committee includes bill language within the Office of the Director account allocating $194,400,000 to continue the National Children's Study (NCS). The Committee is aware that the NCS is now projected to exceed its original budget by a substantial margin. The Committee believes NIH is prudent in taking the step to `pause' the research before initiating the full study in order to test in advance the feasibility, acceptability, and cost of each element. However, the Committee remains firmly committed to the NCS, believing it will provide important answers about the influence of the environment on children's health and development. The Committee continues bill language identifying $25,000,000 for flexible research authority modeled on the Department of Defense Advanced Research Projects Agency. Six general provisions are included pertaining to NIH: The Committee rejects the Administration proposal to limit salaries of researchers through an NIH grant to not more than the rate of Executive Level II and continues language (sec. 203) setting the limit at Executive Level I. The Committee continues language (sec. 207) to provide the Director of NIH, jointly with the Director of the Office of AIDS Research, the authority to transfer up to three percent of human immunodeficiency virus research funding. The Committee also continues a provision (sec. 208) to make NIH funds available for human immunodeficiency virus research available to the Office of AIDS Research. The Committee continues a provision (sec. 214) granting authority to the OD to support research under the flexible research authority. The Committee continues language (sec. 216) requested by the Administration permitting institutes and centers to use their appropriation for renovation and improvement of facilities, up to $2,500,000 per project and up to a total of $35,000,000 across NIH. The Committee continues a provision (sec. 217) transferring one percent of funds made available for National Research Service Awards to the Health Resources and Services Administration and one percent to the Agency for Healthcare Research and Quality. The Committee shares NIH's concern about the pipeline for new investigators and the prospect of researchers becoming so discouraged by repeated rejection of their applications that they leave the field. The Committee provides funding for the following programs to begin to address this problem: $102,000,000 funded through all the institutes and centers for the Pathways to Independence program to provide new investigators with mentored grants that convert into independent research project grants; and $80,000,000 through the Common Fund for the New Innovator awards that provide first-time independent award funding for a five-year period based more on ideas than experimental data. The Committee does not provide funding for one-year Bridge awards for investigators who either are being considered for their first award renewal or have just missed the funding payline with no other sources of support. Funding provided in the Recovery Act has already addressed this need for fiscal years 2009 and 2010. The Administration did not request funding for this activity in the fiscal year 2010 budget. In line with its commitment to support new investigators, the Committee provides a two percent increase in research training stipends, which is only the third stipend increase in the last six years. The Committee believes the Director's Pioneer Awards are an effective tool to encourage high risk, transformative research and has provided $40,600,000 within the Common Fund for this purpose. The Committee also continues the Transformative R0-1 Grants program, a high risk, high reward initiative first funded through the Common Fund in fiscal year 2009. Included within funding for the Office of the Director is $96,711,000 for radiological, nuclear and chemical countermeasures. The Committee assumes for the Clinical and Translational Research Award (CTSA) program the same funding level and the budget allocation between NCRR and the Common Fund as in the budget request. The Committee provides up to $10,000,000 for the Director's Discretionary Fund to respond to unanticipated, one-time scientific opportunities. The Committee requests notification to the Committees on Appropriations of the House of Representatives and the Senate on a quarterly basis of any obligation of these funds. The Committee provides $24,000,000 to continue the Therapeutic Rare and Neglected Disease initiative. This trans- NIH program will advance drug development for rare and neglected diseases and combat antibiotic resistance by leveraging the chemical genomic centers created through the Common Fund. The Committee provides $5,000,000 for the new bioethics research and training initiative proposed in the budget request, but funds it throughout the institutes and centers rather than in the Office of the Director. The Committee believes it is important to have each NIH entity engaged in the bioethics effort. However, the Committee expects the Office of the Director to maintain central oversight of this initiative. The Committee expects NIH to notify the Committees on Appropriations of the House of Representatives and the Senate each time the Director uses the one percent transfer authority provided in the NIH reauthorization. Division of Program Coordination, Planning, and Strategic Initiatives (DPCPSI) The DPCPSI was established by the NIH reauthorization to coordinate and facilitate trans-NIH research initiatives and emerging areas of scientific opportunities and public health challenges. The Division houses the existing NIH offices of the Office of Research on Women's Health, the Office of AIDS Research, the Office of Dietary Supplements, the Office of Behavioral and Social Sciences Research, the Office of Rare Diseases, the Office of Disease Prevention, and the Office of Medical Applications Research. The DPCPSI is developing the new technology tool, the Research, Condition, and Disease Categorization system, to automate and standardize the categorization, coding and reporting process for public health areas of interest. Office of Research on Women's Health The Office of Research on Women's Health (ORWH) works in collaboration with the institutes and centers of NIH to promote and foster efforts to address gaps in knowledge related to women's health through the enhancement and expansion of funded research and/or the initiation of new investigative studies. ORWH is responsible for ensuring the inclusion of women in clinical research funded by NIH, including the development of a computerized tracking system and the implementation of guidelines on such inclusion. ORWH is also involved in promoting programs to increase the number of women in biomedical science careers, and in the development of women's health and gender factors as a focus in biology. Irritable bowel syndrome (IBS).--The Committee is pleased with the increased focus on IBS at ORWH and encourages the Office to continue strengthening research on this prevalent functional gastrointestinal disorder. Vulvodynia.--The Committee encourages NIH to support the educational outreach campaign on vulvodynia, launched in 2007, to ensure that developed materials are more widely disseminated to the public, patient and medical communities. In addition, because five years have passed since the last NIH vulvodynia conference, the Committee requests that ORWH convene, with the support of relevant ICs, a research conference on vulvodynia during fiscal year 2010. Office of AIDS Research The challenges posed by HIV/AIDS exceed the mission of any individual institute, and virtually every NIH institute and center is involved in conducting or supporting AIDS research. The Office of AIDS Research (OAR) was established in the 1993 NIH Revitalization Act and given authorities to manage trans- NIH research so that it would function essentially as an ``institute without walls.'' OAR has the authority to plan, coordinate, and evaluate AIDS research, to set scientific priorities through a trans-NIH AIDS strategic plan, and to determine the AIDS research budgets of each NIH Institute and Center to address that plan. For all appropriated funds, the Director of OAR and the Director of NIH together determine the total for AIDS research within the total NIH appropriation, and the Director of OAR determines and allocates the IC distribution of those funds. The Committee believes that NIH continues to be the world's leader in research to respond to the critical needs of the AIDS pandemic, both in the U.S. and around the world. The Committee commends NIH for supporting the NIH AIDS and non-AIDS funding allocation at the current relative rate and endorses the continuation of this policy. The Committee continues to endorse the importance of OAR, including its critical trans-NIH budget authority and its status as a unique ``institute without walls.'' The Committee commends the Office for its leadership in setting trans-NIH AIDS research priorities, including important new basic science initiatives in the area of genomics, and its ongoing support for innovative research and community outreach to address the complex issues of AIDS in racial and ethnic minority populations in the U.S. The bill continues language permitting OAR to use up to $8,000,000 for construction or renovation of facilities, as authorized in title XXIII of the Public Health Service Act. Office of Dietary Supplements The Office of Dietary Supplements (ODS) was established in recognition that dietary supplements can have an important impact on prevention and health maintenance. In collaboration with other NIH institutes and centers and other federal agencies, ODS works to strengthen knowledge about dietary supplements by supporting and coordinating scientific research in the field. Office of Behavioral and Social Sciences Research The Office of Behavioral and Social Sciences Research (OBSSR) provides leadership and direction for the development of a trans-NIH plan to increase the scope of and support for behavioral and social sciences research and in defining an overall strategy for the integration of these disciplines across NIH institutes and centers; develops initiatives to stimulate research in the behavioral and social sciences arena and to integrate a biobehavioral perspective across the research areas of NIH; and promotes studies to evaluate the contributions of behavioral, social and lifestyle determinants in the development, course, treatment, and prevention of illness and related public health problems. Office of Rare Disease Research The Office of Rare Disease Research (ORD) was established in recognition of the need to provide a focal point of attention and coordination at NIH for research on rare diseases. ORD works with Federal and non-Federal national and international organizations concerned with rare disease research and orphan products development; develops a centralized database on rare diseases research; and stimulates rare diseases research by supporting scientific workshops and symposia to identify research opportunities. Glomerular Disease.--The Committee is aware of opportunities to increase collaborative research efforts regarding the glomerular disease Focal Segmental Glomerulosclerosis (FSGS) and encourages ORD to consider FSGS for inclusion in its Rare Disease Clinical Research Consortia Program. Porphyria.--The Committee encourages ORD to develop an agenda for basic and clinical research for the treatment of porphyria and to consult with patient stakeholder organizations when considering the development of the research agenda. Multi-institute Research Issues Amyloidosis.--The Committee encourages NIH to continue to intensify its research efforts into amyloidosis, a group of rare diseases characterized by abnormally folded protein deposits in tissues. These diseases are often fatal and there is no known cure. Treatment involving large-dose intravenous chemotherapy followed by stem cell replacement or rescue is effective for many patients, but this procedure is risky, unsuitable for some patients, and not a cure. The Committee urges NIH to keep the Committee informed on the steps that need to be taken to increase the understanding, prevention and treatment of this devastating group of diseases. Basic Behavioral Research.--The Committee is pleased to learn that the NIH leadership has launched a initiative to develop a basic behavioral research blueprint modeled after the Neuroscience Blueprint to help ensure the funding of the basic behavioral research necessary to advance and improve health outcomes. The Committee requests that it be kept informed of progress and expects the development, review and implementation of the basic behavioral research blueprint to be completed by March 2010. The Committee notes that an April, 2008 report from NIH indicated that basic behavioral research is funded in 13 of the 27 NIH institutes and centers. The Committee supports the continued funding of this category of research by the various institutes and centers as appropriate to their respective missions. However, the Committee continues to believe that DPCPSI, through OBSSR, should take scientific leadership for this research portfolio. Bone Diseases.--The Committee encourages NIH to support genetic and other research on diseases such as osteogenesis imperfecta and Paget's disease and other rare bone diseases such as fibrous dysplasia, osteopetrosis, fibrous ossificans progressiva, melhoreostosis, and X-linked hypophosphatemic rickets. The Committee also encourages NIH to strengthen support across all institutes for new basic science and clinical investigators through the various K award mechanisms. Celiac Disease.--The Committee recognizes that celiac patients are at dramatically increased risk of developing many other serious and fatal conditions including neurological problems, cancer, and autoimmune disorders including type I diabetes, thyroid and liver disease. The Committee encourages the Director to develop an agenda for basic and clinical research for the treatment of celiac disease and to consult with patient stakeholder organizations when considering the development of the research agenda. Chromosome Abnormalities.--Rare diseases by definition affect only a small number of people, yet the health impact of those conditions on individuals can be severe and even life- threatening. The Committee requests that NIH provide an update to the Committees on Appropriations of the House of Representatives and the Senate by January 1, 2010 on its research on conditions involving chromosomal duplications or deletions, including Chromosome 18, and the progress made to date by the rare disease consortium. The Committee further requests that the update include an estimation of the public health impact of research in this area. Class B Animal Dealers.--The Committee has reviewed the report on the use of random source dogs and cats in NIH research that it requested from the National Academy of Sciences (NAS) in fiscal year 2008. The NAS report concluded that, in some circumstances, the use of dogs and cats with the qualities of random source animals may be necessary for NIH- funded research. The report found, however, that it was not necessary to obtain random source dogs and cats for NIH research from Class B dealers, if alternative sources can be assured. The Committee would like to eliminate the use of Class B dealer animals in NIH research, but also wants to be certain that sufficient supplies of non-Class B dealer random source animals exist. The NAS report recommends that NIH: (1) use the Request for Proposal mechanism to provide or develop specific animal models; and/or (2) support private research animal colonies. The Committee urges NIH to explore these options to ensure an adequate supply of random source animals for NIH research. The Committee expects NIH to submit a report by April 1, 2010 to the Committees on Appropriations of the House of Representatives and the Senate describing its specific plans to pursue these recommendations, identifying which types and the number of random source animals are being sought. The report should also include a timeline identifying when a sufficient pool of random source animals will exist so that NIH can prohibit the use of Class B dealer animals in its funded research. Dystonia.--The intramural program at NIH continues to advance research activity in dystonia, and the Committee encourages continued support in this area of study. Extramural Conflicts of Interest.--The Committee is encouraged that NIH has issued an advance notice of proposed rulemaking as a first step in responding to the Committee's directive in fiscal year 2009 to develop a conflict of interest policy for extramural grantees, both institution administrators and scientists. The Committee understands that the comment period on the advance notice has just ended. It urges NIH to rapidly review the comments received and take the next steps to develop a robust extramural conflict of interest policy. It is clear from reports of continued abuses that NIH policy must be strengthened to deal with the increasing complexity of public- private interactions in biomedical research. Fragile X.--The Committee commends the National Institutes of Health for developing the NIH Research Plan on Fragile X Syndrome and Associated Disorders. The Committee congratulates NIH and its private foundation partners for providing a research grant to a pharmaceutical company to fund fragile X drug development. This public-private partnership should serve as a model for future programs for investing in fragile X and other rare diseases. The Director is encouraged to dedicate sufficient resources to implement the NIH Research Plan on Fragile X Syndrome and Associated Disorders, with the guidance of the recently established Fragile X Research Coordinating Group. The Committee recommends that NIH convene a consensus conference on translational research opportunities during 2010. Gender Differences.--For many disorders, the gender of the patient influences disease etiology, natural history, diagnosis and treatment alternatives and outcomes. The Committee encourages each of the institutes involved in the NIH Neuroscience Blueprint to carefully analyze their Neuroscience Blueprint research portfolio to ensure that gender is included as a variable, when appropriate, and to require that all reported results include gender-specific analysis. Grants.gov.--The Committee understands that the government- wide grant-making system, Grants.gov, is struggling under the weight of the applications generated by Recovery Act funding. In fact, the Committee understands that the system was on the verge of collapse in April 2009 until HHS was able to cobble together a patch to keep it operating through the summer. The Committee understands that the system is handicapped by the lack of central management as well as inadequate funding from the partner agencies which are mandated to use it. The Committee directs the Government Accountability Office (GAO) to review the Grants.gov system and report to the Office of Management and Budget, HHS, and the Committees on Appropriations of the House of Representatives and the Senate its recommendations for improved system management. Specifically, GAO should recommend a business model that provides an adequate, reliable funding stream and the appointment of a unified administrative body that is delegated both control and resources. GAO should submit its report no later than January 1, 2010. Within sixty days of the GAO report, OMB and HHS should submit a joint report to the Committee on Appropriations of the House of Representatives and the Senate on actions taken or planned in response to the GAO findings. Hereditary Hemorrhagic Telangiectasia (HHT).--The Committee encourages NIH to establish a trans-institute research group to coordinate implementation of research recommendations identified at the 2006 NIH HHT conference, with a particular focus on understanding the cause, diagnosis, prevention, and treatment of HHT. Lyme Diseases.--The Committee encourages NIH to intensify research on tick-borne diseases, including research that will increase understanding of the full range of Lyme disease processes and the physiology of Borrelia burgdorferi, including the mechanisms of persistent infection. Recognizing NIH's collaborative role with CDC and other agencies in the development of diagnostics, the Committee encourages NIH to support research that may lead to the development of more sensitive and accurate diagnostic tests for Lyme disease capable of distinguishing between active and past infections. The Committee encourages the Director, in collaboration with the Director of NIAID, to sponsor a scientific conference on Lyme and other tick-borne diseases. The Committee believes that the conference should represent the broad spectrum of scientific views on Lyme disease and should provide a forum for public participation and input from individuals with Lyme disease. Lymphatic Research and Lymphatic Disease.--The Committee urges NIH to begin to implement the recommendations of the trans-NIH working group on lymphatic research. The Committee encourages NIH to work toward the creation of centralized core facilities for: (a) experimental molecular and diagnostic lymphatic imaging; (b) the development and standardization of research reagents; and (c) the generation of virtual networks to facilitate basic, translational, and clinical research. Minority Institutions.--The Committee continues to be pleased with the NIH Director's implementation of various programs focused on developing the research infrastructure at minority health professions institutions, including Research Centers at Minority Institutions and NCMHD. The Committee encourages the NIH Director to work closely with the Director of NCMHD to establish a program of coordination among these various mechanisms and partner with minority health professions schools to address their infrastructure needs. Mitochondrial Disease.--The Committee is aware that the study of mitochondrial disease and dysfunction presents a number of unique research challenges and opportunities. The Committee expects that the Director will continue to treat mitochondrial disease research as a high priority area within the resources provided in the Common Fund, including through expanded efforts to advance fundamental understanding of mitochondrial function and variation, improved detection and analysis of mitochondrial proteins, and the accelerated application of systems biology and computational modeling approaches. The Committee also requests the Director to work to coordinate and promote mitochondrial disease research across the numerous appropriate institutes and centers and, in particular, that the Director review and consider implementing recommendations developed by the NHLBI's Working Group on Modeling Mitochondrial Dysfunction. The Committee applauds NHLBI for its work to support improved understanding of the role of mitochondrial dysfunction in cardiovascular illness, including through a recent request for applications. The Committee is aware that NHLBI has held working group and other meetings related to mitochondrial dysfunction and cardiovascular disease that have identified opportunities to strengthen mitochondrial research through steps such as adopting a systems biology approach, promoting cross-disciplinary research collaboration, and developing improved tools and models. The Committee requests that NHLBI move forward to implement these identified opportunities. The Committee is aware that more than one in 4,000 children born in the U.S. each year will develop a mitochondrial disease by ten years of age. The Committee therefore encourages NICHD to increase its research commitment in the area of mitochondrial disease and to utilize the National Children's Study as a vehicle for research into the epigenomics, incidence and pathology of mitochondrial disease. 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 NCI to strengthen its NF research portfolio in pre- clinical and clinical trials by applying newly developed and existing drugs. The Committee also encourages NCI to support NF centers, virtual centers, SPORE programs, pre-clinical mouse consortia, patient databases, and tissue banks, and to coordinate with other NIH institutes and government agencies in doing so. The Committee also urges additional focus from NHLBI, given NF's involvement with hypertension and congenital heart disease. The Committee encourages NINDS to continue to aggressively explore NF's implications for conditions such as spinal cord injury, learning disabilities and memory loss. In addition, the Committee continues to encourage NICHD to expand funding of clinical trials for NF patients in the area of learning disabilities, including the creation of NF centers involved with treating and curing these disabilities. NF can result in deafness; the Committee therefore encourages NIDCD to expand its NF research portfolio. Pregnant Women in Clinical Studies.--While over the last two decades, women have increasingly been included in clinical studies, pregnant women continue to be largely excluded from medical research, leading to a troubling lack of knowledge about how to treat pregnant women's illnesses and limited understanding of how illness in pregnancy affects women's health over time. Many pregnant women suffer from serious medical conditions including diabetes, hypertension, depression, autoimmune disorders, and cancer. Pregnancy significantly changes women's physiology, including blood flow, digestion, kidney function and hormonal and enzymatic activity, in ways that can dramatically change the nature and progression of disease and the way that medications work. Despite these important differences, pregnant women are rarely involved in health research and, as a result, in many cases little is known about how to safely and effectively manage illness in pregnancy. The Committee encourages NIH to expand research on pregnant women with the goals of better understanding the long- term health effects on women of disease states in pregnancy, the proper therapeutics for pharmacologic treatments for pregnant women who face illness, and the safety and efficacy of medications administered to pregnant women and fetuses. Primary Care Practice Research.--The Committee recognizes the role of NIH in researching primary care and prevention interventions in order to improve health outcomes, reduce health care-associated infections, and reduce the overall costs of healthcare. The Committee requests that the Director work with the Agency for Healthcare Research and Quality, CDC, and the Office of the Secretary to develop a coordinated approach to research in primary care practice, with a specific focus on improving health among populations with disparate health outcomes. Psoriasis.--The Committee recognizes that scientists are identifying genes of immune cells involved in psoriasis, which gives promise to identifying and developing a permanent method of control for psoriasis and, eventually, a cure. The Committee recognizes that additional genetics, immunology and clinical research focused on understanding the mechanisms of psoriasis are needed and encourages NIAMS and NIAID to study the genetic susceptibility of psoriasis, develop animal models of psoriasis, identify and examine immune cells and inflammatory processes involved in psoriasis and elucidate psoriatic arthritis-specific genes and other biomarkers. The Committee also recognizes the mounting evidence of co- morbidities associated with psoriasis and the potential higher risk of mortality and cardiovascular disease for people with severe psoriasis. The Committee urges NHLBI to consider these factors in its research, specifically that individuals with severe psoriasis have an increased risk of heart attack, independent of other major risk factors, and that for people in their forties and fifties with severe psoriasis, the risk of heart attack is more pronounced. The Committee also encourages NIDDK to consider in its research that diabetes is more prevalent for patients with severe psoriasis than for those with mild disease. The Committee encourages NIMH to conduct research to better understand why it is estimated that as many as 52 percent of psoriasis patients report clinically significant psychiatric symptoms and that individuals with psoriasis are twice as likely to have thoughts of suicide. Rehabilitation.--The Committee recognizes the importance of supporting research efforts to improve an individual's function and quality of life. The Committee encourages NIH to evaluate the efficacy of movement-based rehabilitation interventions, such as therapeutic exercise, to improve physical function in individuals with musculoskeletal conditions including arthritis, back pain, hip fracture, and major joint replacements. The Committee recognizes the advances that NIH-funded research has achieved in the area of stroke rehabilitation. The Committee encourages continued focus on rehabilitation interventions, especially physical therapy, to maximize an individual's function and quality of life after a stroke. The Committee encourages the Director to work with the National Center for Medical Rehabilitation Research (NCMRR) and relevant NIH institutes and centers to enhance and increase collaboration and support for medical rehabilitation and disability research across NIH. The Committee believes that rehabilitation and disability research is well-suited for the type of cross-disciplinary, translational research that the Director's office has made a priority in recent years. Research Centers in Minority Institutions (RCMI).--The Committee continues to recognize the critical role of minority institutions in addressing the ongoing racial and ethnic health disparities in the United States. The Committee encourages NIH to expand its direct participation with minority institutions and increase the resources available to these institutions. The Committee also recognizes the importance of the RCMI program in building research capacity at minority institutions. The RCMI program assists minority institutions in competing for NIH grants and other funding by helping to recruit promising researchers, equip and modify existing laboratories, and fund core research facilities and other research support at minority institutions. The Committee further expresses support for the RCMI translational research network (RTRN) and its focus on strengthening ties between minority institutions, and encourages NIH to continue designating specific resources for the RTRN apart from the existing RCMI program. The Committee encourages NIH to strengthen participation from minority institutions, especially those with a track record of producing minority scholars in science and technology. Spina Bifida.--The Committee encourages NIDDK, NICHD, and NINDS to study the causes and care of the neurogenic bladder in order to improve the quality of life of children and adults with spina bifida; to support research to address issues related to the treatment and management of spina bifida and associated secondary conditions, such as hydrocephalus; and to invest in understanding the myriad co-morbid conditions experienced by children with spina bifida, including those associated with both paralysis and developmental delay. Spinal Muscular Atrophy (SMA) Carrier Screening.--The Committee encourages NHGRI, NICHD, and NINDS to work collaboratively to develop specific recommendations and guidelines for providers and patients on pan-ethnic carrier screening for SMA. The Committee urges the institutes to partner with the relevant professional societies and the advocacy community in this effort. The Committee expects an update on these activities in the fiscal year 2011 congressional budget justifications. The Committee also encourages the Director to establish a trans-NIH working group on SMA composed of the relevant institutes to ensure ongoing support of SMA research and drug development. Stem Cell Research Supported With Recovery Act Funds.--The Committee is pleased to note that stem cell research was included as a special emphasis area in the NIH Challenge Grant program--a special initiative supported by funds from the Recovery Act to focus on health and science problems amenable to significant progress within a two-year time frame. The Committee is also pleased to note that NIH has recently published guidelines for the use of human embryonic stem cells (hESC) with NIH funds. In recognition that the implementation of these new guidelines will delay the funding of Recovery Act awards to support hESC and thus frustrate Congressional intent to expedite this important area of research, the Committee encourages NIH to utilize full two-year funding of stem cell research awards with Recovery Act funds in fiscal year 2010. Sturge-Weber Syndrome (SWS).--The Committee encourages the Director to support collaborative research on SWS conducted by appropriate NIH institutes and centers, other government agencies and voluntary organizations. The Committee commends NINDS for its leadership role and collaboration with ORD in SWS research. The Committee encourages NIH to support multidisciplinary research studies into seizures, stroke, the blood-brain barrier, blood flow, angiogenesis, immune suppression, hormone abnormalities and co-morbidities such as attention deficit hyperactivity disorder. The Committee also encourages NIH to support research on SWS and inflammatory response, growth factors, and the identification of markers in vasculature. Temporomandibular Joint and Muscle Disorders (TMJDs).--A range of comorbid conditions are associated with TMJDs. Many are captured in ongoing longitudinal studies funded by institutes and centers other than NIDCR. In order to advance the knowledge of the degree of overlap between TMJDs and the associated comorbidities, the Committee requests that NIH- funded population-based research projects, where appropriate and in consultation with the NIH Pain Consortium co-chairs, add measures to characterize the TMJD phenotype to permit the development of a sound basis for research into the underlying mechanisms driving the TMJD phenomenology and its comorbid conditions. Translating NIH Research To Address Racial and Ethnic Health Disparities.--The Committee is encouraged by the efforts of the Director to translate the benefits of NIH research into clinical practice. The Committee notes, however, that while the benefits of NIH research have led to an overall decline in mortality across a range of diseases, racial and ethnic health disparities have continued to increase. Therefore the Committee requests that the Director, working closely with the Director of NCMHD, report to the Committees on Appropriations of the House of Representatives and the Senate on the steps NIH has taken to ensure that racial and ethnic minorities are able to access the clinical benefits of NIH research. The report should include a brief summary of the NIH's outreach efforts to include racial and ethnic minorities. Tuberous Sclerosis Complex (TSC).--The Committee is encouraged by the potential of NIH-funded TSC research to reveal a better understanding not only of TSC, but more prevalent disorders such as autism, epilepsy and cancer. Because of the ``gateway'' potential of TSC research into these disorders, the Committee encourages a significant strengthening of TSC research at all relevant institutes, and stronger coordination of this effort through the Trans-NIH TSC Coordinating Committee. In particular, the Committee encourages expanded research at NICHD, NINDS, NIMH, and ORD targeted on the role of TSC-associated genes in the mechanisms of epilepsy, autism and mental health. Furthermore, the Committee encourages NIH to coordinate research at NINDS, NIAMS, NICHD, NHLBI, NIDDK, NCI, ORD, and NHGRI on the mechanisms of tumor growth and drug target testing in preclinical models. Finally, the Committee encourages all relevant NIH institutes to support clinical trials for the manifestations of TSC: epilepsy, autism, developmental delay, neurocognitive and mental health issues, and tumor growth in kidneys, brain, skin, heart, liver, and eyes. Underage Drinking and Adolescent Brain Development.--The Committee requests the Director of NIH to oversee a broad review of the research literature regarding the influence of drinking alcohol on the development of the adolescent brain and the public policy implications of this research. This report should be provided to the Committees on Appropriations of the House of Representatives and the Senate by October 1, 2011. BUILDINGS AND FACILITIES Mission.--The Buildings and Facilities appropriation provides for the design, construction, improvement, and major repair of clinical, laboratory, and office buildings and supporting facilities essential to the mission of the National Institutes of Health. The funds in this appropriation support the 77 buildings on the main NIH campus in Bethesda, Maryland; the Animal Center in Poolesville, Maryland; the National Institute of Environmental Health Sciences facility in Research Triangle Park, North Carolina; and other smaller facilities throughout the United States. Within the $10,400,000,000 provided for NIH in the Recovery Act, $500,000,000 was allocated for Buildings and Facilities for fiscal years 2009 and 2010. The Committee provides sufficient funding in the bill to support the construction of the Northwest Child Care Center on the Bethesda campus, as requested in the budget. Substance Abuse and Mental Health Services Administration SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES The Committee provides a program level total of $3,551,023,000 for the Substance Abuse and Mental Health Services Administration (SAMHSA), which is $84,532,000 above the fiscal year 2009 funding level and $25,556,000 above the budget request. Within the total, $131,585,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 funding level and the budget request. SAMHSA supports mental health and alcohol and drug abuse prevention and treatment services nationwide through discretionary capacity expansion and science to service activities, formula block grants to the States and associated technical assistance efforts. The agency consists of three principal centers: the Center for Mental Health Services (CMHS), the Center for Substance Abuse Treatment (CSAT), and the Center for Substance Abuse Prevention (CSAP). The Office of the Administrator is responsible for overall agency management. Homeless Grants.--The Committee includes within the total provided for Programs of Regional and National Significance across SAMHSA, $75,000,000 for homeless programs, which is the same as the fiscal year 2009 funding level and the budget request. The Committee believes that programs that provide supportive services to individuals in permanent housing settings will help to end long-term homelessness in this country and directs SAMHSA to continue to fund supportive services programs within the authority of the Programs of Regional and National Significance. The distribution of these funds between CMHS and CSAT is detailed later in this report. In addition, the Committee provides $68,047,000 for the State and territorial formula-based Projects for Assistance in Transition from Homelessness (PATH) program, which is $8,360,000 more than the fiscal year 2009 funding level and the same as the budget request. The funding provided for PATH, combined with the homeless grants funded in the Programs of Regional and National Significance, results in a total resource level of $143,047,000 for homelessness initiatives at SAMHSA. Minority HIV/AIDS Initiative.--The Committee provides $116,656,000 for activities throughout SAMHSA Programs of Regional and National Significance that address the growing HIV/AIDS epidemic and its disparate impact on communities of color, including African Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders. This amount is the same as the fiscal year 2009 funding level and the budget request. These funds provide grants to organizations with a history of providing culturally competent, community- specific, and linguistically appropriate services in hard-to- reach and high-risk communities of color to expand service infrastructure and capacity. The distribution of these funds between CMHS, CSAT, and CSAP is detailed later in this report. The Committee recognizes that professional counselors are highly trained and well qualified mental health professionals who deliver culturally appropriate behavioral health services to diverse populations through the public and private sectors. The Committee urges SAMHSA to increase the pool of culturally competent mental health professionals in the U.S. by granting professional counselors eligibility to participate in the Minority Fellowship Program beginning in fiscal year 20102. Minority Fellowship Program.--The Committee includes within the total provided for Programs of Regional and National Significance across SAMHSA, $5,093,000 for the Minority Fellowship Program, which is $392,000 more than the fiscal year 2009 funding level and the budget request. The distribution of these funds between CMHS, CSAT, and CSAP is detailed later in this report. The Committee recognizes that professional counselors are highly trained and well qualified mental health professionals who deliver culturally appropriate behavioral health services to diverse populations through the public and private sectors. The Committee urges SAMHSA to increase the pool of culturally competent mental health professionals in the U.S. by granting professional counselors eligibility to participate in the Minority Fellowship Program beginning in fiscal year 2010. Persons with Co-occurring Conditions or Multiple Disabilities.--The Committee encourages SAMHSA to expand and improve its commitment to support services for persons with co- occurring mental illness and substance abuse disorders or multiple disabilities. In addition, SAMHSA is encouraged to enhance its monitoring of compliance with the Americans with Disabilities Act within agencies and departments served by both the mental health and substance abuse prevention and treatment block grants in order to ensure meaningful access to services and treatments by all individuals, including persons with co- occurring or multiple disabilities. Center for Mental Health Services The Committee provides a program level total of $1,008,182,000 for the Center for Mental Health Services (CMHS), which is $39,030,000 above the fiscal year 2009 funding level and $22,363,000 above the budget request. Within the total, $21,039,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 funding level and the budget request. Borderline Personality Disorder.--The Committee encourages SAMHSA to convene a panel of experts to make recommendations for expanding early detection, evidence-based treatment, and family education to promote resiliency and recovery for borderline personality disorder (BPD). The Committee again requests that SAMHSA submit a report to the Committees on Appropriations of the House of Representatives and the Senate detailing SAMHSA's plans to expand its programs for BPD by April 1, 2010. Programs of Regional and National Significance The Committee provides $357,165,000 for mental health Programs of Regional and National Significance, which is $12,727,000 above the fiscal year 2009 funding level and $21,363,000 above the budget request. The program includes studies that identify the most effective service delivery practices, knowledge synthesis activities that translate program findings into useful products for the field, and knowledge application projects that support adoption of exemplary service approaches throughout the country. Within the total, the Committee provides the following amounts for mental health Programs of Regional and National Significance: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Capacity: Co-Occurring State Incentive Grant................. $3,611,000 0 0 Seclusion and Restraint............................ 2,449,000 0 0 Youth Violence Prevention.......................... 95,042,000 +540,000 +540,000 Safe Schools/Healthy Students.................. 84,860,000 +540,000 +540,000 College Emergency Preparedness............. 3,000,000 +763,000 +763,000 School Violence................................ 10,182,000 0 0 National Child Traumatic Stress Initiative............. 40,000,000 +2,000,000 +2,000,000 Children and Family Programs........................... 9,194,000 0 0 Mental Health Transformation Activities................ 5,912,000 0 0 Consumer and Family Network Grants..................... 6,236,000 0 0 Mental Health Transformation State Incentive Grants.... 26,012,000 0 0 Project LAUNCH......................................... 20,000,000 0 0 Primary and Behavioral Health Care Integration......... 14,000,000 +7,000,000 +7,000,000 Community Resilience and Recovery Initiative........... 5,000,000 +5,000,000 +5,000,000 Suicide Lifeline....................................... 6,000,000 +1,516,000 +1,516,000 Garrett Lee Smith--Youth Suicide Prevention: State Grants....................................... 29,738,000 0 0 Campus Grants...................................... 4,975,000 0 0 American Indian/American Native Suicide Prevention..... 2,944,000 0 0 Homelessness Prevention Programs....................... 32,250,000 0 0 Older Adults Programs.................................. 4,814,000 0 0 Minority AIDS.......................................... 9,283,000 0 0 Criminal and Juvenile Justice Programs................. 6,684,000 0 0Science to Service: Garrett Lee Smith--Suicide Resource Center............. 4,957,000 0 0 Mental Health Systems Transformation Activities........ 9,949,000 0 0 National Registry of Evidence-based Programs and 544,000 0 0 Practices............................................. SAMHSA Health Information Network...................... 1,920,000 0 0 Consumer & Consumer Support Technical Assistance 1,927,000 0 0 Centers............................................... Minority Fellowship Program............................ 4,475,000 +392,000 +392,000 Disaster Response...................................... 1,054,000 0 0 Homelessness........................................... 2,306,000 0 0 HIV/AIDS Education..................................... 974,000 0 0 ---------------------------------------------------------------------------------------------------------------- Community Resilience and Recovery Initiative.--The Committee recognizes that as a result of the current economic downturn, many Americans report experiencing heightened levels of stress, anxiety, and grief. According to SAMHSA, the reactions to economic pressures closely resemble the psychological effects experienced after natural disasters. Stress reduction and behavioral health promotion are important for people directly or indirectly impacted by financial and job security crises. Therefore, the Committee includes $5,000,000 for a new Community Resilience and Recovery Initiative, which builds upon SAMHSA's crisis counseling program. The program will use a public health, outreach-oriented approach to provide supportive interventions to individuals and families, public education and networking, and referral for those needing more extensive mental health, substance abuse, and case management services. Primary and Behavioral Health Care Integration.--The Committee continues to be deeply concerned that, according to reports, people with serious mental health disorders die on average 25 years sooner than other Americans. In fiscal year 2009, the Committee provided funding for a new program to integrate primary care and specialty medical services in community mental health centers and other community-based behavioral health agencies. As a result of this initial funding, SAMHSA has developed a program that targets the estimated three million persons in the U.S. with severe mental illnesses currently being served in the public mental health system. SAMHSA indicates that 11 publicly-funded community mental health and other community-based behavioral health agencies will be awarded grants in 2009. In order to expand the number of grants and increase the number of people with severe mental illnesses served, the Committee includes $14,000,000, which is $7,000,000 more than the fiscal year 2009 funding level and the budget request. Suicide Lifeline.--The economic downturn has resulted in job loss, economic insecurity, and crisis for many families and communities. People search for needed services from State or local service systems, but these public systems of care have been reduced due to the financial difficulties at the State and local levels. The SAMHSA Suicide Lifeline program is a national call-in line for persons who are thinking of suicide because they have found no other solutions to their problems. In January of 2008, the number of calls to the Lifeline was just over 39,000. Last month there were over 54,000 phone calls. Approximately 25 percent of the 54,000 calls were related to the economic downturn. In order to continue to adequately staff the Lifeline and appropriately train the individuals answering the calls, the Committee provides $6,000,000, an increase of $1,516,000 over the fiscal year 2009 funding level and the budget request. Youth Violence Prevention.--The Committee provides $95,042,000 to continue and expand violence prevention programs in schools, including elementary, secondary, and postsecondary educational institutions. This is $540,000 more than the fiscal year 2009 funding level and the budget request. Funds are used by schools to establish an emergency/crisis management response plan; to provide mental health and substance abuse treatment services to those in need; to educate students on mental health promotion, suicide, and violence prevention; to prepare educational materials on mental health for students and families of students to increase awareness of mental health and substance abuse issues in young adults; to train students and school personnel to respond effectively to students with mental and behavioral health problems that could lead to school failure, substance abuse, and/or violent behaviors; and, as needed, to develop a network/infrastructure to link the school with health care providers who can treat mental and behavioral problems. Within this amount, the Committee intends that not less than $84,860,000 be used to collaborate with the Department of Education for the Safe Schools/Healthy Students initiative and not less than $3,000,000 shall be used to continue a jointly funded initiative administered by the Department of Education and SAMHSA to support competitive grants to institutions of higher education to develop and implement emergency management plans for preventing campus violence, including assessing and addressing the mental health needs of students, and for responding to threats and incidents of violence or natural disaster in a manner that ensures the safety of the campus community. Within the $10,108,000 included in the bill, $4,915,000 shall be used for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ American Combat Veterans of War, San Diego, CA for $175,000 mental health services for returning veterans....... American Red Cross, Lower Bucks County Chapter, 100,000 Levittown, PA for mental health services and case management.......................................... BayCare Health System, Clearwater, FL for a mental 200,000 health initiative................................... Bellfaire JCB, Shaker Heights, OH for the Social 200,000 Advocates for Youth program......................... Cheyenne River Sioux Tribe, Eagle Butte, SD for 90,000 alcohol and drug awareness and youth suicide prevention programs................................. City of Detroit, MI for behavioral health services at 700,000 the Grace Ross Health Center........................ Foothill Family Service, Pasadena, CA for mental 200,000 health services to children ages 0-5 and parenting education that supports the services provided to the children............................................ Gateway Healthcare, Pawtucket, RI for behavioral 200,000 health services for returning veterans.............. Hathaway-Sycamores Child and Family Services, 100,000 Pasadena, CA for mental health and emotional support services for children of the terminally ill during the illness and after the death..................... Heartland Health Outreach, Chicago, IL for a mental 200,000 health supportive services program.................. Hispanic Counseling Center, Hempstead, NY for mental 200,000 health services and treatment for the uninsured and underinsured Hispanic population on Long Island..... Jacksonville Community Rehabilitation Center, 200,000 Jacksonville, FL for long-term substance abuse and mental health programs for those with severe mental health ailments..................................... Ohel Children's Home and Family Services, Brooklyn, 550,000 NY for inpatient and outpatient mental health treatment services.................................. Pacific Clinics, Arcadia, CA for mental health and 500,000 suicide prevention programs for adolescents......... Rosebud Sioux Tribe, Rosebud, SD for suicide 500,000 prevention and early intervention services.......... Spectrum Programs Inc., Miami, FL for a mental health 200,000 and substance abuse program......................... St. Bernard Project, Chalmette, LA for mental health 100,000 services............................................ St. Luke's Hospital, Adult Behavioral Services, Cedar 400,000 Rapids, IA for behavioral health services........... Young & Healthy, Pasadena, CA for mental health care 100,000 for children who are uninsured or underinsured...... ------------------------------------------------------------------------ Mental Health Block Grant The Committee provides a program level total of $420,774,000 for the Mental Health Block Grant, which is the same as the fiscal year 2009 funding level and the budget request. The block grant provides funds to States to support mental illness prevention, treatment, and rehabilitation services. Funds are allocated according to statutory formula among the States that have submitted approved annual plans. The Committee notes that the Mental Health Block Grant funding represents less than one percent of total State mental health funding and less than two percent of State community-based mental health services. Within the total, $21,039,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same level as provided in fiscal year 2009 and the budget request. Children's Mental Health The Committee provides $125,316,000 for the comprehensive community mental health services grant program for children with serious emotional disorders, which is $16,943,000 more than the fiscal year 2009 funding level and the same as the budget request. Funding for this program supports grants and technical assistance for community-based services for children and adolescents up to age 22 with serious emotional, behavioral, or mental disorders. The program assists States and local jurisdictions in developing integrated systems of community care. Each individual served receives an individual service plan developed with the participation of the family and the child. Grantees are required to provide increasing levels of matching funds over the six-year grant period. With the increase provided, SAMHSA estimates that an additional 11,000 children will benefit from this program. Projects for Assistance in Transition from Homelessness (PATH) The Committee provides $68,047,000 for the Projects for Assistance in Transition from Homelessness (PATH) program, which is $8,360,000 more than the fiscal year 2009 funding level and the same as budget request. The PATH program supports grants to States and territories to provide assistance to individuals suffering from severe mental illness and/or substance abuse disorders and who are homeless or at imminent risk of becoming homeless. Grants may be used for outreach, screening and diagnostic treatment services, rehabilitation services, community mental health services, alcohol or drug treatment services, training, case management services, supportive and supervisory services in residential settings, and a limited set of housing services. Increased resources will provide an estimated 11,000 additional individuals with serious mental illnesses who are homeless or at risk of becoming homeless with community-based support services. Protection and Advocacy for Individuals with Mental Illness The Committee provides $36,880,000 for the Protection and Advocacy for Individuals with Mental Illness (PAIMI) program, which is $1,000,000 more than the fiscal year 2009 funding level and the budget request. This funding is distributed to States according to a population and income based formula to assist State-designated independent advocates to provide legal assistance to mentally ill individuals during their residence in State-operated facilities and for 90 days following their discharge. Center for Substance Abuse Treatment The Committee provides a program level total of $2,240,090,000 for the Center for Substance Abuse Treatment (CSAT), which is $47,157,000 above the fiscal year 2009 funding level and $1,443,000 above the budget request. Within the total, $87,796,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 funding level and the budget request. Programs of Regional and National Significance The Committee provides a program level total of $461,499,000 for substance abuse treatment Programs of Regional and National Significance (PRNS), which is $47,157,000 above the fiscal year 2009 funding level and $1,443,000 above the budget request. Within the total, $8,596,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 funding level and the budget request. The programs funded through PRNS support activities to improve the accountability, capacity, and effectiveness of substance abuse treatment services and services delivery. These activities include capacity expansion initiatives to help communities respond to serious, emerging, and unmet treatment needs. They also include science into services initiatives through monitoring and accreditation of treatment programs, training, dissemination and knowledge application activities. These programs promote the adoption of science- and evidence- based treatment practices by developing and field-testing new treatment models in order to facilitate the provision of quality treatment services and service delivery. These activities are undertaken in actual service settings rather than laboratories and results are disseminated to State agencies and community treatment providers. The goal is to promote continuous, positive treatment service delivery change for those people who use and abuse alcohol and drugs. Within the total, the Committee provides the following amounts for substance abuse treatment Programs of Regional and National Significance: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Capacity: Co-Occurring State Incentive Grants.................... $4,263,000 $0 $0 Opioid Treatment Programs/Regulatory Activities........ 8,903,000 0 0 Screening, Brief Intervention, Referral, and Treatment 29,106,000 0 0 (SBIRT)............................................... Targeted Capacity Expansion--General................... 28,989,000 0 0 Pregnant and Postpartum Women.......................... 16,000,000 0 0 Strengthening Treatment Access and Retention........... 1,775,000 0 0 Recovery Community Services Program.................... 5,236,000 0 0 Access to Recovery..................................... 98,954,000 0 0 Children and Families.................................. 20,678,000 0 0 Treatment Systems for Homeless......................... 42,750,000 0 0 Minority AIDS.......................................... 65,988,000 0 0 Criminal Justice Activities............................ 87,635,000 +50,000,000 0 Treatment Drug Courts.............................. 58,882,000 +35,000,000 0 Families Affected by Methamphetamine Abuse..... 5,000,000 +5,000,000 0 Ex-Offender Re-Entry............................... 23,200,000 +15,000,000 0 Services Accountability................................ 20,816,000 0 0 National All Schedules Prescription Electronic 0 -2,000,000 -2,000,000 Reporting (NASPER)....................................Science to Service: Addiction Technology Transfer Centers.................. 9,081,000 0 0 Seclusion and Restraint................................ 20,000 0 0 Minority Fellowship Program............................ 547,000 0 0 Special Initiatives/Outreach........................... 2,400,000 0 0 Information Dissemination.............................. 4,553,000 0 0 National Registry of Evidence-Based Programs and 893,000 0 0 Practices............................................. SAMHSA Health Information Network...................... 4,255,000 0 0 Program Coordination and Evaluation.................... 5,214,000 0 0 ---------------------------------------------------------------------------------------------------------------- Treatment Drug Courts.--The Committee provides $58,882,000 for Treatment Drug Courts, which is $35,000,000 more than the fiscal year 2009 funding level and the same as the budget request. Treatment Drug Courts combine the sanctioning power of courts with treatment services to break the cycle of child abuse and neglect, criminal behavior, alcohol and/or drug use, and incarceration or other penalties. SAMHSA funds are used to provide substance abuse treatment services, including assessment, case management, and program coordination. Since 2005 Treatment Drug Courts have increased from 1,200 to over 2,100 in 2008, but there is a limited amount of treatment, mental health, and recovery support services available. With this increase, more than 100 new drug courts will be supported, which will result in an additional 5,200 individuals getting needed substance abuse treatment and other related services over the fiscal year 2009 levels. As requested, the Committee provides $5,000,000 to fund 25 grants for Family Dependency Treatment Drug Courts focused on methamphetamine within the total for Treatment Drug Courts. Children exposed to methamphetamine laboratories not only face physical danger from chemical contamination and explosions, but they are at a heightened risk for abuse and neglect. These grants will support a collaborative approach, including treatment providers, child welfare specialists, and judges, to provide community-based social services for the children of methamphetamine-addicted parents. SAMHSA estimates that 870 children with methamphetamine-addicted parents will be provided critical social services support. Within the $10,108,000 included in the bill, $3,443,000 shall be used for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ A Safe Haven Foundation, Chicago, IL for behavioral $300,000 health services for individuals affected by substance abuse..................................... Chesterfield County, VA for the Dual Treatment Track 143,000 program............................................. Gavin Foundation, Inc., South Boston, MA for 200,000 substance abuse treatment services at its Cushing House facility for adolescents...................... Operation UNITE, Somerset, KY for a substance abuse 1,000,000 treatment and voucher program....................... Pinellas County Board of County Commissioners, 300,000 Clearwater, FL for a substance abuse treatment initiative.......................................... San Francisco Department of Public Health, San 750,000 Francisco, CA for mental health and substance abuse services for homeless veterans...................... Tuesday's Children, Manhasset, NY for a mental health 750,000 initiative.......................................... ------------------------------------------------------------------------ Substance Abuse Prevention and Treatment Block Grant The Committee provides a program level total of $1,778,591,000 for the Substance Abuse Prevention and Treatment (SAPT) Block Grant, which is the same as the fiscal year 2009 funding level and the budget request. Within the total, $79,200,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 level and the budget request. The SAPT Block Grant provides funds to States to support alcohol and drug abuse prevention, treatment, and rehabilitation services. Funds are allocated among the States according to a statutory formula. State applications, including comprehensive State plans, must be approved annually by SAMHSA as a condition of receiving funds. 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 SAPT Block Grant has been successful in expanding capacity and achieving positive results. In particular, outcome data from the SAPT Block Grant found that, at discharge, 73 percent of clients were abstinent from illegal drugs and 77 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. SAPT Block Grant Set-Aside for Prevention.--The Committee recognizes the important role played by the 20 percent prevention services set-aside within the SAPT Block Grant. According to SAMHSA, SAPT Block Grant funding represents 64 percent of primary prevention funding in States. This effective substance abuse prevention program helped contribute to a 25 percent decrease in illicit drug use by 8th, 10th and 12th graders combined between 2001 and 2008. The Committee urges SAMHSA to promote maximum flexibility in the use of prevention set-aside funds in order to allow each State to employ prevention strategies that match State and local circumstances. National Outcome Measures (NOMs).--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 to know 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 2008. State substance abuse agencies reported significant improvements 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 working with State substance abuse agencies in order to continue to help States address technical issues and promote State-to-State problem solving solutions. Center for Substance Abuse Prevention Programs of Regional and National Significance The Committee provides $200,009,000 for the substance abuse prevention Programs of Regional and National Significance, which is $994,000 less than the fiscal year 2009 funding level and $1,750,000 more than the budget request. The program identifies and disseminates evidence-based substance abuse prevention approaches. Within the total, the Committee provides the following amounts for substance abuse prevention Programs of Regional and National Significance: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Capacity: Strategic Prevention Framework State Incentive $111,777,000 +$1,774,000 +$1,774,000 Grants............................................ Mandatory Drug Testing............................. 5,206,000 0 0 Minority AIDS...................................... 41,385,000 0 0 Methamphetamine.................................... 0 -1,774,000 -1,774,000 Program Coordination/Data Coordination and 6,300,000 0 0 Consolidation Center.............................. Sober Truth on Preventing (STOP) Underage Drinking. 7,000,000 0 0 National Adult-Oriented Media Public Service 1,000,000 0 0 Campaign...................................... Community-Based Coalition Enhancement Grants... 5,000,000 0 0 Intergovernmental Coordinating Committee on the 1,000,000 0 0 Prevention of Underage Drinking...............Science to Service: Fetal Alcohol Spectrum Disorder.................... 9,821,000 0 0 Center for the Application of Prevention 8,511,000 0 0 Technologies...................................... Best Practices Program Coordination................ 4,789,000 0 0 National Registry of Evidence-Based Programs and 650,000 0 0 Practices......................................... SAMHSA Health Information Network.................. 2,749,000 0 0 Minority Fellowship Program........................ 71,000 0 0 ---------------------------------------------------------------------------------------------------------------- Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) Progress Report.--The Committee notes that ICCPUD has not submitted an annual progress report on national progress in reducing underage drinking since January 2006. The Committee directs ICCPUD to submit a progress report on the goals articulated in the initial report, funds being expended by various agencies, and progress on key indicators, including age of initiation, beverage preference, source of alcohol, morbidity, mortality, and costs of underage drinking. This report should be submitted to the Committees on Appropriations of the House of Representatives and the Senate no later than April 1, 2010. State Activities on Underage Drinking Prevention.--The Committee encourages SAMHSA to prioritize the collection of data regarding the enforcement of underage drinking laws, including the development, testing, and provision of incentives for States to adopt a uniform data system for reporting State enforcement data. This should include data regarding State laws and regulations that raise the cost of underage alcohol use, as described in the Surgeon General's 2007 Call to Action to Prevent and Reduce Underage Drinking, including alcohol tax rates, restrictions on low-price, high-volume drink specials, and wholesaler pricing provisions. Underage Drinking Public Service Announcement Campaign.-- The Committee supports the continuation of the Public Service Announcement (PSA) Campaign on underage drinking prevention. The Committee 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 youth-focused media campaign to combat underage drinking. The Committee requests that SAMHSA prepare and submit the required report to the Committees on Appropriations of the House of Representatives and the Senate no later than April 1, 2010. Underage Drinking Survey Results.--The Committee commends SAMHSA for its support of town hall meetings on underage drinking. The Committee reiterates its request that underage drinking findings from Federal surveys be separately and prominently highlighted, and continues to request that examples of how the Committee's directives are being accomplished be submitted in the fiscal year 2011 Congressional budget justification. Preventing Steroid Use.--Within the funds available, the Committee urges CSAP to develop and implement appropriate prevention programs focused on preventing the use of steroids and other performance enhancing drugs by young people. In addition, the Committee urges SAMHSA to work with NIDA and CDC to examine the relationship between youth steroid and other performance enhancing drug use and suicides within this population and to develop evidence-based treatment protocols for helping young people abusing steroids and other performance enhancing drugs to safely stop using these drugs. Within the $10,108,000 included in the bill, $1,750,000 shall be used for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Betty Ford Institute, Palm Springs, CA for a $250,000 substance abuse prevention and training initiative.. Coalition for a Drug-Free Hawaii, Honolulu, HI for a 200,000 youth alcohol abuse and suicide prevention program.. Operation UNITE, Somerset, KY for a multi-school 1,000,000 substance abuse counseling and curriculum development program................................. Postpartum Resource Center of New York, West Islip, 100,000 NY for perinatal mood disorder prevention and early detection programs, support groups, and a multilingual helpline............................... Rhode Island State Nurses Association, Pawtucket, RI 100,000 for substance abuse programs for nurses............. St. Ann's Corner of Harm Reduction, Bronx, NY for 100,000 mental health consultations and substance abuse prevention and treatment support services........... ------------------------------------------------------------------------ Program Management The Committee provides a program level total of $101,947,000 for Program Management, which is $1,816,000 more than the fiscal year 2009 funding level and the same as the budget request. Within the total, $22,750,000 is provided through the section 241 Public Health Service Act evaluation set-aside, which is the same as the fiscal year 2009 funding level and the budget request. The appropriation provides funding to coordinate, direct, and manage the agency's programs. Funds are used for salaries, benefits, space, supplies, equipment, travel and overhead. St. Elizabeths Hospital Building and Facilities The Committee provides $795,000 for St. Elizabeths Hospital Buildings and Facilities, which is $23,000 more than the fiscal year 2009 funding level and the same as the budget request. This funding is available until expended to pay for hazardous substance remediation on the West Campus of St. Elizabeths Hospital. Agency for Healthcare Research and Quality HEALTHCARE RESEARCH AND QUALITY The Committee provides a program level total of $372,053,000 for the Agency for Healthcare Research and Quality (AHRQ), which is the same as the fiscal year 2009 funding level and the budget request. The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. The agency fulfills its mission by conducting and supporting health services research that focuses on answering questions on such topics as clinical practice, outcomes of care and effectiveness, evidenced-based medicine, health care quality, patient safety and medical errors, health care costs and financing, and health information technology. AHRQ research findings are used by providers, health care administrators, and others to improve health care quality, accessibility, and outcomes of care. Research on Health Costs, Quality, and Outcomes The Committee provides $309,053,000 for Research on Health Costs, Quality, and Outcomes, which is $5,000,000 less than the fiscal year 2009 funding level and the budget request. This program identifies the most effective and efficient approaches to organize, deliver, finance, and reimburse health care services; determines how the structure of the delivery system, financial incentives, market forces, and better information affects the use, quality, and cost of health services; and facilitates the translation of research findings for providers, patients, plans, purchasers, and policymakers. It also funds research that determines what works best in increasing the cost-effectiveness and appropriateness of clinical practice; supports the development of tools to measure and evaluate health outcomes, quality of care, and consumer satisfaction with health care system performance; and facilitates the translation of information into practical uses through the development and dissemination of research databases. Patient-Centered Health Research Within the total for Research on Health Costs, Quality, and Outcomes, the Committee provides $12,500,000 for Patient- Centered Health Research. This is $37,500,000 less than the fiscal year 2009 funding level and the budget request. Funding is provided to cover the continuation costs of current research grants. The Recovery Act provided an additional $1,100,000,000 for Patient-Centered Health Research in fiscal years 2009 and 2010 to be administered by AHRQ, NIH, and the HHS Office of the Secretary. This program provides current, unbiased evidence about the effectiveness of different health care interventions. The objective of the program is to help consumers, health care providers, and others make informed choices among treatment alternatives. The Committee does not intend for the patient-centered health research funding included in fiscal year 2010 to be used to mandate coverage, reimbursement, or other policies for any public or private payer. The funding shall be used to conduct or support research to evaluate and compare the clinical outcomes, effectiveness, risk, and benefits of two or more medical treatments and services that address a particular medical condition. Further, the Committee recognizes that a ``one-size-fits-all'' approach to patient treatment is not the most medically appropriate solution to treating various conditions. Research conducted should be consistent with Departmental policies relating to the inclusion of women and minorities. Maternity Care Models.--The Committee is concerned that the U.S. continues to lag behind almost all developed countries in perinatal outcomes, despite spending more than double per capita on childbirth than other industrialized countries. Further, the Committee is aware that maternity care is a major component of the escalating health care costs in the U.S., with combined mother/baby charges for hospitalization estimated at $79,000,000,000 in 2005--far exceeding charges for any other health condition. Although there is an extensive body of knowledge regarding best evidence-based practices in maternity care, current practice is not following the research. Therefore, the Committee encourages AHRQ to study the comparative effectiveness of different maternity care models and practices, including both physician and non-physician providers; all three birth settings of hospital, birth centers, and planned home birth; and the practices of elective induction, primary elective cesarean section, and repeat cesarean section. Prevention and Care Management Within the total for Research on Health Costs, Quality, and Outcomes, the Committee provides $24,404,000 for Prevention and Care Management, which is $17,304,000 more than the fiscal year 2009 funding level and the budget request. This program supports research focusing on improving care and reducing disparities for common chronic conditions, such as diabetes, asthma, and heart disease and supports the U.S. Preventive Services Task Force, which translates evidence-based knowledge into recommendations for clinical preventive services to be implemented as part of routine clinical practice. Establishing a robust primary care system capable of delivering high quality, safe, and efficient care management is a foundational element for effective health reform. Additional resources for AHRQ's Prevention and Care Management activities will focus on four key areas: health care redesign, which will support research to evaluate the patient-centered medical home model and develop tools to better understand the needs of patients with multiple chronic conditions; clinical-community linkages, which will support the evaluation of models that integrate community-based services and public health with clinical care; self-management support to help evaluate ways for people to manage their own health; and care coordination, which will develop better ways to transition patients from hospitals to primary care to reduce readmissions. Health Information Technology Within the total for Research on Health Costs, Quality, and Outcomes, the Committee provides $32,320,000 for Health Information Technology (HIT), which is $12,500,000 less than the fiscal year 2009 funding level and the budget request. Funding is provided to cover the continuation costs of current research grants. AHRQ's HIT program develops and disseminates evidence and evidence-based tools to inform policy and practice on how HIT can improve the quality of American health care. Patient Safety Within the total for Research on Health Costs, Quality, and Outcomes, the Committee provides $66,585,000 for Patient Safety, which is $17,696,000 more than the fiscal year 2009 funding level and the budget request. Funding provided in this program supports research grants, training programs, and other tools and resources to prevent, mitigate, and decrease the number of medical errors, patient safety risks, and quality gaps associated with healthcare and their harmful impact on patients. There are two main components of AHRQ's Patient Safety portfolio: Patient Safety Organizations, for which the Committee provides $7,000,000; and Patient Safety Threats and Medical Errors, for which the Committee provides $59,585,000. Healthcare-Associated Infections.--The Committee continues to be concerned about healthcare-associated infections (HAIs). According to CDC, HAIs are one of the top ten leading causes of death in the U.S., accounting for nearly 100,000 associated deaths and $28,000,000,000 to $33,000,000,000 in excess health care costs annually. Within the total for Patient Safety Threats and Medical Errors, the Committee provides $25,000,000 for AHRQ's HAI activities, which is $15,696,000 more than the fiscal year 2009 funding level and the budget request. With increased resources, the Committee directs AHRQ to place major emphasis on expanding the checklist model for reducing central-line associated blood stream infections in intensive care units, which was originally developed through AHRQ-funded research at Johns Hopkins University. In fiscal year 2009 this program was expanded from ten to 32 States, the District of Columbia, and Puerto Rico. Additional funding in fiscal year 2010 will bring this successful model to all 50 States and to enhance the initiative to focus on other HAIs, including clostridium difficile, surgical site infections, and catheter-associated urinary tract infections and to broaden the reach of the checklist to all units of hospitals. HAIs are not just a problem in hospitals, but are a major concern in other settings, including dialysis centers, ambulatory care, surgery centers, and the nursing home setting. Increased resources will allow AHRQ to support the research necessary to develop, validate, and implement infection prevention and control models designed specifically for these settings. Additionally, AHRQ will offer technical assistance and practical training opportunities based on the highly successful Patient Safety Improvement Corps training program. This program, which is a partnership with the Department of Veterans Affairs, improves patient safety by providing health care staff with the knowledge and skills needed to investigate medical errors and to develop and evaluate sustainable system interventions to prevent them. Methicillin-Resistant Staphylococcus Aureus (MRSA) Collaborative Research Initiative.--MRSA is the most common HAI. The number of MRSA-associated hospital stays has more than tripled since 2000, reaching nearly 369,000 in 2005, according to AHRQ's Healthcare Cost and Utilization Project database. Patients hospitalized for MRSA have longer hospital stays and are more likely to die than patients who don't have MRSA. These infections are especially common in intensive care units. In order to address MRSA specifically, the Committee provides AHRQ with $10,000,000, which is $2,000,000 more than the fiscal year 2009 funding level and the budget request. The Committee urges AHRQ to support investigator-initiated research aimed at identifying new interventions to reduce infections. Just as the basic science of the agents that cause HAIs is evolving, so is the knowledge about how to prevent and treat them. Although in some cases adequate knowledge about how to reduce HAIs is available and the primary barrier is how to implement and apply that knowledge, in other cases, optimal solutions are not apparent. Support for novel approaches is one way to expand the arsenal of interventions aimed at reducing HAIs, including MRSA. Ambulatory Patient Safety.--The Committee recognizes AHRQ's efforts to examine the risks associated with the migration of health care into ambulatory 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 to identify the inherent risks in ambulatory settings and to develop potential solutions for protecting patients. AHRQ is encouraged to partner with CDC for assessment, content expertise, and evaluation activities to enable these efforts. Crosscutting Activities Related to Quality, Effectiveness, and Efficiency Research Within the total for Research on Health Costs, Quality, and Outcomes, the Committee provides $169,514,000 for Crosscutting Activities Related to Quality, Effectiveness, and Efficiency Research, including training grants and contracts and research management. This is $10,000,000 more than the fiscal year 2009 funding level and the budget request. Research activities supported by funding in this area look to answer questions about cost, organization, and socioeconomics related to healthcare; long-term healthcare; training; quality of care; system capacity; and hazards preparedness. The Committee values AHRQ for its critical role in supporting health services research to improve health care quality, reduce costs, advance patient safety, decrease medical errors, 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 U.S. are the result of researchers' ingenuity and creativity. The Committee provides AHRQ additional funding for investigator-initiated research to advance discovery and the free marketplace of ideas. Building the Next Generation of Researchers.--The Committee is concerned about declines in the number of, and funding for, training grants for the next generation of researchers. The Committee urges AHRQ to provide greater support to pre- and post-doctoral training grants and fellowships to ensure America stays competitive in the global research market. Broadening the Evidence Base in Response to Health Care Challenges.--The Committee recognizes that AHRQ's research portfolio focuses predominantly on patient safety, health care quality, and patient-centered health research. Unfortunately, these efforts have included less research on ways to improve the quality and efficiency of the health care system as a whole, and have resulted in relatively little funding to study what drives health care costs or to determine how to achieve needed improvements in efficiency. The Committee urges AHRQ to develop a more balanced research agenda, supporting all aspects of health care research outlined in its statutory mission, including, the costs, utilization of, and access to, health care and the ways in which health care services are organized, delivered, and financed. Diabetes.--Measurement and appropriate management of hemoglobin A1c can reduce the risk of complications of diabetes. Several quality measurement programs such as CMS' Physician Quality Reporting Initiative reward measurement, but do not reward appropriate management of hemoglobin A1c. This is due to the lack of outcomes focused measures that encourage appropriate hemoglobin A1c management. Studies have identified a number of patient characteristics that can impact hemoglobin A1c levels including age, gender, race, ethnicity, body mass index, severity of diabetes, duration of diabetes, type of treatment for diabetes, co-morbidities, life expectancy, medication adherence, and self-monitoring adherence. The Committee is aware that measure developers have attempted to create a measure for the appropriate management of hemoglobin A1c, but have failed to reach consensus on a methodology that encourages appropriate management and measurement while avoiding unintended consequences that may discourage or fail to recognize appropriate management. The Committee encourages AHRQ to seek to advance the development of an appropriate A1c management quality measure by providing support to develop a new measure or measures and/or ways to adapt current measures to support this goal. This could be in the form of support to groups that have large A1c databases, such as the Veterans Administration system or one of AHRQ's Accelerating Change and Transformation in Organizations and Networks partners. Mindfulness-based Stress Reduction.--Mindfulness-based stress reduction (MBSR) is the most commonly used meditation- based intervention in medical settings in the U.S. There is a growing body of scientific literature that has examined the impact of MBSR on pain, brain function, immune function, and on the symptoms and underlying biological mediators of some diseases, such as cardiovascular disease, psoriasis, and cancer. However, the extent to which MBSR might affect health care utilization has never been systemically studied. Even modest reductions in health care utilization could translate into significant dollar savings cumulatively throughout the nation and may have implications for health care policy. The Committee urges AHRQ to support research to determine whether MBSR impacts health care utilization. Moving Research into Practice.--Health services research has great potential to improve health and health care when widely disseminated and used. The Committee supports AHRQ's research translation activities, including practice-based research centers and learning networks that are designed to better understand health care delivery and move the best available research and decision-making tools into health care practice. The Committee provides funding for AHRQ to expand these programs. This will ensure health care delivery is rooted in the best available evidence and help improve health care quality and ultimately health outcomes. Restoring Innovation and Competitiveness.--The Committee is pleased that AHRQ is working to address the decline in investigator-initiated research opportunities through its Innovations Research Portfolio. The Committee provides funding for AHRQ to expand this grant making program to advance discovery and the free marketplace of ideas, and urges AHRQ to provide more opportunities for investigator-initiated research through its other core programs, including the Effective Health Care Program. Medical Expenditure Panel Surveys The Committee provides $60,300,000 for the Medical Expenditures Panel Surveys (MEPS), which is $5,000,000 more than the fiscal year 2009 funding level and the budget request. The MEPS provide data for timely national estimates of health care use and expenditures, private and public health insurance coverage, and the availability, costs, and scope of private health insurance benefits. This activity also provides data for analysis of changes in behavior as a result of market forces or policy changes on health care use, expenditures, and insurance coverage; develops cost/savings estimates of proposed changes in policy; and identifies the impact of changes in policy for subgroups of the population. Increased funding will allow AHRQ to support a sample size robust enough to continue to collect statistically significant data for racial and ethnic minority population subgroups. Program Support For Program Support, the Committee provides $2,700,000, which is the same as fiscal year 2009 funding level and the budget request. This activity supports the overall direction and management of the agency. Centers for Medicare and Medicaid Services GRANTS TO STATES FOR MEDICAID The Committee provides $220,962,473,000 for the Federal share of current law State Medicaid costs, which is $31,107,439,000 above the fiscal year 2009 funding level and the same as the budget request. This amount does not include $71,700,038,000 which was advance funded in the fiscal year 2009 appropriation for the first quarter of fiscal year 2010. In addition, the Committee provides an advance appropriation of $86,789,382,000 for program costs in the first quarter of fiscal year 2011. The Committee has also included indefinite budget authority for unanticipated costs in fiscal year 2010. Medicaid is projected to provide health care to 53.3 million people in fiscal year 2010, an increase of 4.3 percent. This represents 17.2 percent of the U.S. population. Medicaid will provide coverage to 26.2 million children. Non-disabled adults under age 65 and children will represent 74 percent of the Medicaid population, but account for 35 percent of Medicaid benefit outlays. In contrast, the elderly and disabled populations are estimated to make up 26 percent of the Medicaid population, yet account for approximately 65 percent of Medicaid benefit outlays. Medicaid is the largest payer for long-term care in America. PAYMENTS TO THE HEALTH CARE TRUST FUNDS The Committee provides $207,296,070,000 for the Payments to the Health Care Trust Funds account, which supports Medicare Part B and prescription drug benefits for 46.6 million Medicare beneficiaries. This amount is $9,552,070,000 above the fiscal year 2009 funding level and $65,000,000 above the budget request. This entitlement account includes the general fund subsidy to the Federal Supplementary Medical Insurance Trust Fund for Medicare Part B benefits, Medicare drug benefits and administration, and State high risk pools as well as other reimbursements to the Federal Hospital Insurance Trust Fund for benefits and related administrative costs, which have not been financed by payroll taxes or premium contributions. The increase over the budget request is due to the reimbursement to the trust fund for the high risk pools initiative funded in the Program Management account. The Committee continues bill language requested by the Administration providing indefinite authority to pay the general revenue portion of the Medicare Part B premium match and provides resources for the Medicare Part D drug benefit program in the event that the annual appropriation is insufficient. PROGRAM MANAGEMENT The Committee makes available $3,463,362,000 in trust funds for Federal administration of the Medicare and Medicaid programs, which is $147,976,000 above the fiscal year 2009 funding level and $2,138,000 below the budget request. This activity supports the two largest Federal health care programs, Medicare and Medicaid, along with the Children's Health Insurance Program (CHIP) and the Medicare prescription drug program. The Centers for Medicare and Medicaid Services (CMS) is the largest purchaser of health care in the U.S., serving approximately 98 million Medicare, Medicaid, and CHIP beneficiaries. Research, Demonstration, and Evaluation The Committee provides $31,600,000 for Research, Demonstration and Evaluation, which is $1,408,000 above the fiscal year 2009 funding level and $25,378,000 below the budget request. These funds support a variety of studies and demonstrations in such areas as monitoring and evaluating health system performance; improving health care financing and delivery mechanisms; modernization of the Medicare program; the needs of vulnerable populations in the areas of health care access, delivery systems, and financing; and information to improve consumer choice and health status. The Committee includes the full request of $14,800,000 for the Medicare Current Beneficiary Survey. Funding for Real Choice Systems Change grants is not included. The Committee encourages CMS to conduct a demonstration program comparing Type II diabetes therapies to determine which of them optimally assist people with Medicare in weight control while reaching and maintaining target blood glucose levels. The Committee encourages CMS to submit to the Committees on Appropriations of the House of Representatives and the Senate a report on the demonstration no later than January 1, 2011. The Committee recognizes that the Medicare Modernization Act of 2003 included a Welcome to Medicare physical exam benefit for new Medicare enrollees. However, despite clinical data showing hepatitis B and C are a major health problem in the United States, a hepatitis B and C screening benefit currently is not covered under the Medicare program. To assist in determining whether Congress should add a hepatitis B and C screening benefit to the Welcome to Medicare physical exam, the Committee encourages the Secretary to conduct a three-year hepatitis B and C screening and treatment demonstration project and to submit to the Committees on Appropriations of the House of Representatives and the Senate a report on the demonstration no later than December 31, 2013. The bill includes $1,600,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Bi-State Primary Care Association, Montpelier, VT to $100,000 treat uninsured patients............................ County of Ventura Health Care Agency, Ventura, CA for 200,000 Medicaid enrollment programs........................ Fond du Lac County, WI for the Save a Smile Program.. 400,000 Jewish Healthcare Foundation, Pittsburgh, PA for 100,000 program to increase involvement of pharmacists in chronic disease management.......................... PACE Greater New Orleans, New Orleans, LA for 500,000 facilities and equipment............................ Patient Advocate Foundation, Newport News, VA for a 300,000 patient assistance program for the uninsured........ ------------------------------------------------------------------------ Medicare Operations The Committee provides $2,323,862,000 to support Medicare claims processing contracts, which is $58,147,000 above the fiscal year 2009 funding level and $40,000,000 below the budget request. The Committee includes bill language as proposed in the budget request that extends the availability of $65,600,000 through September 30, 2011 for Medicare contracting reform activities. The Committee also includes bill language as proposed in the budget request providing $35,681,000 for the Healthcare Integrated General Ledger Accounting System, to remain available through September 30, 2011. The bill does not include language proposed in the budget request to provide extended availability for funds related to the Medicare Improvements for Patients and Providers Act of 2008. Within the total, the Committee provides $45,000,000 for the State Health Insurance Program (SHIP), which is the same as the fiscal year 2009 funding level and $5,000,000 above the budget request. The Committee believes SHIP is an important vehicle to help the 46.6 million Medicare beneficiaries grapple with changes in coverage and prescription drug plans. SHIP provides one-on-one counseling to those who have trouble accessing the internet or the toll-free hotlines. The Committee notes that the CMS Medicaid policy on coverage for routine HIV Testing is unclear, and should be updated to reflect the Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Healthcare Settings issued in September 2006 by the Centers for Disease Control and Prevention (CDC). State Survey and Certification The Committee provides $346,900,000 for State inspections of facilities serving Medicare and Medicaid beneficiaries, which is $53,772,000 above the fiscal year 2009 funding level and the same as the budget request. This program supports the certification and periodic inspection of facilities receiving Medicare funding, such as nursing homes, hospitals, hospices, and rehabilitation centers. These inspections target quality of care, appropriateness of staffing, and patient safety. In 2010, more than 83,000 initial, recertification and complaint surveys are expected to be conducted. The Committee has provided sufficient funding for survey and certification activities to provide surveys of all types of facilities at least once every six years. Some types of facilities are currently reviewed as infrequently as once every 11.5 years, including ambulatory surgery centers (prior to Recovery Act funding). These types of facilities have been implicated in past outbreaks of healthcare-associated infections (HAI). Greater frequency of surveys is expected to increase awareness of and reduction in the occurrence of HAIs. The Committee also directs CMS to train all State inspectors on CDC's revised HAI interpretative guidelines. With the increased frequency of inspections, surveyors must be equipped to detect evidence of HAIs or faulty procedures that could result in HAIs. Because of the growth in the number of facilities seeking survey and certification so that they are permitted to participate in CMS programs, the Committee encourages CMS to explore the use of alternative licensure activities to provide additional resources for initial survey and certification activities. The Committee understands this is particularly acute for dialysis facilities and urges CMS to direct the States to triage first-time applications by length of wait time and remoteness of facility. State High-Risk Insurance Pools The Committee provides $65,000,000 through specific appropriations language to support the State High-Risk Insurance Pools Program, which is $10,000,000 below the fiscal year 2009 funding level. The budget request does not include discretionary funding for high risk pools for fiscal year 2010, instead requesting $75,000,000 in mandatory demonstration funding as part of a legislative proposal. Thirty-five States currently operate high-risk pools that are the health insurers of last resort for almost 200,000 individuals who have lost or are ineligible for group insurance coverage, and who are medically high-risk and unable to purchase individual health insurance in the commercial market. High-risk pools represent a successful public/private partnership. All risk pool participants pay a monthly premium, capped at 125 to 200 percent of the average market premium. Insurers and health care providers support the program through assessments, and some States contribute to their pools. The Committee anticipates a declining need for State high-risk insurance pools as universal health care coverage becomes a reality. Federal Administration The Committee provides $696,000,000 to support Federal administrative activities related to the Medicare and Medicaid programs, which is $54,649,000 above the fiscal year 2009 funding level and $1,760,000 below the budget request. The Committee does not continue bill language authorizing CMS to use funds for the Healthy Start, Grow Smart program for parents of children enrolled in the Medicaid program because of lagging State participation. As part of its effort to combat HAIs, the Committee directs CMS to include in its ``pay for reporting'' system, which penalizes hospitals that fail to report quality data to Hospital Compare, two infection control measures developed by the Hospital Quality Alliance (HQA)-- central line-associated bloodstream infections and a surgical site infection rate. These two measures have been agreed upon by the HQA membership, tested, and validated. If the measures are included in Hospital Compare, the public reporting of the data is likely to reduce HAI occurrence, an outcome demonstrated in previous research. The Committee also directs CMS to add additional HAI measures in its next expansion of the ``pay for performance'' system in which hospitals receive lower reimbursement for treatment of conditions that are not present upon admission. Of the 12 general conditions currently tracked under ``pay for performance'', three are related to HAIs (catheter-associated urinary tract infection, vascular catheter-associated infection, and surgical site infections). The Committee directs CMS to report to the Committees on Appropriations of the House of Representatives and the Senate by May 1, 2010 outlining progress in this regard. The Committee is concerned that language and cultural barriers inhibit many minority seniors from accessing Medicare and encourages CMS to expand multilingual help lines to improve access to eligible programs by underserved minority seniors. The Committee encourages the Secretary to adopt quality measures for hepatitis B and C screening and treatment for use by dialysis providers and physicians who treat patients on dialysis. The Committee encourages the Secretary to include these quality measures and an analysis in the CMS Physician Quality Reporting Initiative. HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT The Committee provides $311,000,000 to be transferred from the Medicare trust funds for Health Care Fraud and Abuse Control activities conducted by CMS, the HHS Inspector General, and the Department of Justice, which is $113,000,000 above the fiscal year 2009 funding level and the same as the budget request. This funding is in addition to $1,156,000,000 that is provided as mandatory funding through authorizing bills. Funding will provide resources for expanded efforts for Medicaid program integrity activities, for safeguarding the Medicare prescription drug benefit and the Medicare Advantage program, and for program integrity efforts carried out by the Department of Justice. Administration for Children and Families PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS The Committee provides $3,571,509,000 for the Child Support Enforcement and Family Support programs, which is $254,810,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee also provides $1,100,000,000 in advance funding, as requested, for the first quarter of fiscal year 2011 to ensure timely payments for Child Support Enforcement programs. These programs support State-administered programs of financial assistance and services for low-income families to promote their economic security and self- sufficiency. The Committee recommendation includes an estimated $33,000,000 for payments to territories, which is the same as the comparable fiscal year 2009 funding level and the budget request. LOW INCOME HOME ENERGY ASSISTANCE The Committee provides $5,100,000,000 for the Low Income Home Energy Assistance program (LIHEAP), the same as the comparable fiscal year 2009 funding level and $1,900,000,000 above the discretionary budget request. The Administration's fiscal year 2010 discretionary budget proposes $3,200,000,000 for LIHEAP and, in addition, includes a legislative proposal to create a trigger mechanism that would make additional mandatory funding available if energy prices reach certain levels. Under the budget request, States would be forced to eliminate assistance payments to approximately 1.7 million households and reduce the average benefit by approximately $100. Absent enactment of such legislation, the Committee recommendation ensures that approximately 7.5 million low-income households continue to receive the home energy assistance they need in a volatile energy market. Within the amount provided, the Committee recommends $4,509,672,000 for the State formula grants, which is the same as the fiscal year 2009 funding level and $2,099,672,000 above the budget request. The Committee bill maintains the distribution of formula grant funds as allocated in fiscal year 2009. The Committee recommends $590,328,000 for the contingent emergency reserve, which is the same as the fiscal year 2009 funding level and $199,672,000 below the budget request. The Committee does not include language making the contingency reserve funding available until expended, as included in the budget request. The Committee intends that not more than $27,000,000 be used for the Leveraging Incentive Program, which rewards States that leverage private or non-Federal resources for home energy assistance. LIHEAP provides assistance to low-income households to help pay the costs of home energy. While energy prices have declined recently in conjunction with the global economic downturn, home energy prices remain high, unpredictable, and unaffordable for many households. LIHEAP serves the most vulnerable households in the country, including some of those hardest hit by the economic downturn for which rapidly rising home-energy costs or severe weather conditions can have dire consequences. Currently 93 percent of households receiving LIHEAP assistance have at least one family member who is elderly, disabled, a child under 18, or have a single adult living with one or more children. Approximately 80 percent of households receiving LIHEAP assistance have annual incomes below $20,000 and almost 40 percent have incomes below $10,000. The Committee maintains bill language included in the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009, allowing States to provide assistance to households making up to 75 percent of the State median income. In fiscal year 2009, approximately 17 percent of eligible households under these new eligibility criteria received assistance. REFUGEE AND ENTRANT ASSISTANCE The Committee provides $714,968,000 for Refugee and Entrant Assistance programs. This amount is $81,526,000 more than the fiscal year 2009 funding level and $25,689,000 less than the budget request. The Committee includes bill language making most of these funds available through September 30, 2012, as requested. This funding would provide assistance to over 160,000 arriving refugees, asylees, entrants, trafficking victims, and unaccompanied alien children, including 29,000 special immigrants from Iraq and Afghanistan. The Office of Refugee Resettlement (ORR) programs are designed to help refugees, asylees, Cuban and Haitian entrants, and trafficking victims become employed and self-sufficient. These programs also assist unaccompanied immigrant children in Federal custody and victims of torture. The Committee notes the inherent uncertainties in estimating the necessary funding level for ORR programs. A significant amount of ORR's expenses are determined by the number of refugees arriving in the United States and the number of unaccompanied alien children transferred to ORR's care. In particular, in recent years the number of refugees arriving in the United States, while increasing, has been lower than expected, resulting in significant carryover of unobligated balances. While ORR does not plan on carrying over any unobligated balances into fiscal year 2010, the Committee urges the Administration for Children and Families (ACF) to allocate any unexpected carryover in fiscal year 2010 for social services activities. The Committee recommends that the Government Accountability Office (GAO) conduct an evaluation of ORR's administration of the refugee assistance programs, including an assessment of the effectiveness of ORR programs at helping refugees achieve self- sufficiency. Preliminary data indicates that the economic downturn has made it increasingly difficult for arriving refugees to achieve self-sufficiency. As the number of refugees entering the United States continues to rise, with some of the largest increases in those from Iraq and Afghanistan, this growing caseload will continue to put stress on ORR programs. It is critical that the United States follow through in this humanitarian mission and provide adequate services to this very vulnerable population. The Committee is particularly interested in GAO identifying any inequities in the system, evaluating the Voluntary Agency Matching Grant program compared to State- administered and Wilson-Fish programs, and recommending possible improvements to ensure all refugees receive the assistance they need to achieve self-sufficiency within a reasonable period of time. Transitional and Medical Services The Committee provides $337,102,000 for Transitional and Medical Services, which is $54,754,000 more than the fiscal year 2009 funding level and the same as the budget request. The Transitional and Medical Services program provides, through State governments and non-profit organizations, cash, medical, and other assistance to eligible refugees, asylees, entrants, and victims of trafficking who are not categorically eligible for Temporary Assistance for Needy Families, Medicaid, or SSI. State refugee programs are reimbursed for their costs of providing assistance, while non-profit organizations are awarded grants to provide assistance in States not participating in the program, or participating in only parts of the program. Transitional and Medical Services also provides funding for the Voluntary Agency Matching Grant program. While still falling below the ceiling established by the State Department, the number of refugees arriving in the United States has been increasing in recent years. From fiscal year 2003 to fiscal year 2008 the number of arriving refugees more than doubled, from less than 30,000 to over 60,000. In fiscal years 2009 and 2010 ACF expects these numbers to approach the 80,000 ceiling established by the State Department. ACF expects an additional 29,000 special immigrants arriving from Iraq and Afghanistan, up from only 100 in fiscal year 2007. At the same time, the economic downturn has resulted in refugees receiving assistance for a longer period of time, often for the full eight months for which they are eligible. The Committee recommendation will ensure that eligible refugees continue to receive transitional and medical assistance in their first vulnerable months in the United States. Voluntary Agency Matching Grant Program.--Under the Voluntary Agency Matching Grant program, national voluntary refugee resettlement agencies match Federal funds and provide job placement, job development, and interim cash assistance with the goal of refugees attaining self-sufficiency in their first four to six months in the United States. Refugees participating in this program are not eligible for other cash assistance. While the economic downturn has created new challenges, the Committee continues to recognize the positive outcomes of this program, which has experienced success in facilitating economic self-sufficiency for newly arriving refugees within a short period of time. The Committee requests that ORR include in their fiscal year 2011 Congressional budget justification, additional information on the Voluntary Agency Matching Grant program, including actual and projected information on funding levels; the number of refugees participating in the program; demographics of refugees participating in the program including country of origin and level of education attainment; and the number of refugees achieving self-sufficiency within four and six months in the United States. Family Preservation for Unaccompanied Refugee Minors (URM).--The Committee commends the initial steps taken by ORR to address the problem of separated children and refugee family breakdown by piloting a family preservation specialist initiative in the URM Program. The Committee urges ORR to consider expanding this initiative. In addition, the Committee requests that ORR provide adequate funding to URM programs for capacity development so that they have the necessary infrastructure to accommodate increasing numbers of unaccompanied and separated refugee children. The Committee requests ORR to provide estimates in its fiscal year 2011 Congressional budget justification on the number of family preservation specialists funded, along with actual and projected data on the number of refugee children in the URM program. Victims of Trafficking The Committee provides $9,814,000 for Victims of Trafficking, which is the same as the fiscal year 2009 funding level and the budget request. The Committee strongly supports the continued administration of a national network for identification, tracking, and certification of trafficking victims. The Committee is encouraged that the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA) grants the Secretary of Health and Human Services new authority to provide interim assistance to child victims of trafficking. The Committee also supports efforts to ensure that child trafficking victims do not remain trapped in life-threatening situations out of fear of being interrogated by law enforcement authorities. Social Services The Committee provides $154,005,000 for Social Services, which is the same as the fiscal year 2009 funding level and the budget request. Funding is distributed by a combination of formula and discretionary grants to states and non-profit organizations and supports a variety of services for refugees including employment preparation, job placement, social adjustment services, interpretation and translation services, English language training, and childcare. Within the funds provided, the Committee includes $19,000,000 for continued support to communities with large concentrations of Cuban and Haitian entrants of varying ages whose cultural differences make assimilation especially difficult, justifying a more intense level and longer duration of Federal assistance. In addition, the Committee urges ACF to use any unobligated balances under this account carried over into fiscal year 2010 to expand social services to refugees, particularly for emerging housing assistance to refugees. The Committee is concerned that the current economic downturn has left many refugees unable to find or maintain employment and, as a result, facing eviction and homelessness. The economic climate has intensified an already difficult transition and the Committee urges ACF to use any unanticipated carryover to help refugees as they contend with new and unforeseen challenges. The Committee continues to request that ACF adequately fund the Refugee School Impact program. This program provides grants to support impacted school districts to fund activities that will lead to the effective integration and education of refugee children. Preventive Health The Committee provides $4,748,000 for Preventive Health, which is the same as the fiscal year 2009 funding level and the budget request. These funds are awarded through discretionary grants to States to support the coordination and promotion of health screening, treatment, and medical follow-up services to refugees. Targeted Assistance The Committee provides $48,590,000 for the Targeted Assistance program, which is the same as the fiscal year 2009 funding level and the budget request. These grants provide assistance to areas with high concentrations of refugees. Unaccompanied Alien Children The Committee provides $149,351,000 for the Unaccompanied Alien Children (UAC) program, which is $26,231,000 more than the fiscal year 2009 funding level and $26,230,000 less than the budget request. Subsequent to the fiscal year 2010 request, the Supplemental Appropriations Act, 2009 included an additional $82,000,000 for the UAC program for costs associated with the TVPRA. These additional funds will remain available through September 30, 2011. The UAC program provides for the care and placement of unaccompanied children who are apprehended in the U.S. by law enforcement and taken into care pending resolution of their immigration cases. ACF provides grants and contracts to State- licensed facilities to provide temporary shelter, medical care, pro bono legal services, family reunification services, and other support services for children in ACF's care. The TVPRA includes new requirements regarding the treatment and care of unaccompanied alien children. The TVPRA requires that unaccompanied alien children interdicted from Mexico and Canada whom the Department of Homeland Security (DHS) determines to be victims of trafficking, at risk of trafficking upon return, or who have a credible fear of persecution upon return, must be transferred to ACF's care. Previously all children from contiguous countries apprehended at the border were immediately returned and not transferred to ACF. The TVPRA also provides for increased monitoring, screening, and assessments for children, increased home studies before children are placed with a sponsor, mandatory follow-up for children for whom a study is conducted, and specialized training for Federal, State and local personnel. The Committee supports these new provisions aimed at ensuring the proper care and treatment of unaccompanied alien children. However, these new requirements have only become effective as of March 2009 and limited data are available on the actual costs of carrying out the provisions of the TVPRA. The Committee requests ACF to provide a report within 60 days of enactment of this Act to the Committees on Appropriations of the House of Representatives and the Senate on how ACF has implemented the provisions of the TVPRA and the costs associated with carrying out these new provisions, including information on the number of children transferred to ACF's care, the length of stay while under ACF's care, and other costs associated with implementing the TVPRA. Transportation of Unaccompanied Alien Children.--The Committee does not include funding for the transportation of unaccompanied alien children from the point of apprehension to placement in an ORR facility. The Office of Management and Budget (OMB), in consultation with HHS and DHS, released a memo in June 2009 specifying that DHS will continue to be responsible for this transportation in fiscal year 2010. In addition, a more extensive report will be completed by September 30, 2009 detailing specific recommendations concerning improvements to the program. In preparing this report, the Committee urges OMB, HHS, and DHS to consider the best interest of the unaccompanied alien children. The Committee urges HHS and DHS to work to ensure the placement of children in areas with access to important medical, mental health, and legal services. Many facilities are currently located in rural areas close to the border to facilitate an easier transfer of children between DHS and HHS. However, many of these areas lack access to key services. Pro Bono Pilot Program.--Unaccompanied alien children are not guaranteed legal representation and many children appear before a judge to determine their immigration status without an attorney. Pro bono legal representation is absolutely critical to ensure that children understand their rights as they navigate the legal process to determine their status in the United States. The Committee commends ORR for implementing a pro bono pilot program for unaccompanied alien children and includes no less than $6,000,000 within the UAC program to continue and expand this initiative. The Committee urges ORR to continue to work towards ensuring that all unaccompanied alien children understand their legal rights and have access to pro bono representation. The Committee requests a report be included in the fiscal year 2011 budget justification on the effectiveness of this initiative, including the number and proportion of unaccompanied alien children provided pro bono legal representation. Independent Evaluation.--The Homeland Security Act of 2002 transferred responsibility for the care and treatment of unaccompanied alien children to HHS to ensure that the child welfare needs of children are protected. Since that time there has not been a comprehensive evaluation of the UAC program. The Committee recommends up to $250,000 for an independent evaluation of the UAC program to determine if the UAC program is operating consistent with child welfare best practices. Field Coordinator Program.--The Committee recognizes the importance of the field coordinator program to properly evaluate children, make recommendations based on their independent evaluation of the child, and advocate in the best interests of the child. Given the expected increase in the number of unaccompanied alien children resulting from the TVPRA, the Committee urges ORR to expand the field coordinator program to ensure that children are properly evaluated and their best welfare protected. Victims of Torture The Committee provides $11,358,000 to provide a comprehensive program of support for domestic centers and programs for victims of torture. This amount is $541,000 above the fiscal year 2009 funding level and the budget request. Funding supports services and rehabilitation for victims of torture, including social and legal services and training for healthcare providers on treating the physical and psychological effects of torture. PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT The Committee provides $2,127,081,000 for the discretionary portion of the Child Care and Development Block Grant (CCDBG), the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $2,000,000,000 for the CCDBG in fiscal years 2009 and 2010. The CCDBG provides child care services for low-income families. One out of every three families with young children earn less than $25,000 and child care costs can make up a sizable piece of any family's budget. For many families, single-parent households in particular, child care can be prohibitively expensive. A recent study found that in the vast majority of States, the average annual cost of child care for two young children is more than half the median income for single parent households. The Committee continues to believe that providing affordable high quality child care is a critical investment that can have lasting benefits for families. Single mothers who receive child care assistance are 40 percent more likely to remain employed after two years than those who do not receive assistance. Children receiving high quality child care demonstrate greater mathematical ability, greater thinking and attention skills, and fewer behavioral problems than children who receive lower quality care. Including mandatory funds, the Committee recommendation will help provide child care services to an estimated 1.7 million children in fiscal year 2010. Together with the Temporary Assistance for Needy Families and the Social Services Block Grant, 34 percent of children in families with income under 150 percent of the Federal Poverty Level receive child care subsidies. Within the total for CCDBG, the Committee includes $271,401,000 for activities to improve the quality of child care, including $99,534,000 for infant and toddler care; $18,960,000 for child care resource and referral activities; $1,000,000 for the Child Care Aware toll-free hotline; and $9,910,000 for child care research, demonstration, and evaluation activities. SOCIAL SERVICES BLOCK GRANT The Committee provides $1,700,000,000 for the Social Services Block Grant (SSBG), the same as the fiscal year 2009 funding level and the budget request. The Committee provides the entire authorized amount for this flexible source of funding to help local communities provide a variety of social services to needy individuals and their families. Funds are distributed to States by formula grants and States have the flexibility to determine what services and activities are supported, provided they are targeted at a broad set of goals, including reducing or eliminating poverty, achieving or maintaining self-sufficiency, and preventing neglect and abuse. SSBG supports services in critical areas such as nutrition, employment, housing, public health, and other social services that experience increased demand in an economic downturn. The funds in this bill will allow States to reach approximately 19 million vulnerable individuals. CHILDREN AND FAMILY SERVICES PROGRAMS (INCLUDING TRANSFER OF FUNDS) The Committee provides a total program level of $9,447,168,000 for Children and Families Services Programs, which is $135,840,000 above the fiscal year 2009 funding level and $22,608,000 below the budget request. Within the total provided, $10,217,000 is provided through the section 241 Public Health Service Act evaluation set-aside. This account finances a number of programs aimed at enhancing the well-being of the nation's children and families, particularly those who are disadvantaged or troubled. Head Start The Committee provides $7,234,783,000 for Head Start, which is $121,997,000 more than the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided $2,100,000,000 for Head Start, with a directive that HHS work with grantees to manage resources to sustain fiscal year 2009 awards through fiscal year 2010. The Committee recommendation will allow Head Start to serve approximately 978,000 children in fiscal year 2010, maintaining the 69,000 increase in children served due to the Recovery Act. Head Start provides grants to local public and private non- profit agencies to provide comprehensive early childhood development services, including educational, health, nutritional, and social services, to economically disadvantaged children before they enter school. Head Start was reauthorized in December 2007, with several significant changes to the program, including expanding eligibility, establishing a funding priority for American Indian and Alaska Native and Migrant and Seasonal Head Start programs, enhancing qualification requirements for Head Start teachers and other staff, and imposing new competition requirements for poorly performing grantees. The Committee requests that the Office of Head Start include the waiting lists for the Head Start, Early Head Start, and the Indian and Migrant and Seasonal Head Start programs as part of the annual Program Information Reporting System. Homeless Children.--The Improving Head Start for School Readiness Act of 2007 includes provisions intended to enhance services for homeless children and increase their participation in Head Start. The Committee encourages ACF, in developing and implementing Head Start training and technical assistance, to work with organizations specializing in improving services to homeless children in early education programs. Vision Screening.--The Committee recognizes that vision disorders are the leading cause of impaired health in childhood and is concerned that while Head Start currently requires children to be screened for vision problems, there are no procedures for training, tracking, or conducting the screening. This lack of national uniform standards continues to cause many Head Start enrollees to fall through the cracks without diagnosis or treatment. The Committee encourages the continuation and expansion of collaborative efforts between the Office of Head Start and stakeholders to ensure that all Head Start enrollees receive vision screening services and other resources available to them in their community. Consolidated Runaway and Homeless Youth Programs The Committee provides $98,234,000 for Consolidated Runaway and Homeless Youth Programs, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. Funding supports the establishment and operation of runaway and homeless youth shelters and transitional living programs. Funding also supports the national toll free runaway and homeless youth crisis hotline, which receives over 100,000 calls annually. Grants are used to develop or strengthen community-based shelters, which are outside the law enforcement, juvenile justice, child welfare, and mental health systems. Basic Centers provide outreach, crisis intervention, temporary shelter, counseling and family unification services. Transitional Living Programs provide longer-term services for older children who cannot safely live with their families, providing skills designed to help youth transition to self- sufficiency. The Transitional Living Program also funds programs for pregnant and parenting teens. Prevention Grants to Reduce Abuse of Runaway Youth The Committee provides $18,721,000 for Prevention Grants to Reduce Abuse of Runaway Youth, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. This program provides grants to support street-based outreach and education to runaway, homeless, and street youth who have been sexually abused or who are at-risk of sexual abuse. The street outreach program ensures rapid engagement with young people in an effort to prevent the most terrible situations that take place when they are subjected to life on the streets, including physical and sexual abuse, assault, commercial sexual exploitation, disease, long-term homelessness, and even death. Child Abuse State Grants The Committee provides $26,535,000 for Child Abuse State Grants, which is the same as the fiscal year 2009 funding level and the budget request. These funds support grants to States to improve child protective service systems. State grants are based on an initial $50,000 allocation per State, with additional funds distributed based on the State's relative share of the number of children under age 18. Child Abuse Discretionary Activities The Committee provides $40,595,000 for Child Abuse Discretionary Activities, which is $1,162,000 below the fiscal year 2009 funding level and $1,250,000 above the budget request. Funding supports a variety of research and demonstration projects. Home Visitation Initiative.--Within the total provided for Child Abuse Discretionary Activities, the Committee provides $15,000,000 for the Home Visitation initiative. These funds support competitive grants to States to encourage investment of existing funding streams into proven-effective home visitation models. As in fiscal year 2009, the Committee directs ACF to ensure that these funds support models that have been shown in well-designed, randomized controlled trials to produce sizeable, sustained effects on important child and family outcomes, such as abuse and neglect. The budget includes a legislative proposal to establish a capped entitlement program to provide a dedicated funding stream to States to establish and expand evidenced-based home visitation programs. The Committee strongly supports home visitation programs and, pending enactment of this legislation, continues to fund the establishment and expansion of programs within this account. Within the $14,819,000 included in the bill, $1,250,000 shall be used for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ County of Contra Costa, Martinez, CA for an $350,000 initiative for children and adolescents exposed to domestic violence................................... Douglas County C.A.R.E.S., Roseburg, OR for the Kids 300,000 in Common program to provide services to abused and neglected children.................................. Marcus Autism Center, Atlanta, GA for an autism 300,000 initiative.......................................... University of California, Merced/The Great Valley 300,000 Center, Merced, CA for child abuse prevention education services.................................. ------------------------------------------------------------------------ Community-based Child Abuse Prevention The Committee provides $41,689,000 for Community-based Child Abuse Prevention, which is the same as the fiscal year 2009 funding level and the budget request. Funds are provided to State agencies and are used to develop, operate, expand, and enhance community-based efforts to strengthen and support families in an effort to prevent child abuse and neglect. Abandoned Infants Assistance The Committee provides $11,628,000 for the Abandoned Infants Assistance program, which is the same as the fiscal year 2009 funding level and the budget request. The purpose of this program is to provide financial support to public and private community and faith-based entities to develop, implement, and operate demonstration projects that will prevent the abandonment of infants and young children exposed to HIV/ AIDS and drugs; identify and address their needs; assist such children to reside with their natural families or in foster care; recruit, train, and retain foster parents, as well as health and social services personnel; provide respite care for families and foster families; and prevent the abandonment of infants and young children. Child Welfare Services and Training The Committee provides $281,744,000 for Child Welfare Services, which is the same as the fiscal year 2009 funding level and the budget request. This program provides grants to States to assist public welfare agencies to improve child welfare services. State services include preventive intervention so that children may stay in their homes, alternative placement such as foster care or adoption if it is not possible for children to remain at home, and reunification programs so that, if appropriate, children can return home. In addition to the amount for Child Welfare Services, the Committee provides $27,207,000 for Child Welfare Training, Research and Demonstration, which is $20,000,000 more than the fiscal year 2009 funding level and the budget request. The increased funding is for a new Innovative Approaches to Foster Care program, as proposed by the Administration. This program would provide funding to States, localities, and tribes to improve the outcome of children and families in foster care, particularly those with long-term involvement. Almost one- quarter of children in foster care have been in foster care for three years or longer and these remain some of the most challenging cases. Grantees demonstrating improvement in outcomes for children in long-term foster care would be eligible for bonus funding. Adoption Opportunities The Committee provides $26,379,000 for Adoption Opportunities, which is the same as the fiscal year 2009 funding level and the budget request. This program provides funding specifically targeted at improving the adoption of children, particularly those with special needs, removing barriers to adoption, and providing innovative services that support families involved in adoption. Adoption Incentives The Committee provides $39,500,000 for Adoption Incentives, which is $3,000,000 above the fiscal year 2009 funding level and the same as the budget request. This program targets incentives at placement of older children and children with special needs. Funds are awarded to States using three baselines: one for the total number of children adopted, one for children with special needs under the age of nine, and one for children aged nine and older. The goal of this program is to increase the number of adoptions nationwide. The Fostering Connections to Success and Increasing Adoptions Act of 2008 doubled the authorized incentive payments for the hardest-to- place children. Adoption Awareness The Committee provides $12,953,000 for the Adoption Awareness Program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides funding to train staff to provide health services to pregnant women to inform them about adoption, develop best practice guidelines on adoption counseling, and publicize information about the adoption of children with special needs. Strengthening Communities Fund The Committee does not recommend funding for the Strengthening Communities Fund because the Recovery Act included $50,000,000 for this activity, including funding for a national evaluation of the program. The budget proposed $50,000,000 for this activity, to provide capacity-building grants for organizations and State, local, and Tribal governments responsible for providing training and technical assistance to small non-profit organizations, with the ultimate goal of improving the effectiveness of non-profit organizations. The Committee notes that this is a new initiative and has not yet been evaluated. The Committee will consider future funding recommendations pending an evaluation of the program. Social Services and Income Maintenance Research The Committee provides a total program level of $19,331,000 for Social Services and Income Maintenance Research, which is $929,000 less than the fiscal year 2009 funding level and $13,569,000 more than the budget request. Within this amount $5,762,000 is provided through the section 241 Public Health Service Act evaluation set-aside. These funds support research, demonstration, evaluation, and dissemination activities. Recent topics funded through this program include welfare-to-work strategies and programs to strengthen family relationships and promote healthy marriages. Within the $14,819,000 included in the bill, $13,569,000 shall be used for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Asian Pacific Women, Los Angeles, CA for a domestic $50,000 violence prevention and education initiative........ Barry University, Miami Shores, FL for the Center for 300,000 Community Services Initiatives...................... Beth El House, Alexandria, VA for housing and social 200,000 services to formerly homeless single mothers and their families...................................... Bethany House, Laredo, TX for equipment and job 230,000 training resources to help the unemployed find gainful employment.................................. Bethel's Place, Houston, TX for the Heavenly Hands 100,000 community project................................... Beyond Shelter, Los Angeles, CA for a crisis 400,000 intervention demonstration project.................. Chabad of South Bay, Lomita, CA for a project to 370,000 improve services for youth and families in crisis... Children's Hospital of The King's Daughters Health 500,000 System, Norfolk, VA for a comprehensive program to treat abused children............................... City of Bellevue, WA for the Wrap-Around Services 375,000 program............................................. City of Emeryville, CA for early childhood 250,000 development, counseling, and related services....... City of Ft. Worth, TX for the Early Childhood Matters 425,000 Initiative.......................................... City of Norwich, CT for services to pregnant and 85,000 parenting adolescents and their families............ City of San Jose, CA for a pilot program to evaluate 284,000 and assess the Smart Start childcare model.......... Council of Peoples Organization, Brooklyn, NY for the 150,000 Community Youth Program............................. Easter Seals of Southern Georgia, Albany, GA for 100,000 respite services for children who are developmentally disabled, have autism, or are medically fragile................................... Eva's Place, Sandusky, MI for domestic violence 200,000 service programs.................................... First 5 Alameda County, San Leandro, CA for its 500,000 children's screening, assessment, referral, and treatment initiative................................ Glenwood School for Boys and Girls, Glenwood, IL for 350,000 housing support and educational and social skills development programs................................ Greater New Britain Teen Pregnancy Prevention, Inc., 100,000 New Britain, CT for teen pregnancy prevention services............................................ Gregory House Programs, Honolulu, HI for a 100,000 comprehensive homelessness prevention program for people living with HIV/AIDS......................... Homeless Prenatal Program, San Francisco CA for case 400,000 management and supportive services.................. Hope Institute for Children and Families, 100,000 Springfield, IL for facilities and equipment........ Horizons for Homeless Children, Roxbury, MA for 630,000 programs for homeless children...................... Human Services Coalition of Tompkins County, Inc., 50,000 Ithaca NY for 2-1-1 Tompkins to provide access to social services..................................... Huron County Safe Place, Bad Axe, MI for domestic 150,000 violence service programs........................... Jewish Community Council of Canarsie, Brooklyn, NY 300,000 for services for at-risk Holocaust survivors........ Lapeer Area Citizens Against Domestic Assault, 200,000 Lapeer, MI for domestic violence service programs... Larkin Street Youth Services, San Francisco, CA for 300,000 homeless and runaway youth services................. LifeStyles of Maryland, Inc., La Plata, MD for its 60,000 Safe Nights Program for homeless and disadvantaged populations......................................... Little Friends, Inc., Naperville, IL for an autism 200,000 initiative.......................................... Make the Road New York, Jackson Heights, NY for 300,000 support services for low-income and working families Minot State University, Minot, ND for its Great 300,000 Plains Autism Treatment Program..................... Monterey County Probation Department, Salinas, CA for 750,000 the Silver Star Gang Prevention and Intervention Program............................................. Montgomery County Department of Health and Human 200,000 Services, Rockville, MD for community based service delivery and outreach............................... National Energy Assistance Directors' Association, 200,000 Washington, DC for research and information dissemination related to the Low Income Home Energy Assistance Program.................................. North Ward Center, Newark, NJ for comprehensive 400,000 services for people with autism spectrum disorders.. Pathways PA, Holmes, PA for services for pregnant and 150,000 parenting teens..................................... Pierce County Alliance, Tacoma, WA for a program to 150,000 expedite the permanent placement of child victims of parental abuse or neglect........................... Polaris Project, Washington, DC for the New Jersey 250,000 Trafficking Intervention Program.................... Prince George's County, Upper Marlboro, MD for a 165,000 program for transition aged youth................... Safe Horizons, Port Huron, MI for domestic violence 200,000 service programs.................................... Salvation Army San Bernardino Center for Worship and 160,000 Service, San Bernardino, CA for the Support Family Services Program.................................... Santa Clara Family Health Plan, Campbell, CA for a 300,000 program to transfer medically fragile and severely developmentally disabled individuals from an institutional setting............................... SingleStop USA, San Francisco, CA for a program to 100,000 increase low-income households' access to social services............................................ Somerset Home for Temporarily Displaced Children, 400,000 Bridgewater, NJ for a transitional/permanent housing program for youth who have aged out of foster care.. Susanna Wesley Family Learning Center, East Prairie, 250,000 MO to assist at-risk youth and their families....... University of Alabama, Tuscaloosa, AL for the West 355,000 Alabama Autism Outreach Center...................... University of Central Missouri, Warrensburg, MO for 280,000 services for people with Autism Spectrum Disorders.. University of Toledo, Toledo, OH for services for 500,000 persons with autism and research on autism spectrum disorders........................................... Wayne County Department of Children and Family 150,000 Services, Detroit, MI for the Kids-TALK forensic interviewing project................................ Wynona's House, Newark, NJ for multicultural 300,000 psychotherapeutic interventions for child victims of sexual abuse........................................ YWCA of Monterey County, Monterey, CA for expansion 250,000 of direct services and prevention programs to combat domestic and gang violence.......................... ------------------------------------------------------------------------ Developmental Disabilities Assistance The Committee provides $186,355,000 for programs authorized by the Developmental Disabilities Assistance and Bill of Rights Act and the Help America Vote Act, which is $2,500,000 more than the fiscal year 2009 funding level and the budget request. State Councils on Developmental Disabilities Within the total for developmental disabilities assistance, $74,316,000 is for allotments to States to fund State Councils on Developmental Disabilities, which is the same as the fiscal year 2009 funding level and the budget request. These State Councils 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 the nation. Protection and Advocacy Within the total for developmental disabilities assistance, $41,024,000 is available to States for the Developmental Disabilities Protection and Advocacy Program, which is aimed at protecting the legal and human rights of the developmentally disabled. This amount is $1,000,000 more than the fiscal year 2009 funding level and the budget request. Voting Access for Individuals With Disabilities Within the total for developmental disabilities assistance, the Committee recommends $17,410,000 for Voting Access for Individuals with Disabilities, which is the same as the fiscal year 2009 funding level and the budget request. Within the funds provided, $12,154,000 is for payments to States to promote access for voters with disabilities and $5,256,000 is for State protection and advocacy systems. These programs are intended to make polling places accessible and provide equal access and participation for individuals with disabilities. The protection and advocacy program will ensure that individuals can fully participate in the electoral process, including registering to vote, accessing polling places, and casting a vote. The Committee encourages ACF to continue to work with States to ensure that these funds are properly used within a reasonable amount of time. Developmental Disabilities Projects of National Significance Within the total for developmental disabilities assistance, the Committee recommends $14,662,000 for Developmental Disabilities Projects of National Significance, which is $500,000 above the fiscal year 2009 funding level and the budget request. Within this amount, the Committee recommends $3,000,000 for the establishment of a national autism resource and information center, to help families and other caregivers of individuals with autism spectrum disorders access information about evidence-based interventions, services, and protocols. This award shall be made on a competitive basis. University Centers for Excellence in Developmental Disabilities Within the total for developmental disabilities assistance, the Committee recommends $38,943,000 for the University Centers for Excellence in Developmental Disabilities, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. This funding provides discretionary grants to public or not-for-profit entities associated with universities. The grants provide basic operational and administrative core support for these entities. In addition, these funds support interdisciplinary training, community services, research and technical assistance, and information dissemination. Native American Programs The Committee provides $48,523,000 for Native American programs, which is $1,500,000 above the fiscal year 2009 funding level and the budget request. The Native American programs assist tribal and village governments, Native American institutions, and organizations to support and develop stable, diversified local economies. In promoting social and economic self-sufficiency, this program provides financial assistance through direct grants for individual projects, training and technical assistance, and research and demonstration programs. Within this amount, the Committee intends that not less than $11,000,000 be used to fund Native American language programs, as authorized by the Esther Martinez Native American Languages Preservation Act of 2006. Community Services The Committee provides $770,025,000 for community services activities, which is $5,288,000 below the fiscal year 2009 funding level and $4,712,000 above the budget request. Grants to States for Community Services Within the total for community services activities, the Committee provides $700,000,000 for the Community Services Block Grant (CSBG), which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $1,000,000,000 for CSBG in fiscal years 2009 and 2010. The Recovery Act also included language allowing States to increase the income eligibility ceiling from 125 percent to 200 percent of the poverty level for appropriated funds in fiscal years 2009 and 2010. The CSBG provides flexible funding to over 1,000 counties, territories, and Indian tribes for services, such as employment, housing, nutrition, energy, emergency services, child care, job training and placement, parenting education, adult literacy classes, domestic violence prevention, emergency food assistance, and health needs of low-income people. As a result of the funds provided in this bill, localities will assist more than 16 million low-income individuals. The Committee directs that $500,000 of training and technical assistance funds under CSBG be allocated for a national community economic development training and capacity development initiative. Successful implementation of community development programs requires significant investment in high- quality board and staff training and proven technical assistance. This funding will enable community action agency leaders to attain the professional skills needed to undertake projects to enhance their communities' future security through financing and implementing innovative housing, economic and community development partnerships. Community Economic Development Within the total for community services activities, the Committee provides $36,000,000 for Community Economic Development, which is the same as the fiscal year 2009 funding level and the budget request. The Community Economic Development program provides grants to locally-initiated community economic development corporations (CEDCs) to make loans to or investments in private business enterprises that provide employment, training, and business opportunities for low-income individuals in poor communities. The Committee continues 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. Rural Community Facilities Within the total for community services activities, the Committee provides $10,000,000 for Rural Community Facilities, which is the same as the fiscal year 2009 funding level and $10,000,000 more than the budget request. This program provides training and technical assistance to communities for planning, developing, and managing, safe drinking water and wastewater facilities. As in the past, these funds should be allocated to regional rural community assistance programs. Job Opportunities for Low-Income Individuals The Committee does not provide funding for Job Opportunities for Low-Income Individuals because the Committee recommendation includes $50,000,000 for a new Transitional Jobs initiative in the Department of Labor to provide employment opportunities to the same target population of TANF recipients and low-income individuals as this program. The budget request included $5,288,000 for this program, the same as the fiscal year 2009 funding level. In fiscal year 2009, this program provided grants to non-profit organizations to create new employment and business opportunities for TANF recipients and other low-income individuals. The effectiveness of this narrowly focused program has never been evaluated, and the Committee believes these activities are duplicated by other programs. Individual Development Accounts Within the total for community services activities, the Committee provides $24,025,000 for Individual Development Accounts, which is the same as the fiscal year 2009 funding level and the budget request. Individual Development Accounts are dedicated savings accounts that can be used by families with limited means for purchasing a first home, paying for postsecondary education or capitalizing a business. The intent of the program is to encourage participants to develop and reinforce strong habits for saving money. Section 501(c)(3) organizations are eligible to apply for the funds and applicants must match Federal funds with non-Federal funds. Violent Crime Reduction Programs The Committee provides $133,776,000 for Family Violence Prevention and Services and Battered Women's Shelters, which is $6,000,000 above the fiscal year 2009 funding level and the budget request. This program is designed to assist States and tribes in efforts to prevent family violence and to provide immediate shelter and related assistance for victims of family violence and their dependents. In addition, the Committee provides $3,209,000 to finance a domestic violence hotline, which is the same as the fiscal year 2009 funding level and the budget request. Mentoring Children of Prisoners The Committee provides $49,314,000 for Mentoring Children of Prisoners, which is the same as the fiscal year 2009 funding level and the budget request. This program supports competitively awarded grants to States and local governments, Indian tribes and consortia, and faith- and community-based organizations to mentor children of prisoners and those recently released from prison. Independent Living Training Vouchers The Committee provides $45,351,000 for Independent Living Training Vouchers, which is the same as the fiscal year 2009 funding level and the budget request. This program provides vouchers of up to $5,000 per year for post-secondary assistance such as tuition, books, fees, supplies, and vocational training for foster care youth and former foster care youth. These discretionary funds will provide vouchers to approximately 16,000 such youth to help them transition from foster care. Teenage Pregnancy Prevention The Committee provides a total program level of $114,455,000 for a new teenage pregnancy prevention initiative, as requested by the Administration. This program will provide funds to public and private entities on a competitive basis for proven-effective or otherwise promising teenage pregnancy prevention programs that provide medically accurate, age- appropriate, and complete information to youths. The Committee is deeply concerned that teenage birth rates have begun to rise after 14 years of decline. In 2006, teenage birth increased for the first time since 1991, following a 34-percent decline over that period. Preliminary data indicates this increase may have continued in 2007. Studies have found that the overwhelming majority of teenage pregnancies are unplanned. Reducing the incidence of teenage pregnancy can have untold individual and societal benefits, including reducing poverty, improving education outcomes, improving child well-being, and reducing the need for abortions. Within the total, the Committee provides not less than $75,000,000 for evidence-based programs that have shown through rigorous evaluation, defined as randomized controlled trials, to reduce teenage pregnancy, delay sexual activity, or increase contraceptive use. Most evidence-based programs that have been proven effective at reducing risk factors associated with teenage pregnancy are those that encourage abstinence as the safest choice and also discuss contraceptive use as a way to avoid pregnancy and sexually transmitted infections. Within the total, the Committee further provides not less than $25,000,000 to develop, test, replicate, and refine programs that may not yet have rigorous evaluation demonstrating effectiveness, but use promising or innovative approaches to prevent teenage pregnancy. Any remaining amounts not specified herein should be used for program support, training and technical assistance, demonstration development, and additional research and evaluation activities. Within the total, $4,455,000 is provided through the Section 241 Public Health Service Act evaluation set-aside for evaluating promising teenage pregnancy prevention approaches. Community-based Abstinence Education The Administration's budget request did not include funding for Community-based Abstinence Education, which received a program level total of $99,114,000 in fiscal year 2009. The Committee adopts this recommendation. Abstinence education approaches meeting the qualifications laid out in the Teenage Pregnancy Prevention program will be eligible for funding under that program. Faith-based Center The Committee provides $1,376,000 for the Faith-based Center, which is $14,000 above the fiscal year 2009 funding level and same as the budget request. The center will support implementation of faith-based and community initiatives. Disaster Human Services Case Management The Committee provides $2,000,000 for the Disaster Human Services Case Management initiative, as proposed by the Administration. This new initiative will be a collaboration between ACF and the Assistant Secretary for Preparedness and Response within HHS and the Federal Emergency Management Agency. Its purpose is to assist States in building the capacity to provide effective case management services to victims of major disasters. Program Direction The Committee provides $213,485,000 for Program Direction, which is $16,555,000 more than the fiscal year 2009 funding level and $4,139,000 less than the budget request. Program Direction provides funding for salaries and expenses for ACF program management in Washington, D.C. headquarters, ten regional offices, and 13 child support enforcement offices. There have been numerous reauthorizations in the past two years that have included major new responsibilities for ACF relating to the administration of Head Start, Refugee and Entrant Assistance programs, and foster care and adoption assistance programs. Within the total, the Committee provides $1,000,000 to be transferred to National Commission on Children and Disasters, as provided for in title VI of division G of the Omnibus Appropriations Act, 2008, to continue a comprehensive study of the needs of children relating to the preparation for, response to, and recovery from major disasters and emergencies. In total, the National Commission on Children and Disasters will have received $3,000,000 of this activity, the authorized funding level. Within the total, the Committee provides up to $2,000,000 for improving the Public Assistance Reporting Information System. PROMOTING SAFE AND STABLE FAMILIES The Committee provides $345,000,000 in mandatory funds for the Promoting Safe and Stable Families program, which is the same as the fiscal year 2009 funding level and the budget request. The Committee recommends $63,311,000 in discretionary funds for this program, which is also the same as the fiscal year 2009 funding level and the budget request. A total of $443,311,000 will be available in fiscal year 2010 for this program, which enables each State to operate a coordinated program of family preservation services, community-based family support services, time-limited reunification services, and adoption promotion and support services. States receive funds based on their share of children in all States receiving food stamp benefits. PAYMENTS FOR FOSTER CARE AND PERMANENCY The Committee provides $5,532,000,000 for Payments for Foster Care and Permanency, which is $123,000,000 more than the fiscal year 2009 funding level and the same as the budget request. Including advance appropriations in fiscal year 2009, a total of $7,332,000,000 will be available for this activity in fiscal year 2010. The Committee also includes an advance appropriation of $1,850,000,000 for the first quarter of fiscal year 2011 to ensure timely completion of first quarter grant awards. Within the total, including the advance appropriation from the prior year, the Committee recommends $4,681,000,000 for the Foster Care program, which is $21,000,000 more than the fiscal year 2009 funding level and the same as the budget request. This program provides funds to States for foster care maintenance payments for children living in foster care. These funds also reimburse States for administrative costs to manage the program and training for staff and parents. The Fostering Connections to Success and Increasing Adoptions Act of 2008 expanded eligible training expenditures and educational stability and health oversight requirements. Within the total, the Committee recommends $2,462,000,000 for Adoption Assistance, which is $91,000,000 more than the fiscal year 2009 funding level and the same as the budget request. This program provides funds to States to subsidize families who adopt children with special needs, e.g., older children, a member of a minority or sibling group, or children with physical, mental, and emotional disabilities. In addition, the program provides training for adoptive parents and State administrative staff. This annually appropriated entitlement provides alternatives to long, inappropriate stays in foster care by developing permanent placements with families. Within the total, the Committee recommends $49,000,000 for the Kinship Guardianship Assistance program, which is $35,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Fostering Connections to Success and Increasing Adoptions Act of 2008 created the Kinship Guardianship Assistance program to provide subsidies to a relative taking legal guardianship of a child for whom being returned home or adoption are not appropriate permanency options. This increase reflects the first full year of implementation of the program. Finally, within the total, the Committee recommends $140,000,000 for the Independent Living program, which is the same as the fiscal year 2009 funding level and the budget request. This program assists foster children age 16 or older make successful transitions to independence. Funds support a variety of services, including educational assistance, career exploration, vocational training, job placement, life skills training, home management, health services, substance abuse prevention, preventive health activities, and room and board. Each State receives funds based on the number of children on whose behalf the State receives Federal Foster Care Payments. Administration on Aging AGING SERVICES PROGRAMS The Committee provides $1,530,881,000 for programs administered by the Administration on Aging (AOA), which is $37,038,000 more than the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $100,000,000 for senior nutrition services within AOA. AOA administers the programs authorized by the Older Americans Act, except for the Community Services Employment for Older Americans Program, which is administered by the Department of Labor. The majority of the funding appropriated to AOA is distributed via statutory formula to States or tribal organizations based on their share of the population over age 60. Home and Community-Based Supportive Services The Committee provides $371,348,000 for Home and Community- Based Supportive Services, which is $10,000,000 more than the fiscal year 2009 funding level and the budget request. Funds are distributed to States and territories by formula grant based on a State's share of the population over age 60. This program serves as the foundation for the national aging services network by coordinating a variety of activities for seniors that help seniors remain at home for as long as possible. States allocate funds based on local needs, funding services such as transportation, case management, information and referral, in-home care, adult day care, and physical fitness programs. Funding also supports multi-purpose senior centers, which coordinate and integrate services for the elderly. In fiscal year 2010, this funding will support approximately 26 million rides to doctor's offices grocery stores, pharmacies, senior centers, meal sites, and other critical daily activities; 32 million hours of personal care, homemaker, and chore services; nine million hours of adult day care; and four million hours of case management services. Preventive Health Services The Committee provides $21,026,000 for Preventive Health Services, which is the same as the fiscal year 2009 funding level and the budget request. These funds are awarded to States and territories to support activities that educate older adults about the importance of healthy lifestyles and promote healthy behaviors that can prevent or delay chronic disease and disability. Protection of Vulnerable Older Americans The Committee provides $21,383,000 for the Protection of Vulnerable Older Americans, which is the same as the fiscal year 2009 funding level and the budget request. This amount includes funding for the Long-term Care Ombudsman Program, which protects the rights and interests of residents in nursing homes, board and care homes, assisted living facilities, and similar adult care facilities. The amount also includes funding for the Prevention of Elder Abuse, Neglect, and Exploitation Program, which trains law enforcement and medical professionals to recognize and respond to elder abuse. Family Caregiver Support Services The Committee provides $154,220,000 for Family Caregiver Support Services, which is the same as the fiscal year 2009 funding level and the budget request. The Family Caregiver Support Services program provides formula grants to States to provide a support system in each State for family caregivers. All States are expected to put in place five basic system components: individualized information on available resources; assistance to families in locating services from private and voluntary agencies; caregiver counseling, training and peer support; respite care; and other supplemental services. Native American Caregiver Support Services The Committee provides $6,389,000 for Native American Caregiver Support Services, which is the same as the fiscal year 2009 funding level and the budget request. The program assists American Indian tribes in providing multifaceted systems of support services for family caregivers, as well as for grandparents caring for grandchildren. Nutrition Services The Committee provides $829,205,000 for Nutrition Services, which is $19,462,000 more than the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $97,000,000 for this activity in fiscal year 2009. The Committee recommendation will support almost 239 million meals to an estimated 2.5 million seniors, including 387,000 seniors with severe disabilities in fiscal year 2010, an increase of approximately three million meals. The Nutrition Services program includes Congregate Nutrition Services, Home-Delivered Nutrition Services and the Nutrition Services Incentive Program. The Congregate Nutrition Services program provides funding by formula grant to States for the provision of meals and related services in a variety of congregate settings. The Home-Delivered Nutrition Services program provides funding by formula grant to States for the delivery of meals and related services to seniors who are homebound. The Nutrition Services Incentive Program awards additional funding to existing congregate and home-delivered meal providers based on the number of meals they provided in the previous year. The funding distribution for these programs is included in the detailed table accompanying this report. The Older American Act provides States with significant flexibility to transfer funds between Home-Delivered and Congregate Nutrition Services to meet the varying demands for nutrition services in different States. The Older Americans Act also provides States flexibility to transfer funds between Nutrition Services programs and Home and Community Based Supportive Services. This allows States with a higher demand for congregate meals to also provide transportation services to meal sites. The Committee recognizes this need for flexibility. In order to get a more accurate sense of the demand for different services, the Committee requests AOA to include in future Congressional budget justifications the actual amount obligated by States for Home Delivered Nutrition Services, Congregate Nutrition Services, and Home and Community-Based Supportive Services, including transfers between programs. Grants for Native Americans The Committee provides $28,208,000 for Grants for Native Americans, which is $1,000,000 more than the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $3,000,000 for Nutrition Services for Native Americans within this activity. Grants are distributed to tribal organizations to help Native American elders remain healthy and independent by providing transportation, nutrition, health screenings, and other services. Program Innovations The Committee provides $21,128,000 for Program Innovations, which is $2,956,000 more than the fiscal year 2009 funding level and $8,079,000 more than the budget request. Program Innovation funds are used for grants and contracts to support projects that develop new and promising practices to serve older adults and their families. Within the total for Program Innovations, the Committee recommendation includes the following amounts for programs of national significance: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- -------------------------------------------------------- Budget activity FY 2010 budget FY 2010 committee FY 2009 request ---------------------------------------------------------------------------------------------------------------- Model Approaches to Statewide Legal Assistance Systems. $2,000,000 $0 $0 National Legal Assistance & Support Projects........... 746,000 0 0 National Education & Resource Center on Women & 249,000 0 0 Retirement............................................ Multigenerational Civic Engagement..................... 982,000 0 0 National Resource Center on Native Americans........... 693,000 0 0 National Minority Aging Organizations: Asian-Pacific 357,000 0 0 Americans............................................. National Minority Aging Organizations: Native Americans 129,000 0 0 National Minority Aging Organizations: Hispanic & 448,000 0 0 African Americans..................................... National Alzheimer's Call Center....................... 1,000,000 0 0 Community Innovations for Aging in Place............... 8,000,000 +3,000,000 +3,000,000 ---------------------------------------------------------------------------------------------------------------- Community Innovations for Aging in Place.--Within the funds provided, the Committee includes $8,000,000 for the Community Innovations for Aging in Place program, which is $3,000,000 more than the fiscal year 2009 funding level and the budget request. This funding will provide grants to community-based organizations for model aging in place initiatives, such as the coordination and delivery of services to elderly residents living in naturally occurring retirement communities. The Committee encourages AOA to ensure that these initiatives are coordinated with existing programming under the Older Americans Act, including Aging and Disability Resource Centers, Nursing Home Diversion, and Evidence-Based Prevention activities. National Alzheimer's Call Center.--Within the funds provided, the Committee includes $1,000,000 to continue a 24- hour call center to provide Alzheimer family caregivers with professional care consultation and crisis intervention. The nationwide Alzheimer Call Center provides telephone support, crisis counseling, and information and referral services in over 140 languages, 24 hours a day, seven days a week, and 365 days a year. In 2008 the Call Center received over 270,000 calls from persons with Alzheimer's disease, their families, and caregivers. National Minority Aging Organizations.--The Committee continues to support National Minority Aging Organizations and their role in reducing and eliminating health disparities among racial and ethnic minorities. Funding supports practical, nontraditional, community-based intervention for reaching older individuals who experience barriers to accessing home and community-based services, focusing on barriers due to language and low-literacy, as well as those directly related to cultural diversity. The bill includes $5,079,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Catholic Charities Hawaii, Honolulu, HI for an $400,000 independent living demonstration project............ Center on Halsted, Chicago, IL for wellness services 475,000 for seniors......................................... City of Fremont, CA for training, coordination, and 150,000 outreach to address the needs of seniors............ City of Long Beach, CA for a program to coordinate 100,000 senior services and activities within the region.... County of Ventura, CA for an elder abuse prevention 654,000 and treatment program............................... Family Caregiver Alliance, San Francisco, CA for a 500,000 National Resource Center on Family Caregiving....... Jewish Family and Children's Service of Minneapolis, 250,000 Minnetonka, MN for the Family Caregiver Access Network Demonstration Project....................... Jewish Family Service of Central New Jersey, 300,000 Elizabeth, NJ for an aging-in-place demonstration... Jewish Family Service of Metropolitan Detroit, West 200,000 Bloomfield, MI for a family caregiver services development project................................. Jewish Family Service of Somerset, Hunterdon and 225,000 Warren Counties, Somerville, NJ for an aging-in- place demonstration................................. Mosaic-Garden City Agency, Garden City, KS for the 350,000 Legacy Senior Services Initiative to provide services to seniors with intellectual or developmental disabilities or Alzheimer's disease... NORC Supportive Services Center, Inc., New York, NY 500,000 for a program to provide medical products and services to seniors................................. Rebuilding Together, Inc., Washington, DC for the 350,000 Safe at Home falls prevention initiative............ Stetson University College of Law, Gulfport, FL for a 100,000 demonstration program to educate seniors on economic issues.............................................. UJA Federation of Northern New Jersey, Paramus, NJ 200,000 for an aging in place program....................... United Jewish Communities of MetroWestNJU, Whippany, 100,000 NJ for the Lifelong Involvement for Vital Elders independent aging demonstration program............. Westminster Village, Allentown, PA for the Demential 225,000 Leadership Initiative Program....................... ------------------------------------------------------------------------ Aging Network Support Activities The Committee provides $44,283,000 for Aging Network Support Activities, which is $2,589,000 more than the fiscal year 2009 funding level and the same as the budget request. Aging Network Support Activities provide competitive grants and contracts to support ongoing activities, which help seniors and their families obtain information about their care options, benefits, and which assist States, tribes and community providers of aging services to carry out their mission and help seniors remain independent and living in their homes and communities. Within the total for Aging Network Support Activities, the Committee recommendation includes the following amounts for programs of national significance: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- FY 2010 ------------------------------------- Budget activity Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Health & Long-Term Care Programs....................... $30,589,000 +$2,589,000 $0 Pension Information & Counseling Program............... 1,719,000 0 0 National Eldercare Locator............................. 1,178,000 0 0 National Long-Term Care Ombudsman Resource Center...... 547,000 0 0 National Center on Elder Abuse......................... 811,000 0 0 Senior Medicare Patrol Program......................... 9,439,000 0 0 ---------------------------------------------------------------------------------------------------------------- Health and Long Term Care Programs.--Within the funds provided, the Committee provides $30,589,000 for Health and Long-Term Care programs, formerly the Choices for Independence program. This includes funding for Aging and Disability Resource Centers (ADRC), Evidence-Based Disease and Disability Prevention programs (EBDP), and Community Living programs (formerly Nursing Home Diversion programs). These programs help older individuals improve and maintain their health, better direct their care, extend their personal resources, and remain in the community through low-cost community based service alternatives. ADRCs serve as the entry point for health and long-term care at the community level. There are currently over 200 sites operating in 47 States and territories. The EBDP program provides grants focusing on low-cost interventions at the community level, including chronic disease self-management, diabetes self-management education programs, prevention of falls, and physical activity. There are over 1,200 programs being piloted in 27 States. The Community Living program helps States begin to reform their long-term care systems by strategically using ADRCs to identify individuals at risk of nursing home placement and spend-down to Medicaid, and providing them information and access to community-based long- term care services that enable them to continue to live at home and in the community. The Committee continues to support these programs and recommends that AOA build on and expand these programs, while continuing to evaluate them, measuring their outcomes and impacts and identifying opportunities for continued improvement. The Committee commends the work AOA has done, in conjunction with the Veterans Administration (VA), to help aging veterans remain independent and living in their homes and communities. Through AOA's Community Living program, local aging agencies identify aging veterans and work with VA Medical Centers to provide a flexible package of services that allows aging veterans to choose their own services, from home- delivered meals to brain health activities, to help them remain independent. The Committee supports this joint initiative that builds on the similar missions of AOA and VA while avoiding duplicating efforts by effectively using the resources of both agencies to provide consumer-directed services to aging veterans. Alzheimer's Disease Demonstration Grants The Committee provides $11,464,000 for Alzheimer's Disease Demonstration Grants, which is the same as the fiscal year 2009 funding level and the budget request. The demonstration grant 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 supports work on emerging issues, such as early intervention and chronic care management, and believes these grants can have broad implications for Medicaid and Medicare, on underserved populations, and on the dissemination and replication of program successes nationwide. Lifespan Respite Care The Committee provides $2,500,000 for Lifespan Respite Care, which is the same as the fiscal year 2009 funding level and the budget request. These funds will support coordinated systems of community-based respite care services for family caregivers of children and adults with special needs. The budget request included funding for this activity within the General Departmental Management account (GDM). In fiscal year 2009, this program was funded under GDM but administered by AOA. Program Administration The Committee provides $19,727,000 for Program Administration, which is $1,031,000 more than the fiscal year 2009 funding level and $1,503,000 less than the budget request. This activity provides administrative and management support for all programs administered by AOA. Office of the Secretary GENERAL DEPARTMENTAL MANAGEMENT (INCLUDING TRANSFER OF FUNDS) The Committee provides $403,452,000 for General Departmental Management, which is $10,176,000 above the fiscal year 2009 funding level and $3,597,000 below the budget request. Included in this amount is authority to spend $5,851,000 from the Medicare trust funds, as requested by the Administration. In addition, the Office of the Secretary has access to $69,756,000 for policy evaluation funding activities under section 241 of the Public Health Service Act. This appropriation supports activities that are associated with the Secretary's roles as policy officer and general manager of the Department. The Office of the Secretary also implements Administration and Congressional directives, and provides assistance, direction and coordination to the headquarters, regions, and field organizations of the Department. In addition, this funding supports the Office of the Surgeon General and several other health promotion and disease prevention activities that are centrally administered. Caroline Pryce Walker Conquer Childhood Cancer Act.--The Committee includes $10,000,000 within the Office of the Secretary to implement the Caroline Pryce Walker Conquer Childhood Cancer Act. The Secretary shall make these funds available to the appropriate operating divisions within the Department. Commissioned Corps Transformation.--The Committee provides $14,813,000 for transformation, readiness, and training of the Commissioned Corps, which is the same as the fiscal year 2009 funding level and the budget request. Funds will be used to support personnel management and training, information technology, and other transformation activities that will enable the Commissioned Corps to better respond to public health emergencies and to address health care needs in isolated, hardship, hazardous, and other hard-to-fill positions. Federal Contracting with Women-Owned Firms, Minority-Owned Firms, and Small Businesses.--The Committee directs the Secretary of HHS to provide a report on the Department's activities to assist women-owned and minority-owned firms seeking to compete for Federal contracts. The report should include the percentage of Federal procurement contracts and subcontracts awarded in fiscal year 2009 to women-owned firms, minority-owned firms, and small businesses; a review of the Department's technical assistance and outreach to women-owned firms, minority-owned firms, and small businesses; and the Department's plan for increasing the number of Federal contracts that are awarded to such firms. The Secretary should submit this report to the Committees on Appropriations of the House of Representatives and the Senate by March 1, 2010. Healthcare-Associated Infections (HAIs).--The Committee continues its strong interest in, and support of, the implementation of the HHS Action Plan to Prevent Healthcare- Associated Infections, with the goal of dramatically reducing these life-threatening infections that patients acquire while receiving treatment for medical or surgical conditions, resulting in nearly 100,000 deaths annually. Yet, the annual 2008 National Healthcare Quality Report issued by AHRQ indicates that patient safety measures have actually worsened by nearly one percent each year for the past six years, in part, due to a rise in HAIs. In fiscal year 2009, the Committee provided a $21,800,000 increase to HHS to facilitate a comprehensive, coordinated effort throughout the Department to combat HAIs. An additional $50,000,000 for grants to States was provided in the Recovery Act to help fight this significant health care problem. For fiscal year 2010, the Committee continues this initiative by including an increase of $33,848,000 for HAI- related activities within the Department. This amount includes an increase of $16,152,000 within CDC and $17,696,000 within AHRQ. Within the Office of the Secretary, the Committee includes $5,000,000 that will be used to continue a national public awareness campaign to raise awareness of the importance of addressing HAIs among healthcare providers, institutions, and consumers; assess progress in meeting performance measures; and establish a framework for evaluation efforts. In addition, an increase of $53,772,000 is included within CMS to increase the frequency of inspections of nursing homes and other medical facilities, giving inspectors more opportunities to identify infection control problems. During fiscal year 2010, States will be submitting State action plans to HHS that outline actions they will take to reduce HAIs, including measurable five-year goals and interim milestones for reducing such infections. The Committee looks forward to receiving a progress report from HHS on national implementation activities and, by June 1, 2010, the report mandated in Public Law 111-8 regarding the adequacy of the State plans for achieving national and State goals for reducing HAIs. The Committee supports the Department's efforts to reduce HAIs not only in hospitals, but also in ambulatory surgical care settings through increased inspections of these facilities in recognition of the growing number of incidents involving syringe reuse and misuse of multi-dose vials. These facilities have been the fastest growing provider type participating in Medicare. The Committee notes that the shortage of primary care health professionals may lead to medical errors that can contribute to healthcare associated infections, as health workers may be more prone to making medical errors due to extended and often unregulated work hours and increased fatigue. The Committee also notes the importance of developing standardized protocols and training programs directed at primary care health professionals and health care administrators. The Committee, therefore, encourages the Secretary to consider and incorporate strategies to increase the size of the primary care workforce and to address recommendations from the Government Accountability Office regarding physician and medical work hours within the HAI Action Plan in order to increase capacity to detect, prevent, and reduce healthcare-associated infections. Institute of Medicine Mental Health Workforce.--The Committee provides up to $900,000 to support an Institute of Medicine study that shall provide: (1) a systematic and trend analysis of the current and projected mental and behavioral healthcare needs of the American people, particularly for aging and growing ethnic populations; and (2) policy recommendations for achieving a competent and well-trained mental health workforce to address those needs. The Committee believes that such a study would be particularly timely in light of the projected doubling of the aged population by 2030, new evidence on the importance of addressing mental health issues as part of effective chronic disease management, increased numbers of veterans with post traumatic stress disorder, improved diagnostic techniques, and implementation of a new Federal mental health parity law. Interagency Autism Coordinating Committee.--The Committee recommends $1,000,000 to support the Interagency Autism Coordinating Committee (IACC). The bill provides that these funds shall be transferred, within 30 days after enactment of this Act, to the National Institute of Mental Health (NIMH), which administers the IACC. The IACC is responsible for coordinating activities among the operating divisions and agencies of the Department of Health and Human Services concerning autism spectrum disorders, as authorized under the Combating Autism Act of 2006 (Public Law 109-416). These funds, combined with funds included within the budget request for the National Institute of Mental Health, will result in approximately $2,000,000 for the work of the IACC in fiscal year 2010. The first IACC Strategic Plan for Autism Spectrum Disorders Research was completed on January 26, 2009. Anticipated activities of the IACC during fiscal year 2010 include updating the strategic plan and holding scientific workshops. Poverty Research Center Program.--The Committee includes no less than the fiscal year 2009 level for the Poverty Research Center program, which will be re-competed in fiscal year 2010. Racial and Ethnic Disparities.--The Committee is deeply concerned about the continuing racial and ethnic disparities in health and health care. The Committee encourages the Office of the Secretary to develop a National Strategy to Eliminate Racial and Ethnic Disparities in Health and Health Care, to be implemented and monitored in partnership with State and local governments, communities, and the private sector. This national strategy should include measurable goals, benchmarks and timelines and progress reporting by the Office of the Secretary to the President and to the Committees on Appropriations of the House of Representatives and the Senate at scheduled intervals. The Committee also urges the Administration include the elimination of racial and ethnic health disparities within the core of its health reform efforts. Scientific Information.--The Committee continues bill language directing that information requests from the Chairmen and Ranking Members of the House and Senate Subcommittees on Labor, Health and Human Services, and Education, and Related Agencies, on scientific research or any other matter shall be transmitted in a prompt and professional manner, uncensored, and without delay to the Committees on Appropriations of the House of Representatives and the Senate. Tick-borne Diseases.--The Committee directs the Secretary to review the coordination of efforts across HHS operating divisions with respect to tick-borne diseases to ensure that: a broad spectrum of scientific viewpoints is represented in public health policy decisions, accurate information is disseminated to the public and physicians, and actions are taken by the Department that will foster significant progress in the development and adoption of improved diagnostics for Lyme disease. The Department shall submit a report to the Committees on Appropriations of the House of Representatives and the Senate with the findings from this review not later than September 30, 2010. White House Conference on Children and Youth.--The Committee urges the Administration to consider establishing a White House Conference on Children and Youth that would follow the model of previous conferences held decennially since 1909. The bill includes $700,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ BayCare Health System, Tampa, FL for a community- $200,000 based health outreach program to address health disparities in South Pinnellas and Hillsborough counties............................................ South Central Family Health Center, Los Angeles, CA 100,000 for a community diabetes management initiative...... University of West Florida, Pensacola, FL for a 400,000 health information technology evaluation project.... ------------------------------------------------------------------------ Adolescent Family Life The Committee provides $29,778,000 for the Adolescent Family Life program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides comprehensive and integrated approaches to the delivery of care for pregnant and parenting adolescents, and prevention demonstration programs that develop, test and evaluate pregnancy prevention interventions. The bill designates $13,120,000 for a teenage pregnancy prevention initiative, proposed by the Administration, of which $9,840,000 is for evidence-based programs and $3,280,000 is for research and demonstration of promising or innovative approaches to preventing teenage pregnancies. Office of Minority Health The Committee provides $56,000,000 for the Office of Minority Health (OMH), which is $3,044,000 above the fiscal year 2009 funding level and $44,000 above the budget request. The Committee does not include funding for a one-time project costing $5,283,000 in fiscal year 2009. Excluding this project, the Committee provides an $8,283,000 increase over fiscal year 2009 for ongoing and new activities. The OMH works with U.S. Public Health Service agencies and other agencies of the Department to address the health status and quality of life for racial and ethnic minority populations in the United States. OMH develops and implements new policies; partners with States, tribes, and communities through cooperative agreements; supports research, demonstration, and evaluation projects; and disseminates information. The Committee is encouraged by the progress OMH is making to improve the health status of minority individuals and looks forward to OMH further demonstrating the effectiveness of providing health education services in a community setting. Minority Health Schools.--The Committee commends OMH for its efforts to partner with our nation's historically black medical schools, including expanding opportunities for biomedical research and supporting residency training faculty. The Committee also encourages OMH to continue its leadership in defining the opportunities at minority health schools to resolve health disparities. The Committee requests a report on the status of these activities by May 1, 2010. Lupus Health Provider Education.--Within the amount provided for the OMH, $1,000,000 is included to continue the national health provider education program to improve lupus diagnosis and treatment and reduce health disparities. The Committee remains very 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 person--90 percent of whom are women. The Committee is pleased that OMH is working with the Surgeon General and the Office on Women's Health to implement a continuing health education program with the ultimate goal of improving diagnosis for those with lupus and reducing disparities to care. OMH is encouraged to involve a wide array of public health, community, academic, medical and industry organizations, including those working to improve medical school curricula. Office on Women's Health The Committee provides $33,746,000 for the Office on Women's Health (OWH), which is the same as the fiscal year 2009 funding level and the budget request. The OWH advises the Secretary and provides Department-wide coordination of programs focusing specifically on women's health. Violence Against Women Initiative.--The Committee includes $2,325,000 to continue the OWH violence against women initiative. The Committee intends that these funds be used to enhance health care providers understanding of domestic and dating violence, and to develop a coordinated public health response regarding the domestic violence issues. HIV/AIDS in Minority Communities The Committee bill includes $53,891,000 to be available to the Secretary for transfer to the Department's operating divisions for specific program activities to address the high- priority HIV prevention and treatment needs of minority communities. This amount is $2,000,000 above the fiscal year 2009 funding level and the budget request. These funds are provided to promote an effective, culturally competent and linguistically appropriate public health response to the HIV/ AIDS epidemic. Minority Community-based Organizations.--The Committee emphasizes that national minority AIDS initiative funds are intended to support minority community-based organizations and engage them in capacity building and service provision. The Committee encourages the full participation of minority community-based organizations during the competitive grant process. HIV Testing Initiative.--The Committee continues to commend the Office of the Secretary for its leadership on the African American HIV testing initiative of the Centers for Disease Control and Prevention and requests a comprehensive progress report. Within the total, the Committee expects that 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, will be supported at no less than last year's funding level. Afghanistan The Committee provides $5,789,000 for the Afghanistan health initiative, which is the same as the fiscal year 2009 funding level and the budget request. These funds will be used for the joint Departments of Defense and Health and Human Services initiative to improve maternal and newborn health outcomes at the largest women's hospital in Kabul, Afghanistan. A portion of the funds will also be used to assist the activities of the Afghanistan Ministry of Public Health to bolster public health and the delivery of health care to underserved high-risk populations. The Committee includes bill language specifying the amount of assistance and citing the Afghanistan Freedom Support Act of 2002 as the relevant authority. Embryo Adoption Awareness Campaign The Committee includes $4,200,000 for the embryo adoption awareness campaign, which is the same as the fiscal year 2009 funding level and the budget request. These funds will be used to educate Americans about the existence of frozen embryos (resulting from in-vitro fertilization), which may be available for donation/adoption. The Committee includes bill language permitting these funds also to be used to provide medical and administrative services to individuals adopting embryos, deemed necessary for such adoptions, consistent with the Code of Federal Regulations. OFFICE OF MEDICARE HEARINGS AND APPEALS The Committee provides $71,147,000 for the Office of Medicare Hearings and Appeals, which is $6,543,000 above the fiscal year 2009 funding level and the same as the budget request. This Office supports hearings at the administrative law judge level, the third level of Medicare claims appeals. In fiscal year 2008, the total number of claims exceeded 180,000, a 34 percent increase over the previous year. Because the Recovery Audit Contractor (RAC) program pilot has been made permanent in all 50 States, the number of RAC claims is expected to quadruple in 2010 to more than 40,000. This funding will support the Office's 378 full-time equivalent staff to continue the timely adjudication of all Medicare appeals. OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY The Committee makes available $61,342,000 for the Office of the National Coordinator for Health Information Technology (ONC), which is $111,000 above the amount made available in fiscal year 2009 and the same as the budget request. The Recovery Act provided an additional $2,000,000,000 until expended for ONC activities. This program was established to bring together decision- makers to develop standards for modern health information technology (IT), devise certification procedures for health IT solutions, develop a secure nationwide health information network architecture, and develop policy and technology solutions that provide adequate privacy protections for personal health information. The ultimate goal is the secure, accurate, and rapid exchange of interoperable electronic health information throughout a nationwide health information network. ONC is responsible for promoting the use of electronic health records in clinical practice and coordinating Federal health information systems. OFFICE OF INSPECTOR GENERAL The Committee provides $50,279,000 for the Office of Inspector General (OIG), which is $5,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $17,000,000 for OIG activities in fiscal years 2009 and 2010. Permanent appropriations for this office are contained in the Health Care Fraud and Abuse Control Program, the Health Insurance Portability and Accountability Act of 1996, as well as the Deficit Reduction Act of 2005. Total funds provided in this bill and the permanent appropriations are expected to be $252,484,000 in fiscal year 2010. The OIG was created by law to protect the integrity of Departmental programs as well as the health and welfare of beneficiaries served by those programs. Through a comprehensive program of audits, investigations, inspections and program evaluations, the OIG attempts to reduce the incidence of fraud, waste, abuse and mismanagement, and to promote economy, efficiency and effectiveness throughout the Department. The Committee continues bill language requiring that at least 40 percent of the funding provided in this Act for the OIG be used for investigations, audits, evaluations and inspections of discretionary programs funded in this Act. The Committee continues to be dissatisfied by the relative lack of attention in the OIG to discretionary programs funded in this bill, which provides the OIG's discretionary operating funding. The Committee also encourages the OIG to strengthen its program evaluation activities as opposed to the relatively narrow financial audit findings which seem to constitute the bulk of the reports transmitted to the Committee. OFFICE FOR CIVIL RIGHTS The Committee provides $41,099,000 for the Office for Civil Rights (OCR), which is $1,000,000 above the fiscal year 2009 funding level and the same as the budget request. Within this amount, the Committee includes authority to transfer $3,314,000 from the Medicare trust funds. The OCR is responsible for enforcing civil rights statutes that prohibit discrimination in health and human services programs. OCR implements the civil rights laws through a compliance program designed to generate voluntary compliance among all HHS recipients. MEDICAL BENEFITS FOR COMMISSIONED OFFICERS The Committee provides an estimated $474,557,000 for Medical Benefits for Commissioned Officers of the U.S. Public Health Service. This is $39,863,000 above the fiscal year 2009 funding level and the same as the budget request. This account provides for retirement payments to U.S. Public Health Service officers who are retired because of age, disability or length of service; payments to survivors of deceased officers; medical care for active duty and retired members, and dependents and beneficiaries; and payments to the Social Security Administration for military service credits. PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND (INCLUDING TRANSFER OF FUNDS) The Committee provides $2,100,649,000 for the Public Health and Social Services Emergency Fund (PHSSEF) to support a comprehensive program to prepare for and respond to the health and medical consequences of all public health emergencies, including bioterrorism, to prepare for an influenza pandemic, and support the cybersecurity efforts of HHS. This amount is $702,854,000 more than the fiscal year 2009 funding level and $577,920,000 less than the budget request. As requested, the Committee bill includes a one-time transfer of all remaining balances in the Project BioShield Special Reserve Fund from the Department of Homeland Security to this account. The amount to be transferred is currently estimated to be $1,569,000,000. Office of the Assistant Secretary for Preparedness and Response (ASPR) The Committee provides $1,644,928,000 for activities administered by ASPR. This amount is $856,737,000 more than the fiscal year 2009 funding level and $510,000,000 less than the budget request. ASPR is responsible for coordinating national policies and plans for medical and public health preparedness and for administering a variety of public health preparedness programs, including the National Disaster Medical System, the Hospital Preparedness Cooperative Agreement Grants Program, Project BioShield, and the Office of Biomedical Advanced Research and Development Authority. Operations The Committee provides $12,847,000 for ASPR Operations, which is the same as the fiscal year 2009 funding level and the budget request. Funding is used for staff salaries and expenses to direct and coordinate HHS-wide capabilities to prepare for and respond to bioterrorism and other public health and medical emergencies. Preparedness and Emergency Operations The Committee provides $35,565,000 for ASPR Preparedness and Emergency Operations. This amount is $13,340,000 more than the fiscal year 2009 funding level and the same as the budget request. Funding is used to manage the continued planning for capabilities to meet public health and medical response missions on a day-to-day basis and in response to threatening or emergent public health situations, and maintains a regional preparedness and response capability. Within the total increase, $10,000,000 is provided to prepare for and respond to non-Stafford Act National Special Security Events and other planned and unplanned events, including other mass gathering events and public health emergencies. Due to the unpredictable nature of the public health response requirements for events, $5,000,000 of the total is available for obligation through September 30, 2011. Additional funding will also be used for such activities as national-level preparedness gap analyses, regional readiness exercises, and other preparedness planning activities. National Disaster Medical System The Committee provides $56,037,000 for the National Disaster Medical System (NDMS), which is $6,537,000 more than the fiscal year 2009 funding level and the same as the budget request. The NDMS is a cooperative partnership between Federal and non-Federal partners to care for large numbers of individuals impacted by a disaster. This consists of emergency medical response, patient evacuation, and medical services and treatment. Funding is used for supplies and equipment and also for activities such as training, exercises, and operational support. Hospital Preparedness Cooperative Agreement Grants Program The Committee provides $420,000,000 for the Hospital Preparedness Cooperative Agreement Grants Program, which is $32,415,000 more than the fiscal year 2009 funding level and the same as the budget request. The program provides funding to State and local health departments to improve overall surge capacity and capability to enhance hospital preparedness to respond to all-hazard events, including the potential for an influenza pandemic or for terrorist incidents. In fiscal year 2009, HHS shifted the grant cycle for the hospital preparedness program, which required an appropriation to cover nine months and three weeks of grants to States versus a full year's worth of grants. The increase provided in this bill and in the budget request funds a full year of State grants. Medical Waste.--ASPR should review the potential for on- site capacity at medical facilities to treat infectious medical waste during a pandemic or bioterrorism emergency including the economic impact on hospitals of implementation. ASPR should also review whether Hospital Preparedness Program (HPP) grant funding could be used to aid facilities in developing this capacity if awardees determine having this capacity on-site is a priority and would be beneficial during an emergency. Information from these reviews should be included as part of the fiscal year 2010 Congressional budget justification. Emergency Systems for the Advance Registration of Volunteer Health Professionals The Committee provides $6,000,000 for the Emergency Systems for the Advance Registration of Volunteer Health Professionals (ESAR-VHP), which is the same as the fiscal year 2009 funding level and the budget request. ESAR-VHP is a program to establish a national network of State-based programs to facilitate the use of volunteers in an emergency. The program provides States with standardized guidance for volunteer recruitment, registration, credential verification, legal and regulatory issues, and policies for the use of volunteers. Advanced Research and Development The Administration proposed bill language to transfer $305,000,000 from the Project BioShield Special Reserve Fund (SRF) advance appropriation provided in the Department of Homeland Security Appropriations Act, 2004, to fund Advanced Research and Development. The Committee adopts this recommendation. The Advanced Research and Development program, which is administered by the Office of Biomedical Advanced Research and Development Authority (BARDA), provides resources to expand the development of promising medical countermeasures to prevent, prepare for, and respond to the adverse public health consequences of chemical, biological, radiological, and nuclear (CBRN) threats and public health emergencies. This amount is $30,000,000 more than the fiscal year 2009 funding level and the same as the budget request. Project BioShield Special Reserve Fund The Administration proposed bill language to transfer all remaining balances in the Project BioShield SRF still available at the end of fiscal year 2009 from the Department of Homeland Security (DHS) to HHS. The Committee adopts this recommendation. This transfer aligns the financial responsibility of the Project BioShield SRF with HHS programmatic responsibility. At the end of fiscal year 2009 and after transfers to BARDA for the CBRN advanced research and development program and the National Institute of Allergy and Infectious Diseases (NIAID), an estimated total of $764,000,000 will remain available in the Project BioShield SRF to procure and stockpile emergency medical countermeasures. This funding is available for obligation through September 30, 2013. Congress established Project BioShield in 2004, as a national effort to prepare for terrorist threats that impact the public health by facilitating the production of new vaccines, medicines, diagnostics, and other medical interventions to protect the U.S. population. Five years later, the program has failed to deliver those protections. The Federal government has procured only a handful of products to be used against the 14 material threat determinations and population threat assessments issued to date by DHS. For instance, Project BioShield has been unable to procure the next generation vaccine for anthrax, which is the leading bioterrorist threat, although this has been a top priority since the program's inception. It has become abundantly clear to the Committee, and reaffirmed by HHS officials, that without significant increased investment in discovery and pre-clinical development through NIAID and later stage advanced research and development through BARDA, Project BioShield will continue to be a failure. The Committee also notes that due to the lack of medical countermeasure procurements, there are still significant carryover balances in the Project BioShield SRF. As of June 2009, approximately $2,881,000,000, or more than 50 percent, of the $5,593,000,000 provided in 2004 for the Project BioShield SRF remains unobligated. The Committee is closely monitoring the progress of the advanced research and development portfolio and the expenditure rates of the Project BioShield SRF through monthly reports from HHS. Once additional products have a higher probability of success to licensure, additional funding will be considered for the Project BioShield SRF. BioShield Management The Committee provides $22,364,000 for BioShield Management. This amount is $312,000 more than the fiscal year 2009 funding level and the same as the budget request. This program provides the oversight and implementation infrastructure for medical countermeasure procurement under BioShield. Funding supports program management, regulatory affairs, and quality assurance staff to oversee both product development and implementation of internal controls, including on-site oversight of contract manufacturers, and pre-award audits. Medical Countermeasure Dispensing The Committee provides $10,000,000 for a new program, Medical Countermeasure Dispensing, which is funded at the same level as the budget request. The Cities Readiness Initiative (CRI), funded through CDC, provides grants to prepare major U.S. cities and metropolitan areas to effectively respond to a large scale bioterrorist event by dispensing antibiotics to their entire population within 48 hours of the decision to distribute countermeasures. Through CRI exercises, HHS recognized that a Federal ``first strike'' capability also needed to be developed to meet the 48 hour timeframe. Funds will be used to expand the conceptual program utilizing the U.S. Postal Service (USPS) for direct residential delivery of medical countermeasures. This funding is provided through September 30, 2011 and up to $8,000,000 may be transferred to the USPS. Global Medicine, Science, and Public Health The Committee provides $8,748,000 for Global Medicine, Science, and Public Health, which is $58,000 more than the fiscal year 2009 funding level and the same as the budget request. This program fosters the development of public health infrastructure around the world with the cooperation of other international partners to promote accurate and prompt reporting of disease outbreaks. Policy, Strategic Planning, and Communications The Committee provides $4,367,000 for ASPR Policy, Strategic Planning, and Communications, which is $75,000 more than the fiscal year 2009 funding level and the same as the budget request. Funding supports policy formulation, analysis, coordination, and evaluation for preparedness, response, and strategic planning. Office of the Assistant Secretary for Resources and Technology The Committee provides $14,080,000 for the Office of the Chief Information Officer, under the Assistant Secretary for Resources and Technology, for information technology cybersecurity. This is $5,174,000 more than the fiscal year 2009 funding level and $35,920,000 less than the budget request. This funding goes to projects aimed at protecting the Department's information technology systems. The Recovery Act provided an additional $50,000,000 for HHS cybersecurity in fiscal years 2009 and 2010. Office of Security and Strategic Information The Committee provides $4,893,000 for the Office of Security and Strategic Information (OSSI), which is $1,630,000 more than the fiscal year 2009 funding level and the same as the budget request. OSSI consolidates functions across HHS related to physical security, personnel/classified information security, and strategic information. Office of Public Health and Science The Committee provides $12,581,000 for the Medical Reserve Corps (MRC) program, which is $237,000 more than the fiscal year 2009 funding level and the same as the budget request. The mission of the MRC is to improve the health and safety of communities across the country by organizing and utilizing public health, medical, and other volunteers. MRC members are identified, credentialed, trained, and prepared in advance of an emergency, and are utilized throughout the year to improve the public health system. Office of the Secretary The Committee provides $424,167,000 for public health preparedness and other activities administered by the Office of the Secretary, which is $160,924,000 less than the fiscal year 2009 funding level and $32,000,000 less than the budget request. Pandemic Influenza The Committee led the effort to provide the $7,650,000,000 included in the Supplemental Appropriations Act, 2009 (Public Law 111-32) for pandemic influenza preparedness and response activities. The increased resources included in the supplemental were provided to address the current H1N1 outbreak and to prepare for the potential of future outbreaks, increased severity of the virus, or for a new flu strain to emerge. On June 11, 2009, the World Health Organization (WHO) raised the worldwide pandemic alert level to Phase 6 in response to the ongoing global spread of the H1N1 virus. A Phase 6 designation indicates that a global pandemic is underway. As of July 6, 2009, more than 100 countries have reported cases of human infection with over 94,000 confirmed human cases and 429 deaths. Over one-third of the total worldwide infections have occurred in the U.S. In this bill, the Committee continues to provide the base pandemic influenza preparedness and response funding upon which the supplemental funds are built. Taken together, funds will enable HHS to support a comprehensive Pandemic Influenza preparedness and response plan. A broad of array of activities will be supported with the funding in this bill and the supplemental, including: advanced development and purchase of vaccines and antiviral drugs; stockpiling of medical supplies and diagnostic, vaccine delivery, and personal protective equipment; for upgrading State and local public health capacity; domestic and international surveillance; preparation for a possible vaccination campaign; and public health research. Within the HHS Office of the Secretary, the Committee provides $354,167,000 for Pandemic Influenza preparedness and response activities, which is $230,924,000 less than the fiscal year 2009 funding level and the same as the budget request. In addition, the Committee provides $191,344,000 for on-going Pandemic Influenza activities within the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) for an HHS Pandemic Influenza total in this bill of $545,511,000. Within the HHS Office of the Secretary total, the Committee provides $276,000,000 to be available until expended. The Committee includes bill language, as requested, that permits the Secretary to deposit products purchased with these funds into the Strategic National Stockpile and to use funds for the construction or renovation of privately owned facilities for the production of pandemic vaccine and other biologics, as deemed necessary by the Secretary. In addition, bill language is included, as requested, that permits the Secretary to transfer funds to other HHS accounts for the purpose of Pandemic Influenza preparedness and response. Parklawn Lease Expiration The Committee provides $70,000,000 for the fit-out and other costs related to a competitive lease procurement to renovate or replace the Parklawn Federal building. This is $32,000,000 less than the budget request. Funding was not appropriated for this activity in fiscal year 2009. The current lease of the Parklawn building expires on July 31, 2010. The level of funding provided covers all anticipated fiscal year 2010 costs, including costs to reposition staff in the current facility. Remaining costs will be considered in fiscal year 2011. GENERAL PROVISIONS Sec. 201. The Committee continues a provision to limit the amount available for official reception and representation expenses. Sec. 202. The Committee continues a provision to limit the number of Public Health Service employees assigned to assist in child survival activities and to work in AIDS programs through and with funds provided by the Agency for International Development, the United Nations International Children's Emergency Fund, or the World Health Organization. Sec. 203. The Committee continues a provision to limit the salary of an individual through an NIH, AHRQ, or SAMHSA grant or other extramural mechanism to not more than the rate of Executive Level I. Sec. 204. The Committee continues a provision to prohibit the Secretary from using evaluation set-aside funds until the Committees on Appropriations of the House of Representatives and the Senate receive a report detailing the planned use of such funds. Sec. 205. The Committee continues a provision permitting the Secretary to use up to 2.4 percent of funds authorized under the PHS Act for the evaluation of programs. (TRANSFER OF FUNDS) Sec. 206. The Committee continues a provision permitting the Secretary of HHS to transfer up to one percent of any discretionary appropriation from an account, provided that no appropriation is increased by more than three percent by any such transfer. (TRANSFER OF FUNDS) Sec. 207. The Committee continues a provision to provide the Director of NIH, jointly with the Director of the Office of AIDS Research, the authority to transfer up to three percent of human immunodeficiency virus funds. (TRANSFER OF FUNDS) Sec. 208. The Committee continues a provision to make NIH funds available for human immunodeficiency virus research available to the Office of AIDS Research. Sec. 209. The Committee continues a provision to prohibit the use of Title X funds unless the applicant for the award certifies to the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities. Sec. 210. The Committee continues a provision stating that no provider of services under Title X shall be exempt from any state law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest. Sec. 211. The Committee continues a provision related to the Medicare Advantage program. Sec. 212. The Committee continues and makes permanent a provision to exempt States from Synar provisions if certain funding criteria are met. Sec. 213. The Committee includes a provision to allow funding for HHS international HIV/AIDS and other infectious disease, chronic and environmental disease, and other health activities abroad to be spent under the State Department Basic Authorities Act of 1956. Sec. 214. The Committee continues a provision granting authority to the Office of the Director of the National Institutes of Health (NIH) to enter directly into transactions in order to implement the NIH Roadmap for medical research and permitting the Director to utilize peer review procedures, as appropriate, to obtain assessments of scientific and technical merit. Sec. 215. The Committee continues a provision extending the Council on Graduate Medical Education. Sec. 216. The Committee continues a provision clarifying that funds appropriated to NIH institutes and centers may be used for minor repairs or improvements to their buildings, up to $2,500,000 per project with a total limit for NIH of $35,000,000. (TRANSFER OF FUNDS) Sec. 217. The Committee continues a provision transferring one percent of the funding made available for National Institutes of Health National Research Service Awards to the Health Resources and Services Administration and one percent to the Agency for Healthcare Research and Quality. TITLE III--DEPARTMENT OF EDUCATION For fiscal year 2010, the Committee recommends a discretionary program level total of $64,674,486,000, which is $1,141,287,000 above the fiscal year 2009 funding level, and $17,838,000 below the budget request. For comparability, these figures adjust the budget request to include discretionary Pell Grant funding of $17,495,000,000, which is the current law baseline estimate. In addition, the Recovery Act provided $98,200,000,000 in discretionary and mandatory resources to States, school districts, and institutions of higher education in fiscal years 2009 and 2010 to support education and training activities. This unprecedented funding increase will help to save and create jobs for essential teachers, faculty, and other education personnel during the current economic downturn. These strategic investments will provide educational opportunities to students and adults, facilitate progress in strengthening all levels of education, from pre-school through postsecondary education, and contribute to the nation's long-term economic prosperity and growth. Education for the Disadvantaged The Committee recommends $15,938,215,000 for the Education for the Disadvantaged programs. This amount is $178,129,000 above the fiscal year 2009 appropriation and $492,917,000 below the budget request, which proposed funding for several unauthorized activities. Of the total amount available, $4,850,510,000 is appropriated for fiscal year 2010 for obligation on or after July 1, 2010 and $10,841,176,000 is appropriated for fiscal year 2011 for obligation on or after October 1, 2010. In addition, the Recovery Act provided $13,000,000,000 for these activities in fiscal years 2009 and 2010. This appropriation account includes compensatory education programs authorized under title I of the Elementary and Secondary Education Act and section 418A of the Higher Education Act. Grants to Local Educational Agencies For fiscal year 2010 the Committee recommends $14,492,401,000 for Title I grants to local educational agencies (school districts), which is the same as the fiscal year 2009 funding level and $1,500,000,000 above the budget request. The Recovery Act provided an additional $10,000,000,000 for Title I eligible schools in fiscal years 2009 and 2010. Title I grants provide the Federal foundation of support for the Elementary and Secondary Education Act's accountability system, which emphasizes State standards and aligned assessments, measuring adequate yearly progress in reading and math, improvement for struggling schools, and teacher quality. Approximately 20 million children are served by Title I programs in nearly 55,000 public schools. Of the amounts provided for Title I programs, $6,597,946,000 is available for Basic Grants to Local Educational Agencies. This amount is the same as the fiscal year 2009 funding level and $1,500,000,000 above the budget request. The Committee does not agree with the Administration's request to cut Title I basic grants by $1,500,000,000 in order to fund new, untested initiatives. The Committee believes that these grants support the core efforts of school districts to ensure that low-income children can overcome the effects of poverty to succeed in school and in life. Within the amount for Title I Basic Grants, up to $4,000,000 shall be available to the Secretary of Education on October 1, 2009, to obtain annually updated local educational- agency-level census poverty data from the Bureau of the Census. The Committee recommends $1,365,031,000 for Title I Concentration Grants, which is the same as the fiscal year 2009 funding level and the budget request. Concentration Grants target funds to school districts in which the number of low- income children exceeds 6,500 or 15 percent of the total school-age population. The Committee recommends $3,264,712,000 for Title I Targeted Grants, which is the same as the fiscal year 2009 funding level and the budget request. Targeted Grants provide higher payments to school districts with high numbers or percentages of low-income students. The Committee recommends $3,264,712,000 for Title I Education Finance Incentive Grants (EFIGs), which is the same as the fiscal year 2009 funding level and the budget request. EFIGs provide payments to States and school districts that incorporate ``equity'' and ``effort'' factors that are intended to encourage States to spend more on education and to improve the equity of State funding systems. William F. Goodling Even Start Family Literacy Program The Committee strongly recommends $66,454,000 for Even Start, which is the same amount as the fiscal year 2009 funding level. Even Start provides grants to States for family literacy programs, integrating early childhood education, adult education and parenting education, for low-income families and their children, from birth to 7 years old. Generally, these parents are not in school, are above the State's age of compulsory school attendance, and have not earned a high school diploma (or its equivalent). The Committee does not agree with the Administration's proposal to eliminate Even Start, which is based on the results of flawed evaluation studies. For example, the Third National Even Start Evaluation: Program Impacts and Implications for Improvement, 2003, was based on a very small sample (1.5 percent) of Even Start projects, was not representative of Even Start participants and programs, and predated new accountability measures for the program. The Committee encourages the Department to continue to work with States to improve indicators of program quality, including assessments for dual language learners, and the effectiveness of Even Start instructional services. School Improvement Grants The Committee provides $545,633,000 for School Improvement Grants, which is the same as the fiscal year 2009 funding level and $1,000,000,000 below the budget request. This formula grant program provides assistance to States and school districts for Title I schools that do not make adequate yearly progress for at least two consecutive years. Approximately 13,000 schools qualify for these supplemental improvement grants because they have been identified for school improvement, corrective action, or restructuring. The Recovery Act provided an additional $3,000,000,000 for this program in fiscal years 2009 and 2010. The Committee strongly supports the Administration's focus on ensuring that the nation's chronically low-performing schools have the necessary assistance to improve student performance, but does not provide the additional $1,000,000,000 proposed by the Administration. The Committee does not support shifting these resources from Title I Basic Grants. For fiscal year 2010, under this bill and the Recovery Act, $4,123,419,000 will be available for these targeted school reform efforts, quadrupling the level of support available in fiscal year 2008, under both the School Improvement Grants program and the four percent set-aside under the Title I program for school improvement activities. Further, the Committee notes that the Secretary may utilize the ``Race to the Top'' $4,350,000,000 fund to provide even greater amounts of assistance to States for low-achieving schools. The Committee wants to be certain that States and school districts have sufficient capacity to utilize this unprecedented amount of funding so that interventions and turnaround strategies for low-achieving schools are high- quality, effective and sustainable. The Committee will consider whether to provide an even higher level of support during consideration of the fiscal year 2011 budget. The bill includes language requiring that State educational agencies ensure that not less than 50 percent of the $545,633,000 provided for School Improvement Grants be used for evidence-based reading instruction. The Committee directs the Department to work with the States to ensure that evidence- based reading instruction is embedded in school turnaround strategies for low-performing schools. The Committee believes this approach will prove to be an effective strategy because it is targeted at the schools that most need intervention. In addition, the bill includes language permitting State and local educational agencies to use fiscal year 2009 and 2010 appropriations for School Improvement Grants for any school eligible to receive assistance under part A of Title I that has not made adequate yearly progress for at least two years or is in a State's lowest quintile of performance based on proficiency rates and, in the case of secondary schools, priority shall be given to those schools with graduation rates below 60 percent. The Committee does not include the bill language proposed by the Administration requiring each State educational agency to use 40 percent of School Improvement Grants for middle and high schools, as the Committee believes that States and districts should have flexibility in targeting these funds to schools with the greatest need for assistance. The Committee does not include bill language requested by the Administration to set aside $30,000,000 of School Improvement Grants for competitive awards to school districts in Louisiana, Mississippi and Texas that were impacted by hurricanes Katrina, Ike or Gustav. These districts are eligible for Title I formula and School Improvement Grants. Moreover, school districts in these States, which received $746,250,000 in assistance to restart school operations in December 2005 and $30,000,000 for personnel assistance in May 2007, have not yet spent all of these funds. Early Childhood Grants The Committee does not provide funding for new Title I Early Childhood Grants, which is $500,000,000 below the Administration's request. The Administration proposed to cut Title I Basic Grants by $500,000,000 and shift these resources into an unauthorized program of Title I early childhood education grants. The Committee notes that school districts already have authority under the Elementary and Secondary Education Act to use any portion of their Title I grants for pre-K education programs. The Committee will reconsider the request for a new Title I early childhood education program should it become authorized. In support of early childhood education, the Committee provides a $121,997,000 increase for Head Start under the Department of Health and Human Services to support high-quality services for an estimated 978,000 at-risk children from birth to age five. Early Learning Fund The Committee does not recommend funding for the Early Learning Fund, for which the Administration requested $300,000,000. The Early Learning Fund is an Administration proposal to provide competitive grants to State educational agencies, or the agency in a State that administers early childhood programs, to develop new or improve upon a statewide infrastructure of integrated early learning supports and services for children, from birth through age five. This new initiative is not authorized. Further, the Committee notes that the Recovery Act provided $100,000,000 to State Advisory Councils on Early Childhood Education and Care established under the Head Start Act to improve the quality, availability, and coordination of services for children from birth to school entry. Early Reading First The Committee recommends $127,549,000 for Early Reading First, which is $15,000,000 more than the fiscal year 2009 funding level and $35,000,000 below the budget request. This competitive grant program, targeted toward children from birth through five years old, supports the development of verbal skills, phonetic awareness, pre-reading development, and assistance for professional development for teachers in evidence-based strategies of instruction. The Committee expects the Department to strengthen professional development partnerships for early childhood educators through grants awarded under Early Reading First. Striving Readers The Committee recommends $146,000,000 for Striving Readers, which is $110,629,000 above the fiscal year 2009 funding level and $224,371,000 below the budget request. These funds will support reading interventions for approximately 445,000 students reading significantly below grade level. Striving Readers finances competitive grants to develop, implement, and evaluate reading interventions for middle school or high school students who are reading significantly below their grade level. Studies show that far too many adolescents cannot read well enough to succeed in school and careers; more than six million high school students nationally are struggling readers. By ninth grade, many of these adolescents are destined to drop out of school without completing a high school diploma or GED. Within the total, not less than $70,000,000 is provided to double the Department's investment to help struggling adolescents build their literacy skills and developing evidence on high-quality literacy instruction at the secondary school level. Within the total, not less than $66,000,000 is provided to enable the Department to initiate a Striving Readers early literacy grants program to assist school districts in testing a variety of strategies designed to improve children's reading comprehension, with particular emphasis on vocabulary development, oral language fluency, and writing skills. Finally, within the total, up to $10,000,000 is provided for national activities and evaluation related to early childhood and adolescent literacy, including the development of new tools, technical assistance, and evaluations to support early childhood and adolescent literacy improvement. The Committee directs that the Department prepare and submit to the Committees on Appropriations of the House of Representatives and the Senate a comprehensive and integrated fiscal year 2010 implementation plan for K-12 literacy-related activities (i.e. grants, technical assistance, research, development, and evaluation activities) across the Department, including but not limited to activities under Title I School Improvement Grants, Early Reading First, Striving Readers, Reading Is Fundamental, Reach Out and Read, and the Institution of Education Sciences. This plan shall be submitted not less than 60 days after enactment of this Act and 30 days prior to the release of a request for proposals under the Striving Reading program. Literacy Through School Libraries The Committee recommends $19,145,000 for Literacy through School Libraries, which is the same as the fiscal year 2009 funding level and the budget request. This program helps school districts provide students with increased access to up-to-date school library materials; a well-equipped, technologically advanced school library media center; and well-trained and professionally certified school library media specialists. State Agency Programs: Migrant The Committee recommends $394,771,000 for the State Agency Program for Migrant Education. This amount is the same as the fiscal year 2009 funding level and the budget request. This program supports special educational and related services for children of migratory agricultural workers and fishermen, including: (1) supplementary academic education; (2) remedial or compensatory instruction; (3) English for limited English proficient students; (4) testing; (5) guidance counseling; and (6) other activities to promote coordination of services across States for migrant children whose education is interrupted by frequent moves. State Agency Programs: Neglected and Delinquent For the State Agency Program for Neglected and Delinquent Children, the Committee recommends $50,427,000, which is the same as fiscal year 2009 funding level and the budget request. This formula grant program provides educational services for children and youth under age 21 in institutions for juvenile delinquents, adult correctional institutions, or institutions for the neglected. A portion of these funds may be used for projects that support the successful re-entry of youth offenders into postsecondary and vocational programs. Evaluation The Committee provides $9,167,000 for Evaluation, which is the same as the fiscal year 2009 funding level and the budget request. Title I evaluation supports large scale national evaluations that examine how Title I is contributing to improved student performance at the State, local education agency, and school levels. It also supports short-term studies that document promising models. High School Graduation Initiative The Committee provides $50,000,000 for a High School Graduation Initiative authorized under part H of title I of the Elementary and Secondary Education Act (School Dropout Prevention Program), as proposed by the Administration. This amount is $50,000,000 more than the fiscal year 2009 funding level. The High School Graduation Initiative will support competitive grants to school districts that propose comprehensive approaches to improving high school graduation rates through prevention and reentry systems for students at risk of not graduating. Of the amount provided, up to $5,000,000 may be used for peer review, technical assistance, dissemination, evaluation and other national activities. The Committee directs that the Department provide a briefing to the Committee on the planned use of these funds not less than 30 days prior to the release of a request for proposals. Special Programs for Migrant Students The Committee recommends $36,668,000 for the Special Programs for Migrant Students. This amount is $2,500,000 above the fiscal year 2009 funding level and the same as the budget request. These programs support grants to colleges, universities, and nonprofit organizations to support educational programs designed for students who are engaged in migrant and other seasonal farmwork. The High School Equivalency Program (HEP) recruits migrant students age 16 and over and provides academic and support services to help those students obtain a high school equivalency certificate and subsequently to gain employment or admission to a postsecondary institution or training program. The College Assistance Migrant Program (CAMP) provides tutoring and counseling services to first-year, undergraduate migrant students and assists those students in obtaining student financial aid for their remaining undergraduate years. The Committee recommendation assumes the allocation of funds between HEP and CAMP as proposed by the Administration. Impact Aid The Committee recommends $1,290,718,000 for Federal Impact Aid programs, which is $25,000,000 above the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $100,000,000 for this purpose for fiscal years 2009 and 2010. This account supports payments to school districts affected by Federal activities, such as those that educate children whose families are connected with the military or who live on Indian land. The Committee recommendation repeats language, as requested by the Administration, to ensure that schools serving the children of military personnel continue to receive Impact Aid funds when the military parents who live on-base are deployed and the child continues to attend the same school and in cases in which an on-base military parent is killed while on active duty and the child continues to attend the same school. Basic Support Payments The Committee recommends $1,151,535,000 for Basic Support Payments to local educational agencies, which is $23,000,000 above the fiscal year 2009 funding level and the budget request. Basic Support Payments compensate school districts for lost tax revenue and are made on behalf of Federally-connected children, such as children of members of the uniformed services who live on Federal property. Payments for Children With Disabilities The Committee recommends $48,602,000 for Payments for Children with Disabilities, which is the same as the fiscal year 2009 funding level and the budget request. These payments compensate school districts for the increased cost of serving Federally-connected children with disabilities. Facilities Maintenance The Committee recommends $4,864,000 for Facilities Maintenance, which is the same as the fiscal year 2009 funding level and the budget request. These capital payments are authorized for maintenance of certain facilities owned by the Department of Education. Construction The Committee recommends $17,509,000 for the Construction program, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $100,000,000 for this purpose for fiscal years 2009 and 2010. This program provides formula and competitive grants for building and renovating school facilities to local educational agencies that educate Federally-connected students or have Federally-owned land. The Committee provides funding for the formula grants, while the Administration proposed competitive grants. Payments for Federal Property The Committee recommends $68,208,000 for Payments for Federal Property, which is $2,000,000 more than the fiscal year 2009 funding level and the budget request. Funds are awarded to school districts to compensate for lost tax revenue as the result of Federal acquisition of real property since 1938. School Improvement Programs The Committee recommends $5,239,644,000 for School Improvement Programs. This amount is $122,372,000 less than the fiscal year 2009 funding level and $57,463,000 above the budget request. Of the total amount available, $3,375,993,000 is appropriated for fiscal year 2010 for obligation on or after July 1, 2010 and $1,681,441,000 is appropriated for fiscal year 2011 for obligation on or after October 1, 2010. The Recovery Act provided an additional $720,000,000 for these programs in fiscal years 2009 and 2010. This account includes programs authorized under titles II, IV, V, VI, and VII of the Elementary and Secondary Education Act; the McKinney-Vento Homeless Assistance Act; title IV-A of the Civil Rights Act; section 203 of the Educational Technical Assistance Act of 2002; and section 105 of the Compact of Free Association Amendments Act of 2003. State Grants for Improving Teacher Quality The Committee provides $2,947,749,000 for State Grants for Improving Teacher Quality, which is the same as the fiscal year 2009 funding level and the budget request. This program provides States and districts with a flexible source of funding with which to strengthen the skills and knowledge of teachers, principals, and administrators to enable them to improve student achievement. States are authorized to retain 2.5 percent of funds for State activities, including reforming teacher certification, re-certification or licensure requirement; and expanding, establishing, or improving alternative routes to State certification. This program also helps States carry out activities that include support during the initial teaching and leadership experience, such as mentoring programs; assisting school districts in effectively recruiting and retaining highly qualified and effective teachers and principals; reforming tenure and compensation systems; and developing professional development programs for principals. Mathematics and Science Partnerships The Committee recommends $178,978,000 for Mathematics and Science Partnerships, which is the same as the fiscal year 2009 funding level and the budget request. This program promotes strong math and science teaching skills for elementary and secondary school teachers. Grantees may use program funds to develop rigorous math and science curricula; establish distance learning programs; and recruit math, science, and engineering majors into the teaching profession. They may also provide professional development opportunities. Grants are made to States by formula based on the number of children aged 5 to 17 who are from families with incomes below the poverty line. States then award the funds competitively to partnerships that must include the State education agency; an engineering, math, or science department of an institution of higher education; and a high-need school district. Other partners may also be involved. Educational Technology State Grants The Committee recommends $100,000,000 for the Educational Technology State Grants program, which is $169,872,000 below the fiscal year 2009 funding level and the same as the budget request. This program also received $650,000,000 under the Recovery Act for fiscal years 2009 and 2010. The Committee continues to support all aspects of the Educational Technology State Grants program, which cover a much wider array of applications and services than mere software, such as professional development, well-equipped classrooms, and administrative structures that recognize the role technology plays in all disciplines. Supplemental Education Grants The Committee recommends $17,687,000 for Supplemental Education Grants to the Federated States of Micronesia and the Republic of the Marshall Islands, which is the same as the fiscal year 2009 funding level and the budget request. The Compact of Free Association Amendments Act of 2003 (P.L. 108- 188) authorizes these entities to receive funding for general education assistance. The Committee recommendation includes a consolidated amount for Supplemental Education Grants because the underlying statute determines the allocation between Micronesia and the Marshall Islands. 21st Century Community Learning Centers The Committee recommends $1,181,166,000 for 21st Century Community Learning Centers, which is $50,000,000 above the fiscal year 2009 funding level and the budget request. This program is a formula grant to States, which in turn distribute 95 percent of the funds on a competitive basis to local school districts, community-based organizations, and other public entities and private organizations. Grantees must target students who attend low-performing schools. Funds may be used for before- and after-school activities that advance student academic achievement including remedial education and academic enrichment activities; math, science, arts, music, entrepreneurial and technology education; tutoring and mentoring; recreational activities; and expanded library service hours. The Committee believes that quality after-school programs can help reduce crime, transform behavior, and change the activities that students participate in after school. Millions of young people are alone and unsupervised in the hours after school, before parents return home from work. This situation places children and teens at grave risk for juvenile crime, substance abuse, teen pregnancy, and other problems. Providing students with academic enrichment, and other student support services, can serve to protect them from these behaviors, while also helping to develop skills and values to become contributing citizens. The $50,000,000 increase over fiscal year 2009 will help communities provide after-school programs to nearly 1.7 million students, which is approximately 70,000 more students than in fiscal year 2009. State Assessments The Committee recommends $410,732,000 for State Assessments, which is the same as the fiscal year 2009 funding level and the budget request. This program provides States with funding to develop annual assessments and to carry out activities related to ensuring accountability for results in the State's schools and school districts. Funds appropriated in excess of $400,000,000, or the statutory amount at which States are required to administer annual assessments in third through eighth grades, may be used to improve assessments for students with limited English proficiency and students with disabilities. These funds will assist States in developing tougher standards and assessments that measure not only basic skills, but also whether students possess 21st-century skills like problem-solving and critical thinking. Javits Gifted and Talented Education The Committee provides $7,463,000 for the Javits Gifted and Talented Education program, which is the same as the fiscal year 2009 funding level. The Committee disagrees with the President's proposal to eliminate this program. This program supports competitive grants to State educational agencies, school districts, colleges and universities, and other entities for research, demonstration projects, and other activities designed to enhance the ability of elementary and secondary schools to meet the educational needs of gifted and talented students. Foreign Language Assistance Grants The Committee recommends $26,328,000 for Foreign Language Assistance Grants, which is the same as the fiscal year 2009 funding level and the budget request. The program supports competitive grants to school districts and States to increase the quality and quantity of elementary and secondary-level foreign language instruction in the United States. The bill provides that $9,360,000 shall be available for five-year grants to local educational agencies that would work in partnership with one or more institutions of higher education to establish or expand articulated programs of study in languages critical to U.S. national security. The programs would be designed to enable successful students, as they advance through college, to achieve a superior level of proficiency or professional working proficiency in critical need languages such as Arabic, Chinese, Japanese, Korean, and Russian, as well as the Indic, Iranian, and Turkic language families. The Committee encourages school districts applying for this funding to reach out to institutions and centers funded under the Department's International Education programs under Title VI of the Higher Education Act. The bill also continues the longstanding policy of not funding the incentive program. Education for Homeless Children and Youth The Committee recommends $65,427,000 for the Education for Homeless Children and Youth program, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $70,000,000 for these activities in fiscal years 2009 and 2010. Grants are allocated to States in proportion to the total each State receives under the Title I program. For local grants, at least 50 percent must be used for direct services to homeless children and youth, including tutoring, remedial or other educational services. Training and Advisory Services The Committee recommends $6,980,000 for Training and Advisory Services authorized by Title IV-A of the Civil Rights Act, which is $2,509,000 below the fiscal year 2009 funding level and the same as the budget request. Title IV-A authorizes technical assistance and training services for local educational agencies to address problems associated with desegregation on the basis of race, sex, or national origin. The Department awards three-year grants to regional Equity Assistance Centers (EACs) located in each of the ten Department of Education regions. The EACs provide services to school districts upon request. Typical activities include disseminating information on successful education practices and legal requirements related to nondiscrimination on the basis of race, sex, and national origin in educational programs. The Committee recommendation maintains support for Training and Advisory Services at the fiscal year 2009 level after accounting for the deletion of one-time fiscal year 2009 grants for technical assistance to school districts facing challenges in complying with a 2007 Supreme Court decision. Education for Native Hawaiians The Committee recommends $33,315,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. A number of authorized programs limited to Native Hawaiians are supported with these funds, including a model curriculum project, family-based education centers, postsecondary education fellowships, gifted and talented education projects, and special education projects for disabled pupils. The bill modifies existing bill language regarding the use of funds under this program for school construction, renovation, and modernization, as proposed by the Administration. Alaska Native Education Equity The Committee recommends $33,315,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. These funds are used to develop supplemental educational programs to benefit Alaska Natives. The bill modifies existing bill language regarding the use of funds under this program, as proposed by the Administration. Rural Education The Committee recommends $173,382,000 for Rural Education programs, which is the same as the fiscal year 2009 funding level and the budget request. There are two programs to assist rural school districts with improving teaching and learning in their schools: the Small, Rural Schools Achievement program, which provides funds to rural districts that serve a small number of students; and the Rural and Low-Income Schools program that provides funds to rural districts that serve concentrations of poor students, regardless of the number of students served by the district. Funds appropriated for Rural Education shall be divided equally between these two programs. Comprehensive Centers The Committee recommends $57,113,000 for Comprehensive Centers, which is the same as the fiscal year 2009 funding level and the budget request. First funded in fiscal year 2005, this grant program finances 21 comprehensive centers, including 16 regional centers, that provide training and technical assistance to State educational agencies within their geographic regions, to help implement provisions of the Elementary and Secondary Education Act, and five content centers specializing in assessment and accountability, high schools, innovation and improvement, and teacher quality. A new competition for these centers will be held during fiscal year 2010. Indian Education The Committee recommends $132,282,000 for Indian Education. This amount is $10,000,000 above the fiscal year 2009 funding level and the budget request. This account supports programs authorized by part A of title VII of the Elementary and Secondary Education Act. Although the educational outcomes of Indian students have improved in recent years, the Department of Education finds that the Indian student population remains subject to significant risk factors that threaten their ability to improve their academic achievement, such as high drop-out rates among high school students. The Committee provides the funding increase to demonstrate its commitment to help Indian students achieve academic success. This increase will enable eligible schools to address the unique educational and culturally related academic needs of 472,000 Indian students. Grants to Local Educational Agencies The Committee recommends $104,331,000 for Grants to Local Education Agencies, which is $5,000,000 above the fiscal year 2009 funding level and the budget request. This program provides assistance through formula grants to school districts and schools supported or operated by the Bureau of Indian Affairs. The purpose of this program is to reform elementary and secondary school programs that serve Indian students, including preschool children. Grantees must develop a comprehensive plan and ensure that the programs they carry out will help Indian students reach the same challenging standards that apply to all students. This program supplements the regular school program to help Indian children sharpen their academic skills, bolster their self-confidence, and participate in enrichment activities that would otherwise be unavailable. Special Programs for Indian Children The Committee recommends $19,060,000 for Special Programs for Indian Children, which is the same as the fiscal year 2009 funding level and the budget request. These programs make competitive awards to improve the quality of education for Indian students. The program also funds the American Indian Teacher Corps and the American Indian Administrator Corps to recruit and support American Indians as teachers and school administrators. National Activities The Committee recommends $3,891,000 for National Activities, which is the same as the fiscal year 2009 funding level and the budget request. Funds under this authority support research, evaluation and data collection to provide information about the educational status of Indian students and the effectiveness of Indian education programs. INNOVATION AND IMPROVEMENT The Committee recommends $1,353,363,000 for Innovation and Improvement programs. This amount is $356,938,000 above the fiscal year 2009 funding level and $86,586,000 below the budget request. The Recovery Act provided an additional $200,000,000 for these activities in fiscal years 2009 and 2010. This appropriation account includes programs authorized under part G of title I and portions of titles II and V of the Elementary and Secondary Education Act. Troops-to-Teachers and Transition to Teaching The Committee recommends $14,389,000 for Troops to Teachers, which is the same as the fiscal year 2009 funding level and the budget request. This program is designed to assist eligible members of the armed forces obtain certification or licensure as elementary and secondary school teachers, or vocational or technical teachers. The Committee recommends $43,707,000 for Transition to Teaching, which is the same as the fiscal year 2009 funding level and the budget request. The Transition to Teaching program is designed to help mitigate the shortage of qualified licensed or certified teachers by providing competitive grants to State and local educational agencies, to assist with recruiting, training, and placing talented individuals in teaching positions, and supporting them during their first year in the classroom. In particular, the program focuses on mid- career professionals who have substantial career experience, including former military personnel, and recent college graduates. These funds will assist more than 13,000 individuals to enter teaching careers through alternative routes to teacher certification. National Writing Project The Committee recommends $24,291,000 for the National Writing Project. This amount is the same as the fiscal year 2009 funding level and the budget request. The National Writing Project is a non-profit organization that supports and promotes K-16 teacher training programs in effective teaching of writing. Federal funds support 50 percent of the costs of these programs, and recipients must contribute an equal amount. Teaching of Traditional American History The Committee recommends $100,000,000 for the Teaching of Traditional American History program, which is $18,952,000 below the fiscal year 2009 funding level and the budget request. This program supports competitive grants to school districts to promote the teaching of American history in elementary and secondary schools as a separate academic subject. Evaluation findings in 2005 indicated that this program is not reaching the teachers most in need of professional development in history instruction. In 2007, the Department of Education began a new four-year evaluation of this program to examine the relationship between teacher participation, teacher content knowledge, and student achievement. The Committee believes the recommended level is sufficient pending program improvement efforts and the completion of this national evaluation. School Leadership The Committee recommends $29,220,000 for School Leadership activities, which is $10,000,000 above the fiscal year 2009 funding level and the same as the budget request. The program provides competitive grants to assist high-need school districts with recruiting, training, and retaining principals and assistant principals. Within this amount, the bill includes $5,000,000 to continue a national initiative to recruit, train, and support results-oriented, highly motivated individuals to lead high-need schools with a focus on raising the achievement of all students and closing the achievement gap in these schools. New Leaders for New Schools (NLNS) shall utilize these funds to continue to build the organization's capacity to develop and deliver training for aspiring principals and support for principals, and conduct research to create a national knowledge base to inform the recruitment, selection, and training of principals for high-need schools. NLNS and its partners shall provide not less than a 150 percent match in cash or in-kind for the Federal funds provided for this initiative. The match may consist of cash or in-kind offerings by private philanthropy or public sources, including funding allocated by partner State and school systems. Advanced Credentialing The Committee recommends $10,649,000 for Advanced Credentialing, which shall be provided to the National Board of Professional Teaching Standards (NBPTS). This amount is the same as the fiscal year 2009 funding level and the budget request. The Advanced Credentialing program supports activities to encourage and support teachers seeking advanced certification or credentialing. A 2008 study conducted by the National Academy of Sciences of the NBPTS at the request of the Committee concluded that teachers who earn NBPTS certification are more effective at improving their student's achievement than teachers who do not have NBPTS certification. The Committee recommendation includes $1,000,000 to continue the NBPTS effort to develop an advanced school leadership credential. Charter School Grants and Credit Enhancement for Charter School Facilities The Committee recommends $256,031,000 for support of Charter School Grants, which includes Facilities Incentive Grants and the Credit Enhancement for Charter School Facilities Grants. This amount is $40,000,000 above the fiscal year 2009 funding level for these programs and $12,000,000 below the budget request. The Department may use any funds in excess of $195,000,000 for grants to assist in financing new and renovating existing charter school facilities. The Committee recommendation will support the planning and start-up of over 1,300 new charter schools in fiscal year 2010. The Charter Schools Grants program encourages education reform by supporting the planning, development, and initial implementation of charter schools. In exchange for a commitment to increase student achievement, charter schools are exempt from many statutory and regulatory requirements. The Charter Schools Grants program finances grants to State educational agencies (SEAs) or, if a State's SEA chooses not to participate, charter school developers to support the development and initial implementation of public charter schools. Facilities Incentive Grants and credit enhancement awards help charter schools obtain adequate school facilities. These programs work in tandem to support the development and operation of charter schools. The Committee notes that there is growing evidence of mixed student achievement in charter schools compared to other public schools. Most recently, a June 2009 comprehensive assessment of charter schools across 16 States found wide variation in performance. In the aggregate, nearly half of the charter schools were found to have student achievement results no different than other local public schools and more than a third delivered learning results worse than traditional public schools. Overall, these studies indicate that more attention should be given to the quality and performance of charter schools as the number of these schools increase over the next several years. Accordingly, the Committee recommends increased funding for charter school grants, but not the entire amount of the Administration's request. The Committee also recommends new measures designed to increase monitoring and oversight of charter school performance. The bill language permits the Secretary to reserve up to: (1) $20,000,000 to make awards to charter management organizations and other entities to replicate and expand successful charter school models and networks; and (2) $10,000,000 to support technical assistance to public chartering agencies in order to increase the number of high-performing charter schools. It also requires grant applicants to develop plans to build the capacity of public chartering agencies to hold charter schools accountable for student performance and to require certain accountability measures. Voluntary Public School Choice The Committee recommends $25,819,000 for Voluntary Public School Choice, which is the same as the fiscal year 2009 funding level and the budget request. This program supports efforts to establish intra-district and inter-district public school choice programs to provide students in participating schools with the widest variety of options for their education. Funds are used to make competitive awards to States, school districts or partnerships. Magnet Schools Assistance The Committee recommends $104,829,000 for the Magnet Schools Assistance program, which is the same as the fiscal year 2009 funding level and the budget request. The Magnet Schools Assistance program awards competitive grants to local educational agencies to establish or operate magnet schools that are part of a desegregation plan approved by a court or by the Department of Education's Office for Civil Rights. A magnet school is defined by statute as ``a school or education center that offers a special curriculum capable of attracting substantial numbers of students of different racial backgrounds.'' Fund for the Improvement of Education The Committee recommends $217,666,000 for the Fund for the Improvement of Education, which is $32,704,000 below the fiscal year 2009 funding level and $3,830,000 above the budget request. Within the amount for the Fund for the Improvement of Education, the bill includes funding for the following activities in the following amounts: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Academies for American History and Civics.............. $0 -$1,945,000 $0 Arts in Education...................................... 40,166,000 2,000,000 2,000,000 Continuation Awards.................................... 10,000,000 10,000,000 -700,000 Data Quality and Evaluation............................ 3,000,000 1,110,000 0 Digital Professional Development....................... 0 0 -5,000,000 Excellence in Economics Education...................... 1,447,000 0 0 Exchanges with Historic Whaling and Trading Partners... 0 -8,754,000 -8,754,000 Foundations for Learning............................... 1,000,000 0 1,000,000 Full-Service Community Schools......................... 10,000,000 5,000,000 5,000,000 History, Civics, Government Initiative................. 0 0 -37,000,000 Mental Health Integration.............................. 0 -5,913,000 -6,913,000 National History Day................................... 500,000 0 500,000 Other activities....................................... 1,376,000 676,000 0 Reading is Fundamental................................. 24,803,000 0 0 Reach Out and Read..................................... 4,965,000 0 -35,000 Ready to Teach......................................... 0 -10,700,000 0 Parental Assistance Information Centers................ 39,254,000 0 0 Promise Neighborhoods.................................. 10,000,000 10,000,000 0 Teach for America...................................... 15,000,000 105,000 0 Women's Educational Equity............................. 2,423,000 0 0 ---------------------------------------------------------------------------------------------------------------- The Committee recommendation does not include funding for several lower priority or duplicative activities, as requested by the Administration. Funding for improving instruction in American history and civics is included within Teaching American History ($100,000,000), Civic Education ($35,000,000) and the Close Up Foundation ($1,942,000) and, therefore, the Committee does not fund the Academies for American History and Civics and a proposed History, Civics, and Government initiative. The Exchanges with Historic Whaling and Trading Partners program supports narrowly focused activities limited to Alaska, Hawaii, Massachusetts and Mississippi and, therefore, the Committee does not fund this activity. Funding in the bill to improve mental health services in the schools is provided under the Safe Schools/Healthy Students initiative ($159,676,000) and the Children's Mental Health program ($125,316,000) and, therefore, the Committee does not fund this activity. The Ready-to-Teach program has completed five-year competitive awards to the Public Broadcasting Service ($29,116,466) and the Alabama Education Television Foundation ($29,116,466) and, therefore, the Committee does not include continued funding for this program; instead, these funds are redirected to higher priority fiscal stabilization grants to public broadcasting stations under the Corporation for Public Broadcasting. Arts in Education.--The Committee provides $40,166,000 for Arts in Education, which is $2,000,000 above the fiscal year 2009 level and the budget request. Within this total, the Committee provides $8,639,000 for VSA Arts, $6,838,000 for the John F. Kennedy Center for the Performing Arts, $14,675,000 for the Model Arts program, $9,520,000 for Professional Development for Arts Educators, and $494,000 for evaluation activities. National studies show that the arts not only motivate students to learn more and inspire them to achieve better grades, they also keep at risk youth in schools and graduating on time. Given the demonstrated value of arts in education, the Committee notes the troubling findings of the most recent National Assessment of Education Progress (NAEP), which show that students who are Black or Hispanic, from low-income households, and/or who attend city schools score significantly worse on arts testing than their counterparts, revealing potentially considerable gaps in the quality of and access to arts instruction. In order for visual arts, music, theater, and dance education to remain an essential subject of learning in our nation's schools--regardless of race/ethnicity or socioeconomic status--public investment in arts education must become a priority, and data collection and research in arts education must improve. To this latter end, the Committee requests that the Department of Education produce comprehensive reports on the status of all arts education disciplines in U.S. public schools when implementing future Fast Response Statistical Surveys and National Assessment of Education Progress evaluations. Full-Service Community Schools.--The Committee strongly supports the Full-Service Community Schools initiative, which encourages coordination of education, developmental, family, health, and other services for students, families, and communities through partnerships between: (1) public elementary and secondary schools and (2) community-based organizations and public-private ventures. In its first year of operation, the Department received 519 applications of which only ten, or two percent, could be supported due to limited funding. These awards were continued in fiscal year 2009. For fiscal year 2010, the Committee doubles funding for full-service community schools to $10,000,000 so that additional meritorious applications can be supported. Promise Neighborhoods.--The Committee provides $10,000,000 for Promise Neighborhoods, which is $10,000,000 above the fiscal year 2009 level and the same as the budget request. Promise Neighborhoods is a new initiative to support one-year planning grants to nonprofit, community-based organizations for the development of comprehensive neighborhood programs designed to combat the effects of poverty and improve educational outcomes for children and youth, from birth through college. The Committee directs that these grants be made on a competitive basis, after a rigorous peer review. In addition, the Committee directs that the Department provide a briefing to the Committee on the planned use of these funds not less than 15 days prior to the release of a request for proposals. The bill includes $51,732,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Action for Bridgeport Community Development, Inc., $700,000 Bridgeport, CT for its Total Learning early childhood initiative................................ Alabama School of Math and Science, Mobile, AL for 100,000 curriculum development and teacher training, including purchase of equipment..................... Alaska Native Heritage Center, Anchorage, AK for 150,000 educational programming and outreach................ America Scores, St. Louis, MO for an after-school 200,000 program............................................. An Achievable Dream, Newport News, VA for education 300,000 and support services for at-risk children........... Aquatic Adventures Science Education Foundation, San 200,000 Diego, CA for an after-school science education program, which may include equipment and technology. Arab City School District, Arab, AL for an education 150,000 technology initiative, including purchase of equipment........................................... Auburn Joint Vocational School District, Concord 250,000 Township, OH for curriculum development............. AVANCE, Inc., Austin, TX for parenting education 350,000 programs............................................ AVANCE, Inc., El Paso, TX for a parenting education 250,000 program............................................. AVANCE, Inc., Waco, TX for a family literacy program. 100,000 Babyland Family Services, Inc., Newark, NJ for an 400,000 early childhood education program................... Baltimore City Public Schools, Baltimore MD to 500,000 establish alternative education programs for academically challenged students, which may include equipment and technology............................ Bay Point Schools, Inc., Miami, FL for a boarding 400,000 school for at-risk students......................... Best Buddies Florida, Orlando, FL for mentoring 250,000 programs in the 4th Congressional District for elementary and secondary school students with disabilities........................................ Bloomfield Board of Education, Bloomfield, NJ to 300,000 provide alternative education for academically challenged students................................. Boise State University, Boise, ID for the Idaho 400,000 SySTEMic Solution program........................... California State University, Northridge, CA for 400,000 teacher training and professional development....... Capeverdean American Community Development, 100,000 Pawtucket, RI for after-school, tutoring, and literacy programs................................... Carnegie Hall, New York, NY for music education 300,000 programs............................................ Center for Rural Development, Somerset, KY for the 500,000 Forward in the Fifth literacy program............... Charter School Development Foundation, Las Vegas, NV 400,000 for an early childhood education program............ Chicago Youth Centers, Chicago, IL for the ABC Youth 200,000 Center after school program, which may include equipment and technology............................ Childhelp, Inc., Scottsdale, AZ to develop a 250,000 comprehensive update to the Good Touch Bad Touch curriculum.......................................... Children's Hospital Los Angeles, Los Angeles, CA for 250,000 an outreach program to encourage minorities to consider health care careers........................ Children's Literacy Initiative, Philadelphia, PA for 200,000 its literacy program................................ Choice Thru Education, Inc., Chelsea, MA for 100,000 educational and career development programs for at- risk youth.......................................... City of Bell, CA for an after-school program, which 200,000 may include equipment and technology................ City of Fairfield, CA for an after-school and job- 350,000 skills training program............................. City of La Habra, CA for the Young at Art program.... 148,000 City of Newark, CA for an after-school program....... 50,000 City of Prestonsburg, KY for an arts education 200,000 initiative.......................................... City School District of New Rochelle, New Rochelle, 297,000 NY for after-school programs........................ Collaborative for Academic, Social, and Emotional 900,000 Learning, Chicago, IL for social and emotional learning curriculum development and implementation in the Youngstown, Niles, and/or Warren City, OH school districts.................................... College Success Foundation, Issaquah, WA for its 400,000 academic support and mentoring programs, which may include equipment and technology.................... Commonwealth of the Northern Mariana Islands Public 250,000 School Systems, Saipan, MP for its Refaluwasch and Chamorro language programs.......................... Commonwealth of the Northern Mariana Islands Public 100,000 School Systems, Saipan, MP for the purchase of books and educational materials........................... Communities in Schools--Northeast Texas c/o Northeast 200,000 Texas Community College, Mt. Pleasant, TX for dropout prevention programs......................... Communities-in-Schools, Bell-Coryell Counties Inc., 250,000 Killeen, TX for the Youngest Victims of War project. Connecticut Technical High School System, Middletown, 350,000 CT for equipment for Eli Whitney Technical High School's Manufacturing Technology Program........... Connecticut Technical High School System, Middletown, 250,000 CT for equipment for Vinal Technical High School's Manufacturing Technology Program.................... Contra Costa Child Care Council, Concord, CA for an 100,000 early childhood education program................... Cooperative Educational Service Agency No. 10, 300,000 Chippewa Falls, WI for after-school programs........ Cooperative Educational Service Agency No. 11, Turtle 400,000 Lake, WI for after-school programs.................. Cooperative Educational Service Agency No. 12, 400,000 Ashland, WI for after-school programs............... Cooperative Educational Service Agency No. 9, 300,000 Tomahawk, WI for after-school programs.............. Corpus Christi Independent School District, Corpus 200,000 Christi, TX for its South Texas School Literacy Project............................................. County of Alachua, FL for after school programming... 250,000 Cullman County Schools, Cullman, AL for a mobile 150,000 laboratory initiative, including purchase of equipment........................................... Cuyahoga County Board of County Commissioners, 100,000 Cleveland, OH for an early childhood education program............................................. Delaware Department of Education, Dover, DE for a 250,000 school leadership initiative........................ Devereux Center for Effective Schools, King of 100,000 Prussia, PA for the School-wide Positive Behavioral Support program..................................... East Los Angeles Classic Theater, Los Angeles, CA for 150,000 an arts education program........................... East Whittier City School District, Whittier, CA for 225,000 support services for at-risk students, which may include equipment and technology.................... Eastern Kentucky PRIDE, Somerset, KY for 250,000 environmental education programs.................... Eden Housing, Hayward, CA for a technology training 100,000 program, which may include equipment and technology. Education Service Center, Region 12, Hillsboro, TX 70,000 for a GEAR UP college preparation program........... Enrichment Services Program, Inc., Columbus, GA for 100,000 after-school tutoring and GED programs for at-risk youth............................................... Farrell Area School District, Farrell, PA for 200,000 education enrichment programs, which may include equipment and technology............................ Fayette County Schools, Lexington, KY for a foreign 2,500,000 language program.................................... Five County Regional Vocational System, Tamms, IL for 50,000 education support services for at-risk students..... Franklin County Schools, Russellville, AL for an 935,000 education technology initiative, including purchase of equipment........................................ Franklin McKinley School District, San Jose, CA for 180,000 an academic enrichment and college preparation program, which may include equipment and technology. Girls Incorporated of Alameda County, San Leandro, CA 250,000 for a literacy program for young girls, which may include equipment and software...................... Glenwood School for Boys and Girls, West Campus, St. 100,000 Charles, IL for an assessment and evaluation system, which may include software and technology........... Governors State University, University Park, IL for 200,000 early childhood education and after-school programs. Harambee Institute, St. Louis, MO for an after-school 325,000 arts education program, which may include equipment and technology...................................... Harcum College, Bryn Mawr, PA for a science, 243,000 technology, engineering and math education initiative, including purchase of equipment......... Hawaii Department of Education, Honolulu, HI for its 700,000 Assistance to Low Performing Schools Project, which may include equipment and technology................ Hazleton Area School District, Hazleton, PA for 300,000 curriculum development, equipment and technology.... Helen Keller International, New York, NY for the 1,200,000 Child Sight Vision Screening Program and to provide eyeglasses to children whose educational performance may be hindered because of poor vision.............. Highland Falls-Fort Montgomery Central School 800,000 District, Highland Falls, NY for science education, which may include equipment and technology.......... Highline School District, Burien, WA for Aviation 335,000 High School, which may include equipment and technology.......................................... Hope Through Housing Foundation, Rancho Cucamonga, 350,000 CA, for an academic tutoring and enrichment initiative.......................................... Indiana University-Purdue University Fort Wayne, Ft. 260,000 Wayne, IN for the Strategic Languages Institute..... Indianapolis Public Schools, Indianapolis, IN for an 500,000 instructional technology program, which may include equipment and technology............................ Institute for Advanced Learning and Research, 200,000 Danville, VA for an environmental education program, which may include equipment and technology.......... Institute for Student Achievement, Lake Success, NY 150,000 for a school retention and completion initiative at Point Coupee, Louisiana Central Prep High School.... Irwin County Schools, Ocilla, GA to purchase 100,000 textbooks........................................... Jawonio, Inc., New York, NY for educational support 118,000 services for students with disabilities............. Jazz at Lincoln Center, New York, NY for music 400,000 education programs.................................. Jobs for Arizona's Graduates, Inc., Scottsdale, AZ 150,000 for drop out prevention and after-school programs... Joplin R-VIII School District, Joplin, MO for an 100,000 education technology initiative, including purchase of equipment........................................ KNME-TV, Albuquerque, NM for the Ready to Learn 50,000 program............................................. Labor of Love Performing Arts Academy, Chicago, IL 400,000 for an after-school arts program.................... Laurinburg Institute, Laurinburg, NC for its math, 400,000 science, technology and engineering program......... Leadership Excellence, Inc., Oakland, CA for a 250,000 mentoring program for at-risk youth................. Leadership, Education and Athletics in Partnership, 300,000 Inc., New Haven, CT for its after-school and mentoring programs.................................. Lee Pesky Learning Center, Boise, ID for the Idaho 350,000 Early Literacy Project, which may include the purchase of equipment............................... Leon County Schools, Tallahassee, FL for its gifted 350,000 and talented enrichment program..................... Literacy Council of West Alabama, Tuscaloosa, AL for 250,000 a literacy program.................................. Little Black Pearl Art and Design Center, Chicago, IL 300,000 for an after-school arts program.................... LOOKBOTHWAYS, Port Townsend, WA for development of an 500,000 internet safety curriculum.......................... Maspeth Town Hall, Inc., Maspeth, NY for after- 150,000 schools programs for at-risk youth in Queens, NY.... McLean County Fiscal Court, Calhoun, KY for purchase 150,000 of equipment at the Livermore Community Library..... Meeting Street, Providence, RI for an early childhood 700,000 education program................................... Memphis City Schools, Memphis, TN for an after-school 500,000 program............................................. Merced County Association of Governments, Merced, CA 425,000 to develop a college preparatory program at Buhach Colony High School.................................. Michigan City Area Schools, Michigan City, IN for 350,000 career and technical education programs, which may include equipment and technology.................... Millcreek Children Center, Youngstown, OH for an arts 145,000 education program, which may include equipment...... Milwaukee Public Schools, Milwaukee, WI for community 110,000 learning centers.................................... Mississippi State University, Starkville, MS for a 630,000 teacher training initiative at the College of Education's Early Childhood Institute............... Missouri State University, Springfield, MO for the 150,000 Missouri Innovation Academy......................... National Center for Electronically Mediated Learning, 150,000 Inc., Milford, CT for the P.E.B.B.L.E.S. Project, which may include equipment......................... National Network of Digital Schools Management 500,000 Foundation, Beaver, PA for the development of an online education program, which may include equipment and technology............................ New Haven Reads Community Book Bank, Inc., New Haven, 200,000 CT for its after-school tutoring program............ New York Hall of Science, Queens, NY for its teacher 450,000 training program for science........................ North Carolina State University, Raleigh, NC for a 100,000 childrens' engineering and technological literacy program............................................. North River Commission, Chicago, IL for after school 100,000 enrichment programs in Chicago public schools located in the North River Commission area.......... North Rockland Central School District, Garnerville, 297,000 NY for an English literacy program, which may include equipment and technology.................... Northern Rockies Educational Services (NRES), 300,000 Missoula, MT for the Taking Technology to the Classroom initiative, including purchase of equipment........................................... Ogden City School District, Ogden, UT for a teacher 250,000 training initiative, including purchase of equipment Ohio University, Athens, OH for its Southeast Ohio 100,000 Center for Excellence in Mathematics and Science.... Old Bridge Township Public Schools, Matawan, NJ for 200,000 equipment and technology............................ Orange County Department of Education, Costa Mesa, CA 400,000 for an Internet safety training program............. Ossining Union Free School District, Ossining, NY for 297,000 after-school and mentoring initiatives.............. Ouachita Parish School Board, Monroe, LA for 400,000 programming at the Northeast Louisiana Family Literacy Interagency Consortium..................... Palisades Park School District, Palisades Park, NJ 150,000 for its after-school homework program, which may include technology and equipment.................... Palm Beach County School District, West Palm Beach, 300,000 FL for a mentoring program.......................... Parents as Teachers of Lake County, Inc., Hammond, IN 100,000 for family literacy services........................ Pasadena Educational Foundation, Pasadena, CA for its 100,000 Early College High School initiative................ Peaceable Kingdom Retreat for Children, Inc., 255,000 Killeen, TX for educational programming............. Pegasus Players, Chicago, IL for an arts education 100,000 program............................................. Polk County Public Schools, Bartow, FL for purchase 150,000 of equipment........................................ Port Chester-Rye Union Free School District, Port 297,000 Chester, NY for after-school, tutoring, or other activities to implement full service community schools............................................. Project Cornerstone, San Jose, CA for education and 226,000 enrichment activities............................... Prospera Initiatives, Inc., Annandale, VA for a 200,000 mentoring program................................... Resource Area For Teachers, San Jose, CA for teacher 200,000 training and professional development............... Rio Rancho Public Schools, Rio Rancho, NM for teacher 250,000 training and professional development, which may include equipment and technology.................... River Region Multicultural Chamber of Commerce, La 300,000 Place, LA for after-school and summer academic enrichment programs................................. River Rouge School District, River Rouge, MI for 200,000 transitional services and workforce training for youth, which may include equipment and technology... Riverside Unified School District, Riverside, CA for 325,000 a science, technology, engineering and mathematics initiative, including curriculum development and purchase of equipment............................... Rockdale County Public Schools, Conyers, GA for its 300,000 AVID/Advanced Placement program..................... Rockdale County Public Schools, Conyers, GA to 400,000 establish year-round Pre-K programs, which may include expenses for tuition, transportation, and meals............................................... Rodel Foundation of Delaware, Wilmington, DE for the 150,000 Delaware Parent Leadership Institute................ San Antonio Youth Centers, San Antonio, TX for after- 200,000 school programs, which may include equipment and technology.......................................... San Jose Unified School District, San Jose, CA for a 250,000 longitudinal data system............................ Save the Children, Westport, CT for a literacy 100,000 program............................................. Save the Children, Westport, CT for a rural literacy 300,000 program in Washington, St. Martin, and/or Tangipahoa parishes, which may include equipment and technology School District of Cheltenham Township, Elkins Park, 50,000 PA for a dual enrollment program, which may include expenses for tuition and textbooks.................. Seattle Public Schools, Seattle, WA for a language 200,000 immersion program................................... Self Enhancement, Inc., Portland, OR for a mentoring 525,000 and academic enrichment program..................... Shodor Education Foundation, Inc., Durham, NC for its 200,000 Computing Mentoring Academic Transitions through Experience, Research, and Service initiative........ Signature Theatre, Arlington, VA for an arts 500,000 education program................................... Sisters In Struggle, Hempstead, NY for a life-skills 200,000 program for at-risk youth, which may include equipment and technology............................ Somerset Hills School District, Bernardsville, NJ for 312,000 the Cultural Tolerance Education initiative......... South Berkshire Educational Collaborative, Great 250,000 Barrington, MA for educational enrichment and professional development activities................. South Carolina Governor's School for Science and 275,000 Mathematics Foundation, Columbia, SC for academic enrichment programs in science, mathematics, engineering and technology.......................... Southern Connecticut State University, New Haven, CT 200,000 for its Autism Center for Excellence................ Southwestern Oklahoma State University, Weatherford, 350,000 OK for purchase of equipment........................ Southwestern University, Georgetown, TX for a summer 443,000 college preparatory program......................... Special Olympics 2010 USA National Games, Lincoln, NE 350,000 to support the 2010 Special Olympics National Games. Springboard for Improving Schools, San Francisco, CA 150,000 for teacher training and professional development in one or more school districts in the 20th Congressional district.............................. Springboard for Improving Schools, San Francisco, CA 150,000 for the Improving Student Achievement in the Palmdale, CA Elementary School District program..... Springboard Schools, San Francisco, CA for teacher 150,000 training and professional development in the Santa Ana Unified School District......................... Syracuse University, Syracuse, NY for its Say Yes to 300,000 Education after-school and extended learning initiative.......................................... Tarrytown Union Free School District, Tarrytown, NY 297,000 for programs for at-risk youth...................... Texas A&M University--Commerce, TX for a science, 100,000 technology, engineering and math initiative......... Texas State University--San Marcos, TX for the Texas 350,000 Mathworks initiative................................ Toledo GROWs, Toledo, OH for a hands-on science based 300,000 curriculum in urban areas........................... Trimble Local School District, Glouster, OH for an 175,000 after-school program................................ Tulsa Public Schools, Tulsa, OK for the Tulsa 350,000 Academic Center..................................... United Way of Miami-Dade, Miami, FL for the Center of 300,000 Excellence in Early Education, including teacher training programs................................... United Way of Youngstown/Mahoning Valley, Youngstown, 100,000 OH for an early childhood education program......... University of Houston, Houston, TX for teacher 400,000 training and professional development............... University of Nebraska--Kearney, Kearney, NE for 350,000 curriculum development.............................. University of North Carolina at Greensboro, 165,000 Greensboro, NC for the ON TRACK mathematics enrichment program.................................. University of North Florida, Jacksonville, FL for the 250,000 Virtual School Readiness Incubator.................. Upper Palmetto YMCA, Rock Hill, SC for an 225,000 environmental education program, which may include equipment and technology............................ USD 353, Wellington, KS, Public Schools for 250,000 technology upgrades and teacher training............ USD 373, Newton, Kansas Public Schools for technology 250,000 upgrades............................................ USD 402, Augusta, KS Public Schools for technology 250,000 upgrades............................................ USD 446, Independence, KS Public Schools for 250,000 technology upgrades and teacher training............ USD 470, Arkansas City, KS Public Schools for 250,000 technology upgrades, professional development and training/technical assistance....................... USD 490, Butler County, KS for technology upgrades 250,000 and teacher training at the El Dorado, KS public school system....................................... Wayne State University, Detroit, MI for its science, 300,000 engineering, mathematics, aerospace academy......... We Care San Jacinto, San Jacinto, CA for an 100,000 afterschool tutoring program........................ Western Oklahoma State College, Altus, OK for 100,000 purchase of equipment............................... Wings of Eagles, Horseheads, NY for a Regional 275,000 Science, Technological, Engineering, and Math Academy............................................. YMCA of Warren, Warren, OH for an after-school 100,000 program............................................. Yonkers Public Schools, Yonkers, NY for Saturday 297,000 academies, music education, and teacher professional development activities.............................. YWCA of the Harbor Area and South Bay, San Pedro, CA 300,000 for an early childhood education program............ ------------------------------------------------------------------------ Teacher Incentive Fund The Committee recommends $445,864,000 for the Teacher Incentive Fund (TIF), which is $348,594,000 above the fiscal year 2009 funding level and $41,406,000 below the budget request. In addition, the Recovery Act provided $200,000,000 for TIF for fiscal years 2009 and 2010. The goals of TIF are to improve student achievement by increasing teacher and principal effectiveness; reform teacher and principal compensation systems so that teachers and principals are rewarded for gains in student achievement; increase the number of effective teachers teaching low-income, minority, and disadvantaged students in hard-to-staff subjects; and create sustainable performance-based compensation systems. The program provides grants to encourage school districts and States to develop and implement innovative ways to provide financial incentives for teachers and principals who raise student achievement and close the achievement gap in some of our nation's highest-need schools. The bill includes language recommended by the Administration to permit TIF funds to support initiatives that provide performance-based compensation to all staff in a school (rather than only to teachers and the principal). Within the total amount provided, $220,000,000 will continue awards made with fiscal year 2009 Omnibus and Recovery Act funds, $200,000,000 will be available for new awards, and the remaining funds will support training, technical assistance, evaluation, and peer review activities. Finally, the bill includes a general provision that prohibits the obligation of funds for new TIF awards prior to the submission of an impact evaluation plan to the Committees on Appropriations of the House of Representatives and the Senate. The Committee intends that the Institute of Education Sciences oversee the conduct of this TIF evaluation, which shall employ rigorous scientific methods including, to the extent practicable, random assignment. National Teacher Recruitment Campaign The Committee recommends $10,000,000 for a new National Teacher Recruitment Campaign, which is $10,000,000 more than fiscal year 2009 funding level and $20,000,000 below the budget request. The Elementary and Secondary Education Act authorizes a National Teacher Recruitment Campaign, which may be carried out through a national teacher recruitment clearinghouse to assist high-need schools and to conduct a national public service campaign concerning the available resources for and possible routes to entering teaching. The Committee recommendation does not include funding for grants to school districts, which already receive teacher recruitment and retention funding through the Improving Teacher Quality State Grants, TIF, and the Teacher Quality Partnership programs. The Committee provides these resources for a comprehensive national effort to link those who wish to enter teaching with teaching positions, which may include a national clearinghouse. The Committee directs that the Department provide a briefing to the Committee on the planned use of these funds no later than 30 days prior to the release of a request for proposals. Ready-to-Learn Television The Committee recommends $25,416,000 for the Ready-to-Learn Television program, which is the same as the fiscal year 2009 funding level and the budget request. The Ready-to-Learn Television program is designed to facilitate student academic achievement by supporting the development and distribution of educational video programming for preschool and elementary school children and their parents. Close Up Fellowships The Committee recommends $1,942,000 for the Close Up Fellowships program, which is the same amount as the fiscal year 2009 funding level. The Committee does not agree with the Administration's request to terminate this program. Close Up Fellowships are administered by the Close Up Foundation and support fellowships to low-income middle- and high school students for low-income families and their teachers to spend one week in D.C. attending seminars on government and current events and meeting with leaders from the three branches of the Federal government. Advanced Placement Program The Committee recommends $43,540,000 for the Advanced Placement program. This recommendation is the same as the fiscal year 2009 funding level and the budget request. This program finances grants to States to pay Advanced Placement test fees on behalf of low-income individuals, as well as grants to States, local education agencies, or nonprofit educational entities with relevant expertise, to support activities intended to expand access to advanced placement programs for low-income individuals. The Committee recommendation includes $15,374,000 for test fee subsidies for low-income students who are enrolled in advanced placement classes and plan to take Advanced Placement or International Baccalaureate tests. The remaining funds are allocated for Advanced Placement Incentive Program Grants, which are used to expand access to Advanced Placement programs for low-income students, by supporting activities such as teacher training, development of pre-advanced placement courses, and books and supplies. State Fiscal Stabilization Fund, Recovery Act The Committee includes $3,000,000 for the What Works and Innovation Fund authorized under the State Fiscal Stabilization Fund established in the Recovery Act. This amount is $3,000,000 more than the fiscal year 2009 level and $97,000,000 less than the request. This fund supports competitive grants to school districts, and to partnerships between nonprofit organizations and school districts, that have made significant progress in improving student achievement to scale up their work and serve as models of best practices. The Recovery Act provided $650,000,000 for this purpose in fiscal year 2010. The Committee recommends additional funding to provide additional flexibility to the Secretary of Education to address the expected strong demand for this assistance. The Committee encourages the Department to establish invitational priorities under the What Works and Innovation Fund for program approaches that prepare students to successfully pursue, enter, and matriculate in college as described in sections 801 and 808 of the Higher Education Act. Safe Schools and Citizenship Education The Committee recommends $395,753,000 for Safe Schools and Citizenship Education programs. This amount is $294,617,000 below the fiscal year 2009 funding level and $17,855,000 below the budget request. This appropriation account includes programs authorized under parts of titles II, IV, and V of the Elementary and Secondary Education Act. Safe and Drug-Free Schools and Communities: State Grants The President's fiscal year 2010 budget proposes to eliminate funding for Safe and Drug Free Schools and Communities State Grants program, which was funded at $294,759,000 in fiscal year 2009. While the Committee supports efforts to improve school safety and reduce drug use, the Committee agrees with the Administration's request and the need to redirect these funds into higher impact activities, such as teacher and principal training and development. Safe and Drug- Free Schools and Communities State Grants are State- administered, formula grant programs intended to provide assistance to schools to establish safe and orderly school- environments. However, school districts generally do not receive sufficient funding to support quality interventions. The Committee recommends below a series of targeted interventions to help districts foster a safe and secure learning environment, develop emergency response plans, and reduce alcohol and drug use. Safe and Drug-Free Schools and Communities: National Programs The Committee recommends $195,041,000 for the Safe and Drug-Free Schools and Communities National Programs, which is $54,777,000 above the fiscal year 2009 funding level and $55,855,000 below the budget request. Under this program, the Secretary of Education administers a variety of activities to prevent the illegal use of drugs, underage drinking, and violence among students at all levels of education. Within the funds included in the bill for Safe and Drug Free Schools and Communities, National Programs, the following amounts are provided for the following activities: ---------------------------------------------------------------------------------------------------------------- FY 2010 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- School Culture and Climate............................. $50,000,000 $50,000,000 -$50,000,000 School and College Emergency Preparedness.............. 40,000,000 4,009,000 0 Safe Schools/Healthy Students.......................... 77,816,000 0 0 Drug Testing Initiative................................ 7,839,000 1,232,000 0 Postsecondary Education Drug and Violence Prevention... 5,409,000 -608,000 -2,608,000 Sober Truth on Preventing Underage Drinking (STOP Act). 2,500,000 0 2,500,000 Project SERV........................................... 2,000,000 2,000,000 -3,000,000 National activities.................................... 9,477,000 -576,000 -2,747,000 ---------------------------------------------------------------------------------------------------------------- School Culture and Climate.--The Committee includes $50,000,000 for an initiative to support new approaches to assisting schools foster a safe, secure and drug-free learning environment, particularly by using approaches to change school culture and climate--and thereby improve character and discipline--and reduce drug use, crime and violence. The funds will support approximately 200 competitive awards focused on: (1) reducing suspensions and expulsions related to student disruptive behavior and nonviolent offenses; and (2) reducing violent crime in schools, on school grounds, and on the way to and from school. School and College Emergency Preparedness.--The Committee also continues its initiative to enhance school and college emergency preparedness planning. These activities assist school districts and colleges in preventing, preparing for, mitigating, and responding to catastrophic events and other crises. The Committee recommends a total of $43,000,000 for this initiative--$40,000,000 under the Department of Education and $3,000,000 under the Substance Abuse and Mental Health Services Administration (SAMHSA). This amount includes $33,000,000 for elementary and secondary education and $10,000,000 for higher education, of which $7,000,000 is provided under the Department of Education and $3,000,000, is provided under SAMHSA. Safe Schools/Healthy Students.--The Committee's recommendation includes $77,816,000 for the Safe Schools/ Healthy Students initiative. The bill also provides $81,860,000 for this initiative under SAMHSA. In total, $159,676,000 will be available in fiscal year 2010 for these comprehensive grants, which require the commitment of local partners--school districts, local law enforcement, juvenile justice agencies, and public mental health authorities--to develop joint strategies and services to prevent youth violence and provide student mental health services. A key feature of this program is its collaborative planning among the Department of Education, the Department of Health and Human Services, and the Department of Justice and joint funding between the Department of Education and SAMHSA. Student Drug Testing.--For the final year of the Student Drug Testing Initiative, the Committee provides $7,839,000, as requested by the Administration. These projects must be conducted in strict compliance with Supreme Court rulings on student drug testing. Postsecondary Education Drug and Violence Prevention.--The Committee provides $5,409,000 for Postsecondary Education Drug and Violence Prevention. This program provides financial and technical assistance to institutions of higher education for drug prevention and campus safety programs for students attending such institutions. The amount provided also includes funds for a National Recognition Awards program that would recognize models of exemplary, effective, and promising drug and alcohol prevention programs on college campuses. Sober Truth on Preventing Underage Drinking (STOP Act).-- The Committee recommends $2,500,000 for the Sober Truth on Preventing Underage Drinking (STOP Act). Among other things, this program finances grants to institutions of higher education, States and non-profit organizations to combat underage drinking in communities. Project SERV.--The bill includes $2,000,000 for the School Emergency Response to Violence initiative (Project SERV). The Committee expects that these funds will be sufficient for fiscal year 2010, given approximately $6,200,000 in unexpended balances from prior years and historical expenditure patterns. Project SERV provides education-related services to school districts in which the learning environment has been disrupted due to a violent or traumatic crisis. Social and Emotional Learning.--The Committee believes that addressing the social and emotional development of students through evidence-based social and emotional learning programs is a highly effective way to create safe and drug-free schools and to promote higher student achievement and attainment. The Committee urges Federal support for the implementation of evidenced-based social and emotional learning standards and programming. Alcohol Abuse Reduction The Committee recommends $32,712,000 for this program, which is the same amount as the fiscal year 2009 funding level. This program awards competitive grants to school districts to develop and implement programs to reduce alcohol abuse in secondary schools. The Committee recommendation will support $3,657,000 in new awards in fiscal year 2010. Mentoring Programs The Administration's budget proposes to eliminate funding for Mentoring Programs, which were funded at $47,264,000 in fiscal year 2009. The Committee adopts this recommendation. This program provides competitive grants to school districts and community-based organizations to promote mentoring programs for children. In March 2009, the Department's Institute of Education Sciences completed a rigorous multi-year evaluation, which found this program to be ineffective. Students were compared on 17 measures across four domains: school engagement, academic achievement, delinquent behavior, and ``prosocial'' behavior. The evaluation found no statistically significant impacts of this program on any of the measures. The Committee does support mentoring programs for at-risk children and youth, however, and recommends $17,847,000 for new mentoring programs for youth offenders under the Re-integration of Ex-offenders Program in the Department of Labor and $49,314,000 for the Mentoring Children of Prisoners program in the Department of Health and Human Services. Character Education The Administration's budget proposes to eliminate funding for Character Education, which was funded at $11,912,000 in fiscal year 2009. The Committee adopts this recommendation. This program provides support for the design and implementation of character education programs in elementary and secondary schools, but is now too small to have significant impact. In lieu of these funds, the Committee provides $50,000,000 for a larger grant competition focused on school culture and climate, which may include character education. Elementary and Secondary School Counseling The Committee provides $55,000,000 for Elementary and Secondary School Counseling, which is $3,000,000 more than the fiscal year 2009 funding level and the budget request. This program provides grants to school districts to enable them to establish or expand elementary school and secondary school counseling programs. School counselors are primarily supported with non-Federal funds. According to the Department, a recent review of school counseling research found that school counseling programs have a significant impact in reducing student disciplinary problems, enhancing problem solving skills, and increasing career knowledge; they also were found to have a small but positive impact on academic achievement. The funds provided by the Committee will support the hiring and training of qualified school counselors, school psychologists, child and adolescent psychiatrists, and school social workers to provide beneficial counseling services. Carol M. White Physical Education Program The Committee recommends $78,000,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides grants to local educational agencies and community-based organizations to initiate, expand, and improve physical education programs for students in kindergarten through 12th grade. The Committee again directs the Department to work with CDC to incorporate the school health index into this program. In fiscal year 2010, approximately $39,000,000 will be available for new awards; the Department shall grant priority to those applications that have completed physical education and nutritional assessments as part of the school health index or propose to implement the school health index. Awards should support the implementation of science-based curriculum tools to encourage physical education and healthy eating. In addition, the Committee provides $62,780,000 under CDC to expand from 22 to 32 the number of State educational agencies receiving assistance for school health, nutrition, and obesity programs. Civic Education The Administration's budget proposes to eliminate funding for Civic Education. The Committee strongly disagrees with this proposal and instead recommends $35,000,000 for Civic Education, which is the $1,541,000 more than the fiscal year 2009 funding level. Program funds support the ``We the People'' and the Cooperative Education Exchange programs. ``We the People'' seeks to promote civic competence and responsibility among students. The Cooperative Education Exchange program provides support for education exchange activities in civics and economics between the United States and eligible countries in Central and Eastern Europe, the Commonwealth of Independent States, any country of the former Soviet Union, the Republic of Ireland, the Province of Northern Ireland, or a developing country with a democratic form of government. Within the total amount for Civic Education, $2,957,000 is designated in the bill for a comprehensive program, developed by the Center for Civic Education, in partnership with Indiana University and the National Conference on State Legislatures, to improve student knowledge, understanding, and support of American democratic institutions. The bill also designates up to $13,383,000 to carry out the Cooperative Education Exchange program. English Language Acquisition The Committee recommends $760,000,000 for the English Language Acquisition program. This amount is $30,000,000 above the fiscal year 2009 funding level and the budget request. Of this amount provided for the 2010-2011 academic year, $49,400,000 is appropriated for obligation on or after October 1, 2009 and $710,600,000 is appropriated for obligation on or after, July 1, 2010. All funds are available through September 30, 2011. The bill modifies existing language to calculate all State awards based on a three-year average of data from the American Community Survey. This program provides formula grants to States to serve limited English proficient students. Grants are based on each State's share of the national limited English proficient (LEP) and recent immigrant student population. Funds under this account also support professional development to increase the pool of teachers prepared to serve LEP students as well as evaluation activities. High rates of immigration over the last two decades have resulted in dramatic increases in the number of LEP students identified by States. According to the U.S. Census Bureau, the number of LEP students has risen from below 1 million in 1980 to above 4.6 million in 2005. According to the Department, the overall increase in LEP students, and the rapid growth in the LEP population in States lacking an infrastructure for serving LEP students, underscores the need for this program. Special Education The Committee recommends $12,579,677,000 for programs for children with disabilities authorized under the Individuals with Disabilities Education Act (IDEA). This funding level is the same as the fiscal year 2009 funding level and the budget request. Of the total amount available, $3,726,354,000 is available for obligation on or after July 1, 2010, and $8,592,383,000 is available for obligation on or after October 1, 2010. The Recovery Act provided an additional $12,200,000,000 for special education in fiscal years 2009 and 2010. These grants help States and localities pay for a free appropriate education for 6.7 million students with disabilities aged 3 through 21 years. Grants to States The Committee recommends $11,505,211,000 for Part B Grants to States, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $11,300,000,000 for Part B Grants to States in fiscal years 2009 and 2010. This program provides formula grants to assist States in meeting the excess costs of providing special education and related services to children with disabilities. States generally transfer most of the funds to local educational agencies; however, they can reserve some funds for program monitoring, technical assistance, and other related activities. In order to be eligible for funds States must make free appropriate public education available to all children with disabilities. The Committee believes that students with disabilities should have an equal opportunity to participate in high quality education and it helped to make this goal a reality by providing a historic $11,300,000,000 for Part B Grants to States in the Recovery Act. These funds, together with the funds provided in this bill, will support a record 25 percent Federal contribution toward special education in each of fiscal years 2009 and 2010. The Committee includes bill language proposed in the budget request to limit the increase in the amount of funds required to be transferred to the Department of the Interior to the lesser of the 2009 plus inflation or the percentage change in the funding for the Grants to States program. Preschool Grants The Committee recommends $374,099,000 for Preschool Grants, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $400,000,000 for Preschool Grants to States in fiscal years 2009 and 2010. These funds provide additional assistance to States to help them make free, appropriate public education available to children with disabilities ages three through five. Grants for Infants and Families The Committee recommends $439,427,000 for Grants for Infants and Families, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $500,000,000 for Grants for Infants and Families in fiscal years 2009 and 2010. These funds provide additional assistance to States to help them make free, appropriate public education available to children with disabilities from birth through age two. IDEA National Activities The Committee recommends $252,845,000 for the IDEA National Activities program. This amount is the same as fiscal year 2009 funding level and the budget request. The IDEA National Activities programs support State efforts to improve early intervention and education results for children with disabilities. State Personnel Development.--The Committee recommends $48,000,000 for State Personnel Development, which is the same as the fiscal year 2009 funding level and the budget request. This program focuses on professional development by supporting grants to States to assist with improving personnel preparation and professional development related to early intervention and educational and transition services that improve outcomes for students with disabilities. Technical Assistance and Dissemination.--The Committee recommends $48,549,000 for Technical Assistance and Dissemination, which is the same as the fiscal year 2009 funding level and the budget request. This program provides funding for technical assistance, demonstration projects, and information dissemination. These funds support efforts by State and local education agencies, institutions of higher education, and other entities to build State and local capacity to make systemic changes and improve results for children with disabilities. Personnel Preparation.--The Committee recommends $90,653,000 for Personnel Preparation, which is the same as the fiscal year 2009 funding level and the budget request. This program supports competitive awards to help address State- identified needs for qualified personnel to work with children with disabilities, and to ensure that those personnel have the necessary skills and knowledge to serve children with special needs. Awards focus on addressing the need for leadership and personnel to serve low-incidence populations. Parent Information Centers.--The Committee recommends $27,028,000 for Parent Information Centers, which is the same as the fiscal year 2009 funding level and the budget request. This program makes awards to parent organizations to support Parent Training and Information Centers, including community parent resource centers. These centers provide training and information to meet the needs of parents of children with disabilities living in the areas served by the centers, particularly underserved parents and parents of children who may be inappropriately identified. Technical assistance is also provided under this program for developing, assisting, and coordinating centers receiving assistance under this program. Technology and Media Services.--The Committee recommends $38,615,000 for Technology and Media Services, which is the same as the fiscal year 2009 funding level and the budget request. This program makes competitive awards to support the development, demonstration, and use of technology and educational media activities of educational value to children with disabilities. Within the total, the bill includes $13,250,000 for Recording for the Blind and Dyslexic, Inc. These funds support continued development, production, and circulation of accessible educational materials for print-disabled students and their teachers, and accelerated use of digital technology. Special Olympics Education Programs The Committee recommends $8,095,000 for Special Olympics Education Programs, which is the same as the fiscal year 2009 funding level and the budget request. This program finances grants to the Special Olympics to support activities which increase awareness of and participation in the Special Olympics. Rehabilitation Services and Disability Research The Committee recommends $3,504,305,000 for Rehabilitation Services and Disability Research. This amount is $116,543,000 above the fiscal year 2009 funding level and $3,570,000 above the budget request. The Recovery Act provided an additional $680,000,000 for Rehabilitation Services in fiscal years 2009 and 2010. The programs in this account are authorized by the Rehabilitation Act of 1973, the Helen Keller National Center Act, and the Assistive Technology Act of 1998. Vocational Rehabilitation State Grants The Committee recommends $3,084,696,000 for Vocational Rehabilitation State Grants, which is $110,061,000 above the fiscal year 2009 funding level, and the same as the budget request. The Recovery Act provided an additional $540,000,000 for Vocational Rehabilitation State grants in fiscal years 2009 and 2010. This program supports basic vocational rehabilitation services through formula grants to the States. These grants support a wide range of services designed to help persons with physical and mental disabilities prepare for and engage in gainful employment to the extent of their capabilities. Emphasis is placed on providing vocational rehabilitation services to persons with the most significant disabilities. The Committee's recommendation provides the cost-of-living adjustment for Vocational Rehabilitation Grants to States, as authorized. Client Assistance State Grants The Committee recommends $11,576,000 for Client Assistance State Grants, which is the same as the fiscal year 2009 funding level and the budget request. Client Assistance State Grants support services for eligible individuals and applicants of the Vocational Rehabilitation State Grants program, and other programs, projects, and services funded under the Rehabilitation Act. These formula grants are used to help persons with disabilities overcome problems with the service delivery system and improve their understanding of services available to them under the Rehabilitation Act. Training The Committee recommends $37,766,000 for the Training program, which is the same as the fiscal year 2009 funding level and the budget request. The program supports long-term and short-term training, in-service personnel training, and training of interpreters for deaf persons. Projects in a broad array of disciplines are funded to ensure that skilled personnel are available to serve the vocational needs of persons with disabilities. Demonstration and Training Programs The Committee recommends $9,076,000 for Demonstration and Training Programs, which is $518,000 below the fiscal year 2009 funding level and $2,570,000 above the same as the budget request. These programs authorize discretionary awards on a competitive basis to public and private organizations to support demonstrations, direct services, and related activities for persons with disabilities. The bill includes $2,570,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ AbilityFirst, Pasadena, CA for programs to provide $100,000 employment assistance for individuals with disabilities........................................ Best Buddies Maryland, Baltimore, MD for mentoring 300,000 programs for persons with intellectual disabilities. Best Buddies Massachusetts, Boston, MA for mentoring 70,000 programs in the 8th Congressional district for persons with intellectual disabilities.............. Best Buddies Virginia, Falls Church, VA for mentoring 250,000 programs for persons with intellectual disabilities. Best Buddies, San Francisco, CA for mentoring 250,000 programs for persons with intellectual disabilities. Northern Illinois University, DeKalb, IL for a 600,000 training program to prepare instructors to work with visually impaired veterans, which may include scholarships........................................ Opportunity Enterprises, Inc., Valparaiso, IN for its 150,000 adult day program, which may include equipment...... Southern California Rehabilitation Services, Downey, 100,000 CA for computer and Internet training for individuals with disabilities, which may include equipment........................................... Southside Training, Employment and Placement 300,000 Services, Inc., Farmville, VA for training, employment services, and placement assistance for persons with disabilities, which may include equipment........................................... Special Olympics of Rhode Island, Warwick, RI for 200,000 delivering programs and promoting physical fitness among individuals with disabilities................. Vocational Guidance Services-- Painesville Center, 100,000 Painesville, OH for the Training Enhancements Promoting Jobs for Ohioans with Disabilities project Wisconsin Coalition of Independent Living Centers, 150,000 Inc., Madison, WI for its Increase Vets' Independence Initiative to provide independent living services to disabled veterans................ ------------------------------------------------------------------------ Migrant and Seasonal Farmworkers The Committee recommends $2,239,000 for programs serving Migrant and Seasonal Farmworkers, which is the same as the fiscal year 2009 funding level and the budget request. This program provides discretionary grants to finance comprehensive vocational rehabilitation services available to migrant and seasonal farmworkers with vocational disabilities. Projects emphasize outreach activities, specialized bilingual rehabilitation counseling, and coordination of vocational rehabilitation services with services from other sources. Recreational Program The Committee recommends $2,474,000 for Recreational Programs, which is the same as the fiscal year 2009 funding level and the budget request. This program provides individuals with recreation and related activities to aid in their employment, mobility, independence, socialization, and community integration. Discretionary grants are made on a competitive basis to States, public agencies, and nonprofit private organizations, including institutions of higher education. Protection and Advocacy of Individual Rights The Committee recommends $18,101,000 for Protection and Advocacy of Individual Rights, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. This funding increase will help to meet the growing demand for services by children and adults with disabilities within their community and avoid institutionalization. Grants are awarded to entities that have the authority to pursue legal, administrative, and other appropriate remedies to protect and advocate for the rights of persons with disabilities. Projects With Industry The Committee recommends $19,197,000 for Projects with Industry, which is the same as the fiscal year 2009 funding level and the budget request. This program promotes greater participation of business and industry in the rehabilitation process. The program provides placement and job development services to assist persons with disabilities to prepare them for employment in the competitive labor market. Awards are made to a variety of agencies and organizations, including business and industrial corporations, rehabilitation facilities, labor organizations, trade associations, and foundations. Supported Employment State Grants The Committee recommends $29,181,000 for Supported Employment State Grants, which is the same as the fiscal year 2009 funding level and the budget request. These formula grants assist States in developing collaborative programs with public agencies and nonprofit agencies for training and post- employment services leading to supported employment. In supported employment programs, persons with the most significant disabilities are given special supervision and assistance to enable them to work in an integrated setting. Independent Living The Committee recommends $137,867,000 for Independent Living Programs, which is $3,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $140,000,000 for Independent Living for fiscal years 2009 and 2010. These programs provide services to individuals with disabilities to maximize their independence and productivity, and to help them integrate into the mainstream of American society. Independent Living State Grants.--The Committee recommends $23,450,000 for Independent Living State Grants, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $18,200,000 for Independent Living State Grants for fiscal years 2009 and 2010. This program supports formula grants to States to provide services for independent living for persons with significant disabilities. Centers for Independent Living.--The Committee recommends $80,266,000 for Centers for Independent Living, which is $3,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $87,500,000 for Independent Living Centers for fiscal years 2009 and 2010. A population-based formula determines the total amount available for discretionary grants for centers in each State. These grants support a network of consumer-controlled, nonresidential, community-based, private, nonprofit centers that provide a wide range of services to help persons with significant disabilities live more independently in family and community settings. Centers provide information and referral services, independent living skills training, peer counseling, and individual and systems advocacy. Independent Living Services for Older Individuals Who Are Blind.--The Committee recommends $34,151,000 for Independent Living Services for Older Individuals Who Are Blind, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $34,300,000 for Independent Living Services for Older Individuals Who Are Blind Grants for fiscal years 2009 and 2010. Funds are distributed to States according to a formula based on the population of individuals who are 55 or older, and support services for persons 55 years old or over whose severe visual impairment makes gainful employment extremely difficult to obtain, but for whom independent living goals are feasible. Program Improvement The Committee recommends $852,000 for Program Improvement, which is $230,000 above the fiscal year 2009 funding level and the same as the budget request. The program provides technical assistance and consultative services to public and non-profit private agencies and organizations; short-term training and technical instruction; conducts special demonstrations; collects, prepares, publishes and disseminates educational or informational materials; and monitors and conducts evaluations. Evaluation The Committee recommends $1,217,000 for program evaluation, which is $230,000 below the fiscal year 2009 funding level and the same as the budget request. These funds are used to evaluate the impact and effectiveness of individual programs authorized under the Rehabilitation Act. Contracts are awarded on an annual basis for studies to be conducted by persons not immediately involved in the administration of the programs authorized by the Act. Helen Keller National Center The Committee recommends $8,362,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults, which is the same as the fiscal year 2009 funding level and the budget request. These funds are used for the operation of a national center that provides intensive services for deaf-blind individuals and their families at Sands Point, New York, and a network of ten regional offices that provide referral, counseling, transition services, and technical assistance to service providers. National Institute on Disability and Rehabilitation Research The Committee recommends $110,741,000 for the National Institute on Disability and Rehabilitation Research, which is $3,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Institute supports research, demonstration, and training activities that are designed to maximize the employment and integration into society of individuals with disabilities of all ages. The Committee encourages the Administration to establish an Interagency Committee on Disability Research to develop a comprehensive government-wide strategic plan for disability and rehabilitation research, including capacity building and knowledge translation. Assistive Technology For Assistive Technology, the Committee recommends $30,960,000, which is the same as the fiscal year 2009 funding level and the budget request. Technology assistance activities are authorized under the Assistive Technology Act of 1998. This Act authorizes population-based formula grants to the States to assist them in supporting alternative financing programs and assistive technology device demonstrations, loan, and reutilization programs. In addition, the funds support protection and advocacy services related to assistive technology and national technical assistance activities. Of the funds provided, $25,660,000 is for the State grant program, $4,300,000 is for the protection and advocacy program, and $1,000,000 is for national activities. Consistent with the authorizing statute, the Committee does not provide separate funding for the alternative financing program. Instead, funds for alternative financing are included in the State grant program. Special Institutions for Persons With Disabilities The Committee recommends $211,036,000 for Special Institutions for Persons with Disabilities. This amount is $225,000 above the fiscal year 2009 funding level and the same as the budget request. AMERICAN PRINTING HOUSE FOR THE BLIND The Committee recommends $22,599,000 for the American Printing House for the Blind, which is the same as the fiscal year 2009 funding level and the budget request. This funding subsidizes the production of educational materials for legally blind persons enrolled in pre-college programs. The Printing House, which is chartered by the State of Kentucky, manufactures and maintains an inventory of educational materials in accessible formats that are distributed free of charge to schools and States based on the number of blind students in each State. The Printing House also conducts research and field activities to inform educators about the availability of materials and how to use them. NATIONAL TECHNICAL INSTITUTE FOR THE DEAF The Committee recommends $68,437,000 for the National Technical Institute for the Deaf which is $4,225,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee's recommendation includes $5,400,000 for construction. The National Technical Institute for the Deaf was established by Congress in 1965 to provide a residential facility for postsecondary technical training and education for deaf persons with the purpose of promoting the employment of these individuals. The Institute also conducts applied research and provides training in various aspects of deafness. The Secretary of Education administers these activities through a contract with the Rochester Institute of Technology in Rochester, New York. GALLAUDET UNIVERSITY The Committee recommends $120,000,000 for Gallaudet University, which is $4,000,000 below the fiscal year 2009 funding level, and the same as the budget request. The Committee's recommendation includes $2,000,000 for construction. Gallaudet is a private, non-profit educational institution Federally-chartered in 1864 providing elementary, secondary, undergraduate, and continuing education for deaf persons. In addition, the University offers graduate programs in fields related to deafness for deaf and hearing students, conducts research on deafness, and provides public service programs for deaf persons. Career, Technical, and Adult Education The Committee recommends $2,016,447,000 for Career, Technical, and Adult Education programs, which is $72,099,000 above the fiscal year 2009 funding level and $2,000,000 below the budget request. This account includes vocational education programs authorized by the Carl D. Perkins Career and Technical Education Act of 2006. The account also includes adult education programs authorized under the Workforce Investment Act of 1998. These significant new investments reflect the increasing need to assist students to stay in school or return to school in order to complete a high school degree or equivalent that will prepare them for the workforce or postsecondary education or training. Career and Technical Education The Committee recommends $1,271,694,000 for Career Education. This amount is the same as the fiscal year 2009 funding level and the budget request. Career and Technical Education: State Grants The Committee recommends $1,160,911,000 for Career and Technical Education State Grants, which is the same as the fiscal year 2009 funding level and the budget request. Of the funds provided, $791,000,000 is appropriated for obligation on or after October 1, 2010. State Grants support a variety of career and technical education programs developed in accordance with the State plan. The Act concentrates Federal resources on institutions with high concentrations of low-income students. The populations assisted by State Grants range from secondary students in pre- vocational courses to adults who need retraining to adapt to changing technological and labor markets. Funding for State Grants will continue support for state-of-the art career and technical training to approximately six million students in secondary schools and more than four million students in community and technical colleges. Tech-Prep Education State Grants The Committee recommends $102,923,000 for Tech-Prep Education State Grants, which is the same as the fiscal year 2009 funding level and the budget request. This appropriation includes activities under title II of the Carl D. Perkins Career and Technical Education Act of 2006. The Tech-Prep Education State Grants program provides planning and demonstration grants to a consortia of local educational agencies and postsecondary institutions to develop and operate model technical education programs that integrate academic and vocational education. These programs begin in high school and provide students with the mathematical, science, communications, and technological skills needed to enter a two- year associate degree or two-year certificate program in a given occupational field. They also help students make a successful transition into further postsecondary education or begin their careers. National Programs The Committee recommends $7,860,000 for National programs, which is the same as the fiscal year 2009 funding level and the budget request. This authority supports the conduct and dissemination of research in career and technical education. It also includes support for the National Centers for Research and Dissemination in Career and Technical Education and other discretionary research. Adult Education The Committee recommends $639,567,000 for Adult Education. This amount is $72,099,000 above the fiscal year 2009 funding level and $2,000,000 below the budget request. Adult Basic Literacy Education State Grants The Committee recommends $628,221,000 for Adult Basic Literacy Education State Grants, which is $74,099,000 above the fiscal year 2009 funding level and the same as the budget request. These State formula grants, authorized under the Adult Education Act, support programs to enable all adults to acquire basic literacy skills, to enable those who so desire to complete secondary education, and to make available to adults the means to become more employable, productive, and responsible citizens. Within the total amount for Adult Basic Literacy Education State Grants, $45,907,000 is provided for a one-time increase to those States that, between fiscal years 2003 and 2008, did not receive their full allocations because of an administrative error by the Department of Education. This funding allows these States to recover the additional amounts to which they are entitled. The bill includes language holding harmless those States that received overpayments during this period. The remaining increase of $28,192,000 is distributed to States under statutory formulas. According to the Department of Education, there is a significant and ongoing need for adult education services given to the number of high school dropouts and the growing population of adult immigrants without the English language skills that are needed to succeed in school and the workplace. Moreover, the adult education program is one of a relatively few number of programs that was rated as effective under the Program Assessment Rating Tool. Accordingly, the Committee provides the requested funding to begin to address these needs. Under the Committee recommendation, over three million adults will be served, an increase of 316,000 adults over the fiscal year 2009 level. The bill also specifies that the set aside for English literacy and civics education State grants within the adult education program shall be $75,000,000 in fiscal year 2010, providing a $7,104,000 increase over the fiscal year 2009 level, as requested. National Leadership Activities The Committee provides $11,346,000 for National Leadership Activities, which is $4,468,000 above the fiscal year 2009 funding level, and $2,000,000 below the budget request. Through applied research, development, dissemination, evaluation, and program improvement activities, this program assists State efforts to improve the quality of adult education. The funds support such projects as evaluations on the status and effectiveness of adult education programs, national and international adult literacy surveys, and technical assistance on using technology to improve instruction and administration that shows promise of contributing to the improvement and expansion of adult education. Additional activities include addressing the need to increase the literacy and workforce skills of the nation's native-born adult population, as well as the growing need to meet the English language acquisition, literacy, and workforce skills needs of the immigrant population. Within the total, the bill includes $5,000,000 for an Adult Workforce Transition initiative, which will provide competitive grants to partnerships of local adult education providers and community colleges, business and industry, to enable adults to transition into new careers in a changing economy. This initiative will complement the $130,000,000 provided within the Department of Labor for the Career Pathways Innovation Fund, resulting in a total of $135,000,000 to prepare workers for careers in high-demand and emerging industries. National Institute for Literacy The Administration's request does not include funds for the National Institute for Literacy (NIFL), which received $6,468,000 in fiscal year 2009. The Committee adopts this recommendation. The Committee is concerned about duplicative Federal efforts in support of basic literacy and skills services and the efficient use of resources. A recent review showed at least nine other Federal agencies with responsibilities in these areas. The broad mission of the Institute and the lack of clear management oversight have led to project overlap and high administrative overhead costs. The Institute has had few successful examples of joint projects which leveraged the resources of multiple organizations; thus, failing, to end the fragmentation of programs across agencies as envisioned when it was created. The Committee directs the Department to consult with stakeholders in the field of adult literacy to determine which activities currently supported by NIFL are worthwhile, if any, and to incorporate these activities under the National Leadership activities line, where appropriate. Smaller Learning Communities The Committee recommends $88,000,000 for Smaller Learning Communities, which is the same as the fiscal year 2009 funding level and the budget request. Within the total, $83,600,000 becomes available for obligation on or after July 1, 2010 and all funds remain available through September 30, 2011. As in past years, the bill specifies that these funds shall be used only for activities related to the redesign of large high schools enrolling 1,000 or more students. The funds provided in the bill will help school districts to implement smaller, more personalized learning environments in large high schools benefiting approximately 500,000 students in fiscal year 2010. The Committee directs that the Department consult with the House Committee on Appropriations prior to the release of program guidance for the fiscal year 2010 Smaller Learning Communities grant competition. Further, the Committee directs the Department to submit to the Committees on Appropriations of the House of Representatives and the Senate an operating plan outlining the planned use of the five percent set-aside prior to the obligation of these funds. State Grants for Incarcerated Youth Offenders The Committee recommends $17,186,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. This program makes grants to State correctional agencies to assist and encourage incarcerated youths to acquire functional literacy skills as well as life and job skills. Student Financial Assistance (INCLUDING DEFERRAL OF FUNDS) The Committee recommends $19,634,905,000 for Student Financial Assistance programs, which is $477,932,000 above the fiscal year 2009 funding level and $338,096,000 above the budget request. The Recovery Act provided an additional $17,314,000,000 for student financial assistance in fiscal years 2009 and 2010. Pell Grants The Committee recommends $17,783,395,000 for the Pell Grant program, which is $495,395,000 above the fiscal year 2009 funding level. The Recovery Act provided an additional $17,114,000,000 for Pell Grants for academic years 2009 and 2010, and an additional $3,030,000,000 is available for mandatory supplemental Pell Grants under the College Cost Reduction and Access Act (CCRA). These funds will support Pell awards to students for the 2010-11 academic years. Pell Grants help to ensure access to higher educational opportunities for low- and middle-income students by providing need-based financial assistance that helps them pay for college costs. These grant awards are determined according to a statutory formula, which considers income, assets, household size, and the number of family members in college, among other factors. Pell Grants are the foundation of Federal postsecondary student aid programs. The Committee does not include the bill language proposed by the Administration that assumes enactment of proposed language that would change the Pell Grant program to an appropriated entitlement, setting the maximum award at $5,550 and thereafter increasing the maximum award amount by the Consumer Price Index plus one percent. This legislative proposal will be considered by the authorizing committees. In the interim, the Committee continues bill language providing discretionary funding for Pell awards. The bill also includes language deferring $511,000,000 in unobligated balances under the Academic Competitiveness and National Science and Mathematics Access to Retain Talent (SMART) Grants until October 1, 2010 because these funds are not needed for awards in fiscal year 2010. The Administration requested a rescission of these funds. In fiscal year 2009, the Committee led the effort to provide a historic $619 increase in the maximum Pell award, to $5,350, with fiscal year 2009 Omnibus Act, Recovery Act, and CCRA funding. This bill maintains the discretionary portion of the maximum Pell Grant award at $4,860, which will be combined with a mandatory supplement of $690 to provide a $5,550 maximum Pell Grant in fiscal year 2010, an increase of $200 over the 2009 level. Under the Committee's recommendation, the maximum Pell award will have increased by $1,500, or 37 percent, since 2006, greatly enhancing postsecondary educational opportunities for many Americans. In fiscal year 2010, nearly 7.6 million low- and middle-income students will benefit from this investment in Pell Grants. Federal Supplemental Educational Opportunity Grants The Committee recommends $757,465,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. Supplemental Educational Opportunity Grants provide funds to postsecondary institutions for need-based grants of up to $4,000 to undergraduate students, with priority given to students who are Pell-eligible. Approximately 65 percent of dependent recipients have annual family incomes under $30,000 and nearly 80 percent of independent SEOG recipients have annual family incomes under $20,000. Institutions must contribute a 25 percent match toward their Supplemental Educational Opportunity Grants' allocations. Thus, the amount provided in the bill will result in nearly $960,000,000 in need-based student financial aid benefiting nearly 1.3 million students. Federal Work-Study The Committee recommends $980,492,000 for the Federal Work- Study program, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $200,000,000 for this program for fiscal years 2009 and 2010. Federal Work-Study funds are provided through institutions to students who work part-time. The funds assist with paying for the cost of education. Approximately 3,400 colleges and universities receive funding, according to a statutory formula, and may allocate it for job location and job development centers. Work-study jobs must pay at least the Federal minimum wage and institutions must provide 25 percent of student earnings. Thus, the amount provided in the bill will result in nearly $1,200,000,000 in need-based student aid for approximately 780,000 undergraduate and graduate students. Work Colleges.--The Department shall provide the same funding from the Federal Work-Study Program appropriation (excluding funding provided under the Recovery Act) in fiscal year 2010 as in the prior year for the Work Colleges program authorized under section 448 of the Higher Education Act. Perkins Loans: Loan Cancellations The Committee recommends $49,701,000 for this program, which is $17,463,000 below the fiscal year 2009 funding level and $49,701,000 above the request. The Administration's request does not include discretionary funds for this purpose; instead, it proposes legislation to establish a new mandatory Perkins Loan program that would include the costs of loan forgiveness for existing Perkins Loans. This program reimburses college revolving loan funds for Perkins loans that are forgiven under Federal law. Perkins Loans may be forgiven when a student borrower pursues a public service career in statutorily- designated areas, including teaching in low-income communities and in under-staffed subject areas, Head Start programs, military service in areas of imminent danger, Peace Corps and ACTION service, nurses and medical technicians providing health care services, and law enforcement. Over one half of Perkins loan cancellations are for teachers. The bill continues discretionary funding of Perkins Loan cancellations pending Congressional review of the Administration's legislative proposal. Leveraging Educational Assistance Partnership The Committee recommends $63,852,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides dollar-for-dollar matching funds to States for grant and work-study assistance to eligible postsecondary students who demonstrate financial need. Over half of Leveraging Educational Assistance Partnership grants go to students with annual family incomes under $20,000. The amount provided in the bill will leverage nearly $162,000,000 in need-based aid to approximately 162,000 students. Student Aid Administration The Committee recommends $870,402,000 for Student Aid Administration, which is $117,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $60,000,000 for this account in fiscal years 2009 and 2010. Under this account, the Department delivers, or supports the delivery of, a complex array of grants, work-study, and loan assistance to over 11.5 million college students and their families. Programs administered under this account include Pell Grants, Academic Competitiveness and National Science and Mathematics Access to Retain Talent (SMART) Grants, campus-based programs, Teacher Education Assistance for College and Higher Education (TEACH) grants, Federal and Federally guaranteed student loans, and new loan purchase programs under the Ensuring Continued Access to Student Loans Act of 2008. The substantial increase in funding recommended by the Committee for fiscal year 2010 is necessary to ensure that students are guaranteed access to loans and provided high- quality servicing through competitive, private sector providers that process loans and repayments. The Department will utilize appropriated funds to manage new loan purchase authorities, ensure the capacity to handle increased Direct Loan volume, and modernize student aid systems to improve efficiency and customer service. Higher Education The Committee recommends $2,293,882,000 for Higher Education programs, which is an increase of $193,732,000 above the fiscal year 2009 funding level and $243,691,000 above the budget request. The Recovery Act provided an additional $100,000,000 for the Higher Education account for fiscal years 2009 and 2010. Strengthening Institutions The Committee recommends $84,000,000 for the Part A, Strengthening Institutions program, which is $4,000,000 above the fiscal year 2009 funding level and the same as the budget request. This program provides general operating subsidies to institutions with low average educational and general expenditures per student and significant percentages of low- income students. Funds may be used for faculty and academic program development, management, joint use of libraries and laboratories, acquisition of equipment, and student services. This is a competitive grant program. Strengthening Hispanic-Serving Institutions The Committee recommends $136,938,000 for the Hispanic- Serving Institutions program, which is $43,682,000 above the fiscal year 2009 funding level and $39,019,000 above the budget request. The Hispanic-Serving Institutions program provides operating subsidies to schools that serve at least 25 percent Hispanic students. Funds may be used for faculty and academic program development, management, joint use of libraries and laboratories, acquisition of equipment, and student services. This is a competitive grant program. Promoting Postbaccalaureate Opportunities for Hispanic Americans The Committee recommends $10,500,000 for the Promoting Postbaccalaureate Opportunities for Hispanic Americans program. The Administration did not request discretionary funding for this activity, which was supported under the Fund for the Improvement of Postsecondary Education in fiscal year 2009. This program provides expanded postbaccalaureate educational opportunities for the academic attainment of Hispanic and low income students. In addition, it expands academic offerings and enhances program quality at institutions of higher education educating the majority of Hispanic college students. This is a competitive grant program. In addition, the Higher Education Opportunity Act provides an additional $11,500,000 in mandatory funding for this program in fiscal year 2010. Strengthening Historically Black Colleges and Universities The Committee recommends $283,172,000 for Strengthening Historically Black Colleges and Universities (HBCUs), which is $45,077,000 above the fiscal year 2009 funding level and $33,172,000 above the budget request. This program provides operating subsidies to accredited, historically black colleges and universities that were established prior to 1964, with the principal mission of educating black Americans. Funds are distributed through a formula grant based on the enrollment of Pell Grant recipients, number of graduates, and the number of graduates entering graduate or professional schools in which blacks are underrepresented. The minimum grant is $500,000. Funds may be used to establish or enhance a teacher education program, community outreach programs, and curriculum development. Funds are awarded on a competitive basis. In addition, the Administration's budget includes $32,000,000 under the National Science Foundation to support undergraduate education in science, technology, engineering and mathematics in these same institutions. These funds are recommended by the Committee in the Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2010. Strengthening Historically Black Graduate Institutions The Committee recommends $61,425,000 for the Strengthening Historically Black Graduate Institutions program, which is $2,925,000 above the fiscal year 2009 funding level and the same as the budget request. The program provides five-year grants to 18 postsecondary institutions that are specified in section 326(e)(1) of the Higher Education Act. Funds may be used to build endowments, provide scholarships and fellowships, and to assist students with the enrollment and completion of post baccalaureate and professional degrees. In addition, the Higher Education Opportunity Act provides $11,500,000 in mandatory funding for master's degree programs at HBCUs and predominantly Black institutions in fiscal year 2010. Strengthening Predominantly Black Institutions The Committee recommends $13,727,000 for the Strengthening Predominantly Black Institutions (PBIs) program, which is $13,727,000 above the fiscal year 2009 funding level and $5,852,000 above the budget request. This new program provides five-year grants to help PBIs to plan, develop, undertake, and implement activities to enhance their capacity to serve more low- and middle-income Black Americans; expand higher education opportunities for students by encouraging college preparation and student persistence in secondary and postsecondary education; and to strengthen the financial ability of the PBIs to serve the academic needs of these students. Funds are awarded on a competitive basis. Strengthening Asian American and Native American Pacific-Islander- Serving Institutions The Committee recommends $4,575,000 for the Asian American Pacific Islander program, which is $2,075,000 above the fiscal year 2009 funding level and $1,950,000 above the budget request. This program provides grants to undergraduate institutions that have an undergraduate student enrollment of at least ten percent Asian American or Native American Pacific Islander. Funds may be used for faculty and academic program development, management, joint use of libraries and laboratories, acquisition of equipment, and student services. Funds are awarded on a competitive basis. Strengthening Alaska Native and Native Hawaiian-Serving Institutions The Committee recommends $18,010,000 for the Strengthening Alaska Native and Native Hawaiian-Serving Institutions program, which is $6,431,000 above the fiscal year 2009 funding level and $5,852,000 above the budget request. This program enables these institutions to improve and expand higher education opportunities for Native Alaskans and Hawaiians. Funds may be used for equipment acquisition, facilities' improvement, faculty development, and student support services. Funds are awarded on a competitive basis. Native American Serving Non-Tribal Institutions The Committee recommends $4,575,000 for the Native American Serving Non-Tribal Institutions program, which is $4,575,000 above the fiscal year 2009 funding level and $1,950,000 above the budget request. This program helps Native-American serving, nontribal institutions to improve and expand their capacity to serve Native Americans and low-income individuals. Funds are awarded on a competitive basis. Strengthening Tribally Controlled Colleges and Universities The Committee recommends $36,021,000 for the Strengthening Tribally Controlled Colleges and Universities program, which is $12,863,000 above the fiscal year 2009 funding level and $11,705,000 above the budget request. This program enables these institutions to improve and expand higher education opportunities for American Indian students. In past years, the Committee has supported a competitive grant program to assist institutions in addressing long overdue and high-priority infrastructure and facilities requirements. The Committee intends for the funds provided to be used to support the continuation of existing grants and new planning or developmental grants. Any remaining funds shall be available for grants for renovation and construction of facilities to continue to address needed facilities repair and expansion. Funds are awarded on a competitive basis. International Education and Foreign Language Studies The Committee recommends $128,881,000 for International Education and Foreign Language Studies. This amount is $10,000,000 above the fiscal year 2009 funding level and the budget request. These programs are designed to help meet the nation's security and economic needs through the development of expertise in foreign languages and area and international studies. Domestic Programs.--The Committee recommends $111,635,000 for the Domestic Programs of the International Education and Foreign Languages Studies program, which is $9,300,000 above the fiscal year 2009 funding level and the budget request. Authorized by title VI of the Higher Education Act, these programs include national resource centers, foreign language and area studies fellowships, undergraduate international studies and foreign language programs, international research and studies projects, business and international education projects, international business education centers, language resource centers, American overseas research centers, and technological innovation and cooperation for foreign information access. The Committee is aware that all national resource centers, centers for international business education, and research and language centers will compete for new awards in fiscal year 2010. The bill includes sufficient funds to increase the average award for the existing number of centers. The Committee believes that restoring the awards that have eroded over the years, thereby enabling each center to implement an effective, multifaceted program of advanced language training, research, technical assistance, and outreach, should be a priority over expanding the number of centers over current levels. The Committee requests a briefing with Department of Education officials not less than 30 days prior to the issuance of these requests for proposal. The Committee provides sufficient funds to increase the FLAS academic year institutional allowance and the numbers of FLAS academic year and summer fellowships. Due to the global financial crisis, falling endowments and State funds have made filling the tuition gap more difficult for institutions of higher education. These fellowships should be allocated across all world areas, with an emphasis on languages of strategic national importance. The bill repeats language permitting up to one percent of the Title VI/Fulbright-Hays funds provided to the Department to be used for program evaluation, national outreach, and information dissemination activities. The Committee urges the Department to use a portion of these funds to assist Title VI grantees with developing web portals to improve the dissemination of information produced under these programs to the public. Overseas Programs.--The Committee recommends $15,209,000 for the Overseas Programs of the International Education and Foreign Language Studies programs, popularly known as the Fulbright-Hays Act. This amount is $500,000 more than fiscal year 2009 funding level and the budget request. Funding for these programs support group projects abroad, faculty research abroad, special bilateral projects, and doctoral dissertation research abroad. Fulbright-Hays provides an essential overseas component for research and training of Americans in foreign languages and international studies. Overseas immersion is critical to achieving high levels of foreign language proficiency. Additional funds provided over the request should be used to expand doctoral and faculty research fellowships, and group projects abroad in intermediate and advanced language skills in the strategic world areas. The Committee expects the increased funding to be used to help graphic the rising costs of educational and programming activities occurring abroad due to the declining value of the U.S. dollar. The bill also repeats language allowing Title VI and section 102(b)(6) funds for individuals planning to apply their advanced language skills in the fields of government, professional, or international development. International Public Policy.--The Committee recommends $2,037,000 for the Institute for International Public Policy. This amount is $200,000 higher than fiscal year 2009 funding level and the budget request. This program is intended to increase the participation of underrepresented populations in international service, including private international voluntary organizations and the U.S. Foreign Service. This program provides a grant to an eligible recipient to operate the Institute through sub-grantees chosen among minority- serving institutions. The Committee encourages the funding of Ralph Bunche Scholarships and the continued emphasis on helping students obtain foreign language competence and international expertise in areas important to national security. Fund for the Improvement of Postsecondary Education The Committee recommends $133,916,000 for the Fund for the Improvement of Postsecondary Education (FIPSE), which is $249,000 above the fiscal year 2009 funding level and $86,492,000 above the budget request. This program awards grants and contracts to a variety of postsecondary institutions and other organizations to improve the quality and delivery of postsecondary education. FIPSE Comprehensive Program.--Within the total, the Committee includes $34,805,000 for the Comprehensive Program. The Committee directs the Department to establish invitational priorities under the Comprehensive Program for centers of excellence for teacher preparation as described in Section 242; university sustainability initiatives as described in section 881; rural development initiatives for rural-serving colleges and universities as described in section 861; as well as for initiatives to assist highly qualified minorities and women to acquire doctoral degrees in fields where they are underrepresented as described in section 807 of the Higher Education Act. College Textbook Rental Initiative.--Within the total, the Committee includes $10,000,000 for the second year of funding for a college textbook rental initiative. This pilot initiative provides competitive grants to institutions of higher education to support pilot programs that expand the services of bookstores to provide the option for students to rent course materials in order to achieve savings for students. The Committee directs that these funds be awarded under a FIPSE special focus competition, in accordance with section 803(b)- (d) of the Higher Education Act. Centers of Excellence for Veteran Student Success.--Within the total, the Committee includes not less than $8,000,000 for competitive grants to institutions of higher education to encourage model programs to support veterans, particularly those returning from Iraq and Afghanistan, pursuing postsecondary education by coordinating services to address their academic, financial, physical and social needs. The Committee directs that these funds be awarded under a FIPSE special focus competition, in accordance with section 873 of the Higher Education Act. The bill includes $68,247,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ AB Christian Learning Center, Ft. Worth, TX for a $175,000 higher education resource center.................... Alamo Community College, San Antonio, TX for an 200,000 associates degree program for air traffic controllers, which may include equipment and technology.......................................... Albany State University, Albany, GA for a model 150,000 program to increase the recruitment and retention of underrepresented students in postsecondary education Alexander City Chamber of Commerce Foundation, 100,000 Alexander City, AL for the Gateway to Education Scholarship program, including scholarships......... Alverno College, Milwaukee, WI for its Research 100,000 Center for Women and Girls, which may include equipment........................................... Anne Arundel Community College, Hanover, MD for its 350,000 science, technology, engineering, and math initiative, which may include equipment and technology.......................................... Anoka Ramsey Community College, Coon Rapids, MN for 800,000 curriculum development in programs relating to the medical device manufacturing industry, including purchase of equipment............................... Armstrong Atlantic State University Cyber Security 457,000 Research Institute Foundation, Savannah, GA for curriculum development, including purchase of equipment........................................... Asnuntuck Community College, Enfield, CT for a 250,000 Medical Device Machine Technology Certificate Program, which may include equipment and technology. Beloit College, Beloit, WI for college scholarships 150,000 and college outreach and early awareness programs... Brandeis University, Waltham, MA for science and 350,000 technology academic programs, which may include equipment and technology............................ Brazosport College, Galveston, TX for purchase of 200,000 equipment to be used in the petrochemical and nuclear technician training programs................ Brazosport College, Lake Jackson, TX for curriculum 380,000 development......................................... Breathitt Veterinary Center, Hopkinsville, KY for 350,000 purchase of equipment............................... Briar Cliff University, Sioux City, IA for purchase 100,000 of equipment........................................ Burcham Hills Retirement Community, East Lansing, MI 200,000 to develop an Alzheimer's and dementia training program, including purchase of equipment............ Butler Community College, El Dorado, KS for purchase 500,000 of equipment........................................ Caldwell College, Caldwell, NJ for curriculum 550,000 development, including purchase of equipment........ California Baptist University, Riverside, CA for 300,000 purchase of equipment............................... California State University, Fullerton, CA for 350,000 curriculum development associated with the Vietnamese language and culture program............. California State University, Fullerton, CA for the 300,000 Center for the Advancement of Teaching and Learning in Mathematics and Science.......................... California State University, Sacramento, CA for 350,000 equipment and technology for science laboratories... Campbell University, Buies Creek, NC for an 300,000 initiative at its School of Pharmacy to train underrepresented pharmacists........................ Canisius College, Buffalo, NY for its science 400,000 education program, which may include equipment and technology.......................................... Castleton State College, Castleton, VT for 400,000 development of a bachelor of science in nursing degree program...................................... Central Maine Community College, Auburn, ME for its 150,000 Veterans to College Initiative to provide academic counseling and support to veterans.................. Centralia College, Centralia, WA for biotechnology 375,000 and science equipment............................... Cheyney University of Pennsylvania, Cheyney, PA for 100,000 its Keystone Honors Academy......................... City College of San Jose, CA for its California 368,000 Construction College to train students for careers in construction management, which may include equipment........................................... Clackamas Community College, Oregon City, OR for 400,000 education and training programs in renewable energy fields, which may include equipment and technology.. Clarke College, Dubuque, IA for its Doctor of Nurse 400,000 Practitioner program, which may include equipment, technology and scholarships......................... Coahoma Community College, Clarksdale, MS for 50,000 curricula, equipment and technology................. Coffeyville Community College, Coffeyville, KS for 500,000 the Native American Center, including purchase of equipment........................................... College of Southern Idaho, Twin Falls, ID for 200,000 curriculum development, including the purchase of equipment........................................... College of the Canyons, Santa Clarita, CA for the 100,000 University Center Consortium, including curriculum development......................................... College Opportunity Resources for Education, 750,000 Philadelphia, PA for college preparation and scholarship assistance.............................. College Summit-West Virginia, Dunbar, WV for a 100,000 college access initiative........................... Columbia College, Columbia, SC for its Masters Degree 200,000 Program in Divergent Learning....................... Columbus State University, Columbus, GA for a 150,000 Science, Technology, Engineering and Math (STEM) program............................................. Creighton University, Omaha, NE for purchase of 500,000 equipment........................................... Dallas County Community College District, Dallas, TX 300,000 for its Science, Technology, Engineering and Mathematics (STEM) Professions Initiative, which may include scholarships................................ Dean College, Franklin, MA for its Embedded Study 150,000 Model Project to integrate academic support services into curricula, which may include equipment and technology.......................................... Donnelly College, Kansas City, KS for equipment and 200,000 technology.......................................... Eastern Arizona College, Thatcher, AZ for the Gila 400,000 Community College nursing education program, which may include equipment and technology................ Edmonds Community College, Lynwood, WA for equipment 500,000 for training programs at its National Advanced Materials and Manufacturing Innovation Center....... Elgin Community College, Elgin, IL for the Health 100,000 Careers Center of Excellence, including curriculum development and purchase of equipment............... Evergreen State College, Olympia, WA for its 325,000 Curriculum for the Bioregion initiative............. Fairleigh Dickenson University, Madison, NJ for 500,000 curriculum development, including purchase of equipment........................................... Florida Gulf Coast University, Ft. Myers, FL for the 350,000 Coastal Watershed Institute......................... Ft. Hays State University, Hays, KS for purchase of 250,000 equipment........................................... Gadsden State Community College, Gadsden, AL for 100,000 technology upgrades................................. George C. Wallace Community College, Dothan, AL for 200,000 equipment and technology to train energy technicians for nuclear facilities.............................. Grace College and Theological Seminary, Winona Lake, 150,000 IN for curriculum development, including purchase of equipment........................................... Harrisburg University of Science and Technology, 300,000 Harrisburg, PA for science, technology, engineering and mathematics (STEM) academic programs, which may include equipment and technology.................... Hill College, Hillsboro, TX for vocational training 200,000 at the Bosque County campus, which may include equipment and technology............................ Huston-Tillotson University, Austin, TX for a math 350,000 and science education initiative.................... Hutchinson Community College, Hutchinson, KS for 250,000 purchase of equipment............................... Illinois Community College Trustee Association, 600,000 Springfield, IL for the Illinois Community College Sustainability Network to promote and provide energy education and sustainable practices................. Iowa Valley Community College, Marshalltown, IA for 165,000 purchase of equipment............................... Itawamba Community College, Fulton, MS for 700,000 consolidation of the Tupelo and Fulton Nursing School Programs in order to provide additional nursing specialists to a five-county region......... Ivy Tech Community College, Terre Haute, IN for 600,000 equipment and technology for training programs at its Advanced Manufacturing Center................... Jacksonville State University, Jacksonville, AL for 250,000 purchase of equipment............................... Jewish Employment and Vocational Service (JEVS) d/b/a 165,000 JEVS Human Services, Philadelphia, PA for an associate degree program in court reporting, which may include equipment and technology................ Johnson C. Smith University, Charlotte, NC for an 400,000 Undergraduate Research Center for Electronic and Cyber Security, which may include equipment, technology and student financial assistance......... Kalamazoo Community Mental Health and Substance Abuse 100,000 Services, Kalamazoo, MI for a nursing distance education curriculum, including purchase of equipment........................................... Kalamazoo Valley Community College, Kalamazoo, MI for 350,000 purchase of equipment............................... Kankakee Community College, Kankakee, IL for 400,000 renewable energy technology training programs, which may include equipment and technology................ Keene State College, Keene, NH for its Regional 300,000 Center for Advanced Manufacturing Education, which may include equipment and student financial assistance.......................................... Kern Community College District, Bakersfield, CA for 250,000 purchase of equipment............................... Lake Michigan College, Benton Harbor, MI for 150,000 curriculum development, including the purchase of equipment........................................... Lake Superior College, Duluth, MN for certificate and 200,000 degree programs in aviation, which may include equipment and technology............................ Lakeshore Technical College, Cleveland, WI for 250,000 curriculum development.............................. LeTourneau University, Longview, TX for purchase of 350,000 equipment........................................... Lincoln Land Community College, Springfield, IL for 350,000 the HIRE Education Program, including purchase of equipment........................................... Livingstone College, Salisbury, NC for its Center for 300,000 Holistic Learning to provide academic and student support services, which may include equipment and technology.......................................... Long Island University, Brookville, NY for a Grow 700,000 Your Own Teacher Program providing mentoring, education and support to high school students in underserved areas, which may include college scholarships........................................ Los Angeles City College Foundation, Los Angeles, CA 450,000 for the Los Angeles City College nursing program.... Madisonville Community College, Madisonville, KY for 100,000 purchase of equipment............................... Marian University, Fond du Lac, WI for nursing 200,000 curriculum development.............................. Maricopa County Community College District, Mesa, AZ 100,000 for health professions training..................... Maricopa County Community College District, Tempe, AZ 300,000 for its East Valley Veterans Education Center to enable veterans to enroll in and complete postsecondary education, which may include equipment and technology...................................... Maricopa County Community College District, Tempe, AZ 300,000 for the Bilingual Nursing Program at South Mountain Community College, which may include stipends....... Marshall University Research Corporation, Huntington, 300,000 WV for equipment and technology for advanced maritime training................................... Marymount Manhattan College, New York, NY for 400,000 academic programs at the Geraldine Farraro Center for Educational Excellence in Science, Technology, and Math, which may include equipment and technology Marymount University, Arlington, VA for science 200,000 equipment and technology............................ Maryville College, Maryville, TN for an experiential 300,000 science education program........................... Metropolitan State College, Denver, CO for equipment 200,000 and technology for its accredited aviation training program............................................. Mid-America Christian University, Oklahoma City, OK 485,000 for teacher training programs, including purchase of equipment........................................... Middle Tennessee State University, Murfreesboro, TN 450,000 for a STEM education teacher training initiative, which may include stipends.......................... Midland Independent School District, Midland, TX for 350,000 teacher training.................................... Mississippi Valley State University, Itta Bena, MS 400,000 for an initiative to prepare undergraduate students for professional medical education, which may include equipment, technology and scholarships...... Monroe Community College, Rochester, NY for an 275,000 Academy for Veterans' Success to provide academic, career counseling, and support services to veterans. Monroe Community College, Rochester, NY to establish 325,000 a medical laboratory technician program, including curriculum development and purchase of equipment.... Monroe County Community College, Monroe, MI for a 200,000 Nuclear Engineering Technology Program.............. Mount Union College, Alliance, OH for engineering and 100,000 technology programs, which may include curricula, faculty, equipment, technology and student support.. Neumann College, Aston, PA for pharmacy education 200,000 programs, which may include equipment and technology Nevada State College, Henderson, NV for nursing 400,000 education programs, which may include equipment and technology.......................................... New College, Sarasota, FL for digital collections at 100,000 the Jane Bancroft Cook Library...................... New Mexico Military Institute, Roswell, NM for its 300,000 Native American Criminal Justice Program, which may include student scholarships........................ Niagara Community College, Sanborn, NY for equipment 100,000 and technology for training programs in hospitality and tourism......................................... Niagara County Community College, Sanborn, NY for 275,000 information technology upgrades..................... North Arkansas College, Harrison, AR for an education 250,000 technology initiative, including purchase of equipment........................................... North Shore Community College, Danvers, MA for a 400,000 veterans education and job training program, which may include scholarships and stipends............... Northampton Community College, Bethlehem, PA for 400,000 programmatic support of its Monroe County campus, which may include equipment and technology.......... Northern Kentucky University Foundation, Highland 350,000 Heights, KY for purchase of equipment............... Northern Virginia Community College, Annandale, VA 500,000 for a health information management program......... Northwestern Connecticut Community College, Winsted, 350,000 CT for an associate degree nursing program, which may include equipment and technology................ Oklahoma State University, Stillwater, OK for a 450,000 wildlife management technician program, which may include equipment................................... Palm Beach Community College, Lake Worth, FL for 150,000 education and training programs in emerging industries at its Institute for Energy, which may include equipment and technology.................... Palm Beach Community College, Lake Worth, FL for 350,000 equipment and technology for student technology and communication programs at its Belle Glade campus.... Polk Community College, Winter Haven, FL for purchase 300,000 of equipment........................................ Portland Community College, Portland, OR for 350,000 education and training programs in renewable energy and emerging industries, which may include equipment and technology...................................... Pulaski Technical College, North Little Rock, AR for 500,000 library improvements, which may include equipment and technology...................................... Richland Community College, Decatur, IL for 200,000 curriculum development in its bioenergy and bioprocessing degree programs....................... Riverside Community College District, Riverside, CA 600,000 for curriculum development.......................... Rockford College, Rockford, IL for technology 250,000 upgrades............................................ Rutgers University School of Law, Camden, NJ, for its 500,000 public interest legal program, which may include scholarships and fellowships, a public interest summer externship program, its Marshall Brennan Program, and pro bono legal services................ Salve Regina University, Newport, RI for equipment 500,000 and technology at its Blackstone Valley learning center and Newport campus........................... San Francisco State University, San Francisco, CA for 350,000 a competency-based early childhood education and training initiative, which may include equipment and technology.......................................... San Jacinto College, Pasadena, TX for training 400,000 programs in the maritime and energy industries, which may include equipment and technology.......... San Jose State University Research Foundation, San 220,000 Jose, CA for an interdisciplinary Center for Global Innovation and Immigration, including curricula development and student research.................... San Luis Obispo County Community College District, 350,000 San Luis Obispo, CA for purchase of equipment....... San Mateo County Community College District, San 350,000 Mateo, CA for the University Center Consortium initiative to expand academic programs and the number of students pursuing postsecondary education. Santa Fe College, Gainesville, FL for a clinical 450,000 laboratory sciences program, including curriculum development and purchase of equipment............... Seattle University, Seattle, WA for the Fostering 500,000 Scholars Program, including scholarships............ Southeast Missouri State University, Cape Girardeau, 500,000 MO for technology upgrades.......................... Southern Illinois University Edwardsville, 200,000 Edwardsville, IL for purchase of equipment.......... Southern Illinois University, Carbondale, IL for 400,000 equipment and technology upgrades................... Southern Queens Park Association, Jamaica, NY for its 350,000 Young Adults College Access & Preparedness Program, in partnership with Bard College and local high schools, to expand college access, retention and graduation for youth and young adults............... Southern Union Community College, Wadley, AL for 100,000 purchase of equipment............................... Special Education District of McHenry County, 100,000 Woodstock, IL for the Pathways Program.............. St. Clair County Community College, Port Huron, MI 100,000 for curriculum development.......................... St. Francis College, Brooklyn, NY for its Project 650,000 Access initiative, which may include equipment and technology.......................................... St. Joseph's College, Brooklyn, NY for equipment and 400,000 technology for science laboratories, smart classrooms and distance learning.................... St. Mary's College of Maryland, St. Mary's City, MD 600,000 for science laboratory and information technology equipment........................................... St. Norbert College, De Pere, WI for an initiative to 400,000 prepare students in science, technology, engineering and math (STEM) fields, which may include equipment and technology...................................... St. Peter's College, Jersey City, NJ for equipment 300,000 and technology for ``smart'' classrooms............. St. Petersburg College, Clearwater, FL for a 300,000 healthcare informatics program, including curriculum development and purchase of equipment............... St. Thomas University, Miami Gardens, FL for a 300,000 science and technology teacher training program in conjunction with the Miami-Dade County Public School System.............................................. St. Vincent College, Latrobe, PA for purchase of 150,000 equipment........................................... St. Xavier University, Chicago, IL for equipment and 550,000 technology for a media center, library and distance learning programs................................... St. Xavier University, Orland Park, IL for the 500,000 Science, Technology, Engineering and Mathematics Education Center, including purchase of equipment... State University of New York at Geneseo, Geneseo, NY 500,000 for purchase of equipment........................... Tallahassee Community College, Tallahassee, FL for 200,000 purchase of equipment............................... Texas Life-Sciences Collaboration Center, Georgetown, 245,000 TX for life science programs, including purchase of equipment........................................... Texas State Technical College, Waco, TX for its 100,000 Career Paths for Veterans project................... Texas State University, San Marcos, TX for nursing 1,000,000 curriculum development, including purchase of equipment........................................... Three Rivers Community College, Poplar Bluff, MO for 215,000 an education technology initiative.................. Trident Technical College, Charleston, SC for the 500,000 nursing education program, which may include equipment........................................... Trine University, Angola, IN for curriculum 340,000 development......................................... Union County College, Cranford, NJ for curriculum 400,000 development......................................... University of Arizona, Tucson, AZ for the Disability 500,000 Resource Center to provide instruction and support to disabled veterans to ensure academic success, which may include equipment......................... University of Connecticut School of Law, Hartford, CT 365,000 for a Center for Energy and Environmental Law....... University of Guam, Mangilao, GU for development, in 300,000 conjunction with the Guam Public School System and Guam Community College, of a K-16 educational program to provide a seamless pathway for college and careers......................................... University of Massachusetts, Boston, MA for the 12,602,000 Edward M. Kennedy Institute for the Senate, which may include support for an endowment................ University of Minnesota, Crookston, MN for its Center 500,000 for Rural Entrepreneurial Studies, which may include equipment, technology and student support........... University of New Hampshire, Durham, NH for its 450,000 National Center on Inclusive Education for Children with Autism Spectrum Disorders and Related Disabilities........................................ University of New Haven, Waterbury, CT for equipment 350,000 and technology for the Henry C. Lee Institute of Forensic Science Learning Center.................... University of New Mexico-Taos, NM for equipment and 450,000 technology for distance education programs.......... University of Tennessee at Chattanooga, Chattanooga, 770,000 TN for the Center for Leadership in Science, Technology, Engineering and Mathematics Education, including purchase of equipment..................... University of Texas at Tyler, Tyler, TX for a 300,000 science, technology, engineering and math initiative, including purchase of equipment......... University of Virginia, Wise, VA for installation of 150,000 a Voice Over Internet Protocol telephone system and demonstration activities through its Emerging Technologies Learning Center........................ University of Washington, Bothell, WA for a nursing 200,000 faculty consortium training program, which may include scholarships................................ Valley City State University, Valley City, ND for 400,000 science, technology, engineering and mathematics (STEM) workshops, courses, certificates and programs to increase undergraduate and graduate participation in STEM programs.................................... Vanguard University, Costa Mesa, CA for a teacher 350,000 training initiative, including purchase of equipment Wayne State College, Norfolk, NE for equipment at the 100,000 South Sioux City College Center..................... Western Governors University, Salt Lake City, UT for 100,000 curriculum development.............................. Western Kentucky Community and Technical College, 250,000 Paducah, KY for purchase of equipment............... Western Kentucky University, Bowling Green, KY for 500,000 purchase of equipment............................... Wharton County Jr. College, Wharton, TX for 220,000 curriculum development to train students for work in the nuclear power industry.......................... Winthrop University, Rock Hill, SC for its Focusing 350,000 on Collegiate Undergraduate Success initiative to enhance residential learning and academic support services for students............................... York College of Pennsylvania, York, PA for facilities 300,000 and equipment....................................... Youngstown State University, Youngstown, OH for its 200,000 Social-Emotional Learning (SEL) Project to integrate SEL theory and techniques into the College of Education curricula and for evaluation activities... ------------------------------------------------------------------------ Minority Science and Engineering Improvement The Committee recommends $10,000,000 for the Minority Science and Engineering Improvement Program, which is $1,423,000 above the fiscal year 2009 funding level and $994,000 above the budget request. The Minority Science and Engineering Improvement Program awards grants to improve mathematics, science, and engineering programs at institutions serving primarily minority students and to increase the number of minority students who pursue advanced degrees and careers in those fields. Tribally Controlled Postsecondary Career and Technical Institutions The Committee recommends $8,162,000 for this program, which is $389,000 above the fiscal year 2009 funding level and the budget request. This program provides grants to two tribally controlled postsecondary career and technical institutions to provide career and technical education to Native American students. Federal TRIO Programs The Committee recommends $868,089,000 for the TRIO programs, which is $20,000,000 above the fiscal year 2009 funding level and the budget request. The TRIO programs provide a variety of outreach and support services to encourage low- income, potential first-generation college students to enter and complete college. Discretionary grants of up to four or five years are awarded competitively to institutions of higher education and other agencies. At least two-thirds of the eligible participants in TRIO must be low-income, first- generation college students. Under the Committee recommendation, approximately 845,000 students will receive TRIO services, nearly 7,000 more than in fiscal year 2009. The Committee intends that the funding increase be used for the Student Support Services program, which will be re-competed in fiscal year 2010. Of this amount, $10,000,000 shall be for college completion awards to provide grant aid to participating students who are at high risk of dropping out of college due to financial need. The Committee intends that Student Support Services projects receiving these college completion awards shall provide matching funds equal to 33 percent of the total award; thus leveraging an additional $3,300,000 in need-based student aid. The Student Support Service program offers a broad range of support services to postsecondary students to increase their retention and graduation rates and to increase their transfer rates from two-year to four-year colleges. A national evaluation of Student Support Services indicates that participation in supplemental services is related to improved student outcomes. GEAR UP The Committee recommends $333,212,000 for the GEAR UP program, which is $20,000,000 above the fiscal year 2009 funding level and the budget request. This additional funding will enable the Department to make new awards available in fiscal year 2010. GEAR UP provides grants to States and partnerships of low-income middle and high schools, institutions of higher education and community organizations to target entire grades of students and give them the skills, encouragement, and scholarships to successfully pursue postsecondary education. GEAR UP is proving to be an effective strategy for addressing the dropout crisis and boosting college enrollment rates of low-income students. Early evaluation findings and performance data show that GEAR UP has positive impacts on student achievement, high school graduation, and college entrance rates for GEAR UP participants. In total, the Committee recommendation will help approximately 812,000 at- risk middle and high school students prepare for and attend college, an increase of nearly 44,000 students over the fiscal year 2009 level. The Committee intends that not less than $6,600,000 of the increase over fiscal year 2009 be used for State grants, of which half must be used to provide student scholarships, and not less than $6,600,000 be used for Partnership grants. The statutory 50 percent matching requirement for State grant recipients will produce a minimum of $3,300,000 in scholarship assistance for participating students. The Committee encourages the Department to give favorable consideration in any competitions for GEAR UP funding to partnerships that, in addition to providing early intervention services, guarantee college scholarships to GEAR UP students. Byrd Scholarships The Committee recommends $40,642,000 for this program, which is the same as the fiscal year 2009 funding level and the budget request. This program provides formula grants to States to award $1,500 scholarships for up to four years of higher education to students who demonstrate academic excellence in high school. Under the Committee bill, approximately 27,000 students will receive merit scholarships in fiscal year 2010. Javits Fellowships The Committee recommends $9,687,000 for Javits Fellowships, which is the same as the fiscal year 2009 funding level and the budget request. Under the Javits Fellowships program, institutions receive Federal support to make fellowship awards to students pursuing doctoral study in the arts, humanities, and social sciences. The Committee recommendation will support approximately 225 fellowship awards in the 2011-2012 academic year. Graduate Assistance in Areas of National Need The Committee recommends $31,030,000 for the Graduate Assistance in Areas of National Need program, which is the same as the fiscal year 2009 funding level and the budget request. The program awards grants to institutions of higher education to provide fellowships to economically disadvantaged students who have demonstrated academic excellence and who are pursuing graduate education in designated areas of national need, such as the sciences, mathematics, engineering, and nursing. The Committee recommendation will support fellowships for approximately 700 students in fiscal year 2010. Teacher Quality Partnerships Grants The Committee recommends $43,000,000 for Teacher Quality Partnerships which is $7,000,000 below the fiscal year 2009 funding level and the budget request. The Recovery Act provides an additional $100,000,000 for Teacher Quality Partnerships for fiscal years 2009 and 2010. A total of 50 new awards will be made based on funding in fiscal years 2009 and 2010. The Teacher Quality Partnership program aims to improve the quality of teachers working in high-need schools and early childhood education programs by creating model teacher preparation programs and teaching residency programs. The Committee recommendation will support continuing grants issued with fiscal year 2009 or Recovery Act funds. Baccalaureate STEM and Foreign Language Teacher Training Program The Committee does not recommend funding for the Baccalaureate STEM and Foreign Language Teacher Training Program, which is the $1,092,000 below the fiscal year 2009 funding and the budget request. The Committee eliminates this program because it duplicates funding included in the Administration's budget request for the National Science Foundation of $113,220,000 for the Robert Noyce Teacher Scholarship Program and Math and Science Partnership Program. These programs are designed to encourage college students and professionals to become K-12 mathematics and science teachers and improve K-12 student achievement. This bill also includes $178,978,000 for Mathematics and Science Partnerships, which supports the recruitment of individuals with mathematics, science, and engineering majors into the teaching profession. Master's STEM and Foreign Language Teacher Training Program The Committee does not recommend funding for the Master's STEM and Foreign Language Teacher Training Program, which is $1,092,000 below the fiscal year 2009 funding level and the budget request. The Committee eliminates this program because it duplicates funding included in the Administration's budget request for the National Science Foundation for the Robert Noyce Teacher Scholarship Program providing graduate degree programs for students to become mathematics and science teachers in high-need K-12 school districts. Child Care Access Means Parents in School The Committee recommends $17,034,000 for Child Care Access Means Parents in School, which is $1,000,000 above the fiscal year 2009 funding level and the budget request. This program helps to ensure that low-income student parents have access to postsecondary education and affordable and convenient child care. Colleges and universities may receive discretionary grants of up to four years to support or establish a campus- based childcare program primarily serving the needs of low- income students enrolled at the institution. Priority is given to childcare programs that leverage significant local or institutional resources and utilize a sliding fee scale. Demonstration Projects to Ensure Quality Higher Education for Students with Disabilities The Committee recommends $10,755,000 for Demonstration Projects to Ensure Quality Higher Education for Students with Disabilities, which is $4,000,000 above the fiscal year 2009 funding level and the budget request. These programs provide students with disabilities a higher quality education through support for model demonstrations to provide technical assistance or professional development for post-secondary faculty, staff and administrators in institutions of higher education, as well as support for model demonstration programs that promote the successful transition of students with intellectual disabilities into higher education. Within the total, the Committee intends that $6,755,000 be used to support continuation awards for Demonstration Projects to Support Postsecondary Faculty, Staff and Administrators in Educating Students with Disabilities under subpart 1 of part D of title VII of the Higher Education Act. The remaining $4,000,000 shall be used to support new awards for Transition Programs for Students With Intellectual Disabilities Into Higher Education under subpart 2 of part D of title VII of the Higher Education Act. Underground Railroad Program The Committee recommends $1,945,000 for the Underground Railroad Program, which is the same as the fiscal year 2009 funding level. This program provides grants to non-profit institutions to research, display, interpret and collect artifacts relating to the history of the Underground Railroad. GPRA Data/Higher Education Act Program Evaluation The Committee recommends $609,000 for program evaluation and development of data required under the Government Performance and Results Act for Higher Education programs administered by the Department. This amount is the same as the fiscal year 2009 funding level and the budget request. B.J. Stupak Olympic Scholarships The Committee recommends $977,000 for B.J. Stupak Olympic Scholarships, which is the same as the fiscal year 2009 funding level. This program provides financial assistance to Olympic athletes who are pursuing a postsecondary education. The Committee recommendation will provide scholarships to over 90 student athletes. Thurgood Marshall Legal Education Opportunity Scholarships The Committee recommends $3,000,000 for the Thurgood Marshall Legal Education Opportunity program, which is the same as the fiscal year 2009 funding level. This program provides low income, minority, or disadvantaged secondary school and college students with the information, preparation, and financial assistance needed to gain access to and complete law school study and admission to law practice. This funding will support, including financial assistance, over 160 Thurgood Marshall Fellows. HOWARD UNIVERSITY The Committee recommends $234,977,000 for Howard University, which is the same as the fiscal year 2009 funding level and the budget request. The bill includes a minimum of $3,600,000 for the endowment, which is $136,000 above the current level. Howard University is a ``Research I'' university located in the District of Columbia. Howard University provides undergraduate liberal arts, graduate and professional instruction to approximately 11,000 students from all 50 States. Masters degrees are offered in over 55 fields and Doctor of Philosophy degrees in 26 fields. The Committee notes recent University efforts to achieve staffing reductions through buy out and early out offers, reflecting the financial pressures the University is experiencing. In addition, as part of its ongoing monitoring process, the Department of Education has expressed concern about the University's overall lack of progress with regard to addressing findings in its financial auditing reports and cites concern with the efficacy of the University's internal controls. The Committee requests that the University conduct a review of its financial management practices and staffing and provide a report to the Committees on Appropriations of the House of Representatives and the Senate no later than May 1, 2010 describing how the University plans to address its financial challenges and improve its fiscal oversight. Within the amount provided, the Committee recommends $28,946,000 for the Howard University Hospital, which is the same as the fiscal year 2009 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. COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS PROGRAM The Committee recommends $461,000 for the Federal administration of the College Housing and Academic Facilities Loan program, the Higher Educational Facilities Loans program, and the College Housing Loans program, which is the same as the fiscal year 2009 funding level and the budget request. Previously these programs helped to ensure that postsecondary institutions were able to make necessary capital improvements to maintain and increase their ability to provide a high- quality education. Since 1994, no new loans have been made, and the Department's role has been to manage the outstanding loans. HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL FINANCING PROGRAM ACCOUNT The Committee recommends $20,582,000 for the Historically Black College and University Capital Financing program, authorized under part D of Title III of the Higher Education Act. This amount is $10,228,000 above the fiscal year 2009 funding level and the same as the budget request. The Historically Black Colleges and University Capital Financing program makes capital available for repair and renovation of facilities at historically black colleges and universities. In exceptional circumstances, capital provided under the program can be used for construction or acquisition of facilities. The Committee recommendation includes $354,000 for the administrative expenses to carry out this program and $20,228,000 for loan subsidy costs that will be sufficient to guarantee up to $178,221,000 in new loans in fiscal year 2010. Funds will also be used to continue technical assistance services to help Historically Black Colleges and Universities improve their financial stability and access to capital markets. INSTITUTE OF EDUCATION SCIENCES The Committee recommends $664,256,000 for the Institute of Education Sciences, which is $47,081,000 above the fiscal year 2009 funding level and $25,000,000 below the budget request. The Recovery Act provided an additional $250,000,000 for this account in fiscal years 2009 and 2010. This account supports education research, statistics, dissemination, evaluation, and assessment activities. The bill provides that $593,606,000 of the amount provided for this account shall remain available through September 30, 2011 to accommodate cyclical surveys and assessments, as well as facilitate planning of long-term research projects. The Committee includes up to $2,000,000 for IES conduct a national study on minority male achievement as described in section 1109 of The Higher Education Act. Research, Development, and Dissemination The Committee recommends $199,196,000 for Research, Development, and Dissemination, which is $32,000,000 above the fiscal year 2009 funding level and $25,000,000 below the budget request. The Institute of Education Sciences (IES) supports research, development, and national 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 recommendation includes funding for several research priorities, including research on and development of promising educational innovations; a new research effort to develop, test, and disseminate interventions to improve reading comprehension; and a research program to support English language learners. In addition, the Committee includes $2,000,000 for a new research and development center for adult learning and literacy within the Institute of Education Sciences, which shall be awarded on a competitive basis and structured similar to other IES centers with a five-year grant period. This new research center will address the unique challenges of adult learning and literacy, and identify and support the best practices in this field of research. The center will establish a broad-based national level research agenda, conduct research, and translate and disseminate its research findings to practitioners and policymakers. The Committee's recommendation reflects its support for the Department's efforts to carry out congressionally authorized evaluations of Federal education programs using rigorous methodologies that are capable of producing scientifically valid knowledge regarding which program activities are effective. To ensure that authorized evaluations are conducted in a rigorous manner, are independent of the program offices, and include scientific peer review, the Committee believes that the IES should be the lead agency for the design and implementation of these evaluations. The Committee believes further that it is appropriate for program offices to work collaboratively with IES to include an option in program solicitations for grantee participation in such evaluations, to the extent appropriate and where not specifically prohibited by law. The Committee repeats its request that the Government Accountability Office (GAO) conduct an evaluation of the What Works Clearinghouse (WWC) to examine the extent to which WWC reviews meet rigorous standards, the timeliness of reviews, the consistency of standards and review procedures, the clarity, usefulness, and utility to educators of the products issued by the WWC, and the cost effectiveness of the WWC. The Committee requests that this evaluation be completed no later than May 1, 2010. Statistics The Committee recommends $108,521,000 for the activities of the National Center for Education Statistics, which is $10,000,000 above the fiscal year 2009 funding level and the same as the budget request. Statistics activities are authorized under title I of the Education Sciences Reform Act of 2002. The Center collects, analyzes, and reports statistics on all levels of education in the United States. Activities are carried out directly and through grants and contracts and include projections of enrollments, teacher supply and demand, and educational expenditures. IES also provides technical assistance to State and local education agencies and postsecondary institutions. Regional Educational Laboratories The Committee recommendation includes $70,650,000 for the Regional Educational Laboratories, an increase of $3,081,000 above the fiscal year 2009 funding level and the same as the budget request. The Regional Educational Laboratories help States and education practitioners implement the requirements contained in the No Child Left Behind Act. This assistance includes product development, applied research, technical assistance, and professional development. Research in Special Education The Committee recommendation includes $70,585,000 for Research in Special Education, which is the same as the fiscal year 2009 funding level and the budget request. This program supports competitive awards to produce and advance the use of knowledge to improve services and results for children with disabilities. The program focuses on producing new knowledge, integrating research and practice, and improving the use of knowledge. Special Education Studies and Evaluations The Committee recommendation includes $11,460,000 for Special Education Studies and Evaluations, which is $2,000,000 above the fiscal year 2009 funding level. This program awards competitive grants, contracts and cooperative agreements to assess the implementation of the Individuals with Disabilities Education Act and the effectiveness of State and local efforts to provide special education and early intervention programs and services to infants, toddlers, and children with disabilities. Statewide Data Systems The Committee recommendation includes $65,000,000 for Statewide Data Systems, which is the same as the fiscal year 2009 funding level and the budget request. The Recovery Act provided an additional $250,000,000 for Statewide Data Systems for fiscal years 2009 and 2010. This program awards grants to State educational agencies to enable such agencies to design, develop, and implement statewide, longitudinal data systems. Such data systems help States to efficiently and accurately manage, analyze, disaggregate, and use individual student data consistent with the No Child Left Behind Act. The bill provides that these funds may be used for data systems that include postsecondary and workforce information and information on children of all ages, and specifies that up to $10,000,000 of these funds may be used for State data coordinators and for awards to public or private entities to improve data coordination, quality and use. Assessment The Committee recommendation includes $138,844,000 for Assessment, which is the same as the fiscal year 2009 funding level and the budget request. This amount includes $8,723,000 for the National Assessment Governing Board (NAGB), which is the same as the fiscal year 2009 funding level and the budget request. In addition, this amount includes $130,121,000 for the National Assessment of Educational Progress, which is the same as the fiscal year 2009 funding level and the budget request. The National Assessment of Educational Progress is the only nationally representative and continuing survey of educational ability and achievement of American students. The primary goal of the Assessment is to determine and report the status and trends of the knowledge and skills of students, subject by subject. Subject areas assessed in the past have included reading, writing, mathematics, science, and history, as well as citizenship, literature, art, and music. The National Assessment of Educational Progress is operated by contractors through competitive awards made by the National Center for Education Statistics. The NAGB formulates the policy guidelines for the program. In fiscal year 2010, NAGB will conduct the 2010 U.S. history, civics and geography assessments at grades 4, 8 and 12. It will also prepare for 2011 national and State assessments in reading, math, and writing at grades 4 and 8, a national grade 12 writing assessment, and the Trial Urban District Assessment. Departmental Management PROGRAM ADMINISTRATION The Committee recommendation includes $615,277,000 for Program Management at the Department of Education. This amount is $30,430,000 above the fiscal year 2009 funding level and $4,300,000 below the budget request. These activities are authorized by the Department of Education Organization Act, P.L. 96-88, and include costs associated with the management and operation of the Department as well as separate costs associated with the Office for Civil Rights and the Office of the Inspector General. Congressional Budget Justifications.--Committee commends the Department for the Fiscal Year 2010 Justifications of Appropriations Estimates to the Congress, which were well written, contained useful budget, programmatic, and performance information, and submitted on time. The Committee appreciates the continual improvement in the Department's budget justifications, which sets a high standard for other Federal agencies to follow. Educational Opportunity and Equity Commission.--The Committee is concerned about disparities in the educational opportunities provided by different schools within States, counties, and even within a single school district. The Committee directs the Department to establish an Educational Opportunity and Equity Commission, which would be comprised of a diverse group of education experts (e.g. teachers, professors, administrators) and stakeholders (e.g. parents, students, businesses) and would conduct hearings and community engagement meetings regarding how the Federal government could improve education and eliminate disparities by ensuring that each student receives an equitable and sound education. Federal Contracting with Women-Owned Firms, Minority-Owned Firms, and Small Businesses.--The Committee directs the Secretary of Education to provide a report on the Department's activities to assist women-owned and minority-owned firms seeking to compete for Federal contracts. The report should include the percentage of Federal procurement contracts and subcontracts awarded in fiscal year 2009 to women-owned firms, minority-owned firms, and small businesses; a review of the Department's technical assistance and outreach to women-owned firms, minority-owned firms, and small businesses; and the Department's plan for increasing the number of Federal contracts that are awarded to such firms. The Secretary should submit this report to the Committees on Appropriations of the House of Representatives and the Senate by March 1, 2010. Military Recruiting and Parental Consent.--The Committee is concerned about student and parent privacy with respect to military recruiting. Section 9528 of the Elementary and Secondary Education Act of 1965 established an opt-out system, through which parents may request that private information not be released. In practice, this opt-out option has not been adequately communicated to parents. The Committee requests that the Department provide technical assistance to school districts through the comprehensive centers to ensure that the opt-out option is clearly understood by parents. Rural Education.--Children in rural America face unique challenges to academic and life success. Over 20 percent of children in the U.S. attend schools in rural areas, and nearly one in five live in poverty. Low population density and infrastructure deficits create obstacles to children's success. Therefore, the Committee encourages the Department to dedicate resources towards research and consideration of best-practices that will help address this concern. The Department should consider structured afterschool and literacy interventions tailored to serve rural, poor populations; prevention and enrichment activities, including improved access to physical activity and nutritious food; and addressing transportation barriers that limit programming options and deter participation. In addition, the Committee encourages the Department to consider establishing a Federal advisory committee to study the challenges faced by rural public school systems in delivering elementary and secondary education. Program Administration The Committee recommendation includes $452,200,000 for Program Administration, which is $18,718,000 above the fiscal year 2009 funding level and $4,300,000 below the budget request. These funds support the staff and other costs of administering programs and activities at the Department. Items include personnel compensation and health, retirement and other benefits as well as travel, rent, telephones, utilities, postage fees, data processing, printing, equipment, supplies, technology training, consultants and other contractual services. The Committee bill includes language proposed by the Administration extending the availability of funds appropriated for the renovation of buildings and related relocation of Department staff. Within the funds provided, $8,200,000, to remain available until expended, is for the relocation of, and renovation of buildings occupied by, Department staff. Office for Civil Rights The bill includes $103,024,000 for the Office for Civil Rights. This amount is $6,198,000 above the fiscal year 2009 funding level and the same as the budget request. The Office for Civil Rights is responsible for enforcing laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions that receive funds from the Department. These laws extend to 50 State educational agencies, 14,000 local educational agencies, and nearly 6,500 institutions of higher education, including proprietary schools. They also extend to 82 State rehabilitation agencies, libraries, museums, and other institutions receiving Federal funds. The Committee encourages the Department to conduct a campus survey on sexual harassment on college campuses in order to assess the need for an online reporting system for sexual harassment incidents on college campuses. The Committee encourages the Department to collaborate with relevant organizations that have well established prior experience in this area. Office of the Inspector General The bill includes $60,053,000 for the Office of the Inspector General, which is $5,514,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $14,000,000 for this office for fiscal years 2009 and 2010. This Office has authority to inquire into all program and administrative activities of the Department as well as into related activities of grant and contract recipients. It conducts audits and investigations to determine compliance with applicable laws and regulations, to check alleged fraud and abuse, efficiency of operations, and effectiveness of results. General Provisions Sec. 301. The Committee continues a provision that prohibits funds in this Act from being used for the transportation of students or teachers in order to overcome racial imbalances or to carry out a plan of racial desegregation. Sec. 302. The Committee continues a provision that prohibits funds in this Act from being used to require the transportation of any student to a school other than the school which is nearest the student's home in order to comply with Title VI of the Civil Rights Act of 1964. Sec. 303. The Committee continues a provision that prohibits funds in this Act from being used to prevent the implementation of programs of voluntary prayer and meditation in public schools. (TRANSFER OF FUNDS) Sec. 304. The Committee continues a transfer of funds provision that allows up to one percent of any discretionary funds appropriated for the Department of Education to be transferred between appropriations accounts, provided that no appropriation is increased by above three percent by any such transfer. Sec. 305. The Committee continues a provision that allows the Outlying Areas to consolidate funds under title V of the Elementary and Secondary Education Act. Sec. 306. The Committee includes a provision that prohibits the obligation of funds in this Act for new awards under the Teacher Incentive Fund prior to the submission of an impact evaluation plan to the Committees on Appropriations of the House of Representatives and the Senate. Sec. 307. The Committee includes provisions making technical corrections to the Innovation Fund within the State Fiscal Stabilization Fund established under section 14007 of division A of the Recovery Act. TITLE IV--RELATED AGENCIES Committee for Purchase From People Who Are Blind or Severely Disabled SALARIES AND EXPENSES The Committee provides $5,396,000 for the Committee for Purchase From People Who Are Blind or Severely Disabled, which is $302,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee for Purchase From People Who Are Blind or Severely Disabled, established by the Wagner-O'Day Act of 1938, is the independent Federal agency that administers the AbilityOne (formerly Javits-Wagner-O'Day or JWOD) Program. The program's primary objective is to increase 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 The bill provides $1,059,016,000 for the Corporation for National and Community Service (the Corporation), which is $169,150,000 above the fiscal year 2009 funding level and $90,000,000 below the budget request. The Corporation makes grants to States, institutions of higher education, public and private non-profit organizations, and others to create service opportunities for a wide variety of individuals through full-time national and community service programs. The Edward M. Kennedy Serve America Act reauthorized the Corporation in 2009. New programs authorized under the Serve America Act include: new national service corps under the AmeriCorps program focused on education, healthy futures, clean energy, veterans, and economic opportunities; a Summer of Service program within Learn and Serve; and a Social Innovation Fund to identify and scale-up high impact, results-oriented non-profit initiatives. In addition, the Serve America Act establishes a Call to Service Campaign in conjunction with a September 11th National Day of Service and Remembrance. OPERATING EXPENSES The Committee provides $782,179,000 for the Operating Expenses of the programs administered by the Corporation. This amount is $101,615,000 above the fiscal year 2009 funding level and $75,500,000 below the budget request. Domestic Volunteer Services Programs Within the Operating Expenses total, the Committee provides $318,832,000 for the Domestic Volunteer Service Programs administered by the Corporation, which is $8,997,000 above the fiscal year 2009 funding level and the same as the budget request. VISTA.--The Committee provides $97,932,000 for the Volunteers in Service to America (VISTA) program, which is $1,882,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $65,000,000 for Volunteers in Service for America (VISTA) in fiscal years 2009 and 2010. The VISTA program supports individuals who recruit low-income volunteers and organize community volunteer activities, but who do not provide direct volunteer services. National Senior Volunteer Corps.--The Committee provides a total of $220,900,000 for the National Senior Volunteer Corps, which is $7,115,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee recommendation supports an increase of more than 9,000 members in the Retired Senior Volunteer Program (RSVP) for a total of over 438,000 direct volunteers, and maintains the volunteer level of Foster Grandparents at nearly 29,000 and Senior Companions at over 15,000. In addition, the fiscal year 2010 funding levels provided for all three National Senior Volunteer Corps programs--Foster Grandparents, Senior Companions, and RSVP--maintain or provide modest increases for administrative costs, recruitment and retention, and electronic grants management systems. National and Community Service Programs Within the Operating Expenses total, the Committee provides $463,347,000 for National and Community Service programs administered by the Corporation. This amount is $92,618,000 above the fiscal year 2009 funding level and $75,500,000 less than the budget request. Funding for the National Service Trust is appropriated in a separate funding account. AmeriCorps State and National Grants.--The Committee provides $331,547,000 for AmeriCorps State and National Grants, which is $60,351,000 above the fiscal year 2009 funding level and $41,000,000 less than the budget request. The Recovery Act provided an additional $89,000,000 for AmeriCorps State and National grants for fiscal years 2009 and 2010. Funds for the AmeriCorps State and National program support grants to public and non-profit organizations that recruit, train, and place AmeriCorps members in service programs to meet critical community needs in education, public safety, health, and the environment. This funding investment, together with Recovery Act funds, will increase the number of all AmeriCorps members from approximately 74,000 to nearly 89,000, putting AmeriCorps on a growth path towards achieving the long-term goal of reaching 250,000 members by 2017. Disability Grants.--The Committee provides $5,000,000 for a newly authorized Disability Grants program, which is the same as the budget request. In fiscal year 2009, $4,140,000 was provided for a similar program under the Innovation, Assistance, and Other Activities line item. These grants will be made available to the entire community of national service grantees to support increased service and volunteer opportunities for Americans with disabilities. Innovation, Assistance, and Other Activities.--The Committee provides $40,500,000 for Innovation, Assistance, and Other Activities, which is $21,607,000 above the fiscal year 2009 funding level and $25,000,000 below the budget request. This funding level will enable the Corporation to increase its focus on social innovation and demonstration programs that both strengthen and encourage service and civic participation while increasing private and public investment in nonprofit community organizations. The Committee does not provide funding for the new Volunteer Generation Fund as requested in fiscal year 2010 in order to fund higher priority initiatives in CNCS. Within the total for Innovation, Assistance, and Other Activities, the Committee provides $35,000,000 to create a new Social Innovation Fund to provide seed capital to and scale up proven and promising solutions to our nation's most pressing problems. The Serve America Act requires that Social Innovation Fund grantees and sub-grantees provide no less than a one-to- one dollar match, therefore the Committee believes this initial investment will be sufficient to begin this new program. As requested, the Committee also provides $1,500,000 for a national Call to Service Campaign and for the September 11th National Day of Service and Remembrance. Evaluation.--The Committee provides $6,000,000 for Evaluation, which is $2,109,000 above the fiscal year 2009 funding level and the same as the budget request. This funding will enable the Corporation to provide research and analysis to strengthen program performance and expand national service through innovation and reform; conduct evaluation research designed to measure the impact of the Corporation's programs; and provide national data on volunteering. National Civilian Community Corps.--The Committee provides $26,300,000 for the National Civilian Community Corps (NCCC), which is $1,200,000 below the fiscal year 2009 funding level and the same as the budget request. NCCC participants focus on disaster relief, infrastructure development, environmental improvement, energy conservation, and urban and rural development. This funding supports a five-campus structure, which ensures coverage across all 50 States in the event of a disaster. Learn and Serve America.--The Committee provides $39,500,000 for Learn and Serve America, which is $2,041,000 above the fiscal year 2009 funding level and the same as the budget request. Learn and Serve America provides grants to schools, higher education institutions, and community-based organizations that engage students, their teachers, and others in service-learning. This teaching and learning strategy integrates curricula with community service, enabling young people to solve the needs of their communities while improving grades, increasing attendance, and developing personal and social responsibility. Within the total for Learn and Serve America, the Committee provides up to $2,000,000 for the newly authorized Summer of Service program for 2,000 students in fiscal year 2010. The budget request did not recommend funding for this program. The goal of the Summer of Service program is to develop the ethic of active citizenship and enable 6th through 12th graders (particularly economically disadvantaged youth) to contribute to their communities while building essential skills for future success. Each participant who successfully completes a Summer of Service is entitled to an educational award. State Commissions.--The Committee provides $17,000,000 for State Commission administrative grants, which is $5,210,000 above the fiscal year 2009 funding level and $1,000,000 above the budget request. These funds support grants to the State Commissions to implement and administer the expanded AmeriCorps service program at the State level. Training and Technical Assistance.--The Committee provides $7,500,000 for a new Training and Technical Assistance program, which is $500,000 below the budget request. In prior years, Training and Technical Assistance activities were funded by an allocation from each of the Corporation's programs. These funds support training and technical assistance for grantees, the National Clearinghouse, and other national training providers, and for a civic health assessment. NATIONAL SERVICE TRUST (INCLUDING TRANSFER OF FUNDS) The Committee provides $178,214,000 for the National Service Trust, to be available until expended. This amount is $47,139,000 above the fiscal year 2009 funding level and $17,423,000 below the budget request. The Recovery Act provided an additional $40,000,000 for the National Service Trust for fiscal years 2009 and 2010. The National Service Trust pays for education awards earned by AmeriCorps and VISTA members who complete their service. In fiscal year 2010, the Segal Education Award will increase from $4,725 to $5,350 to align it with the maximum Pell Grant level. This is the first increase in the award amount since the inception of the Corporation for National and Community Service in 1993. The Committee fully funds the increase for the higher education award level and covers additional education awards for the increase in AmeriCorps State and National members. In addition, the Committee includes $1,000,000 for education awards for 2,000 students under the Summer of Service program in fiscal year 2010. The Committee continues bill language that allows the Corporation to transfer funds from AmeriCorps grants funded under the Operating Expenses account to the National Service Trust after notice of such a transfer is transmitted to the Committees on Appropriations of the House of Representatives and the Senate. The Committee also continues bill language that allows funds appropriated for the National Service Trust to be invested without regard to apportionment requirements. SALARIES AND EXPENSES The Committee provides $80,923,000 for Salaries and Expenses associated with the administrative activities of the Corporation for National and Community Service. This amount is $9,208,000 more than the fiscal year 2009 funding level and $7,077,000 below the budget request. The Recovery Act provided an additional $6,000,000 for Salaries and Expenses in fiscal years 2009 and 2010. These funds allow the Corporation to manage and operate its programs. The Committee provides a 13 percent increase in funding over fiscal year 2009, which will enable the Corporation to continue a measured expansion of its administrative workforce and training, as well as its information technology infrastructure. In October 2008, the Committee requested that the Office of Inspector General (OIG) evaluate the internal budgeting procedures of the Corporation due to financial management issues and the failure of key information technology systems. In June 2009, the OIG provided preliminary findings and recommendations to the Committee. As a result of these findings, the Committee believes that significant steps need to be taken by the Corporation's management to strengthen its policies regarding budget formulation and execution, human capital management, contracting, and information technology processes. The Committee believes that the Corporation's ability to effectively manage a significant expansion of service programs and initiatives requires a robust administrative governance process and technological infrastructure. The Committee directs the Corporation to provide a comprehensive plan to address these management gaps, particularly deficiencies in financial management, within two months of receiving the OIG's final audit report. The Committee directs the OIG to continue its management oversight of the Corporation and requests a revised work plan for fiscal year 2010 that reflects this priority. Office of Inspector General The Committee provides $7,700,000 for the Office of Inspector General (OIG), which is $1,188,000 more than the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $1,000,000 for the OIG for fiscal years 2009 and 2010. The OIG is authorized by the Inspector General Act of 1978. This office provides an independent assessment of all of the operations and programs of the Corporation for National and Community Service, through audits, investigations, and other proactive projects. ADMINISTRATIVE PROVISIONS Sec. 401. The Committee recommendation continues bill language that requires the Corporation for National and Community Service to ensure that significant changes to program requirements or policy are made only through public notice and comment rulemaking. Sec. 402. The Committee recommendation continues bill language that combines separate matching requirements for AmeriCorps grants. Sec. 403. The Committee recommendation continues bill language requiring that donations to the Corporation for National and Community Service be used to supplement and not supplant operations. Corporation for Public Broadcasting The Committee recommends a $440,000,000 fiscal year 2012 advance appropriation for the Corporation for Public Broadcasting (CPB), which is $10,000,000 more than the fiscal year 2011 advance appropriation. CPB's appropriation is allocated according to a statutory formula reserving no less than 89 percent of the appropriation for grants to public broadcasting stations or program producers, six percent for system support, and no more than five percent for CPB operations. These funds will partially support the operations of over 1,150 public radio and television stations. For fiscal year 2010, the bill includes a total of $101,000,000 for public broadcasting. Of this amount, $40,000,000 is provided for fiscal stabilization grants to public television and radio stations, which have been negatively impacted by the economic downturn. On average, these stations have seen a non-Federal revenue loss of approximately 19 percent, which has led to numerous job losses and reductions in local programming and services. In March 2009, in consultation with public television and radio stations, the Corporation developed a set of guidelines that would govern the distribution of any fiscal stabilization funds provided to public broadcasting stations. The Committee expects that the Corporation will utilize those guidelines in issuing such grants, which shall be awarded no later than 45 days after the enactment of this Act. Further, the Committee directs that no later than 180 days after the enactment of this Act, the Corporation shall submit a report to the Committee detailing how the funds were distributed. The President's request did not include these funds. Also within the total amount for fiscal year 2010, the Committee recommends $36,000,000 for digital transition activities, which is $1,409,000 above the fiscal year 2009 funding level and the same as the request. Finally, within the total amount for fiscal year 2010, the Committee provides $25,000,000 for the third and final funding installment for a three-year project to enhance public radio satellite capacity and improve related ground and operating systems. This amount is $1,642,000 below the fiscal year 2009 funding level and the same as the request. The Committee continues and updates bill language restrictions on the use of funds included in fiscal year 2009. Federal Mediation and Conciliation Service SALARIES AND EXPENSES The Committee provides $47,000,000 for the Federal Mediation and Conciliation Service (FMCS), which is $1,524,000 above the fiscal year 2009 funding level and $697,000 above the budget request. The FMCS, created in 1947 through the Labor Management Relations Act, assists parties in labor disputes in industries affecting commerce to settle such disputes through conciliation and mediation. Subsequent Acts and Executive Orders have expanded the role of the FMCS to provide mediation services to the private sector and alternative dispute resolution programs to Federal government agencies, as well as promote and establish labor-management partnerships in the private sector. In addition, the FMCS convenes boards of inquiry appointed by the President in emergency disputes. By statute, the jurisdiction of the FMCS excludes the rail and airline industries, which are covered by the National Mediation Board under the Railway Labor Act. The Committee bill includes provisions first enacted in fiscal year 1996 granting the FMCS the authority to accept gifts and to charge fees for certain services. Within the total, not less than $650,000 shall be used for FMCS's Labor-Management Grants Program, to remain available through September 30, 2011. This program provides grants to encourage and support joint labor-management activities conducted by plant, area, and industry-wide committees designed to improve labor-management relationships, employment security, and organizational effectiveness. These funds assist in the establishment and operation of these labor-management committees. The Committee believes this program has demonstrated success in improving workplace relationships and in instilling effective and efficient conflict resolution. Federal Mine Safety and Health Review Commission SALARIES AND EXPENSES The Committee provides $9,858,000 for the Federal Mine Safety and Health Review Commission (Commission), which is $1,205,000 above the fiscal year 2009 funding level and the same as the budget request. The Commission is responsible for reviewing the enforcement activities of the Secretary of Labor under the Federal Mine Safety and Health Act, including new responsibilities provided for in the Mine Improvement and New Emergency Response Act of 2006 (MINER Act). The Commission's administrative law judges (ALJ) hear and decide cases initiated by the Secretary of Labor, mine operators, or miners. The five- member Commission hears appeals from administrative law judge decisions, rules on petitions for discretionary review, and may direct, on its own initiative, a review of cases that present unusual questions of law. In recent years there has been a significant increase in the number of new cases brought before ALJs for review, more than doubling in one year from 4,100 in fiscal year 2007 to almost 9,000 in fiscal year 2008. The Committee is concerned that this increasing workload has resulted in a significant increase in cases pending, with cases pending at the beginning of the year expected to increase from just over 4,000 in fiscal 2008 to over 15,000 in fiscal year 2010. The Committee provides the full amount of the request to allow the Commission to hire additional ALJs and support staff. In addition, the Committee requests that the Commission include in its fiscal year 2011 Congressional budget justification information on how it plans to handle this increase in new cases while keeping the pending workload at a reasonable level. Institute for Museum and Library Services OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS AND ADMINISTRATION The Committee provides $275,688,000 for the Institute of Museum and Library Services (IMLS), which is $848,000 above the fiscal year 2009 funding level and $10,132,000 above the budget request. IMLS, created in 1996 by the Museum and Library Services Act, provides support for museums and libraries to provide broad and equitable access to high-quality knowledge resources by administering the Library Services and Technology Act and the Museum Services Act. Within the total for IMLS, the Committee recommends the following amounts: ---------------------------------------------------------------------------------------------------------------- 2009 Committee compared to-- ------------------------------------- Budget activity FY 2010 Committee FY 2010 Budget FY 2009 request ---------------------------------------------------------------------------------------------------------------- Library Services Technology Act (LSTA):................ Grants to States................................... $172,561,000 +$1,061,000 +$204,000 Native American Library Services................... 3,717,000 0 -19,000 National Leadership: Libraries..................... 12,437,000 0 -62,000 Laura Bush 21st Century Librarian.................. 24,525,000 0 -123,000 Museum Services Act:................................... Museums for America................................ 19,176,000 0 -96,000 Museum Assessment Program.......................... 460,000 0 -2,000 21st Century Museum Professionals.................. 1,280,000 0 -6,000 Conservation Project Support....................... 3,052,000 0 -15,000 Conservation Assessment Program.................... 803,000 0 -4,000 Native American/Hawaiian Museum Services........... 945,000 0 -5,000 National Leadership: Museums....................... 7,981,000 0 -40,000 African American History and Culture Act:.............. Museum Grants for African American History & 1,485,000 +175,000 +168,000 Culture........................................... ---------------------------------------------------------------------------------------------------------------- Library Services and Technology The Grants to State Library Agencies program provides funds to State Library Administrative Agencies using a population- based formula. The Committee recommendation ensures that all States receive a minimum funding level of $680,000 provided for in the Library Services and Technology Act reauthorization, while ensuring that additional funds are distributed based on an equitable population based formula. Native American/Native Hawaiian Library Services Grants support improved access to library services for Native Americans, Alaska Native Villages, and Native Hawaiians. The National Leadership Grants for Libraries support cutting-edge projects to enhance library services nationwide by providing grants that enable libraries to address current problems in creative ways, develop and test innovative solutions, and expand the boundaries within which libraries operate. The Laura Bush 21st Century Librarian Program builds the professional capacity of libraries by improving staff knowledge and skills, supporting recruitment and education efforts, and providing grants for research related to library education and library staffing needs. Museum Services Museums for America grants strengthen museums as active resources for lifelong learning and as community assets. The Museum Assessment Program provides technical assistance to help institutions assess their strengths and weaknesses and create a plan for the future. The 21st Century Museum Professionals program supports the preparation of museum professionals for the future by updating and expanding their knowledge and skills. The Conservation Project Support program awards grants to help museums identify conservation needs and priorities and perform activities to ensure the safekeeping of their collections. The Conservation Assessment Program assists small museums in laying the groundwork for effective collections management by providing professional assistance in analyzing all aspects of care, assessing current practices, and recommending actions to be taken. Native American/Native Hawaiian Museum Services grants enable Native American tribes, Alaska Native villages or corporations, and organizations that primarily serve Native Hawaiians to benefit their communities and audiences through strengthened museum services. National Leadership Grants for Museums support cutting-edge projects to enhance museum services nationwide by providing grants that enable museums to address current problems in creative ways, develop and test innovative solutions, and expand the boundaries within which museums operate. African American History and Culture Museum Grants for African American History and Culture build professional capacity in the African American museum community. Program Administration The Committee provides $17,134,000 for Program Administration, which is $217,000 above the fiscal year 2009 funding level and the same as the budget request. Program Administration funds provide administrative and management support for all programs administered by IMLS. Within the funds provided, the Committee includes funds for Policy, Research, and Statistics, including functions formerly conducted by the National Commission on Libraries and Information Science. This accommodates the directive in the fiscal year 2003 reauthorization for IMLS to conduct and publish analyses of the impact of museum and library services. The bill includes $10,132,000 for the following projects in the following amounts: ------------------------------------------------------------------------ Committee Project recommendation ------------------------------------------------------------------------ Aerospace Museum of California Foundation, Inc., $930,000 McClellan, CA for maintenance of collections........ Alameda County Library Foundation, Fremont, CA for 300,000 technology and equipment for the Castro Calley Library............................................. Botanical Research Institute of Texas, Ft. Worth, TX 500,000 to enhance collections.............................. Cedar Rapids Public Library, Cedar Rapids, IA for its 300,000 flood recovery project.............................. Center for American History, Austin, TX for 250,000 educational programming at the Sam Rayburn Library and Museum.......................................... Children's Discovery Museum of San Jose, San Jose, CA 120,000 for education programs.............................. City of Chino Hills, CA for library facility 250,000 improvements........................................ City of Daphne, AL for library equipment............. 100,000 City of Desert Hot Springs, CA for preservation of 100,000 collections at the Cabot's Pueblo Museum............ City of San Diego, CA for books, technology, 25,000 education and outreach programs for the Skyline Hills Branch Library................................ City of Twin Falls, ID to digitize collections....... 100,000 City of Yucaipa, CA for expanded library collections 100,000 and technology upgrades............................. Downingtown Library Senior Center, Downingtown, PA to 350,000 expand collections and for technology upgrades...... Florida Holocaust Museum, St. Petersburg, FL for 200,000 exhibits, collections and educational outreach programs............................................ Gig Harbor History Museum, Gig Harbor, WA for 200,000 exhibits and interactive displays................... Glenville State College, Glenville, WV for 350,000 programming and equipment for the college library's veteran's history project........................... Gulf Coast Exploreum Science Center, Mobile, AL for 100,000 exhibits and educational outreach................... Isamue Noguchi Foundation and Garden Museum, Long 30,000 Island City, NY for conservation projects........... Mississippi Museum of Natural Science Foundation, 220,000 Jackson, MS for educational outreach programs....... Morris Museum, Morristown, NJ for exhibits and 300,000 educational programming............................. Museum of Aviation, Warner Robins, GA for science and 350,000 educational programs................................ Museum of Science and Industry, Chicago, IL for 175,000 teacher professional development.................... Mystic Seaport Museum, Inc., Mystic, CT for 350,000 technology based educational programs............... National Voting Rights Museum & Institute, Selma, AL 450,000 for the preservation and restoration of exhibits.... Native American Cultural Center and Museum, Oklahoma 750,000 City, OK for exhibits and educational programming... New Jersey State Library for the Blind and 100,000 Handicapped, Trenton, NJ for an awareness campaign and digital materials............................... Oakland Museum of California, Oakland, CA for a 250,000 technology initiative for educational outreach...... Orange County Library System, Orlando, FL for Spanish 500,000 language media and books............................ Phoenixville Public Library, Phoenixville, PA to 157,000 enhance collections................................. St. Louis Art Museum Foundation, St. Louis, MO for 225,000 restoration and reinstallation of exhibits.......... Tallahatchie County Board of Supervisors, Glendora, 400,000 MS for preservation of exhibits and collections for the Emmett Till memorial complex.................... Texas Southern University, Robert Terry Library and 300,000 Mickey Leland Center, Houston, TX for archive preservation........................................ Texas Tech University, Lubbock, TX for the Virtual 850,000 Vietnam Archive..................................... Theodore Roosevelt Inaugural Site Foundation, 150,000 Buffalo, NY for exhibits and interactive displays... Town of Jamestown, Jamestown, CA for books and 100,000 materials for the Jamestown County Library.......... Witte Museum, San Antonio, TX for exhibits and 100,000 educational outreach................................ Young at Art Children's Museum, Davie, FL for the 100,000 Global Village educational program.................. ------------------------------------------------------------------------ Medicare Payment Advisory Commission SALARIES AND EXPENSES The Committee recommends $11,800,000 for the Medicare Payment Advisory Commission (MedPAC), which is $397,000 above the fiscal year 2009 funding level and the same as the budget request. MedPAC advises Congress on payment and other policy issues affecting the Medicare program and on implications of changes in health care delivery and the market for health care services on the Medicare program. The Committee recognizes that regional inequities in Medicare reimbursement have created barriers to care and have penalized states that have cost-effective health care delivery systems. The Committee urges the Medicare Payment Advisory Commission develop recommendations on policies and practices that would equalize Medicare payments across regions while encouraging health outcomes and quality care under Medicare. National Council on Disability SALARIES AND EXPENSES The Committee provides $3,271,000 for the National Council on Disability (NCD), which is $65,000 above the fiscal year 2009 funding level and the same as the budget request. The NCD monitors implementation of the Americans with Disabilities Act and makes recommendations to the President, Congress, the Rehabilitation Services Administration, and the National Institute on Disability and Rehabilitation Research on public policy issues of concern to individuals with disabilities. National Labor Relations Board SALARIES AND EXPENSES The Committee provides $283,400,000 for the National Labor Relations Board (NLRB), which is $20,805,000 above the fiscal year 2009 funding level and the same as the budget request. The NLRB receives, investigates, and prosecutes unfair labor practice charges filed by businesses, labor unions, and individuals. The NLRB also schedules and conducts representation elections. The five members of the NLRB consider appeals of administrative law judge decisions. The Committee will continue to monitor potential legislation that could affect NLRB's workload. National Mediation Board SALARIES AND EXPENSES The Committee provides $12,992,000 for the National Mediation Board (NMB), which is the same as the fiscal year 2009 funding level and $442,000 below the budget request. The NMB mediates labor disputes between employees and railroad and airline carriers subject to the Railway Labor Act. The NMB also resolves representation disputes involving labor organizations seeking to represent railroad or airline employees. The Committee is displeased that the National Mediation Board did not submit its fiscal year 2009 Congressional budget justification to the Committee in a timely manner. The Committee requires the detailed information included in the Congressional budget justification to properly analyze the budget request and determine recommended funding levels. Occupational Safety and Health Review Commission SALARIES AND EXPENSES The Committee provides $11,712,000 for the Occupational Safety and Health Review Commission, which is $526,000 above the fiscal year 2009 funding level and the same as the budget request. The Commission adjudicates contested citations issued by the Occupational Safety and Health Administration against employers for violations of safety and health standards. The Commission's administrative law judges settle and decide cases at the initial level of review. OSHRC's three appointed Commissioners also review cases, issue rulings on complicated matters, and may direct review of any decision by an administrative law judge. Railroad Retirement Board DUAL BENEFITS PAYMENTS ACCOUNT The Committee provides $64,000,000 for dual benefits, which is $8,000,000 below the fiscal year 2009 funding level and the same as the budget request. These funds pay dual benefits to retirees receiving both Railroad Retirement and Social Security benefits. The Committee includes a provision permitting a portion of these funds to be derived from income tax receipts on dual benefits as authorized by law. The Railroad Retirement Board estimates that approximately $3,000,000 may be derived in this manner. Federal Payment to the Railroad Retirement Accounts The Committee provides $150,000 for the interest earned on unnegotiated checks, which is the same as the fiscal year 2009 funding level and the budget request. Limitation on Administration The Committee provides a consolidated limitation of $109,073,000 on the expenditure of Railroad Retirement and Railroad Unemployment Trust Funds for administrative expenses of the Railroad Retirement Board (RRB), which is $3,610,000 above the fiscal year 2009 funding level and the same as the budget request. The RRB administers comprehensive retirement-survivor and unemployment-sickness insurance benefit programs for railroad workers and their families. This appropriation limits the amount of funds in the Railroad Retirement and Railroad Unemployment Insurance Trust Funds that may be used by the RRB for administrative expenses. The committee prohibits 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. The Committee maintains its position that the financial statements and audit of the National Railroad Retirement Investment Trust (Trust) should remain separate from the financial statements and audit of the RRB. The Committee notes that the Railroad Retirement and Survivors' Improvement Act of 2001 (Act) mandates that the Trust functions independently from the RRB. Further, the Act specifically requires a separate audit of the Trust by a nongovernmental auditor and requires that the results of this audit be included in the Trust's Annual Management Report to Congress. The Committee expects that the Trust shall be administered and audited solely in conformance with the Act of 2001. LIMITATION ON THE OFFICE OF INSPECTOR GENERAL The Committee provides authority to expend $8,186,000 from the Railroad Retirement and Railroad Unemployment Insurance Trust Funds for the Office of Inspector General, which is $380,000 above the fiscal year 2009 funding level and the same as the budget request. The Inspector General conducts and supervises audits and investigations of programs and operations of the RRB. The Consolidated Appropriations Act, 2008, included a provision that allows the Office of Inspector General to conduct audits, investigations and reviews of Medicare programs. The Committee continues bill language that clarifies the Inspector General's authority to receive funds for these activities. Social Security Administration PAYMENTS TO SOCIAL SECURITY TRUST FUNDS The Committee recommends $20,404,000 for mandatory payments necessary to compensate the Old Age and Survivors Insurance (OASI) Trust Fund and the Disability Insurance (DI) Trust Fund for special payments to certain uninsured persons (for which no payroll tax is received), costs incurred for administration of pension reform activities and interest lost on the value of benefit checks issued but not negotiated. This amount is $2,000 below the fiscal year 2009 funding level and the same as the budget request. This appropriation restores the trust funds to the position they would have been in had they not borne these costs properly charged to the general funds. SUPPLEMENTAL SECURITY INCOME PROGRAM The Committee recommends $34,742,000,000 for the Supplemental Security Income (SSI) program. This is $4,270,463,000 above the fiscal year 2009 funding level and the same as the budget request. The Committee also provides $16,000,000,000 in advance funding for the first quarter of fiscal year 2011, as requested. The Committee is concerned that the Social Security Administration's current Supplemental Security Income (SSI) rules--which count research compensation for participation in a clinical drug study as income for determining SSI--are a barrier to participation in clinical trials. The Committee encourages the Social Security Administration to disregard any compensation to an individual who is a participant in a clinical trial testing treatments for diseases that have been reviewed and approved by an institutional review board and meet the ethical standards for clinical research for the purposes of determining that individual's eligibility for the SSI program. Beneficiary Services In addition to Federal benefits, the Social Security Administration (SSA) administers a program of supplementary State benefits for those States that choose to participate. The funds also are used to reimburse the trust funds for the administrative costs of the program. The Committee provides $49,000,000 for beneficiary services, which is $46,000,000 above the fiscal year 2009 funding level and the same as the budget request. Research and Demonstration Within the appropriation for SSI, the Committee recommends $49,000,000 for research and demonstration activities conducted under section 1110 of the Social Security Act. This amount is $14,000,000 above the fiscal year 2009 funding level and the same as the budget request. Administration Within the appropriation for SSI, the Committee recommends $3,442,000,000 for payment to the Social Security trust funds for SSI's share of the base administrative expenses of SSA. This amount is $235,463,000 above the fiscal year 2009 funding level and the same as the budget request. LIMITATION ON ADMINISTRATIVE EXPENSES The Committee recommends a Limitation on Administrative Expenses for SSA of $10,800,500,000 to be funded from the Social Security and Medicare trust funds. This amount is $733,000,000 above the fiscal year 2009 funding level and the same as the budget request. The Recovery Act provided an additional $1,090,000,000 to process an influx of disability and retirement claims related to the economic downturn; to administer the issuance of a one-time Economic Recovery Payment to Social Security beneficiaries; and for necessary expenses to replace the National Computer Center. The Committee notes that the Omnibus Appropriations Act, 2009, provided an additional $126,500,000 above the fiscal year 2009 budget request for SSA to accelerate its Hearings Backlog Reduction Plan. SSA has used these funds to make initial progress in reducing the disability hearings backlog, as the number of pending hearings has fallen for the first time since 2001. The Committee also supports SSA's plan to add more than 200 administrative law judges (ALJs) with funds in this bill, with an overall target of 1,450 ALJs by 2011. The Committee continues to urge SSA to ensure that ALJs have sufficient support staff to maximize ALJ productivity, as this remains a cost-effective means of reducing the backlog more efficiently. The Committee provides the full budget request to ensure that SSA builds on its recent success and can continue to reduce the hearings backlog despite the recent steep increase in initial disability claims due to the economic downturn. Social Security Advisory Board The Committee recommends that not less than $2,300,000 within the Limitation on Administrative Expenses be available for the Social Security Advisory Board, which is $300,000 above the fiscal year 2009 funding level and the same as the budget request. Continuing Disability Reviews and Redeterminations The Committee recommendation for the Limitation on Administrative Expenses includes $273,000,000 for conducting continuing disability reviews (CDRs) and redeterminations of SSI eligibility. An additional $485,000,000 is available for this purpose through a discretionary cap adjustment, as included in the budget request and the Concurrent Resolution on the Budget for Fiscal Year 2010. The recommendation for CDRs and redeterminations of SSI eligibility is $254,000,000 above the fiscal year 2009 funding level and the same as the budget request. Moreover, the Committee includes bill language allowing up to $34,000,000 of the additional funds to be available for asset verification initiatives, if the Office of the Chief Actuary determines that such initiatives would be at least as cost effective as redeterminations of eligibility. The bill language is consistent with the provisions of the Concurrent Resolution on the Budget for Fiscal Year 2010. The Committee emphasizes that successful program integrity activities are vital to maintain the public's support for continuing benefit payments to recipients deserving of assistance. The Committee is concerned about delays in processing work- related CDRs that determine if disability insurance beneficiaries have lost eligibility for benefits due to returning to the workplace. These delays cause SSA to transmit overpayments after beneficiaries have returned to work and then impose hardships on beneficiaries forced to repay unexpected sums; in addition, SSA is frequently unable to recover all the overpaid funds. The Committee requests that SSA provide a report by December 15, 2010 on its progress in eliminating delays in processing work-related CDRs and other workloads essential to the work-related CDR process, including work reports and work reviews. User fees In addition to the other amounts provided, the Committee provides $161,000,000 for administrative activities funded from user fees. Of this amount, $160,000,000 is derived from fees collected from States that request SSA to administer State SSI supplementary payments. And $1,000,000 is made available from a fee payment process for non-attorneys who represent claimants under a five-year demonstration project that will end in fiscal year 2010. OFFICE OF THE INSPECTOR GENERAL (INCLUDING TRANSFER OF FUNDS) The Committee recommends $102,682,000 for the Office of Inspector General, which is $4,555,000 above the fiscal year 2009 funding level and the same as the budget request. Within this total, the bill also provides authority to expend $73,682,000 from the Social Security trust funds for activities conducted by the Inspector General. The Recovery Act provided an additional $2,000,000 for oversight and audit of programs under the Social Security account. TITLE V--GENERAL PROVISIONS (TRANSFER OF FUNDS) Sec. 501. The Committee continues a provision to allow the Secretaries of Labor, Health and Human Services, and Education to transfer unexpended balances of prior appropriations to accounts corresponding to current appropriations to be used for the same purpose and for the same periods of time for which they were originally appropriated. Sec. 502. The Committee continues a provision to prohibit the obligation of funds beyond the current fiscal year unless expressly so provided. Sec. 503. The Committee continues a provision to prohibit appropriated funds to be used to support or defeat legislation pending before the Congress or any State legislature, except in presentation to the Congress or any State legislature itself. Sec. 504. The Committee continues a provision to limit the amount available for official reception and representation expenses for the Secretaries of Labor and Education, the Director of the Federal Mediation and Conciliation Service, and the Chairman of the National Mediation Board. Sec. 505. The Committee continues a provision to require grantees receiving Federal funds to clearly state the percentage of the total cost of the program or project that will be financed with Federal money. Sec. 506. The Committee continues a provision to prohibit appropriated funds to be used for any abortion. Sec. 507. The Committee continues a provision to provide exceptions for Sec. 506 and a provision to prohibit funds from being made available to a Federal agency or program, or to a State or local government, if such agency, program or government discriminates against institutional or individual health care entities because they do not provide, pay for, provide coverage of, or refer for abortions. Sec. 508. The Committee continues a provision to prohibit the use of funds in the Act concerning research involving human embryos. However, this language should not be construed to limit Federal support for research involving human embryonic stem cells carried out in accordance with policy outlined by the President. Sec. 509. The Committee continues a provision to prohibit the use of funds for any activity that promotes the legalization of any drug or substance included in schedule I of the schedules of controlled substances. Sec. 510. The Committee continues a provision to prohibit the use of funds to promulgate or adopt any final standard providing for a unique health identifier until legislation is enacted specifically approving the standard. Sec. 511. The Committee continues a provision related to annual reports to the Secretary of Labor. Sec. 512. The Committee continues a provision that prohibits the transfer of funds from this Act except by authority provided in this Act or another appropriation Act. Sec. 513. The Committee continues a provision to limit funds in the bill for public libraries to those libraries that comply with the requirements of the Children's Internet Protection Act. Sec. 514. The Committee continues a provision to limit technology funds in the bill for elementary and secondary schools to those schools that comply with the requirements of the Children's Internet Protection Act. Sec. 515. The Committee continues a provision regarding procedures for reprogramming of funds. Sec. 516. The Committee continues a provision pertaining to appointments to a scientific advisory committee. Sec. 517. The Committee continues a provision requesting each department and related agency funded through this Act to submit an operating plan within 45 days of enactment, detailing any reprogramming of funds which result in a different funding allocation than that in the fiscal year 2010 Act, the accompanying detailed table, or budget request. Sec. 518. The Committee modifies a provision that requires the Secretaries of Labor, Health and Human Services, and Education to submit a quarterly report to the Committees on Appropriations of the House of Representatives and the Senate containing certain information on noncompetitive contracts, grants, and cooperative agreements exceeding $100,000 in value. Sec. 519. The Committee continues a provision that prohibits the use of funds in this Act for a contract or grant exceeding $5,000,000 unless the prospective contractor or grantee makes certain certifications regarding Federal tax liability. Sec. 520. The Committee continues a provision prohibiting funds in this Act to process claims for credit for quarters of coverage based on work performed under a Social Security number that was not the claimant's number and the performance of such work under such number has formed the basis for a conviction of the claimant of a violation of section 208(a)(6) or (7) of the Social Security Act. Sec. 521. The Committee includes a provision that prohibits the use of funds in this Act to implement a Social Security totalization agreement with Mexico. Sec. 522. The Committee includes a provision that prohibits the use of funds in this Act that contravene the 1996 Personal Responsibility and Work Opportunity Reconciliation Act. Sec. 523. The Committee includes a provision that prohibits the use of funds in the Act for needle exchange programs that are within 1,000 feet of a public or private day care center, elementary school, vocational school, secondary school, college, junior college, or university, or any public swimming pool, park, playground, video arcade, or youth center, or an event sponsored by any such entity. CONSTITUTIONAL AUTHORITY Pursuant to clause 3(d)(1) of rule XIII of the Rules of the House of Representatives, the Committee on Appropriations bases its authority to report this legislation from clause 7 of section 9 of article I of the Constitution of the United States of America which states: No money shall be drawn from the Treasury but in consequence of Appropriations made by law * * * Appropriations contained in this Act are made pursuant to this specific power granted by the Constitution. COMPARISON WITH THE BUDGET RESOLUTION Pursuant to clause 3(c)(2) of rule XIII of the Rules of the House of Representatives and section 308(a)(1)(A) of the Congressional Budget and Impoundment Control Act of 1974 (``Budget Act''), the following table compares the levels of new budget authority provided in the bill with the appropriate allocation under section 302(b) of the Budget Act. [In millions of dollars] ---------------------------------------------------------------------------------------------------------------- 302(b) allocation This bill --------------------------------------------------- Budget Budget authority Outlays authority Outlays ---------------------------------------------------------------------------------------------------------------- Discretionary............................................... 160,654 219,692 163,400 \1\218,789 Mandatory................................................... 551,512 552,780 551,512 552,780 ---------------------------------------------------------------------------------------------------------------- \1\Includes outlays from prior year budget authority. Note.--The amounts in this bill are technically in excess of the Subcommittee section 302(b) suballocation. However, pursuant to section 422 of the Congressional budget resolution for fiscal year 2010, increases to the Committee's section 302(a) allocation are authorized for funding in the reported bill for (1) program integrity spending relating to State Unemployment Insurance in-person reemployment and eligibility assessments, Centers for Medicare and Medicaid Services Health Care Fraud and Abuse Control, and Social Security Administration Continuing Disability Reviews and SSI Eligibility Redeterminations, and (2) the Low Income Home Energy Assistance Program. After the bill is reported to the House, the Chairman of the Committee on the Budget will provide an increased section 302(a) allocation consistent with the funding provided in the bill. That new allocation will eliminate the technical difference prior to floor consideration. FIVE-YEAR OUTLAY PROJECTIONS Pursuant to section 308(a)(1)(B) of the Congressional Budget and Impoundment Control Act of 1974, the following table contains five-year projections prepared by the Congressional Budget Office of outlays associated with the budget authority provided in the accompanying bill: [In millions of dollars] Outlays:.............................................. 2010.............................................. \1\624,299 2011.............................................. 64,624 2012.............................................. 15,185 2013.............................................. 3,538 2014 and beyond................................... 522\1\Excludes outlays from prior year budget authority. ASSISTANCE TO STATE AND LOCAL GOVERNMENTS Pursuant to section 308(a(1)(C) of the Congressional Budget and Impoundment Control Act of 1974, the financial assistance to State and local governments is as follows: [In millions of dollars] New budget authority.................................. 362,229 Fiscal year 2010 outlays resulting therefrom.......... 317,602 TRANSFER OF FUNDS Pursuant to clause 3(f)(2) of rule XIII of the Rules of the House of Representatives, the following table lists the transfers of funds included in the accompanying bill. TITLE I Language is included under ``Training and Employment Services'' authorizing the transfer of funds from the ``Evaluation'' account to any other account within the Department to carry out evaluation activities. Language is included under ``Special Benefits'' which provides for the transfer of such sums as necessary from the ``Postal Service'' account. Language is included under ``Black Lung Disability Trust Fund'' which provides for the transfer of $32,720,000 to the ``Department of Labor, Employment Standards Administration, Salaries and Expenses.'' Language is included under ``Black Lung Disability Trust Fund'' which provides for the transfer of $25,091,000 to the ``Department of Labor, Departmental Management, Salaries and Expenses.'' Language is included under ``Black Lung Disability Trust Fund'' which provides for the transfer of $327,000 to the ``Department of Labor, Inspector General.'' Language is included under ``Black Lung Disability Trust Fund'' which provides for the transfer of $356,000 to the ``Department of the Treasury.'' Language is included under ``Departmental Management, Salary and Expenses'' authorizing the transfer of up to $5,000,000 to any other account within the Department to carry out evaluation activities. A general provision is included that allows not to exceed one percent of any discretionary appropriations to be transferred between a program, project or activity of the Department of Labor, provided that no such program, project or activity is increased by more than three percent by such transfer. A general provision is included that requires the Department to submit a plan to transfer the administration of the Job Corps program from the Office of the Secretary to the Employment and Training Administration. The Department is prohibited from transferring the administration authority or appropriation for Job Corps until 30 days after submitting the plan to the Committees on Appropriations of the House of Representatives and the Senate. TITLE II Language is included under ``National Institute of Allergy and Infectious Diseases'' providing for the transfer of $300,000,000 to the ``Global Fund to Fight HIV/AIDS, Malaria, and Tuberculosis'', U.S. Agency for International Development. Language is included under ``National Institute of Allergy and Infectious Diseases'' transferring to the account $500,000,000 from ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004. Language is included under ``Children and Family Services Programs'' providing for the transfer of $1,000,000 to the National Commission on Children and Disasters. Language is included under ``Office of the Secretary, General Departmental Management'' providing for the transfer of $1,000,000 to the National Institute of Mental Health to administer the Interagency Autism Coordinating Committee. Language is included under ``Public Health and Social Services Emergency Fund'' authorizing the transfer of up to $8,000,000 to the U.S. Postal Service from the amount made available for the delivery of medical countermeasures. Language is included under ``Public Health and Social Services Emergency Fund'' that $305,000,000 to support advanced research and development shall be derived by transfer from funds appropriated under the heading ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004. Language is included under ``Public Health and Social Services Emergency Fund'' authorizing the transfer of pandemic influenza preparedness and response funds to other appropriation accounts of the Department of Health and Human Services. Language is included under ``Public Health and Social Services Emergency Fund'' transferring all remaining balances from funds appropriated under the heading ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004. A general provision is included that allows not to exceed one percent of any discretionary funds to be transferred between appropriation accounts of the Department of Health and Human Services, provided that no appropriation account is increased by more than three percent by such transfer. A general provision is included that allows the transfer of up to three percent among the institutes and centers of the National Institutes of Health from amounts identified as pertaining to the human immunodeficiency virus. A general provision is included that allows the transfer of funding determined to be related to the human immunodeficiency virus to the Office of AIDS Research. A general provision is included that transfers one percent of the amount made available for National Research Service Awards at the National Institutes of Health to the Agency for Healthcare Research and Quality and one percent to the Health Resources and Services Administration. TITLE III A general provision is included that allows not to exceed one percent of any discretionary funds to be transferred between appropriation accounts of the Department of Education, provided that no appropriation account is increased by more than three percent by such transfer. TITLE IV Language is included under ``National Service Trust'' to allow the transfer of additional funds if necessary from within ``Operating Expenses'' to support the activities of national service participants of the Corporation of National and Community Service. Language is included under ``Social Security Administration'' authorizing the transfer of up to three percent of the Social Security Administration's ``Limitation on Administration Expenses'' account to be available for purposes of the Office of Inspector General. RESCISSIONS Pursuant to clause 3(f)(2) of rule XIII of the Rules of the House of Representatives, the following table lists the rescissions in the accompanying bill. RESCISSIONS RECOMMENDED IN THE BILL ------------------------------------------------------------------------ Account Amount ------------------------------------------------------------------------ Department of Labor, Employment Standards $65,000,000 Administration...................................... ------------------------------------------------------------------------ Compliance With Rule XIII, Cl. 3(e) (Ramseyer Rule) In compliance with clause 3(e) of rule XIII of the Rules of the House of Representatives, changes in existing law made by the bill, as reported, are shown as follows (existing law proposed to be omitted is enclosed in black brackets, new matter is printed in italics, existing law in which no change is proposed is shown in roman): SECTION 14007 OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (Division A of Public Law 111-5) SEC. 14007. INNOVATION FUND. (a) In General.-- (1) * * * * * * * * * * [(3) Basis for awards.--The Secretary shall make awards to eligible entities that have made significant gains in closing the achievement gap as described in subsection (b)(1)-- [(A) to allow such eligible entities to expand their work and serve as models for best practices; [(B) to allow such eligible entities to work in partnership with the private sector and the philanthropic community; and [(C) to identify and document best practices that can be shared, and taken to scale based on demonstrated success.] (3) Purpose of awards.--The Secretary shall make awards to eligible entities in order to identify, document, and bring to scale innovative best practices based on demonstrated success, to allow such eligible entities to-- (A) expand their work and serve as models for best practices; and (B) work in partnership with the private sector and the philanthropic community. (b) Eligibility.--To be eligible for such an award, an eligible entity shall-- (1)(A) have significantly closed the achievement gaps between groups of students described in section 1111(b)(2) of the ESEA (20 U.S.C. 6311(b)(2)); or [(2) have exceeded the State's annual measurable objectives consistent with such section 1111(b)(2) for 2 or more consecutive years or have demonstrated success in significantly increasing student academic achievement for all groups of students described in such section through another measure, such as measures described in section 1111(c)(2) of the ESEA;] (B) have demonstrated success in significantly increasing student academic achievement for all groups of students described in such section; [(3)] (2) have made significant improvement in other areas, such as graduation rates or increased recruitment and placement of high-quality teachers and school leaders, as demonstrated with meaningful data; and [(4)] (3) demonstrate that [they have established partnerships] it has established one or more partnerships with the private sector, which may include philanthropic organizations, and that the private sector will provide matching funds in order to help bring results to scale. (c) Special Rule.--In the case of an eligible entity that includes a nonprofit organization, the eligible entity shall be considered to have met the eligibility requirements of [paragraphs (1), (2), (3) of subsection (b) if such nonprofit organization has a record of meeting such requirements] paragraphs (1)(A) or (1)(B) and (2) of subsection (b) if the nonprofit organization has a record of significantly improving student achievement, attainment, or retention and shall be considered to have met the requirements of subsection (b)(3) if it demonstrates that it will meet the requirement relating to private-sector matching. (d) Subgrants.--In the case of an eligible entity that is a partnership described in subsection (a)(1)(B), the partner serving as the fiscal agent may make subgrants to one or more of the other entities in the partnership. [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] Changes in Application of Existing Law Pursuant to clause 3(f)(1)(A) of rule XIII of the Rules of the House of Representatives, the following statements are submitted describing the effect of provisions in the accompanying bill that directly or indirectly change the application of existing law. The bill provides that appropriations shall remain available for more than one year for some programs for which the basic authorizing legislation does not so authorize such extended availability. In various places in the bill, an earmark of funds within appropriation accounts may not track the authorization language with the level of specificity required under clause 2 of rule XXI. In several instances, the bill provides advance appropriations for fiscal year 2011 for programs for which such advances are not authorized by law. TITLE I--DEPARTMENT OF LABOR Employment and Training Administration TRAINING AND EMPLOYMENT SERVICES Language providing for local area transfer authority between the adult and dislocated worker funds under the Workforce Investment Act (WIA). Language providing that adult and dislocated worker funds may be awarded to institutions of higher education or other eligible training providers. Language providing that dislocated worker national reserve funds can be used for certain demonstration and competitive grant purposes. Language prohibiting the limitation on eligible participants in migrant and seasonal farmworker programs receiving related assistance services or discouraging grantees from providing such services. Language providing that YouthBuild grantees may serve an individual who has dropped out of high school and re-enrolled in an alternative school. The bill includes language to make this provision permanent. Language providing funds for projects, and in the amounts, specified in the report, and waiving application of certain provisions of the WIA. Language providing funds for ex-offender activities and waiving application of certain provisions of the WIA. Language providing funds for careers in renewable energy and energy efficiency and waiving application of certain provisions of the WIA. Language providing funds for career pathways and waiving application of certain provisions of the WIA. Language establishing a minimum amount from the Career Pathways Innovation Fund to be available for grants to be dedicated to activities that prepare workers for careers in the health care sector. Language providing funds for workforce data quality and waiving application of certain provisions of the WIA. State Unemployment Insurance and Employment Service Operations Language allowing the use of funds for amortization payments to states which had independent retirement plans in their state employment service agencies prior to 1980. Language allowing States to use unemployment insurance administrative funds to assist other States under Presidential disaster declarations. Language allowing the Secretary of Labor to make payments on behalf of States for the use of the National Directory of New Hires. Language providing that funds in this Act for one-stop career centers and unemployment insurance national activities may be used for contracts, grants, or agreements with non-state entities. Language providing that funds in this Act may be used by the States for integrated employment service and unemployment insurance automation efforts. Pension Benefit Guaranty Corporation Language providing additional administrative expenses on the basis of participant and asset triggers. Language providing that funding for additional administrative expenses is available until September 30, 2011. Employment Standards Administration SALARIES AND EXPENSES Language authorizing the Secretary of Labor to collect user fees for processing certain applications and issuing certain certificates and registrations under the Fair Labor Standards Act and the Migrant and Seasonal Agricultural Worker Protection Act. SPECIAL BENEFITS Language providing funds may be used under the Federal Employees' Compensation Act in which the Secretary of Labor may reimburse an employer, who is not the employer at the time of injury, for portions of the salary of a reemployed, disabled beneficiary. Language allowing the Secretary of Labor to transfer certain administrative funds from the Postal Service fund and certain other government corporations and agencies related to the administration of Federal Employees' Compensation Act. Language allowing the Secretary of Labor to require any person filing a claim for benefits under the Federal Employees' Compensation Act or the Longshore and Harbor Workers' Compensation Act to provide such identifying information as the Secretary may require, including a Social Security number. Administrative Expenses, Energy Employees Occupational Illness Compensation Fund Language allowing the Secretary of Labor to require any person filing a claim for benefits under the Energy Employees Occupational Illness Compensation Program Act to provide such indentifying information as the Secretary may require, including a Social Security number. Occupational Safety and Health Administration SALARIES AND EXPENSES Language establishing a maximum amount available for grants to states under the Occupational Safety and Health Act, which grants shall be no less than 50 percent of the costs of state programs required to be incurred under plans approved by the Secretary under section 18 of the Act. Language authorizing the Occupational Safety and Health Administration to retain and spend a certain amount of training institute course tuition fees for training and education grants. Language allowing the Secretary of Labor to collect and retain fees for services provided to Nationally Recognized Testing Laboratories. Mine Safety and Health Administration SALARIES AND EXPENSES Language allowing the Mine Safety and Health Administration to collect funds at the National Mine Health and Safety Academy for room, board, tuition, and the sale of training materials to be available for mine safety and health education and training activities. Language allowing the Mine Safety and Health Administration to retain and utilize funds from fees collected for the certification of equipment, materials and explosives. Language allowing the Mine Safety and Health Administration to accept land, buildings, equipment, and other contributions from public and private sources; to prosecute projects in cooperation with other agencies, Federal, state, or private; and to promote health and safety education and training in the mining community through cooperative programs with states, industry, and safety associations. Language allowing the Secretary of Labor to use funds available to the Department to provide for the costs of mine rescue and survival operations in the event of major disasters. Language authorizing the Secretary of Labor to recognize a designated entity and to provide funds and allow personnel to serve as officers in that entity. This bill includes language to make this provision permanent. Departmental Management OFFICE OF JOB CORPS Language providing the Office of Job Corps with contracting authority. Language prohibiting the use of funds from any other appropriation to provide meal services at or for Job Corps centers. Language limiting the use of funds to pay salaries at a rate in excess of Executive Level I. Language providing authority to transfer the administration responsibilities and funding for the Job Corps program from the Office of the Secretary to the Employment and Training Administration, following the submission of a plan for such activities to the Committee on Appropriations. TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration HEALTH RESOURCES AND SERVICES Language providing that funding from general revenues, notwithstanding section 1820(j) of the Social Security Act, shall be available for carrying out the Medicare rural hospital flexibility grants program under section 1820 of such Act. Language providing funds for projects, and in the amounts, specified in the report and setting aside up to one percent of the total for agency administrative costs. Language providing that in addition to fees authorized by section 427(b) of the Health Care Quality Improvement Act of 1986, fees shall be collected for the full disclosure of information under the Act sufficient to recover the full costs of operating the National practitioner Data Bank, and shall remain available until expended to carry out that Act. Language providing that fees collected under the Health Care Fraud and Abuse Data Collection Program, authorized by section 1128E(d)(2) of the Social Security Act shall be sufficient to recover the full costs of operating the program, and shall remain available until expended to carry out that Act. Language providing that funding included for free clinics malpractice claims may be used for Federal administrative expenses and relevant evaluations. Language providing that all pregnancy counseling under the family planning program shall be nondirective. Language limiting the reductions in Ryan White part A grants in fiscal year 2009. Language making funding available under section 241 of the Public Health Service Act to fund special programs for the care and treatment of individuals with HIV disease. Language extending the authorization for the Ryan White Care Act programs through fiscal year 2010. Language identifying a specific amount for maternal and child health SPRANS and CISS activities. Language identifying specific amounts for general and pediatric dentistry and family medicine training programs. Language providing that funds for the National Health Service Corps Recruitment and Nurse Loan Repayment and Scholarship programs may be used to make prior year adjustments to awards made under these programs. Language identifying a specific amount for State Offices of Rural Health. Language identifying particular purposes for the use of Small Rural Hospital Improvement grants. Language identifying a specific amount for State health access grants. Centers for Disease Control and Prevention DISEASE CONTROL, RESEARCH, AND TRAINING Language permitting the Centers for Disease Control and Prevention (CDC) to purchase and insure official motor vehicles in foreign countries. Language permitting CDC to purchase, hire, maintain, and operate aircraft. Language providing that funding is available until expended for acquisition of real property, equipment, construction, and renovation of facilities. Language providing that funding for the Strategic National Stockpile is available until expended. Language providing funds for projects, and in the amounts, specified in the report. Language providing that funding for international HIV/AIDS is available until September 30, 2011. Language providing that funds are available until expended to provide screening and treatment for first response emergency personnel, residents, students, and others related to the September 11, 2001 terrorist attacks on the World Trade Center. Language providing that collections from user fees may be credited to the CDC appropriation. Language providing that funds collected through Vessel Sanitation Program user fees shall be available through September 30, 2011. Language making specific amounts under section 241 of the Public Health Service Act available to carry out: National Immunization Surveys; National Center for Health Statistics surveys; Public Health Informatics; Health Marketing; Public Health Research; and the National Occupational Research Agenda. Language providing up to $1,000 per eligible CDC employee to remain available until expended for Individual Learning Accounts. Language allowing the Director of CDC to redirect certain funds appropriated under Public Law 101-502. Language providing that funds may be made available for grants under section 1509 of the Public Health Service Act to not less than 21 States, tribes, or tribal organizations. Language permitting CDC to exempt from any personnel ceiling applicable to the agency both civilian and Commissioned Officers detailed to the States, municipalities, or other organizations or in overseas assignments under authority of section 214 of the Public Health Service Act during the period of detail or assignment. National Institutes of Health NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES Language providing that funding is to be transferred from funds appropriated under the heading ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004. NATIONAL LIBRARY OF MEDICINE Language providing that the National Library of Medicine may enter into certain personal services contracts. Language making funding available under section 241 of the Public Health Service Act to carry out National Information Center on Health Services Research and Health Care Technology and related health services. OFFICE OF THE DIRECTOR Language providing that the National Institutes of Health is authorized to collect third party payments for the cost of the clinical services that are incurred in NIH research facilities and that such payments shall be credited to the NIH Management Fund and shall remain available for one fiscal year after they are deposited. Language identifying $534,066,000 for the Common Fund. Substance Abuse and Mental Health Services Administration SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES Language providing funds for projects, and in the amounts, specified in the report. Language providing that notwithstanding section 520A(f)(2) of the Public Health Service Act, no funds appropriated for carrying out section 520A are available for carrying out section 1971. Language providing funds to be available until expended to reimburse the General Services Administration for environmental testing and remediation at St. Elizabeths Hospital. Language making specific amounts available under section 241 of the Public Health Service Act to fund technical assistance, national data, data collection and evaluation activities; national surveys on drug abuse and mental health; and to collect and analyze data and evaluate substance abuse treatment programs. Language that section 520E(b)(2) of the Public Health Service Act shall not apply to funds appropriated. Agency for Healthcare Research and Quality HEALTHCARE RESEARCH AND QUALITY Language is included to permit the Agency for Healthcare Research and Quality to retain and expend amounts received from Freedom of Information Act fees, reimbursable and interagency agreements, and the sale of data tapes. Centers for Medicare and Medicaid Services GRANTS TO STATES FOR MEDICAID Language providing that in the administration of title XIX of the Social Security Act, payments to a State for any quarter may be made with respect to a State plan or plan amendment in effect during any such quarter, if submitted in, or prior to, such quarter and approved in that or any such subsequent quarter. PAYMENTS TO THE HEALTH CARE TRUST FUNDS Language providing indefinite authority for paying benefits if the annual appropriation is insufficient. PROGRAM MANAGEMENT Language providing that all funds collected in accordance with section 353 of the Public Health Service Act, together with such sums as may be collected from authorized user fees, administrative fees collected relative to Medicare overpayment recovery activities, and the sale of data, shall be available for expenditure by the Center for Medicare and Medicaid Services. Language allowing fees charged in accordance with 31 U.S.C. 9701 to be credited to the Centers for Medicare and Medicaid Services administrative account. Language providing two-year availability for funds provided for the Healthcare Integrated General Ledger Accounting System and Medicare contracting reform activities. Language providing funds for projects, and in the amounts, specified in the report. Administration for Children and Families PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS Language providing that the sum of the amounts available to a State with respect to expenditures under title IV-A of the Social Security Act in fiscal year 1997 under this appropriation and under such title IV-A as amended by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 shall not exceed the limitations under section 116(b) of such Act. LOW INCOME HOME ENERGY ASSISTANCE Language waiving existing law. SOCIAL SERVICES BLOCK GRANT Language specifying an applicable percentage of funds under section 404(d)(2) of the Social Security Act. CHILDREN AND FAMILIES SERVICES PROGRAMS Language specifying treatment of Recovery Funds for purposes of calculating fiscal year 2009 Head Start base grants. Language making funds available under section 241 of the Public Health Service Act to carry out provisions of section 1110 of the Social Security Act. Language granting eligible entities authority to carryover funds from one fiscal year to the next. Language requiring the Secretary to establish certain procedures regarding the disposition of intangible property and program income under the community economic development program. Language allowing certain funds to be available for financing construction and other activities in certain private business enterprises under the community economic development program. Language specifying use of funds for teenage pregnancy prevention programs. Language making funds available under section 241 of the Public Health Services Act for evaluating teenage pregnancy prevention approaches. Language imposing certain requirements on grantees under the abstinence education program. Language making funds available under section 241 of the Public Health Services Act for evaluating abstinence education. Language making funds available for a human services case management system for Federally-declared disasters. Language providing for the transfer of $1,000,000 to the National Commission on Children and Disasters. Language providing funds for projects, and in the amounts, specified in the report. Administration on Aging Language providing funds for projects, and in the amounts, specified in the report. Office of the Secretary GENERAL DEPARTMENTAL MANAGEMENT Language making funds available under section 241 of the Public Health Service Act to carry out national health or human services research and evaluation activities. Language designating specific funds for teenage pregnancy prevention grants under the Adolescent Family Life program. Language providing that funds for embryo adoption activities may be used for certain medical and administrative services consistent with section 59.5(a)(4) of title 42, Code of Federal Regulations. Language providing that certain scientific information requests shall be transmitted to the Committees on Appropriations of the House and Senate uncensored and without delay. Language providing funds for projects, and in the amounts, specified in the report. OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY Lanuage making $61,342,000 available under section 241 of the Public Health Service Act to carry out health information technology network development activities. PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND Language providing that funding is available through September 30, 2011 to support preparedness and emergency operations. Language providing that funding is available through September 30, 2011 to support the delivery of medical countermeasures. Language is included that a portion of the funding available to support the delivery of medical countermeasures may be transferred to the U.S. Postal Service. Language is included that funding for advanced research and development is to be derived by transfer from funds appropriated under the heading ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004 and shall remain available through September 30, 2011. Language providing that a portion of the funding made available to prepare for and respond to an influenza pandemic is to be available until expended. Language providing that notwithstanding section 496(b) of the Public Health Service Act, funds provided may be used for the construction or renovation of privately owned facilities for the production of pandemic vaccine and other biologics, where the Secretary of HHS finds such a contract necessary to secure sufficient supplies of such vaccines or biologics. Language that all remaining balances from funds appropriated under the heading ``Biodefense Countermeasures'' in the Department of Homeland Security Appropriations Act, 2004 shall be transferred to HHS and remain available through September 30, 2013. Language that funding for fit-out and other costs related to a competitive lease procurement to renovate or replace the existing Public Health Service headquarters building shall remain available until expended. TITLE III--DEPARTMENT OF EDUCATION Education for the Disadvantaged Language providing that State educational agencies ensure that a certain percentage of School Improvement Grant allocations be used for evidence-based reading instruction. Language providing that State and local educational agencies may use fiscal years 2009 and 2010 funds for School Improvement Grants for any title I eligible school that meets certain criteria. Language providing that ESEA title I, part A funds awarded to local educational agencies under the Recovery Act shall not be part of the hold-harmless calculation for certain title I allocations in fiscal year 2010 and succeeding years. Impact Aid Language ensuring that schools serving the children of military personnel continue to receive Impact Aid funds when the military parents who live on-base are deployed and the child continues to attend the same school and in cases in which an on-base military parent is killed while on active duty and the child continues to attend the same school. School Improvement Programs Language pertaining to school construction and renovation activities under the Education for Native Hawaiians program. Language pertaining to activities under the Alaska Native Education Equity program. Language permitting State educational agencies to sub-grant education technology funds. Language allowing the Republic of the Marshall Islands and the Federated States of Micronesia to reserve up to five percent of their supplemental education grants for certain purposes. Innovation and Improvement Language allowing the Secretary to retain up to three percent of the funding for the Teaching American History program for technical assistance and the dissemination of information. Language specifying certain criteria for grants to local educational agencies, States, or certain partnerships regarding performance-based compensation systems in high-need schools. Language specifying the amount of funds available for five- year grants to local educational agencies to work in partnership with one or more institutions of higher education, to establish or expand articulated programs of study in languages critical to U.S. national security. Language providing funds for projects, and in the amounts, specified in the report. Language requiring the Secretary to make funds available to continue a national school leadership partnership initiative. Language permitting funds under the Charter School Program to be awarded to charter management organizations and other entities and specifying certain requirements for applications submitted to this program. English Language Acquisition Language providing that the Secretary shall use estimates of the American Community Survey child counts for the most recent three-year period to calculate allocations. Special Education Language limiting the increase in the amount of funds required to be transferred to the Department of the Interior under the Grants to States. Rehabilitation Services and Disability Research Language providing funds for projects, and in the amounts, specified in the report. NATIONAL TECHNICAL INSTITUTE FOR THE DEAF Language providing the Institute certain discretion in the use of funds for the endowment program. Special Institutions for Persons With Disabilities GALLAUDET UNIVERSITY Language providing the University certain discretion in the use of funds for the endowment program. Career, Technical, and Adult Education Language specifying an allocation formula for awarding State grants and civics education. Language to correct an administrative error by the Department of Education in the Adult Basic Literacy Education State grants program. Language waiving existing law to permit a portion of the amount provided for Adult Education State Grants to be used for integrated English literacy and civics education services to immigrants and other limited English proficient populations, and specifying the distribution of such funds. Language identifying specific funding levels for the national leadership activities under the Adult Education and Family Literacy Act, overriding the statutory set-aside of 1.5 percent of the adult education appropriation. Student Financial Assistance Language providing that the maximum Pell Grant a student may receive in the 2010-2011 academic year shall be $4,860. Language deferring mandatory funds for Academic Competitiveness and SMART grants until October 1, 2010. Higher Education Language providing that funds are available to fund fellowships for academic year 2011-2012 under part A, subpart 1 of title VII of the Higher Education Act of 1965, under the terms and conditions of part A, subpart 1. Language permitting up to one percent of the Title VI/ Fulbright-Hays funds provided to the Department to be used for program evaluation, national outreach, and information dissemination activities. Language providing that notwithstanding any other provision of law, funds made available to carry out title VI of the Higher Education Act and section 102(b)(6) of the Mutual Educational and Cultural Exchange Act of 1961 may be used to support visits and study in foreign countries by individuals who are participating in advanced foreign language training and international studies in areas that are vital to United States national security and who plan to apply their language skills and knowledge of these countries in the fields of government, the professions, or international development. Language providing funds for projects, and in the amounts, specified in the reports. Howard University Language providing the University certain discretion in the use of funds for the endowment program. General Provisions Language allowing the Outlying Areas to consolidate certain funds received under this Act. TITLE IV--RELATED AGENCIES Corporation for National and Community Service OPERATING EXPENSES Language prohibiting funds from being used for the ServeAmerica Fellowships Program. Language prohibiting funding for the non-profit capacity building funding program. Language prohibiting funding for the Silver Scholarship Program. Language prohibiting funding for the Volunteer Generation Fund. Language allowing certain funds to be used for grant application reviews. Language limiting funding available for the Social Innovation Fund. Language limiting funding available for Training and Technical Evaluation Assistance. Language limiting funding available for grants to increase the participation of individuals with disabilities in national service. Language limiting funds available for assistance to State commissions on national community service. NATIONAL SERVICE TRUST Language allows funds appropriated for the National Trust to be invested without regard for apportionment requirements. Federal Mediation and Conciliation Service SALARIES AND EXPENSES Language specifying funds for Labor-Management partnership grants shall remain available through September 30, 2011. Language allowing certain fees charged, up to full-cost recovery, to be credited to and merged with this account, provided that fees collected for arbitration services shall only be available for education, training, and professional development of the agency workforce. Language allowing the Director of the Federal Mediation and Conciliation Services to accept and use on behalf of the United States gifts of services and property in the aid of any projects or functions within the Director's jurisdiction. National Labor Relations Board SALARIES AND EXPENSES Language specifying appropriations to the NLRB cannot be used to organize or assist in organizing agricultural laborers or used in connection with investigations, hearings, directives, or orders concerning bargaining units composed of agricultural laborers. Institute of Museums and Library Services Language providing funds for projects, and in the amounts, specified in the report. Railroad Retirement Board DUAL BENEFITS PAYMENTS ACCOUNT Language requiring the total amount appropriated for railroad retirement dual benefits to be credited to the Dual Benefits Payments Account in 12 approximately equal amounts on the first day of each month in the fiscal year. LIMITATION ON ADMINISTRATION Language allowing the Railroad Retirement Board to determine the allocation of its administrative budget between the railroad retirement accounts and the railroad unemployment insurance administration fund. LIMITATION ON THE OFFICE OF INSPECTOR GENERAL Language restricting the transfer and use of certain funds for the Office of Inspector General. Social Security Administration SUPPLEMENTAL SECURITY INCOME PROGRAM Language requiring States to return to the Treasury funds unobligated at the end of the current fiscal year. LIMITATION ON ADMINISTRATIVE EXPENSES Language providing that unobligated balances at the end of the fiscal year shall remain available until expended for the agency's information technology and telecommunications hardware and software infrastructure, including related equipment and non-payroll administrative expenses associated solely with this infrastructure. Language providing that reimbursement to the trust funds for expenditures for official time for employees of the Social Security Administration pursuant to 5 U.S.C. 7131, and for facilities or support services for labor organizations pursuant to policies, regulations, or procedures referred to in 7135(b) of such title shall be made by the Secretary of the Treasury, with interest, from amounts in the general fund not otherwise appropriated, as soon as possible after such expenditures are made. Language providing that funds derived from administration fees collected shall be available in the subsequent fiscal year only to the extent provided in advance in appropriations Acts. OFFICE OF INSPECTOR GENERAL Language permitting the transfer of a certain amount of funds into this account from the SSA administrative account provided that the Appropriations Committees are promptly notified. Administrative and General Provisions Sections 102, 206, 207, 208, 217, 304, and 501 include legislative transfer authorities. Sections 101, 103, 104, 105, 106, 107, 109, 110, 111, 203, 204, 209, 210, 211, 301, 302, 303, 306, 403, 502, 503, 506, 507, 508, 509, 510, 511, 512, 513, 514, 515, 516, 519, 520, 521, 522, and 523 may be construed as placing legislative limitations on the use of funds in the bill. Sections 108, 113, 201, 202, 205, 212, 213, 214, 215, 216, 305, 401, 402, 504, 505, 517, and 518 establish affirmative directions, confer new authorities, or impose new responsibilities on departments or agencies funded by the bill. DEFINITION OF PROGRAM, PROJECT, AND ACTIVITY During fiscal year 2010 for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985, the following information provides the definition of the term ``program, project, and activity'' for departments and agencies under the jurisdiction of the Labor, Health and Human Services, and Education and Related Agencies Subcommittee. The term ``program, project, and activity'' shall include the most specific level of budget items identified in the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010, the accompanying House and Senate Committee reports, the conference report and accompanying joint explanatory statement of the managers of the committee of conference. Statement of General Performance Goals and Objectives Pursuant to clause 3(c)(4) of rule XIII of the Rules of the House of Representatives, the following is a statement of general performance goals and objectives for which this measure authorizes funding: The Committee on Appropriations considers program performance in developing funding recommendations, including a program's success in developing and attaining outcome-related goals and objectives. Appropriations Not Authorized by Law Pursuant to clause 3(f)(1)(B) of rule XIII of the Rules of the House of Representatives, the following table lists the appropriations in the accompanying bill which are not authorized by law for the period concerned: ---------------------------------------------------------------------------------------------------------------- Appropriations in Agency/Program Last Year of Authorization Level Last Year of Appropriations Authorization Authorization in this Bill ---------------------------------------------------------------------------------------------------------------- DEPARTMENT OF LABOR ETA--Training and Employment...... Services--Workforce............... Investment Act programs\1\........ FY 2003 Such Sums............ $3,606,317,000 $3,701,961,000 DEPARTMENTAL MANAGEMENT Office of Job Corps\1\............ FY 2003 Such Sums............ $1,509,094,000 $1,705,320,000 VETS Veterans Workforce Investment FY 2003 Such Sums............ $7,377,000 $9,641,000 Program. DEPARTMENT OF HEALTH AND HUMAN SERVICES HRSA Health Professions................ FY 2002 Such Sums............ $295,111,000 $529,708,000 Black Lung Clinics................ FY 2007 ..................... $5,891,000 $7,200,000 Radiation Exposure Screening...... FY 2009 Such Sums............ $1,952,000 $1,952,000 Newborn Hearing Screening......... FY 2002 Such Sums............ $9,995,000 $19,000,000 Emergency Medical Services for FY 2005 Such Sums............ $19,831,000 $20,000,000 Children. Traumatic Brain Injury............ FY 2005 Such Sums............ $9,297,000 $10,000,000 Sickle Cell Demonstration......... FY 2009 $10,000,000.......... $4,250,000 $5,250,000 Ryan White Care Act programs...... FY 2009 $2,237,000,000....... $2,238,421,000 $2,267,414,000 Organ Transplantation............. FY 1993 Such Sums............ $2,767,000 $24,049,000 Rural Health Outreach Grants...... FY 2006 Such Sums............ $38,885,000 $56,600,000 Rural Hospital Flexibility Grants. FY 2008 $35,000,000.......... $37,865,000 $41,200,000 Rural and Community Access to FY 2003 $25,000,000.......... $12,419,000 $3,300,000 Emergency Devices. State Offices of Rural Health..... FY 2002 Such Sums............ $7,996,000 $9,700,000 Family Planning................... FY 1985 $158,400,000......... $142,500,000 $317,491,000 Telehealth........................ FY 2006 Such Sums............ $6,819,000 $15,000,000 CDC Immunization Program.............. FY 2005 Such Sums............ $493,032,000 $545,674,000 HIV/AIDS Prevention............... FY 2005 Such Sums............ $662,267,000 $744,914,000 Sexually Transmitted Diseases FY 1998 Such Sums............ $113,671,000 $152,750,000 Grants. Tuberculosis Grants............... FY 2002 Such Sums............ $132,403,000 $144,268,000 Other Infectious Disease Control.. FY 2005 Such Sums............ $225,589,000 $270,731,000 Diabetes.......................... FY 2005 Such Sums............ $63,457,000 $65,998,000 Breast and Cervical Cancer FY 2003 Such Sums............ $199,371,000 $214,699,000 Prevention. WISEWOMAN......................... FY 2003 Such Sums............ $12,419,000 $20,573,000 Cancer Registeries................ FY 2003 Such Sums............ $45,649,000 $46,472,000 Prostate Cancer................... FY 2004 Such Sums............ $14,091,000 $13,275,000 Nutrition, Physical Activity, and FY 2005 Such Sums............ $41,930,000 $44,402,000 Obesity. Safe Motherhood/Infant Health FY 2005 Such Sums............ $44,738,000 $49,891,000 Promotion. Oral Health Promotion............. FY 2005 Such Sums............ $11,204,000 $15,074,000 Prevention Centers................ FY 2003 Such Sums............ $26,830,000 $33,203,000 Birth Defects, Developmental...... Disability, Disability and Health. FY 2002 Such Sums............ $89,946,000 $140,882,000 Asthma Prevention................. FY 2005 Such Sums............ $32,422,000 $30,924,000 Lead Poisoning Prevention......... FY 2005 Such Sums............ $36,474,000 $34,805,000 Injury Prevention and Control..... FY 2005 Such Sums............ $138,237,000 $148,615,000 Preventive Health Services Block FY 1998 Such Sums............ $194,092,000 $102,034,000 Grant. NIH All 27 Institutes and Centers..... FY 2009 Such Sums............ $30,317,024,000 $31,258,788,000 SAMHSA Substance Abuse and Mental Health FY 2003 Such Sums............ $3,161,951,000 $3,412,438,000 Services programs, except STOP Act programs. ACF Low Income Home Energy Assistance FY 2007 $5,100,000,000....... $1,980,000,000 $5,100,000,000 Block Grant. ORR: Social Services, Transitional FY 2002 Such Sums............ $439,894,000 $544,445,000 and Medical Services, Preventive Health, Targeted Assistance. Torture Victims............... FY 2007 $25,000,000.......... $9,817,000 $11,358,000 Family Violence Prevention and FY 2008 $175,000,000......... $127,776,000 $133,776,000 Services Act. Child Abuse State Grants.......... FY 2008 Such Sums............ $26,535,000 $26,535,000 Abandoned Infants Assistance...... FY 2008 Such Sums............ $11,628,000 $11,628,000 Adoption Opportunities............ FY 2008 Such Sums............ $26,379,000 $26,379,000 Adoption Awareness................ FY 2005 Such Sums............ $12,453,000 $12,953,000 Child Care Development Block Grant FY 2002 $1,000,000,000....... $2,099,994,000 $2,127,081,000 Voting Access for Individuals with FY 2005 $35,000,000.......... $14,879,000 $17,410,000 Disabilities. Developmental Disabilities........ FY 2007 Such Sums............ $155,115,000 $168,945,000 Native American programs.......... FY 2002 Such Sums............ $45,946,000 $48,523,000 Community Services Block Grant FY 2003 Such Sums............ $739,315,000 $746,000,000 programs. Individual Development Account.... FY 2003 $25,000,000.......... $24,990,000 $24,025,000 AOA Alzheimer's Diseases.............. Demonstration Grants.......... FY 2002 Such Sums............ $11,483,000 $11,464,000 OFFICE OF THE SECRETARY Adolescent Family Life............ FY 1985 $30,000,000.......... $14,716,000 $29,778,000 DEPARTMENT OF EDUCATION Education for the Disadvantaged-- FY 2008 $25,000,000,000...... $13,898,875,000 14,492,401,000 LEA formula grants. Education for the Disadvantaged-- FY 2008 Such Sums............ $1,557,267,000 1,409,146,000 (except Grants to LEAs and Special Programs for Migrant Students). Impact Aid........................ FY 2008 Such Sums............ $1,240,717,000 1,290,718,000 School Improvement Programs-- FY 2008 Such Sums............ $5,264,400,000 5,207,505,000 (except Training and Advisory Services and Supplemental Education Grants). Indian Education.................. FY 2008 Such Sums............ $119,564,000 132,282,000 Innovation and Improvement-- FY 2008 Such Sums............ $985,518,000 1,341,213,000 (except Teach for America). Safe Schools and Citizenship FY 2008 Such Sums............ $693,404,000 395,753,000 Education. English Language Acquisition...... FY 2008 Such Sums............ $700,395,000 760,000,000 Rehabilitation Services and FY 2004 Such Sums............ $2,985,327,000 3,473,345,000 Disability Research (except Assistive Technology). Adult Education................... FY 2004 Such Sums............ $590,233,000 639,567,000 Smaller Learning Communities...... FY 2008 ..................... $80,108,000 88,000,000 GPRA Data/HEA Program Evaluation.. FY 2004 Such Sums............ $988,000 609,000 Howard University--Endowment FY 1985 $2,000,000........... $2,000,000 3,600,000 Program. Institute of Education Sciences... FY 2009 Such Sums............ $617,175,000 664,256,000 RELATED AGENCIES Corporation for Public FY 1996 $425,000,000......... $275,000,000 $440,000,000 Broadcasting. Corporation for Public none $40,000,000 Broadcasting, Emergency Fund. Corporation for Public FY 1993 $200,000,000......... $65,327,000 $25,000,000 Broadcasting, Interconnection. Corporation for Public FY 2001 $20,000,000.......... $20,000,000 $36,000,000 Broadcasting, Digitalization. National Council on Disability.... FY 2003 Such Sums............ $3,144,000 $3,271,000 ---------------------------------------------------------------------------------------------------------------- \1\Job Corps was included in Training and Employment Services in 2003, and is now under Departmental Management Disclosure of Earmarks and Congressionally Directed Spending Items DIRECTED SPENDING BY CONGRESS AND BY THE EXECUTIVE BRANCH This bill contains approximately $33,500,000,000 in grant funding awarded solely at the discretion of the Administration, and $188,765,000 requested by the President for specific projects. In addition to placing a one-year moratorium on earmarks in appropriations bills enacted in 2007 so that new rules could be put in place, the Committee has subsequently taken unprecedented action to increase transparency and reduce funding for earmarks. In this bill since 2005, the total funding earmarked has been reduced by 33 percent. This year earmarked funding will equal less than one percent of the cost of the bill. It should also be noted that under the policies adopted by the Committee the use of member earmarks awarded to for-profit entities as a functional equivalent of no bid contracts is ended. In cases where the Committee funds an earmark designated for a for-profit entity, the Committee includes legislative language requiring the Executive Branch to nonetheless issue a request for proposal that gives other entities an opportunity to apply and requires the agency to evaluate all bids received and make a decision based on merit. This gives the original designee an opportunity to be brought to the attention of the agency, but with the possibility that an alternative entity may be selected. ---------------------------------------------------------------------------------------------------------------- Fiscal year 2005 Fiscal year 2008 Fiscal year 2009 Fiscal year 2010 -------------------------------------------------------------------------------------- Committee -------------------------- # $ in millions # $ in millions # $ in millions # $ in millions ---------------------------------------------------------------------------------------------------------------- 3,054 1,465 2,241 1,009 2,154 974 1,151 672 ---------------------------------------------------------------------------------------------------------------- The following table is submitted in compliance with clause 9 of rule XXI, and lists the congressional earmarks (as defined in paragraph (e) of clause 9) contained in the bill or in this report. Neither the bill nor the report contain any limited tax benefits or limited tariff benefits as defined in paragraphs (f) or (g) of clause 9 of rule XXI. LABOR, HEALTH AND HUMAN SERVICES, EDUCATION AND RELATED AGENCIES [Presidentially Directed Spending Items] ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Requester(s) Agency Account Project Amount ------------------------------------------------- Administration House ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Higher Education B.J. Stupak Olympic Scholarship Program for $977,000 The President Stupak activities authorized under the Higher Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Higher Education Strengthening Alaska Native and Native Hawaiian $12,158,000 The President Abercrombie; Hirono; Honda; Serving Institutions Programs for activities Young (AK) authorized under the Higher Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Higher Education Thurgood Marshall Legal Scholarships Program $3,000,000 The President Jackson (IL) authorized under the Higher Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Higher Education Tribally Controlled Postsecondary Vocational $8,162,000 The President Honda Institutions authorized under the Perkins Career and Technical Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement National Board for Professional Teaching Standards $10,649,000 The President for activities authorized under the Elementary and Secondary Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement National Writing Project for activities authorized $24,291,000 The President Berkley; Capps; Capuano; under the Elementary and Secondary Education Act Cardoza; Crowley; Davis (CA); Davis (IL); Ellison; Hirono; Holt; Johnson, Eddie Bernice; Kildee; Langevin; McCarthy (NY); Miller, George; Murphy (CT); Oberstar; Pomeroy; Ross; Sarbanes; Van Hollen; Waxman; Wu; Yarmuth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement Reading is Fundamental authorized under the $24,803,000 The President Abercrombie; Arcuri; Berkley; Elementary and Secondary Education Act Bordallo; Brown (SC); Capps; Capuano; Carnahan; Castor (FL); Connolly (VA); Conyers; Costa; Crowley; Cuellar; Davis (CA); Davis (IL); Ellison; Etheridge; Fattah; Fudge; Gerlach; Gonzalez; Green, Gene; Grijalva; Gutierrez; Halvorson; Hastings (FL); Herseth Sandlin; Hinojosa; Hirono; Holt; Johnson (GA); Johnson, Eddie Bernice; Kucinich; Langevin; Lee (NY); Lofgren, Zoe; Marshall; McGovern; McHugh; Miller (NC); Moore (WI); Moran (VA); Murphy (CT); Nadler (NY); Napolitano; Norton; Oberstar; Ortiz; Paul; Payne; Perriello; Pierluisi; Pomeroy; Price (NC); Rahall; Roskam; Ross; Rothman (NJ); Rush; Sarbanes; Scott (GA); Scott (VA); Shimkus; Smith (NJ); Snyder; Tauscher; Van Hollen; Waters; Waxman; Whitfield; Yarmuth; Young (AK) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement Teach for America as authorized under the Higher $15,000,000 The President Abercrombie; Berkley; Education Act Capuano; Carnahan; Conyers; Davis (AL); Davis (IL); Eshoo; Etheridge; Fattah; Grijalva; Gutierrez; Herseth Sandlin; Hinojosa; Hirono; Johnson (GA); Johnson, Eddie Bernice; Miller (NC); Moore (WI); Ortiz; Price (NC); Ross; Sablan; Sarbanes; Van Hollen; Waters; Waxman ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects School Improvement Alaska Native Educational Equity for activities $33,315,000 The President Young (AK) authorized under the Elementary and Secondary Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects School Improvement Education for Native Hawaiians for activities $33,315,000 The President Abercrombie; Hirono; Honda authorized under the Elementary and Secondary Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Special Olympics Special Olympics for Special Olympics educational $8,095,000 The President Conyers; Honda; Hoyer; Price programs that can be integrated into classroom (NC); Rehberg instruction and for activities to increase the participation of individuals with intellectual disabilities, as authorized under the Special Olympics Sport and Empowerment Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services-- ACF National Association of Child Care Resources and $1,000,000 The President Moran (VA) National Projects Referral Agencies for the Child Care Aware toll ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services-- HRSA Native Hawaiian Health Care to provide primary $14,000,000 The President Abercrombie; Hirono; Honda National Projects health promotion and disease prevention services to Native Hawaiians through regional clinics under the Native Hawaiian Health Care Act of 1988 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ LABOR, HEALTH AND HUMAN SERVICES, EDUCATION AND RELATED AGENCIES [Congressionally Directed Spending Items] ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Agency Account Project Amount Requester(s) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Action for Bridgeport Community Development, Inc., $700,000 Himes (includes FIE) Bridgeport, CT for its Total Learning early childhood initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Alabama School of Math and Science, Mobile, AL for $100,000 Bonner (includes FIE) curriculum development and teacher training, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Alaska Native Heritage Center, Anchorage, AK for $150,000 Young (AK) (includes FIE) educational programming and outreach ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education America Scores, St. Louis, MO for an after-school $200,000 Carnahan (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education An Achievable Dream, Newport News, VA for education $300,000 Wittman; Scott (VA) (includes FIE) and support services for at-risk children ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Aquatic Adventures Science Education Foundation, $200,000 Davis (CA) (includes FIE) San Diego, CA for an after-school science education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Arab City School District, Arab, AL for an $150,000 Aderholt (includes FIE) education technology initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Auburn Joint Vocational School District, Concord $250,000 LaTourette (includes FIE) Township, OH for curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education AVANCE, Inc., Austin, TX for parenting education $350,000 Doggett (includes FIE) programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education AVANCE, Inc., El Paso, TX for a parenting education $250,000 Reyes (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education AVANCE, Inc., Waco, TX for a family literacy $100,000 Edwards (TX) (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Babyland Family Services, Inc., Newark, NJ for an $400,000 Payne (includes FIE) early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Baltimore City Public Schools, Baltimore MD to $500,000 Cummings (includes FIE) establish alternative education programs for academically-challenged students, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Bay Point Schools, Inc., Miami, FL for a boarding $400,000 Meek (FL); Ros-Lehtinen (includes FIE) school for at-risk students ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Best Buddies Florida, Orlando, FL for mentoring $250,000 Crenshaw (includes FIE) programs in the 4th Congressional District for elementary and secondary school students with disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Bloomfield Board of Education, Bloomfield, NJ to $300,000 Pascrell (includes FIE) provide alternative education for academically- challenged students ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Boise State University, Boise, ID for the Idaho $400,000 Simpson (includes FIE) SySTEMic Solution program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education California State University, Northridge, CA for $400,000 Sherman (includes FIE) teacher training and professional development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Capeverdean American Community Development, $100,000 Kennedy (includes FIE) Pawtucket, RI for after-school, tutoring, and literacy programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Carnegie Hall, New York, NY for music education $300,000 Maloney (includes FIE) programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Center for Rural Development, Somerset, KY for the $500,000 Rogers (KY) (includes FIE) Forward in the Fifth literacy program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Charter School Development Foundation, Las Vegas, $400,000 Berkley (includes FIE) NV for an early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Chicago Youth Centers, Chicago, IL for the ABC $200,000 Davis (IL) (includes FIE) Youth Center after school program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Childhelp, Inc., Scottsdale, AZ to develop a $250,000 Crenshaw (includes FIE) comprehensive update to the Good Touch Bad Touch curriculum ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Children's Hospital Los Angeles, Los Angeles, CA $250,000 Roybal-Allard (includes FIE) for an outreach program to encourage minorities to consider health care careers ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Children's Literacy Initiative, Philadelphia, PA $200,000 Fattah (includes FIE) for its literacy program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Choice Thru Education, Inc., Chelsea, MA for $100,000 Capuano (includes FIE) educational and career development programs for at- risk youth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City of Bell, CA for an after-school program, which $200,000 Roybal-Allard (includes FIE) may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City of Fairfield, CA for an after-school and job- $350,000 Tauscher (includes FIE) skills training program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City of La Habra, CA for the Young at Art program $148,000 Miller, Gary (includes FIE) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City of Newark, CA for an after-school program $50,000 Stark (includes FIE) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City of Prestonsburg, KY for an arts education $200,000 Rogers (KY) (includes FIE) initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education City School District of New Rochelle, New Rochelle, $297,000 Lowey (includes FIE) NY for after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Collaborative for Academic, Social, and Emotional $900,000 Ryan (OH) (includes FIE) Learning, Chicago, IL for social and emotional learning curriculum development and implementation in the Youngstown, Niles, and/or Warren City, OH school districts ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education College Success Foundation, Issaquah, WA for its $400,000 Dicks; Smith (WA) (includes FIE) academic support and mentoring programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Commonwealth of the Northern Mariana Islands Public $250,000 Sablan (includes FIE) School Systems, Saipan, MP for its Refaluwasch and Chamorro language programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Commonwealth of the Northern Mariana Islands Public $100,000 Sablan (includes FIE) School Systems, Saipan, MP for the purchase of books and educational materials ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Communities in Schools--Northeast Texas c/o $200,000 Hall (TX) (includes FIE) Northeast Texas Community College, Mt. Pleasant, TX for dropout prevention programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Communities-in-Schools, Bell-Coryell Counties Inc., $250,000 Carter (includes FIE) Killeen, TX for the Youngest Victims of War project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Connecticut Technical High School System, $350,000 DeLauro (includes FIE) Middletown, CT for equipment for Eli Whitney Technical High School's Manufacturing Technology Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Connecticut Technical High School System, $250,000 DeLauro (includes FIE) Middletown, CT for equipment for Vinal Technical High School's Manufacturing Technology Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Contra Costa Child Care Council, Concord, CA for an $100,000 Miller, George (includes FIE) early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cooperative Educational Service Agency No. 10, $300,000 Obey (includes FIE) Chippewa Falls, WI for after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cooperative Educational Service Agency No. 11, $400,000 Obey (includes FIE) Turtle Lake, WI for after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cooperative Educational Service Agency No. 12, $400,000 Obey (includes FIE) Ashland, WI for after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cooperative Educational Service Agency No. 9, $300,000 Obey (includes FIE) Tomahawk, WI for after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Corpus Christi Independent School District, Corpus $200,000 Ortiz (includes FIE) Christi, TX for its South Texas School Literacy Project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education County of Alachua, FL for after school programming $250,000 Stearns; Brown, Corrine (includes FIE) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cullman County Schools, Cullman, AL for a mobile $150,000 Aderholt (includes FIE) laboratory initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Cuyahoga County Board of County Commissioners, $100,000 Kucinich; Fudge; Sutton (includes FIE) Cleveland, OH for an early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Delaware Department of Education, Dover, DE for a $250,000 Castle (includes FIE) school leadership initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Devereux Center for Effective Schools, King of $100,000 Gerlach (includes FIE) Prussia, PA for the School-wide Positive Behavioral Support program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education East Los Angeles Classic Theater, Los Angeles, CA $150,000 Roybal-Allard (includes FIE) for an arts education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education East Whittier City School District, Whittier, CA $225,000 Sanchez, Linda (includes FIE) for support services for at-risk students, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Eastern Kentucky PRIDE, Somerset, KY for $250,000 Rogers (KY) (includes FIE) environmental education programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Eden Housing, Hayward, CA for a technology training $100,000 Eshoo (includes FIE) program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Education Service Center, Region 12, Hillsboro, TX $70,000 Edwards (TX) (includes FIE) for a GEAR UP college preparation program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Enrichment Services Program, Inc., Columbus, GA for $100,000 Bishop (GA) (includes FIE) after-school tutoring and GED programs for at-risk youth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Farrell Area School District, Farrell, PA for $200,000 Altmire (includes FIE) education enrichment programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Fayette County Schools, Lexington, KY for a foreign $2,500,000 Chandler (includes FIE) language program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Five County Regional Vocational System, Tamms, IL $50,000 Costello (includes FIE) for education support services for at-risk students ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Franklin County Schools, Russellville, AL for an $935,000 Aderholt (includes FIE) education technology initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Franklin McKinley School District, San Jose, CA for $180,000 Honda (includes FIE) an academic enrichment and college preparation program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Girls Incorporated of Alameda County, San Leandro, $250,000 Lee (CA) (includes FIE) CA for a literacy program for young girls, which may include equipment and software ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Glenwood School for Boys and Girls, West Campus, $100,000 Foster (includes FIE) St. Charles, IL for an assessment and evaluation system, which may include software and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Governors State University, University Park, IL for $200,000 Jackson (IL) (includes FIE) early childhood education and after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Harambee Institute, St. Louis, MO for and after- $325,000 Clay (includes FIE) school arts education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Harcum College, Bryn Mawr, PA for a science, $243,000 Gerlach (includes FIE) technology, engineering and math education initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Hawaii Department of Education, Honolulu, HI for $700,000 Hirono (includes FIE) its Assistance to Low Performing Schools Project, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Hazleton Area School District, Hazleton, PA for $300,000 Kanjorski (includes FIE) curriculum development, equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Helen Keller International, New York, NY for the $1,200,000 DeLauro (includes FIE) Child Sight Vision Screening Program and to provide eyeglasses to children whose educational performance may be hindered because of poor vision ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Highland Falls-Fort Montgomery Central School $800,000 Hall (NY) (includes FIE) District, Highland Falls, NY for science education, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Highline School District, Burien, WA for Aviation $335,000 Smith (WA); McDermott (includes FIE) High School, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Hope Through Housing Foundation, Rancho Cucamonga, $350,000 Miller, Gary; Tauscher (includes FIE) CA, for an academic tutoring and enrichment initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Indiana University-Purdue University Fort Wayne, $260,000 Souder (includes FIE) Ft. Wayne, IN for the Strategic Languages Institute ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Indianapolis Public Schools, Indianapolis, IN for $500,000 Carson (IN) (includes FIE) an instructional technology program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Institute for Advanced Learning and Research, $200,000 Perriello (includes FIE) Danville, VA for an environmental education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Institute for Student Achievement, Lake Success, NY $150,000 Alexander (includes FIE) for a school retention and completion initiative at Point Coupee, Louisiana Central Prep High School ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Irwin County Schools, Ocilla, GA to purchase $100,000 Marshall (includes FIE) textbooks ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Jawonio, Inc., New York, NY for educational support $118,000 Lowey; Engel (includes FIE) services for students with disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Jazz at Lincoln Center, New York, NY for music $400,000 Nadler (NY) (includes FIE) education programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Jobs for Arizona's Graduates, Inc., Scottsdale, AZ $150,000 Grijalva; Pastor (AZ) (includes FIE) for dropout prevention and after-school programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Joplin R-VIII School District, Joplin, MO for an $100,000 Blunt (includes FIE) education technology initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education KNME-TV, Albuquerque, NM for the Ready to Learn $50,000 Heinrich (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Labor of Love Performing Arts Academy, Chicago, IL $400,000 Rush (includes FIE) for an after-school arts program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Laurinburg Institute, Laurinburg, NC for its math, $400,000 Kissell (includes FIE) science, technology and engineering program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Leadership Excellence, Inc., Oakland, CA for a $250,000 Lee (CA) (includes FIE) mentoring program for at-risk youth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Leadership, Education and Athletics in Partnership, $300,000 DeLauro (includes FIE) Inc., New Haven, CT for its after-school and mentoring programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Lee Pesky Learning Center, Boise, ID for the Idaho $350,000 Simpson (includes FIE) Early Literacy Project, which may include the purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Leon County Schools, Tallahassee, FL for its gifted $350,000 Boyd (includes FIE) and talented enrichment program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Literacy Council of West Alabama, Tuscaloosa, AL $250,000 Davis (AL); Bachus (includes FIE) for a literacy program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Little Black Pearl Art and Design Center, Chicago, $300,000 Rush (includes FIE) IL for an after-school arts program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education LOOKBOTHWAYS, Port Townsend, WA for development of $500,000 Reichert; Wasserman Schultz (includes FIE) an internet safety curriculum ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Maspeth Town Hall, Inc., Maspeth, NY for after- $150,000 Crowley (includes FIE) schools programs for at-risk youth in Queens, NY ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education McLean County Fiscal Court, Calhoun, KY for $150,000 Whitfield (includes FIE) purchase of equipment at the Livermore Community Library ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Meeting Street, Providence, RI for an early $700,000 Langevin; Kennedy (includes FIE) childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Memphis City Schools, Memphis, TN for an after- $500,000 Cohen (includes FIE) school program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Merced County Association of Governments, Merced, $425,000 Cardoza (includes FIE) CA to develop a college preparatory program at Buhach Colony High School ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Michigan City Area Schools, Michigan City, IN for $350,000 Donnelly (IN) (includes FIE) career and technical education programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Millcreek Children Center, Youngstown, OH for an $145,000 Ryan (OH) (includes FIE) arts education program, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Milwaukee Public Schools, Milwaukee, WI for $110,000 Moore (WI) (includes FIE) community learning centers ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Mississippi State University, Starkville, MS for a $630,000 Harper (includes FIE) teacher training initiative at the College of Education's Early Childhood Institute ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Missouri State University, Springfield, MO for the $150,000 Blunt (includes FIE) Missouri Innovation Academy ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education National Center for Electronically Mediated $150,000 DeLauro (includes FIE) Learning, Inc., Milford, CT for the P.E.B.B.L.E.S. Project, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education National Network of Digital Schools Management $500,000 Altmire (includes FIE) Foundation, Beaver, PA for the development of an online education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education New Haven Reads Community Book Bank, Inc., New $200,000 DeLauro (includes FIE) Haven, CT for its after-school tutoring program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education New York Hall of Science, Queens, NY for its $450,000 Ackerman; Crowley (includes FIE) teacher training program for science ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education North Carolina State University, Raleigh, NC for a $100,000 Price (NC) (includes FIE) childrens' engineering and technological literacy program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education North River Commission, Chicago, IL for after $100,000 Quigley (includes FIE) school enrichment programs in Chicago public schools located in the North River Commission area ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education North Rockland Central School District, $297,000 Lowey (includes FIE) Garnerville, NY for an English literacy program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Northern Rockies Educational Services (NRES), $300,000 Rehberg (includes FIE) Missoula, MT for the Taking Technology to the Classroom initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Ogden City School District, Ogden, UT for a teacher $250,000 Bishop (UT) (includes FIE) training initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Ohio University, Athens, OH for its Southeast Ohio $100,000 Wilson (OH); Space (includes FIE) Center for Excellence in Mathematics and Science ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Old Bridge Township Public Schools, Matawan, NJ for $200,000 Holt (includes FIE) equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Orange County Department of Education, Costa Mesa, $400,000 Sanchez, Loretta; Royce (includes FIE) CA for an Internet safety training program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Ossining Union Free School District, Ossining, NY $297,000 Lowey (includes FIE) for after-school and mentoring initiatives ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Ouachita Parish School Board, Monroe, LA for $400,000 Alexander (includes FIE) programming at the Northeast Louisiana Family Literacy Interagency Consortium ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Palisades Park School District, Palisades Park, NJ $150,000 Rothman (NJ) (includes FIE) for its after-school homework program, which may include technology and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Palm Beach County School District, West Palm Beach, $300,000 Wexler; Hastings (FL); Klein (FL) (includes FIE) FL for a mentoring program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Parents as Teachers of Lake County, Inc., Hammond, $100,000 Visclosky (includes FIE) IN for family literacy services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Pasadena Educational Foundation, Pasadena, CA for $100,000 Schiff (includes FIE) its Early College High School initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Peaceable Kingdom Retreat for Children, Inc., $255,000 Carter (includes FIE) Killeen, TX for educational programming ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Pegasus Players, Chicago, IL for an arts education $100,000 Schakowsky (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Polk County Public Schools, Bartow, FL for purchase $150,000 Putnam (includes FIE) of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Port Chester-Rye Union Free School District, Port $297,000 Lowey (includes FIE) Chester, NY for after-school, tutoring, or other activities to implement full service community schools ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Project Cornerstone, San Jose, CA for education and $226,000 Honda (includes FIE) enrichment activities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Prospera Initiatives, Inc., Annandale, VA for a $200,000 Moran (VA) (includes FIE) mentoring program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Resource Area For Teachers, San Jose, CA for $200,000 Honda (includes FIE) teacher training and professional development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Rio Rancho Public Schools, Rio Rancho, NM for $250,000 Lujan (includes FIE) teacher training and professional development, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education River Region Multicultural Chamber of Commerce, La $300,000 Melancon (includes FIE) Place, LA for after-school and summer academic enrichment programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education River Rouge School District, River Rouge, MI for $200,000 Kilpatrick (MI) (includes FIE) transitional services and workforce training for youth, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Riverside Unified School District, Riverside, CA $325,000 Calvert (includes FIE) for a science, technology, engineering and mathematics initiative, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Rockdale County Public Schools, Conyers, GA for its $300,000 Johnson (GA) (includes FIE) AVID/Advanced Placement program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Rockdale County Public Schools, Conyers, GA to $400,000 Johnson (GA) (includes FIE) establish year-round Pre-K programs, which may include expenses for tuition, transportation, and meals ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Rodel Foundation of Delaware, Wilmington, DE for $150,000 Castle (includes FIE) the Delaware Parent Leadership Institute ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education San Antonio Youth Centers, San Antonio, TX for $200,000 Gonzalez (includes FIE) after-school programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education San Jose Unified School District, San Jose, CA for $250,000 Honda (includes FIE) a longitudinal data system ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Save the Children, Westport, CT for a literacy $100,000 Clyburn (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Save the Children, Westport, CT for a rural $300,000 Melancon (includes FIE) literacy program in Washington, St. Martin, and / or Tangipahoa parishes, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education School District of Cheltenham Township, Elkins $50,000 Fattah (includes FIE) Park, PA for a dual enrollment program, which may include expenses for tuition and textbooks ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Seattle Public Schools, Seattle, WA for a language $200,000 McDermott (includes FIE) immersion program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Self Enhancement, Inc., Portland, OR for a $525,000 Blumenauer (includes FIE) mentoring and academic enrichment program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Shodor Education Foundation, Inc., Durham, NC for $200,000 Price (NC) (includes FIE) its Computing Mentoring Academic Transitions through Experience, Research, and Service initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Signature Theatre, Arlington, VA for an arts $500,000 Moran (VA) (includes FIE) education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Sisters In Struggle, Hempstead, NY for a life- $200,000 McCarthy (NY) (includes FIE) skills program for at-risk youth, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Somerset Hills School District, Bernardsville, NJ $312,000 Lance (includes FIE) for the Cultural Tolerance Education initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education South Berkshire Educational Collaborative, Great $250,000 Olver (includes FIE) Barrington, MA for educational enrichment and professional development activities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education South Carolina Governor's School for Science and $275,000 Spratt (includes FIE) Mathematics Foundation, Columbia, SC for academic enrichment programs in science, mathematics, engineering and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Southern Connecticut State University, New Haven, $200,000 DeLauro (includes FIE) CT for its Autism Center for Excellence ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Southwestern Oklahoma State University, $350,000 Lucas (includes FIE) Weatherford, OK for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Southwestern University, Georgetown, TX for a $443,000 Granger (includes FIE) summer college preparatory program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Special Olympics 2010 USA National Games, Lincoln, $350,000 Fortenberry (includes FIE) NE to support the 2010 Special Olympics National Games ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Springboard for Improving Schools, San Francisco, $150,000 Costa (includes FIE) CA for teacher training and professional development in one or more school districts in the 20th Congressional district ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Springboard for Improving Schools, San Francisco, $150,000 McKeon (includes FIE) CA for the Improving Student Achievement in the Palmdale, CA Elementary School District program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Springboard Schools, San Francisco, CA for teacher $150,000 Sanchez, Loretta (includes FIE) training and professional development in the Santa Ana Unified School District ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Syracuse University, Syracuse, NY for its Say Yes $300,000 Maffei (includes FIE) to Education after-school and extended learning initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Tarrytown Union Free School District, Tarrytown, NY $297,000 Lowey (includes FIE) for programs for at-risk youth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Texas A&M University--Commerce, TX for a science, $100,000 Hall (TX) (includes FIE) technology, engineering and math initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Texas State University--San Marcos, TX for the $350,000 Smith (TX) (includes FIE) Texas Mathworks initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Toledo GROWs, Toledo, OH for a hands-one science $300,000 Kaptur (includes FIE) based curriculum in urban areas ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Trimble Local School District, Glouster, OH for an $175,000 Space (includes FIE) after-school program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Tulsa Public Schools, Tulsa, OK for the Tulsa $350,000 Sullivan (includes FIE) Academic Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education United Way of Miami-Dade, Miami, FL for the Center $300,000 Ros-Lehtinen; Wasserman Schultz (includes FIE) of Excellence in Early Education, including teacher training programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education United Way of Youngstown/Mahoning Valley, $100,000 Ryan (OH) (includes FIE) Youngstown, OH for an early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education University of Houston, Houston, TX for teacher $400,000 Jackson-Lee (TX) (includes FIE) training and professional development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education University of Nebraska--Kearney, Kearney, NE for $350,000 Smith (NE) (includes FIE) curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education University of North Carolina at Greensboro, $165,000 Miller (NC); Coble (includes FIE) Greensboro, NC for the ON TRACK mathematics enrichment program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education University of North Florida, Jacksonville, FL for $250,000 Crenshaw; Brown, Corrine (includes FIE) the Virtual School Readiness Incubator ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Upper Palmetto YMCA, Rock Hill, SC for an $225,000 Spratt (includes FIE) environmental education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 353, Wellington, KS, Public Schools for $250,000 Tiahrt (includes FIE) technology upgrades and teacher training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 373, Newton, Kansas Public Schools for $250,000 Tiahrt (includes FIE) technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 402, Augusta, KS Public Schools for technology $250,000 Tiahrt (includes FIE) upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 446, Independence, KS Public Schools for $250,000 Tiahrt (includes FIE) technology upgrades and teacher training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 470, Arkansas City, KS Public Schools for $250,000 Tiahrt (includes FIE) technology upgrades, professional development and training/technical assistance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education USD 490, Butler County, KS for technology upgrades $250,000 Tiahrt (includes FIE) and teacher training at the El Dorado, KS public school system ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Wayne State University, Detroit, MI for its $300,000 Kilpatrick (MI) (includes FIE) science, engineering, mathematics, aerospace academy ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education We Care San Jacinto, San Jacinto, CA for an $100,000 Lewis (CA) (includes FIE) afterschool tutoring program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Western Oklahoma State College, Altus, OK for $100,000 Lucas (includes FIE) purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Wings of Eagles, Horseheads, NY for a Regional $275,000 Massa (includes FIE) Science, Technological, Engineering, and Math Academy ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education YMCA of Warren, Warren, OH for an after-school $100,000 Ryan (OH) (includes FIE) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education Yonkers Public Schools, Yonkers, NY for Saturday $297,000 Lowey (includes FIE) academies, music education, and teacher professional development activities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Elementary & Secondary Education YWCA of the Harbor Area and South Bay, San Pedro, $300,000 Harman (includes FIE) CA for an early childhood education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) AB Christian Learning Center, Ft. Worth, TX for a $175,000 Burgess higher education resource center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Alamo Community College, San Antonio, TX for an $200,000 Rodriguez associates degree program for air traffic controllers, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Albany State University, Albany, GA for a model $150,000 Bishop (GA) program to increase the recruitment and retention of underrepresented students in postsecondary education ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Alexander City Chamber of Commerce Foundation, $100,000 Rogers (AL) Alexander City, AL for the Gateway to Education Scholarship program, including scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Alverno College, Milwaukee, WI for its Research $100,000 Moore (WI) Center for Women and Girls, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Anne Arundel Community College, Hanover, MD for its $350,000 Ruppersberger science, technology, engineering, and math initiative, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Anoka Ramsey Community College, Coon Rapids, MN for $800,000 Paulsen curriculum development in programs relating to the medical device manufacturing industry, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Armstrong Atlantic State University Cyber Security $457,000 Kingston Research Institute Foundation, Savannah, GA for curriculum development, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Asnuntuck Community College, Enfield, CT for a $250,000 Courtney Medical Device Machine Technology Certificate Program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Beloit College, Beloit, WI for college scholarships $150,000 Baldwin and college outreach and early awareness programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Brandeis University, Waltham, MA for science and $350,000 Markey (MA) technology academic programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Brazosport College, Galveston, TX for purchase of $200,000 Paul equipment to be used in the petrochemical and nuclear technician training programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Brazosport College, Lake Jackson, TX for curriculum $380,000 Paul development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Breathitt Veterinary Center, Hopkinsville, KY for $350,000 Whitfield purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Briar Cliff University, Sioux City, IA for purchase $100,000 King (IA) of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Burcham Hills Retirement Community, East Lansing, $200,000 Rogers (MI) MI to develop an Alzheimer's and dementia training program, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Butler Community College, El Dorado, KS for $500,000 Tiahrt purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Caldwell College, Caldwell, NJ for curriculum $550,000 Frelinghuysen development, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) California Baptist University, Riverside, CA for $300,000 Calvert purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) California State University, Fullerton, CA for $350,000 Royce curriculum development associated with the Vietnamese language and culture program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) California State University, Fullerton, CA for the $300,000 Royce Center for the Advancement of Teaching and Learning in Mathematics and Science ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) California State University, Sacramento, CA for $350,000 Matsui equipment and technology for science laboratories ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Campbell University, Buies Creek, NC for an $300,000 Etheridge initiative at its School of Pharmacy to train underrepresented pharmacists ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Canisius College, Buffalo, NY for its science $400,000 Higgins; Lee (NY) education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Castleton State College, Castleton, VT for $400,000 Welch development of a bachelor of science in nursing degree program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Central Maine Community College, Auburn, ME for its $150,000 Michaud Veterans to College Initiative to provide academic counseling and support to veterans ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Centralia College, Centralia, WA for biotechnology $375,000 Baird and science equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Cheyney University of Pennsylvania, Cheyney, PA for $100,000 Sestak its Keystone Honors Academy ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) City College of San Jose, CA for its California $368,000 Honda Construction College to train students for careers in construction management, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Clackamas Community College, Oregon City, OR for $400,000 Schrader education and training programs in renewable energy fields, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Clarke College, Dubuque, IA for its Doctor of Nurse $400,000 Braley (IA) Practitioner program, which may include equipment, technology and scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Coahoma Community College, Clarksdale, MS for $50,000 Thompson (MS) curricula, equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Coffeyville Community College, Coffeyville, KS for $500,000 Tiahrt the Native American Center, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) College of Southern Idaho, Twin Falls, ID for $200,000 Simpson curriculum development, including the purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) College of the Canyons, Santa Clarita, CA for the $100,000 McKeon University Center Consortium, including curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) College Opportunity Resources for Education, $750,000 Fattah Philadelphia, PA for college preparation and scholarship assistance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) College Summit-West Virginia, Dunbar, WV for a $100,000 Capito college access initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Columbia College, Columbia, SC for its Masters $200,000 Clyburn Degree Program in Divergent Learning ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Columbus State University, Columbus, GA for a $150,000 Bishop (GA) Science, Technology, Engineering and Math (STEM) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Creighton University, Omaha, NE for purchase of $500,000 Terry equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Dallas County Community College District, Dallas, $300,000 Johnson, Eddie Bernice TX for its Science, Technology, Engineering and Mathematics (STEM) Professions Initiative, which may include scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Dean College, Franklin, MA for its Embedded Study $150,000 McGovern Model Project to integrate academic support services into curricula, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Donnelly College, Kansas City, KS for equipment and $200,000 Moore (KS) technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Eastern Arizona College, Thatcher, AZ for the Gila $400,000 Kirkpatrick (AZ) Community College nursing education program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Edmonds Community College, Lynwood, WA for $500,000 Inslee equipment for training programs at its National Advanced Materials and Manufacturing Innovation Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Elgin Community College, Elgin, IL for the Health $100,000 Roskam; Foster Careers Center of Excellence, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Evergreen State College, Olympia, WA for its $325,000 Baird; Dicks; Smith (WA) Curriculum for the Bioregion initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Fairleigh Dickenson University, Madison, NJ for $500,000 Frelinghuysen curriculum development, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Florida Gulf Coast University, Ft. Myers, FL for $350,000 Mack the Coastal Watershed Institute ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Ft. Hays State University, Hays, KS for purchase of $250,000 Moran (KS) equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Gadsden State Community College, Gadsden, AL for $100,000 Rogers (AL); Aderholt technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) George C. Wallace Community College, Dothan, AL for $200,000 Bright equipment and technology to train energy technicians for nuclear facilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Grace College and Theological Seminary, Winona $150,000 Souder Lake, IN for curriculum development, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Harrisburg University of Science and Technology, $300,000 Holden Harrisburg, PA for science, technology, engineering and mathematics (STEM) academic programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Hill College, Hillsboro, TX for vocational training $200,000 Edwards (TX) at the Bosque County campus, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Huston-Tillotson University, Austin, TX for a math $350,000 Doggett and science education initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Hutchinson Community College, Hutchinson, KS for $250,000 Moran (KS) purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Illinois Community College Trustee Association, $600,000 Hare Springfield, IL for the Illinois Community College Sustainability Network to promote and provide energy education and sustainable practices ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Iowa Valley Community College District, $165,000 Latham Marshalltown, IA for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Itawamba Community College, Fulton, MS for $700,000 Childers consolidation of the Tupelo and Fulton Nursing School Programs in order to provide additional nursing specialists to a five-county region ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Ivy Tech Community College, Terre Haute, IN for $600,000 Ellsworth equipment and technology for training programs at its Advanced Manufacturing Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Jacksonville State University, Jacksonville, AL for $250,000 Rogers (AL) purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Jewish Employment and Vocational Service (JEVS) d/b/ $165,000 Schwartz a JEVS Human Services, Philadelphia, PA for an associate degree program in court reporting, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Johnson C. Smith University, Charlotte, NC for an $400,000 Watt Undergraduate Research Center for Electronic and Cyber Security, which may include equipment, technology and student financial assistance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Kalamazoo Community Mental Health and Substance $100,000 Upton Abuse Services, Kalamazoo, MI for a nursing distance education curriculum, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Kalamazoo Valley Community College, Kalamazoo, MI $350,000 Upton for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Kankakee Community College, Kankakee, IL for $400,000 Halvorson renewable energy technology training programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Keene State College, Keene, NH for its Regional $300,000 Hodes Center for Advanced Manufacturing Education, which may include equipment and student financial assistance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Kern Community College District, Bakersfield, CA $250,000 McCarthy (CA) for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Lake Michigan College, Benton Harbor, MI for $150,000 Upton curriculum development, including the purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Lake Superior College, Duluth, MN for certificate $200,000 Oberstar and degree programs in aviation, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Lakeshore Technical College, Cleveland, WI for $250,000 Petri curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) LeTourneau University, Longview, TX for purchase of $350,000 Gohmert equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Lincoln Land Community College, Springfield, IL for $350,000 Shimkus; Schock the HIRE Education Program, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Livingstone College, Salisbury, NC for its Center $300,000 Watt for Holistic Learning to provide academic and student support services, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Long Island University, Brookville, NY for a Grow $700,000 Israel Your Own Teacher Program providing mentoring, education and support to high school students in underserved areas, which may include college scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Los Angeles City College Foundation, Los Angeles, $450,000 Becerra CA for the Los Angeles City College nursing program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Madisonville Community College, Madisonville, KY $100,000 Whitfield for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Marian University, Fond du Lac, WI for nursing $200,000 Petri curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Maricopa County Community College District, Mesa, $100,000 Mitchell AZ for health professions training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Maricopa County Community College District, Tempe, $300,000 Mitchell AZ for its East Valley Veterans Education Center to enable veterans to enroll in and complete postsecondary education, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Maricopa County Community College District, Tempe, $300,000 Pastor (AZ) AZ for the Bilingual Nursing Program at South Mountain Community College, which may include stipends ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Marshall University Research Corporation, $300,000 Rahall Huntington, WV for equipment and technology for advanced maritime training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Marymount Manhattan College, New York, NY for $400,000 Maloney academic programs at the Geraldine Farraro Center for Educational Excellence in Science, Technology, and Math, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Marymount University, Arlington, VA for science $200,000 Moran (VA) equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Maryville College, Maryville, TN for an $300,000 Duncan experiential science education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Metropolitan State College, Denver, CO for $200,000 DeGette equipment and technology for its accredited aviation training program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Mid-America Christian University, Oklahoma City, OK $485,000 Cole for teacher training programs, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Middle Tennessee State University, Murfreesboro, TN $450,000 Gordon (TN) for a STEM education teacher training initiative, which may include stipends ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Midland Independent School District, Midland, TX $350,000 Conaway for teacher training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Mississippi Valley State University, Itta Bena, MS $400,000 Thompson (MS) for an initiative to prepare undergraduate students for professional medical education, which may include equipment, technology and scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Monroe Community College, Rochester, NY for an $275,000 Massa Academy for Veterans' Success to provide academic, career counseling, and support services to veterans ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Monroe Community College, Rochester, NY to $325,000 Lee (NY) establish a medical laboratory technician program, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Monroe County Community College, Monroe, MI for a $200,000 Dingell Nuclear Engineering Technology Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Mount Union College, Alliance, OH for engineering $100,000 Boccieri and technology programs, which may include curricula, faculty, equipment, technology and student support ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Neumann College, Aston, PA for pharmacy education $200,000 Sestak; Gerlach programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Nevada State College, Henderson, NV for nursing $400,000 Titus education programs, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) New College, Sarasota, FL for digital collections $100,000 Buchanan at the Jane Bancroft Cook Library ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) New Mexico Military Institute, Roswell, NM for its $300,000 Teague Native American Criminal Justice Program, which may include student scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Niagara Community College, Sanborn, NY for $100,000 Slaughter equipment and technology for training programs in hospitality and tourism ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Niagara County Community College, Sanborn, NY for $275,000 Lee (NY) information technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) North Arkansas College, Harrison, AR for an $250,000 Boozman education technology initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) North Shore Community College, Danvers, MA for a $400,000 Tierney veterans education and job training program, which may include scholarships and stipends ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Northampton Community College, Bethlehem, PA for $400,000 Kanjorski programmatic support of its Monroe County campus, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Northern Kentucky University Foundation, Highland $350,000 Davis (KY) Heights, KY for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Northern Virginia Community College, Annandale, VA $500,000 Connolly (VA) for a health information management program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Northwestern Connecticut Community College, $350,000 Larson (CT) Winsted, CT for an associate degree nursing program, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Oklahoma State University, Stillwater, OK for a $450,000 Boren wildlife management technician program, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Palm Beach Community College, Lake Worth, FL for $150,000 Klein (FL); Wexler education and training programs in emerging industries at its Institute for Energy, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Palm Beach Community College, Lake Worth, FL for $350,000 Hastings (FL) equipment and technology for student technology and communication programs at its Belle Glade campus ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Polk Community College, Winter Haven, FL for $300,000 Putnam purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Portland Community College, Portland, OR for $350,000 Wu; Blumenauer; Schrader education and training programs in renewable energy and emerging industries, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Pulaski Technical College, North Little Rock, AR $500,000 Snyder for library improvements, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Richland Community College, Decatur, IL for $200,000 Schock; Hare curriculum development in its bioenergy and bioprocessing degree programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Riverside Community College District, Riverside, CA $600,000 Calvert for curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Rockford College, Rockford, IL for technology $250,000 Manzullo upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Rutgers University School of Law, Camden, NJ, for $500,000 Andrews its public interest legal program, which may include scholarships and fellowships, a public interest summer externship program, its Marshall Brennan Program, and pro bono legal services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Salve Regina University, Newport, RI for equipment $500,000 Kennedy and technology at its Blackstone Valley learning center and Newport campus ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) San Francisco State University, San Francisco, CA $350,000 Speier for a competency-based early childhood education and training initiative, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) San Jacinto College, Pasadena, TX for training $400,000 Green, Gene programs in the maritime and energy industries, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) San Jose State University Research Foundation, San $220,000 Lofgren, Zoe Jose, CA for an interdisciplinary Center for Global Innovation and Immigration, including curricula development and student research ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) San Luis Obispo County Community College District, $350,000 McCarthy (CA) San Luis Obispo, CA for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) San Mateo County Community College District, San $350,000 Speier Mateo, CA for the University Center Consortium initiative to expand academic programs and the number of students pursuing postsecondary education ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Santa Fe College, Gainesville, FL for a clinical $450,000 Stearns; Brown, Corrine laboratory sciences program, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Seattle University, Seattle, WA for the Fostering $500,000 Reichert; McDermott Scholars Program, including scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Southeast Missouri State University, Cape $500,000 Emerson Girardeau, MO for technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Southern Illinois University Edwardsville, $200,000 Shimkus Edwardsville, IL for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Southern Illinois University, Carbondale, IL for $400,000 Costello equipment and technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Southern Queens Park Association, Jamaica, NY for $350,000 Meeks (NY) its Young Adults College Access & Preparedness Program, in partnership with Bard College and local high schools, to expand college access, retention and graduation for youth and young adults ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Southern Union Community College, Wadley, AL for $100,000 Rogers (AL) purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Special Education District of McHenry County, $100,000 Manzullo Woodstock, IL for the Pathways Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Clair County Community College, Port Huron, MI $100,000 Miller (MI) for curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Francis College, Brooklyn, NY for its Project $650,000 Clarke; King (NY); Towns Access initiative, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Joseph's College, Brooklyn, NY for equipment $400,000 Towns and technology for science laboratories, smart classrooms and distance learning ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Mary's College of Maryland, St. Mary's City, MD $600,000 Hoyer for science laboratory and information technology equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Norbert College, De Pere, WI for an initiative $400,000 Kagen to prepare students in science, technology, engineering and math (STEM) fields, which may include equipment and technology ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Peter's College, Jersey City, NJ for equipment $300,000 Sires; Rothman (NJ) and technology for smart classrooms ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Petersburg College, Clearwater, FL for a $300,000 Young (FL) healthcare informatics program, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Thomas University, Miami Gardens, FL for a $300,000 Diaz-Balart, Lincoln; Meek (FL); Ros- science and technology teacher training program in Lehtinen; Wasserman Schultz conjunction with the Miami-Dade County Public School System ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Vincent College, Latrobe, PA for purchase of $150,000 Murphy, Tim equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Xavier University, Chicago, IL for equipment $550,000 Lipinski and technology for a media center, library and distance learning programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) St. Xavier University, Orland Park, IL for the $500,000 Biggert Science, Technology, Engineering and Mathematics Education Center, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) State University of New York at Geneseo, Geneseo, $500,000 Lee (NY) NY for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Tallahassee Community College, Tallahassee, FL for $200,000 Crenshaw purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Texas Life-Sciences Collaboration Center, $245,000 Carter Georgetown, TX for life science programs, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Texas State Technical College, Waco, TX for its $100,000 Edwards (TX) Career Paths for Veterans project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Texas State University, San Marcos, TX for nursing $1,000,000 Carter curriculum development, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Three Rivers Community College, Poplar Bluff, MO $215,000 Emerson for an education technology initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Trident Technical College, Charleston, SC for the $500,000 Brown (SC); Clyburn nursing education program, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Trine University, Angola, IN for curriculum $340,000 Souder development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Union County College, Cranford, NJ for curriculum $400,000 Lance; Payne development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Arizona, Tucson, AZ for the $500,000 Grijalva Disability Resource Center to provide instruction and support to disabled veterans to ensure academic success, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Connecticut School of Law, Hartford, $365,000 Larson (CT) CT for a Center for Energy and Environmental Law ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Guam, Mangilao, GU for development, $300,000 Bordallo in conjunction with the Guam Public School System and Guam Community College, of a K-16 educational program to provide a seamless pathway for college and careers ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Massachusetts, Boston, MA for the $12,602,000 Markey (MA) Edward M. Kennedy Institute for the Senate, which may include support for an endowment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Minnesota, Crookston, MN for its $500,000 Peterson Center for Rural Entrepreneurial Studies, which may include equipment, technology and student support ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of New Hampshire, Durham, NH for its $450,000 Shea-Porter National Center on Inclusive Education for Children with Autism Spectrum Disorders and Related Disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of New Haven, Waterbury, CT for $350,000 DeLauro equipment and technology for the Henry C. Lee Institute of Forensic Science Learning Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of New Mexico-Taos, NM for equipment and $450,000 Lujan technology for distance education programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Tennessee at Chattanooga, $770,000 Wamp Chattanooga, TN for the Center for Leadership in Science, Technology, Engineering and Mathematics Education, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Texas at Tyler, Tyler, TX for a $300,000 Gohmert science, technology, engineering and math initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Virginia, Wise, VA for installation $150,000 Boucher of a Voice Over Internet Protocol telephone system and demonstration activities through its Emerging Technologies Learning Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) University of Washington, Bothell, WA for a nursing $200,000 Inslee; McDermott faculty consortium training program, which may include scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Valley City State University, Valley City, ND for $400,000 Pomeroy science, technology, engineering and mathematics (STEM) workshops, courses, certificates and programs to increase undergraduate and graduate participation in STEM programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Vanguard University, Costa Mesa, CA for a teacher $350,000 Rohrabacher training initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Wayne State College, Norfolk, NE for equipment at $100,000 Fortenberry the South Sioux City College Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Western Governors University, Salt Lake City, UT $100,000 Bishop (UT); Matheson for curriculum development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Western Kentucky Community and Technical College, $250,000 Whitfield Paducah, KY for purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Western Kentucky University, Bowling Green, KY for $500,000 Guthrie purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Wharton County Jr. College, Wharton, TX for $220,000 Paul curriculum development to train students for work in the nuclear power industry ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Winthrop University, Rock Hill, SC for its Focusing $350,000 Spratt on Collegiate Undergraduate Success initiative to enhance residential learning and academic support services for students ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) York College of Pennsylvania, York, PA for $300,000 Platts facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Higher Education (includes FIPSE) Youngstown State University, Youngstown, OH for its $200,000 Ryan (OH) Social-Emotional Learning (SEL) Project to integrate SEL theory and techniques into the College of Education curricula and for evaluation activities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & AbilityFirst, Pasadena, CA for programs to provide $100,000 Schiff Disability Research employment assistance for individuals with disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Best Buddies Maryland, Baltimore, MD for mentoring $300,000 Hoyer Disability Research programs for persons with intellectual disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Best Buddies Massachusetts, Boston, MA for $70,000 Capuano Disability Research mentoring programs in the 8th Congressional district for persons with intellectual disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Best Buddies Virginia, Falls Church, VA for $250,000 Moran (VA) Disability Research mentoring programs for persons with intellectual disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Best Buddies, San Francisco, CA for mentoring $250,000 Pelosi Disability Research programs for persons with intellectual disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Northern Illinois University, DeKalb, IL for a $600,000 Foster Disability Research training program to prepare instructors to work with visually impaired veterans, which may include scholarships ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Opportunity Enterprises, Inc., Valparaiso, IN for $150,000 Visclosky Disability Research its adult day program, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Southern California Rehabilitation Services, $100,000 Roybal-Allard Disability Research Downey, CA for computer and Internet training for individuals with disabilities, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Southside Training, Employment and Placement $300,000 Perriello Disability Research Services, Inc., Farmville, VA for training, employment services, and placement assistance for persons with disabilities, which may include equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Special Olympics of Rhode Island, Warwick, RI for $200,000 Kennedy Disability Research delivering programs and promoting physical fitness among individuals with disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Vocational Guidance Services--Painesville Center, $100,000 LaTourette Disability Research Painesville, OH for the Training Enhancements Promoting Jobs for Ohioans with Disabilities project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education Rehabilitation Services & Wisconsin Coalition of Independent Living Centers, $150,000 Baldwin Disability Research Inc., Madison, WI for its Increase Vets' Independence Initiative to provide independent living services to disabled veterans ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and County of Contra Costa, Martinez, CA for an $350,000 Tauscher; McNerney Families (ACF)--Child Abuse initiative for children and adolescents exposed to Prevention domestic violence ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Douglas County C.A.R.E.S., Roseburg, OR for the $300,000 DeFazio Families (ACF)--Child Abuse Kids in Common program to provide services to Prevention abused and neglected children ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Marcus Autism Center, Atlanta, GA for an autism $300,000 Kingston; Barrow; Bishop (GA); Lewis (GA) Families (ACF)--Child Abuse initiative Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and University of California, Merced/The Great Valley $300,000 Cardoza Families (ACF)--Child Abuse Center, Merced, CA for child abuse prevention Prevention education services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Asian Pacific Women, Los Angeles, CA for a domestic $50,000 Schiff Families (ACF)--Social Services violence prevention and education initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Barry University, Miami Shores, FL for the Center $300,000 Diaz-Balart, Lincoln; Meek (FL) Families (ACF)--Social Services for Community Services Initiatives ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Beth El House, Alexandria, VA for housing and $200,000 Moran (VA) Families (ACF)--Social Services social services to formerly homeless single mothers and their families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Bethany House, Laredo, TX for equipment and job $230,000 Cuellar Families (ACF)--Social Services training resources to help the unemployed find gainful employment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Bethel's Place, Houston, TX for the Heavenly Hands $100,000 Green, Al Families (ACF)--Social Services community project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Beyond Shelter, Los Angeles, CA for a crisis $400,000 Waters Families (ACF)--Social Services intervention demonstration project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Chabad of South Bay, Lomita, CA for a project to $370,000 Harman Families (ACF)--Social Services improve services for youth and families in crisis ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Children's Hospital of The King's Daughters Health $500,000 Nye Families (ACF)--Social Services System, Norfolk, VA for a comprehensive program to treat abused children ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and City of Bellevue, WA for the Wrap-Around Services $375,000 Reichert Families (ACF)--Social Services program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and City of Emeryville, CA for early childhood $250,000 Lee (CA) Families (ACF)--Social Services development, counseling, and related services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and City of Ft. Worth, TX for the Early Childhood $425,000 Burgess Families (ACF)--Social Services Matters Initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and City of Norwich, CT for services to pregnant and $85,000 Courtney Families (ACF)--Social Services parenting adolescents and their families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and City of San Jose, CA for a pilot program to $284,000 Honda Families (ACF)--Social Services evaluate and assess the Smart Start childcare model ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Council of Peoples Organization, Brooklyn, NY for $150,000 Weiner Families (ACF)--Social Services the Community Youth Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Easter Seals of Southern Georgia, Albany, GA for $100,000 Bishop (GA) Families (ACF)--Social Services respite services for children who are developmentally disabled, have autism, or are medically fragile ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Eva's Place, Sandusky, MI for domestic violence $200,000 Miller (MI) Families (ACF)--Social Services service programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and First 5 Alameda County, San Leandro, CA for its $500,000 Stark Families (ACF)--Social Services children's screening, assessment, referral, and treatment initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Glenwood School for Boys and Girls, Glenwood, IL $350,000 Jackson (IL) Families (ACF)--Social Services for housing support and educational and social skills development programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Greater New Britain Teen Pregnancy Prevention, $100,000 Murphy (CT) Families (ACF)--Social Services Inc., New Britain, CT for teen pregnancy prevention services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Gregory House Programs, Honolulu, HI for a $100,000 Abercrombie Families (ACF)--Social Services comprehensive homelessness prevention program for people living with HIV/AIDS ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Homeless Prenatal Program, San Francisco CA for $400,000 Pelosi Families (ACF)--Social Services case management and supportive services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Hope Institute for Children and Families, $100,000 Shimkus Families (ACF)--Social Services Springfield, IL for facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Horizons for Homeless Children, Roxbury, MA for $630,000 Capuano Families (ACF)--Social Services programs for homeless children ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Human Services Coalition of Tompkins County, Inc., $50,000 Arcuri Families (ACF)--Social Services Ithaca, NY for 2-1-1 Tompkins to provide access to social services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Huron County Safe Place, Bad Axe, MI for domestic $150,000 Miller (MI) Families (ACF)--Social Services violence service programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Jewish Community Council of Canarsie, Brooklyn, NY $300,000 Towns Families (ACF)--Social Services for services for at-risk Holocaust survivors ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Lapeer Area Citizens Against Domestic Assault, $200,000 Miller (MI) Families (ACF)--Social Services Lapeer, MI for domestic violence service programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Larkin Street Youth Services, San Francisco, CA for $300,000 Pelosi Families (ACF)--Social Services homeless and runaway youth services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and LifeStyles of Maryland, Inc., La Plata, MD for its $60,000 Hoyer Families (ACF)--Social Services Safe Nights Program for homeless and disadvantaged populations ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Little Friends, Inc., Naperville, IL for an autism $200,000 Biggert Families (ACF)--Social Services initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Make the Road New York, Jackson Heights, NY for $300,000 Crowley Families (ACF)--Social Services support services for low-income and working families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Minot State University, Minot, ND for its Great $300,000 Pomeroy Families (ACF)--Social Services Plains Autism Treatment Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Monterey County Probation Department, Salinas, CA $750,000 Farr Families (ACF)--Social Services for the Silver Star Gang Prevention and Intervention Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Montgomery County Department of Health and Human $200,000 Edwards (MD) Families (ACF)--Social Services Services, Rockville, MD for community based service delivery and outreach ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and National Energy Assistance Directors' Association, $200,000 DeLauro Families (ACF)--Social Services Washington, DC for research and information dissemination related to the Low Income Home Energy Assistance Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and North Ward Center, Newark, NJ for comprehensive $400,000 Sires Families (ACF)--Social Services services for people with autism spectrum disorders ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Pathways PA, Holmes, PA for services for pregnant $150,000 Sestak Families (ACF)--Social Services and parenting teens ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Pierce County Alliance, Tacoma, WA for a program to $150,000 Dicks Families (ACF)--Social Services expedite the permanent placement of child victims of parental abuse or neglect ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Polaris Project, Washington, DC for the New Jersey $250,000 Smith (NJ) Families (ACF)--Social Services Trafficking Intervention Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Prince George's County, Upper Marlboro, MD for a $165,000 Van Hollen; Edwards (MD) Families (ACF)--Social Services program for transition aged youth ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Safe Horizons, Port Huron, MI for domestic violence $200,000 Miller (MI) Families (ACF)--Social Services service programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Salvation Army San Bernardino Center for Worship $160,000 Lewis (CA) Families (ACF)--Social Services and Service, San Bernardino, CA for the Support Family Services Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Santa Clara Family Health Plan, Campbell, CA for a $300,000 Honda Families (ACF)--Social Services program to transfer medically fragile and severely developmentally disabled individuals from an institutional setting ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and SingleStop USA, San Francisco, CA for a program to $100,000 Pelosi Families (ACF)--Social Services increase low-income households' access to social services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Somerset Home for Temporarily Displaced Children, $400,000 Holt Families (ACF)--Social Services Bridgewater, NJ for a transitional/permanent housing program for youth who have aged out of foster care ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Susanna Wesley Family Learning Center, East $250,000 Emerson Families (ACF)--Social Services Prairie, MO to assist at-risk youth and their families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and University of Alabama, Tuscaloosa, AL for the West $355,000 Bonner Families (ACF)--Social Services Alabama Autism Outreach Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and University of Central Missouri, Warrensburg, MO for $280,000 Skelton Families (ACF)--Social Services services for people with Autism Spectrum Disorders ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and University of Toledo, Toledo, OH for services for $500,000 Kaptur Families (ACF)--Social Services persons with autism and research on autism spectrum disorders ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Wayne County Department of Children and Family $150,000 Conyers; Kilpatrick Families (ACF)--Social Services Services, Detroit, MI for the Kids-TALK forensic interviewing project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and Wynona's House, Newark, NJ for multicultural $300,000 Payne Families (ACF)--Social Services psychotherapeutic interventions for child victims of sexual abuse ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration for Children and YWCA of Monterey County, Monterey, CA for expansion $250,000 Farr Families (ACF)--Social Services of direct services and prevention programs to combat domestic and gang violence ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Catholic Charities Hawaii, Honolulu, HI for an $400,000 Abercrombie independent living demonstration project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Center on Halsted, Chicago, IL for wellness $475,000 Quigley services for seniors ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) City of Fremont, CA for training, coordination, and $150,000 Stark outreach to address the needs of seniors ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) City of Long Beach, CA for a program to coordinate $100,000 Richardson senior services and activities within the region ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) County of Ventura, CA for an elder abuse prevention $654,000 Gallegly and treatment program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Family Caregiver Alliance, San Francisco, CA for a $500,000 Pelosi National Resource Center on Family Caregiving ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Jewish Family and Children's Service of $250,000 Paulsen; Ellison Minneapolis, Minnetonka, MN for the Family Caregiver Access Network Demonstration Project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Jewish Family Service of Central New Jersey, $300,000 Lance; Sires Elizabeth, NJ for an aging-in-place demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Jewish Family Service of Metropolitan Detroit, West $200,000 Peters Bloomfield, MI for a family caregiver services development project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Jewish Family Service of Somerset, Hunterdon and $225,000 Lance Warren Counties, Somerville, NJ for an aging-in- place demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Mosaic-Garden City Agency, Garden City, KS for the $350,000 Moran (KS) Legacy Senior Services initiative to provide services to seniors with intellectual or developmental disabilities or Alzheimer's disease ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) NORC Supportive Services Center, Inc., New York, NY $500,000 Nadler (NY) for a program to provide medical products and services to seniors ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Rebuilding Together, Inc., Washington, DC for the $350,000 Hoyer Safe at Home falls prevention initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Stetson University College of Law, Gulfport, FL for $100,000 Young (FL) a demonstration program to educate seniors on economic issues ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) UJA Federation of Northern New Jersey, Paramus, NJ $200,000 Garrett (NJ); Pascrell; Rothman (NJ) for an-aging-in place program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) United Jewish Communities of MetroWestNJ, Whippany, $100,000 Pascrell NJ for the Lifelong Involvement for Vital Elders independent aging demonstration program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Administration on Aging (AOA) Westminster Village, Allentown, PA for the $225,000 Dent Demential Leadership Initiative Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Access Community Health Network, Chicago, IL for a $200,000 Jackson (IL); Schakowski Prevention (CDC) program to reduce cancer disparities through comprehensive early detection ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Alameda County Department of Public Health, Office $300,000 Lee (CA) Prevention (CDC) of AIDS, Oakland, CA for an HIV/AIDS prevention and testing initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Alliance for the Prudent Use of Antibiotics, $100,000 Lynch Prevention (CDC) Boston, MA for a comprehensive program to review antibiotic resistance trends, interventions, and prevention methods, including a public information campaign ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Allina Hospitals and Clinics, Minneapolis, MN for a $200,000 Walz Prevention (CDC) heart disease prevention program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and American Red Cross, San Juan, PR for testing the $400,000 Pierluisi Prevention (CDC) Puerto Rico blood supply for the dengue virus ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Betty Jean Kerr Peoples Health Center, St. Louis, $150,000 Clay Prevention (CDC) MO for the prostate cancer screening program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Broward County, Ft. Lauderdale, FL for a pediatric $275,000 Hastings (FL) Prevention (CDC) mortality public awareness campaign ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Children's Health Fund, New York, NY for health $100,000 Rangel Prevention (CDC) assessments, outreach, and education services for children and their families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and City of Laredo, TX for a community health $200,000 Cuellar Prevention (CDC) assessment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and County of Marin, San Rafael, CA for research and $200,000 Woolsey Prevention (CDC) analysis related to breast cancer incidence and mortality in the county and breast cancer screening ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Dillard University, New Orleans, LA for facilities $300,000 Cao Prevention (CDC) and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and East Carolina University, Greenville, NC for a $400,000 Butterfield Prevention (CDC) program to reduce health disparities through chronic disease management ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and El Puente, Inc., Brooklyn, NY for a youth and $500,000 Velazquez Prevention (CDC) family wellness program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Family Hospice and Palliative Care, Pittsburgh, PA $100,000 Murphy, Tim Prevention (CDC) for the Center for Compassionate Care Education Outreach program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Friends of the Congressional Glaucoma Caucus $50,000 Moran (VA) Prevention (CDC) Foundation, Lake Success, NY for glaucoma screenings in Northern Virginia ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Ft. Valley State University, Ft. Valley, GA for a $100,000 Bishop (GA) Prevention (CDC) food and nutrition education program (EFNEP) aimed at curbing obesity, particularly among young minorities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Haitian American Association Against Cancer, Inc., $300,000 Meek (FL) Prevention (CDC) Miami, FL for cancer education, outreach, screening, and related programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Huntington Breast Cancer Action Coalition, $100,000 Israel Prevention (CDC) Huntington, NY for providing services and programs to underserved populations on how to reduce the risks of cancer ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Inland Northwest Health Services, Spokane, WA for a $350,000 McMorris Rodgers Prevention (CDC) public health surveillance initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and International Rett Syndrome Foundation, Cincinnati, $180,000 Hoyer Prevention (CDC) OH for education and awareness programs regarding Rett Syndrome ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Iowa Chronic Care Consortium/Des Moines University, $200,000 Latham; Boswell Prevention (CDC) Des Moines, IA for a preventive health initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Iowa State University, Ames, IA for facilities and $1,000,000 Latham Prevention (CDC) equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Latino Health Access, Santa Ana, CA for a youth $150,000 Sanchez, Loretta Prevention (CDC) obesity prevention program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Lupus LA, Los Angeles, CA for increasing public $250,000 Roybal-Allard Prevention (CDC) awareness of lupus ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Mario Lemieux Foundation, Bridgeville, PA for the $100,000 Murphy, Tim Prevention (CDC) Hodgkin's Disease Patient and Public Education Outreach Initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Mary Bird Perkins Cancer Center, Baton Rouge, LA $350,000 Scalise Prevention (CDC) for continuation and expansion of the CARE network ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Middle Tennessee State University, Murfreesboro, TN $400,000 Gordon (TN) Prevention (CDC) for a program to improve the physical fitness of children and adolescents in Middle Tennessee ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Morgan State University, Baltimore, MD for a $200,000 Cummings Prevention (CDC) program to understand the social determinants and the impact of health disparities on the health of urban and underserved populations ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and National Marfan Foundation, Port Washington, NY for $250,000 Ackerman Prevention (CDC) an awareness and education campaign for Marfan Syndrome ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Nevada Cancer Institute, Las Vegas, NV for cancer $400,000 Berkley; Titus Prevention (CDC) education and outreach services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and New York Junior Tennis League, Woodside, NY for a $250,000 Crowley Prevention (CDC) childhood obesity program for high-risk youth from low-income families ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Padres Contra El Cancer, Los Angeles, CA for $250,000 Berman Prevention (CDC) educational resources and outreach programs to serve families with children with cancer ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Polycystic Kidney Disease Foundation, Kansas City, $100,000 Wasserman Schultz Prevention (CDC) MO for developing education and awareness programs about chronic kidney disease ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Prevent Blindness Florida, Tampa, FL for the See $200,000 Bilirakis; Boyd; Grayson Prevention (CDC) the Difference Vision Screening Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Puerto Rican Cultural Center, Chicago, IL for an $100,000 Gutierrez; Quigley Prevention (CDC) HIV/AIDS outreach and education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Pulmonary Hypertension Association, Silver Spring, $250,000 Brady (TX) Prevention (CDC) MD for a pulmonary hypertension prevention and awareness initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and San Antonio Metropolitan Health District, San $500,000 Gonzalez Prevention (CDC) Antonio, TX for a program to assess the health behaviors of the Kelly community and address health issues such as lead poisoning, asthma, and indoor pollutants ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Schneider Children's Hospital, New Hyde Park, NY $300,000 McCarthy (NY) Prevention (CDC) for comprehensive Diamond Blackfan Anemia awareness and surveillance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Shelby County Community Services, Memphis, TN for $200,000 Cohen Prevention (CDC) an infant mortality prevention and education program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Silent Spring Institute, Newton, MA for studies of $350,000 Delahunt Prevention (CDC) the impact of environmental pollutants on breast cancer and women's health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and South Carolina HIV/AIDS Council, Columbia, SC for $200,000 Clyburn Prevention (CDC) an HIV/AIDS prevention program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Texas AgriLife Extension Service, College Station, $300,000 Granger Prevention (CDC) TX for a youth obesity prevention initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Texas Tech University Health Science Center, $200,000 Conaway Prevention (CDC) Lubbock, TX for the West Texas Center for Influenza Research, Education and Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Thundermist Health Center, Woonsocket, RI for the $200,000 Kennedy Prevention (CDC) active teen challenge project to reduce childhood obesity ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and UMOS, Inc., Milwaukee, WI for a teen pregnancy and $100,000 Moore (WI) Prevention (CDC) sexually transmitted infections prevention program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and University of New Mexico, Albuquerque, NM for a $350,000 Heinrich Prevention (CDC) prevention program aimed at reducing diabetes- related heart and blood vessel diseases in New Mexico ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and University of Texas, M.D. Anderson Cancer Center, $500,000 Green, Al; Jackson-Lee (TX) Prevention (CDC) Houston, TX for a comprehensive cancer control program to address the needs of minority and medically underserved populations ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and University of Texas-Pan American, Edinburg, TX for $250,000 Hinojosa Prevention (CDC) research and education activities at the South Texas Border Health Disparities Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and University of Wisconsin-Milwaukee School of Public $300,000 Moore (WI) Prevention (CDC) Health, Milwaukee, WI for a healthy birth outcomes program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Valentine Boys and Girls Club of Chicago, Chicago, $150,000 Lipinski Prevention (CDC) IL for a health and physical education program to prevent obesity and promote healthy development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Visiting Nurses Association, Council Bluffs, IA for $350,000 King (IA) Prevention (CDC) a telehealth initiative, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Disease Control and Watts Healthcare Corporation, Los Angeles, CA for a $250,000 Sanchez, Linda Prevention (CDC) project to improve breastfeeding rates ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid Bi-State Primary Care Association, Montpelier, VT $100,000 Welch Services (CMS)--Research & to treat uninsured patients Demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid County of Ventura Health Care Agency, Ventura, CA $200,000 Capps Services (CMS)--Research & for Medicaid enrollment programs Demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid Fond du Lac County, WI for the Save a Smile Program $400,000 Petri Services (CMS)--Research & Demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid Jewish Healthcare Foundation, Pittsburgh, PA for $100,000 Doyle Services (CMS)--Research & program to increase involvement of pharmacists in Demonstration chronic disease management ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid PACE Greater New Orleans, New Orleans, LA for $500,000 Alexander; Cao Services (CMS)--Research & facilities and equipment Demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Centers for Medicare and Medicaid Patient Advocate Foundation, Newport News, VA for a $300,000 Scott (VA) Services (CMS)--Research & patient assistance program for the uninsured Demonstration ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Advocate Good Shepherd Hospital, Barrington, IL for $70,000 Bean Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Advocate South Suburban Hospital, Hazel Crest, IL $300,000 Jackson (IL) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Advocates for a Healthy Community, Inc., $250,000 Blunt Administration (HRSA)--Health Springfield, MO for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Akron Children's Hospital, Akron, OH for facilities $250,000 LaTourette Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Alexandria Neighborhood Health Services, Inc., $500,000 Moran (VA) Administration (HRSA)--Health Alexandria, VA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Alivio Medical Center, Chicago, IL for facilities $600,000 Gutierrez Administration (HRSA)--Health and equipment for a community health center in Facilities and Services Cicero, IL ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services All Children's Hospital, St. Petersburg, FL for $350,000 Bilirakis Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Alton Memorial Hospital, Alton, IL for facilities $250,000 Costello Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services American Oncologic Hospital, Fox Chase Cancer $1,000,000 Hoyer Administration (HRSA)--Health Center, Philadelphia, PA for facilities and Facilities and Services equipment for the American Russian Cancer Alliance ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Anchorage Neighborhood Health Center, Anchorage, AK $100,000 Young (AK) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Angelina College, Lufkin, TX for purchase of $200,000 Gohmert Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Arcadia Methodist Hospital, Arcadia, CA for an $750,000 Dreier Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Arkansas Methodist Medical Center, Paragould, AR $100,000 Berry Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ashtabula County Council on Aging, Inc., dba $250,000 LaTourette Administration (HRSA)--Health Ashtabula Senior Center, Ashtabula, OH for Facilities and Services facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Asian Health Services, Oakland, CA for facilities $275,000 Lee (CA) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Association for Utah Community Health, Salt Lake $350,000 Matheson Administration (HRSA)--Health City, UT for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Athol Memorial Hospital, Athol, MA for facilities $250,000 Olver Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Atlantic Health System, Morristown, NJ for $750,000 Frelinghuysen Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services AtlantiCare, Egg Harbor Township, NJ for facilities $200,000 LoBiondo Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Avis Goodwin Community Health Center, Dover, NH for $100,000 Shea-Porter Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bacharach Institute for Rehabilitation, Pomona, NJ $250,000 LoBiondo Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bacon County Hospital, Alma, GA for facilities and $993,000 Kingston Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Baltimore Medical System, Baltimore, MD for $250,000 Sarbanes Administration (HRSA)--Health facilities and equipment for the Highlandtown Facilities and Services Health Living Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Baptist Hospitals of Southeast Texas, Beaumont, TX $200,000 Poe (TX) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Barnesville Hospital, Barnesville, OH for $600,000 Wilson (OH) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bassett Hospital of Schoharie County dba Cobleskill $350,000 Tonko Administration (HRSA)--Health Regional Hospital, Cobleskill, NY for facilities Facilities and Services and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bay Regional Medical Center, Bay City, MI for $350,000 Kildee Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services BayCare Health System, Clearwater, FL for $1,000,000 Young (FL) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bear Lake Memorial Hospital, Montpelier, ID for $300,000 Simpson Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ben Archer Health Center, Hatch, NM for facilities $300,000 Teague Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Benefis Health System, Great Falls, MT for $500,000 Rehberg Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Billings Clinic, Billings, MT for a rural health $250,000 Rehberg Administration (HRSA)--Health outreach program, including purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services BioInnovation Institute of Akron, Akron, OH for $600,000 Sutton; LaTourett; Ryan (OH) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bisbee Hospital Association, Bisbee, AZ for $400,000 Giffords Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Boston Medical Center, Boston, MA for facilities $500,000 Markey (MA) Administration (HRSA)--Health and equipment for the Carl J. and Ruth Shapiro Facilities and Services Ambulatory Care Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bothwell Region Health Center, Sedalia, MO for $370,000 Skelton Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bradley Hospital, East Providence, RI for $500,000 Kennedy Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Branch-Hillsdale-St. Joseph Community Health $400,000 Schauer Administration (HRSA)--Health Agency, Coldwater, MI for facilities and equipment Facilities and Services for a Hillsdale public health dental clinic ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bronx Regional Health Information Organization, $310,000 Engel Administration (HRSA)--Health Bronx, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Bronx-Lebanon Hospital Center, Bronx, NY for $600,000 Serrano Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Brookhaven Memorial Hospital Medical Center, $150,000 Bishop (NY) Administration (HRSA)--Health Patchogue, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Brownsville Community Development Corporation, $400,000 Clarke Administration (HRSA)--Health Brooklyn, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cabell Huntington Hospital Foundation, Huntington, $650,000 Rahall Administration (HRSA)--Health WV for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Calhoun Liberty Hospital, Blountstown, FL for $450,000 Boyd Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services California State University Channel Islands, $195,000 Gallegly Administration (HRSA)--Health Camarillo, CA for nursing curriculum development, Facilities and Services including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services California State University San Bernardino, San $100,000 Bono Mack Administration (HRSA)--Health Bernardino, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services California State University, Bakersfield, CA for $150,000 McCarthy (CA) Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services California State University, Long Beach, Department $200,000 Rohrabacher Administration (HRSA)--Health of Nursing, Long Beach, CA for nursing programs Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Camillus House, Inc., Miami, FL for facilities and $500,000 Ros-Lehtinen; Diaz-Balart, Mario; Meek (FL); Administration (HRSA)--Health equipment Wasserman Schultz Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Caritas Christi Health Care, Boston, MA for $400,000 Lynch Administration (HRSA)--Health facilities and equipment for Carney Hospital, Facilities and Services Dorchester, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Caroline's Room/Community Foundation of Greater New $300,000 DeLauro Administration (HRSA)--Health Haven, New Haven, CT for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Catskill Regional Medical Center, Harris, NY for $300,000 Hinchey Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Center for Asbestos Related Disease (CARD), Libby, $350,000 Rehberg Administration (HRSA)--Health MT for an asbestos surveillance initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Central Suffolk Hospital dba Peconic Bay Medical $100,000 Bishop (NY) Administration (HRSA)--Health Center, Riverhead, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Central Washington Hospital, Wenatchee, WA for $600,000 Hastings (WA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Charles T. Sitrin Health Care Center, New Hartford, $250,000 Arcuri Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Chicago Family Health Project, Chicago, IL for $250,000 Jackson (IL) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Chickaloon Native Village, Chickaloon, AK for $250,000 Young (AK) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Child Protection Center, Sarasota, FL for $150,000 Buchanan Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Childersburg Medical Clinic Board, Childersburg, AL $200,000 Rogers (AL) Administration (HRSA)--Health for facilities and equipment at the Regional Facilities and Services Diabetic Care and Advanced Wound Care Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Hospital and Clinics of Minnesota, St. $675,000 McCollum Administration (HRSA)--Health Paul, MN for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Hospital of The King's Daughters Health $200,000 Forbes Administration (HRSA)--Health System, Chesapeake, VA for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Hospital of the King's Daughters, $250,000 Wittman Administration (HRSA)--Health Norfolk, VA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Hospital, Aurora, CO for facilities and $225,000 Perlmutter Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Hospitals and Clinics of Minnesota, $450,000 Paulsen Administration (HRSA)--Health Minneapolis, MN for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Institute of Pittsburgh, Pittsburgh, PA $600,000 Doyle Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Children's Memorial Hospital, Chicago, IL for $380,000 Bean; Gutierrez; Jackson (IL); Quigley Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Chinese Hospital, San Francisco, CA for facilities $350,000 Pelosi Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services CHOICE Regional Health Network, Olympia, WA for $115,000 Smith (WA) Administration (HRSA)--Health rural health outreach Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services CHRISTUS Health St. Francis Cabrini Hospital, $400,000 Alexander Administration (HRSA)--Health Alexandria, LA for an electronic medical records Facilities and Services initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services CHRISTUS Health System, Shreveport, LA for a rural $350,000 Alexander Administration (HRSA)--Health health initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cincinnati Children's Hospital, Cincinnati, OH for $500,000 Driehaus Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Citizens for a Fair Ferndale, Hazel Park, MI for $150,000 Levin Administration (HRSA)--Health facilities and equipment for Ferndale Free Clinic Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Bethlehem, PA for facilities and equipment $100,000 Dent Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Hopewell, VA for facilities and equipment $257,000 Forbes Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of New Orleans, LA for facilities and $450,000 Cao Administration (HRSA)--Health equipment associated with replacement of Methodist Facilities and Services Hospital ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Philadelphia, PA for facilities and $535,000 Schwartz Administration (HRSA)--Health equipment for electronic health records Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Springville, AL for facilities and $250,000 Bachus Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Sumter, SC for facilities and equipment for $250,000 Clyburn; Spratt Administration (HRSA)--Health Central Carolina Technical College Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services City of Vineland, NJ for facilities and equipment $300,000 LoBiondo Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clarian Health and Riley Hospital for Children, $400,000 Buyer Administration (HRSA)--Health Indianapolis, IN for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clarian Health, Indianapolis, IN for facilities and $200,000 Carson (IN) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clayton County Board of Commissioners, Jonesboro, $350,000 Scott (GA) Administration (HRSA)--Health GA for facilities and equipment for Alzheimer's Facilities and Services Disease services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clinica Family Health Services, Lafayette, CO for $250,000 Polis Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clinica Sierra Vista, Bakersfield, CA for $550,000 Costa Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clinicas de Salud del Pueblo, Inc., Brawley, CA for $400,000 Filner Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Clinics of Hope, USA, Knoxville, TN for facilities $200,000 Duncan Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Coastal Bend College, Beeville, TX for facilities $220,000 Hinojosa Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Coastal Medical Access Project, Brunswick, GA for $100,000 Kingston Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cobb County Government, Marietta, GA for facilities $500,000 Gingrey (GA); Scott (GA) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services College of Notre Dame of Maryland, Baltimore, MD $450,000 Sarbanes Administration (HRSA)--Health for facilities and equipment for the school of Facilities and Services pharmacy ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services College of Southern Maryland, La Plata, MD for $400,000 Hoyer Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services College of St. Catherine, St. Paul, MN for health $600,000 McCollum Administration (HRSA)--Health professions training Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services College of St. Scholastica, Duluth, MN for a rural $350,000 Oberstar Administration (HRSA)--Health health technology project Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Collier County, FL for a health care access network $600,000 Diaz-Balart, Mario Administration (HRSA)--Health for the uninsured, including purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Colorado State University--Pueblo, Pueblo, CO for $300,000 Salazar Administration (HRSA)--Health facilities and equipment for the Nursing Education Facilities and Services program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Colorado State University, Ft. Collins, CO for $500,000 Markey (CO) Administration (HRSA)--Health facilities and equipment for a biocontainment Facilities and Services training facility ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Columbus Community Hospital, Columbus, WI for $500,000 Baldwin Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Columbus County Department of Aging and Adult $450,000 McIntyre Administration (HRSA)--Health Services, Whiteville, NC for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Columbus Regional Hospital, Columbus, IN for $500,000 Hill Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Care Services, Taunton, MA for facilities $200,000 Frank (MA) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Health Alliance of Pasadena, Pasadena, CA $100,000 Schiff Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Health Center of Franklin County, Inc., $200,000 Olver Administration (HRSA)--Health Turners Falls, MA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Health Development, Inc., Uvalde, TX for $600,000 Rodriguez Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Health Integrated Partnership, Inc., Glen $500,000 Hoyer; Kratovil; Ruppersberger; Sarbanes Administration (HRSA)--Health Burnie, MD for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Health Service Agency, Greenville, TX for $300,000 Hall (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Hospital Association, Inc., Fairfax, MO $500,000 Graves Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Medical Center, Missoula, MT for $500,000 Rehberg Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Community Medical Center, Toms River, NJ for $400,000 Adler (NJ) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cooper Health System, Camden, NJ for facilities and $200,000 Andrews Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cortland Regional Medical Center, Inc., Cortland, $250,000 Arcuri Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County Commissioners of Charles County, MD, La $250,000 Hoyer Administration (HRSA)--Health Plata, MD for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County of Brunswick, Bolivia, NC for facilities and $250,000 McIntyre Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County of Custer, ID for facilities and equipment $400,000 Simpson Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County of Hood River, OR for facilities and $150,000 Walden Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County of Sarasota, FL for facilities and equipment $350,000 Buchanan Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services County of Washington, Hillsboro, OR for facilities $350,000 Wu Administration (HRSA)--Health and equipment for a mental health clinic Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Creighton University, Omaha, NE for facilities and $1,000,000 Terry Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Cullman Regional Medical Center, Cullman, AL for $1,000,000 Aderholt Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Daniel Memorial, Inc., Jacksonville, FL for $500,000 Crenshaw Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Daniels Memorial Hospital Association, Scobey, MT $400,000 Rehberg Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services DCH Health System, Northport, AL for facilities and $350,000 Bachus Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services DCH Health System/Fayette Medical Center, Fayette, $600,000 Aderholt Administration (HRSA)--Health AL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Denver Health and Hospital Authority, Denver, CO $500,000 DeGette Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Department of Health and Mental Hygiene, Baltimore, $500,000 Edwards (MD) Administration (HRSA)--Health MD for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Dubois Regional Medical Center, Dubois, PA for $100,000 Thompson (PA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services DuPage County Health Department, Wheaton, IL for $150,000 Roskam Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services E.J. Noble Hospital, Gouverneur, NY for facilities $350,000 McHugh Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services East Carolina University, Greenville, NC for $222,000 Jones; Butterfield Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services East Harlem Council for Human Services, Inc., New $300,000 Rangel Administration (HRSA)--Health York, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Easter Seals-Goodwill Northern Rocky Mountain, $500,000 Rehberg Administration (HRSA)--Health Inc., Great Falls, MT for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Eastside Eye Care Clinic, San Antonio, TX for $250,000 Smith (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Edgerton Care Center, Edgerton, WI for facilities $150,000 Baldwin Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Edward Waters College, Jacksonville, FL for $500,000 Brown, Corrine Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Eisenhower Medical Center, Rancho Mirage, CA for $350,000 Bono Mack Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services El Proyecto del Barrio Inc., Arleta, CA for $300,000 Sherman Administration (HRSA)--Health facilities and equipment for a community health Facilities and Services clinic in Winnetka, CA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Endless Mountains Health Systems, Montrose, PA for $700,000 Carney Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Enrichment Center of Hernando County, Brooksville, $600,000 Brown-Waite, Ginny Administration (HRSA)--Health FL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Excela Health Frick Hospital, Mt. Pleasant, PA for $150,000 Murtha Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Family Health Centers Worcester, Worcester, MA for $250,000 McGovern Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Family Service of RI, Providence, RI for facilities $400,000 Kennedy Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ferrum College, Ferrum, VA for facilities and $200,000 Perriello Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Flambeau Hospital, Park Falls, WI for facilities $750,000 Obey Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Florida Blood Services, St. Petersburg, FL for $200,000 Young (FL) Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Florida Community College at Jacksonville, FL for $250,000 Crenshaw; Brown, Corrine Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Florida Hospital Altamonte, Altamonte Springs, FL $100,000 Mica Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Florida Southern College, Lakeland, FL for $400,000 Putnam Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Floyd Medical Center, Rome, GA for facilities and $250,000 Gingrey (GA) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Forsyth Institute, Boston, MA for facilities and $450,000 Delahunt; Capuano Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services FoundCare, Palm Springs, FL for facilities and $200,000 Hastings (FL) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Frank R. Howard Foundation, Willits, CA for $350,000 Thompson (CA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Gonzaga University, Spokane, WA for purchase of $250,000 McMorris Rodgers Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Good Samaritan Hospital, Los Angeles, CA for $400,000 Roybal-Allard Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Gordon Hospital, Calhoun, GA for an electronic $150,000 Gingrey (GA) Administration (HRSA)--Health medical records system Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Graceland University, Lamoni, IA for facilities and $150,000 King (IA); Cleaver Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Grady Health System, Atlanta, GA for facilities and $900,000 Lewis (GA); Bishop (GA); Johnson (GA) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Grand Rapids Public Schools, Grand Rapids, MI for $500,000 Ehlers Administration (HRSA)--Health facilities and equipment at the Central Health Facilities and Services Science Campus ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Griffin Hospital, Derby, CT for facilities and $300,000 DeLauro Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Grimes St. Joseph Health Center, Navasota, TX for $150,000 Edwards (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Gulf Coast Jewish Family Services, Clearwater, FL $500,000 Young (FL) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Gulf County Health Department, Port St. Joe, FL for $200,000 Boyd Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Halifax Community College, Weldon, NC for $150,000 Butterfield Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hamilton Memorial Hospital, McLeansboro, IL for an $200,000 Shimkus Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hancock Medical Center, Bay Saint Louis, MS for $500,000 Taylor Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hanover Hospital, Hanover, PA for an electronic $450,000 Platts Administration (HRSA)--Health medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Happiness House/Finger Lakes Cerebral Palsy $30,000 Arcuri Administration (HRSA)--Health Association, Geneva, NY for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Harnett County Central Campus Hospital, Dunn, NC $400,000 Etheridge Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Harris County Hospital District, Houston, TX for $300,000 Green, Gene; Culberson; Jackson-Lee (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Harris County Hospital District, Houston, TX for $100,000 Green, Al Administration (HRSA)--Health facilities and equipment for the Nurse Call Triage Facilities and Services System ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Harrison Memorial Hospital, Cynthiana, KY for $100,000 Davis (KY) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Health Alliance, Lake Katrine, NY for facilities $300,000 Hinchey Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Healthy Learners Midlands, Columbia, SC for rural $110,000 Clyburn Administration (HRSA)--Health health outreach Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hendricks Regional Health, Danville, IN for $550,000 Buyer Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hennepin County Medical Center, Minneapolis, MN for $300,000 Ellison Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Henry Mayo Newhall Memorial Hospital, Valencia, CA $350,000 McKeon Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hidalgo County Health Department, Edinburg, TX for $230,000 Hinojosa Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Highland Community Hospital, Hattiesburg, MS for $200,000 Taylor Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Highlands Hospital, Connellsville, PA for $300,000 Murtha Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Holy Name Hospital, Teaneck, NJ for facilities and $500,000 Rothman (NJ) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Holyoke Medical Center, Holyoke, MA for facilities $300,000 Olver Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hormel Foundation, Austin, MN for facilities and $500,000 Walz Administration (HRSA)--Health equipment for biomedical research Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hospice of Tuscarawas County, Inc., Dover, OH for $400,000 Space Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hospital Authority of Jefferson County, Louisville, $150,000 Barrow Administration (HRSA)--Health GA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Houlton Regional Hospital, Houlton, ME for $250,000 Michaud Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hudson Headwaters Health Network, Queensbury, NY $350,000 Murphy (NY) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hudson River HealthCare, Inc., Peekskill, NY for $400,000 Hinchey Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Huguley Memorial Medical Center, Burleson, TX for $380,000 Edwards (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Hurley Medical Center, Flint, MI for facilities and $350,000 Kildee Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Idaho Caring Foundation for Children, Boise, ID for $300,000 Simpson Administration (HRSA)--Health dental services for low-income children Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Idaho State University, Pocatello, ID for $400,000 Simpson Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Illinois Capital Development Board, Springfield, IL $200,000 Davis (IL) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Illinois State University, Normal, IL for $500,000 Johnson (IL) Administration (HRSA)--Health curriculum development Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Indian Health Center of Santa Clara County, San $300,000 Honda Administration (HRSA)--Health Jose, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Indiana Regional Medical Center, Indiana, PA for an $350,000 Shuster; Murtha Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Infirmary Health System, Mobile, AL for an $250,000 Bonner Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ingham Regional Medical Center, Lansing, MI for $100,000 Rogers (MI) Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Iowa State University, Ames, IA for facilities and $650,000 Latham Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Iowa Western Community College, Council Bluffs, IA $250,000 King (IA) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services J.C. Blair Memorial Hospital, Huntingdon, PA for $180,000 Shuster Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jackson Health System, Miami, FL for health $500,000 Ros-Lehtinen; Meek (FL); Wasserman Schultz Administration (HRSA)--Health information technology upgrades Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jacksonville University, Jacksonville, FL for $250,000 Crenshaw Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jamaica Hospital Medical Center, Jamaica, NY for $250,000 Meeks (NY) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jasper Memorial Hospital, Monticello, GA for $100,000 Marshall Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jenkins County Hospital, Millen, GA for facilities $200,000 Barrow Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Jewish Hospital & St. Mary's Foundation, $600,000 Yarmuth Administration (HRSA)--Health Louisville, KY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services JFK Medical Center, Edison, NJ for facilities and $300,000 Pallone Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services John Kanzius Cancer Research Foundation, Erie, PA $700,000 Dahlkemper Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services John T. Mather Memorial Hospital, Port Jefferson, $450,000 Bishop (NY) Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Kaleida Health, Buffalo, NY for facilities and $300,000 Higgins; Lee (NY); Slaughter Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Kennesaw State University, Kennesaw, GA for $100,000 Gingrey (GA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services KVC Behavioral Health Care, Kansas City, KS for $500,000 Moore (KS) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services La Porte Regional Health System, La Porte, IN for $350,000 Donnelly (IN) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services La Rabida Children's Hospital, Chicago, IL for $325,000 Jackson (IL) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lake City Community College, Lake City, FL for $250,000 Crenshaw Administration (HRSA)--Health purchase of mobile clinical training laboratories Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lake Hospital System, Painesville, OH for an $500,000 LaTourette Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lakeland Community College, Kirtland, OH for $250,000 LaTourette Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lamar University, Beaumont, TX for the Community $350,000 Poe (TX) Administration (HRSA)--Health and University Partnership Service, including Facilities and Services facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lamprey Health Care, Inc., Newmarket, NH for $400,000 Hodes Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lane Community College, Eugene, OR for facilities $400,000 DeFazio Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services LBJ Tropical Medical Center, Pago Pago, AS for $700,000 Faleomavaega Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lehigh Valley Coalition for Kids, Allentown, PA to $150,000 Dent Administration (HRSA)--Health purchase and equip mobile health clinics Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Little Rivers Health Care, Bradford, VT for $200,000 Welch Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Long Beach Memorial Medical Center, Long Beach, CA $350,000 Richardson Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Los Angeles Southwest College, Los Angeles, CA for $300,000 Waters Administration (HRSA)--Health health professions training Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lowell Community Health Center, Lowell, MA for $600,000 Tsongas Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lutheran Medical Center, Brooklyn, NY for $150,000 McMahon Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Lutheran Social Services of Minnesota, St. Paul, MN $450,000 McCollum Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mackinac Straits Health System, Inc., St. Ignace, $150,000 Stupak Administration (HRSA)--Health MI for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Madison County Health Care Center, Winterset, IA $250,000 Latham Administration (HRSA)--Health for an electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Madison County Memorial Hospital, Rexburg, ID for $350,000 Simpson Administration (HRSA)--Health an electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Madonna Rehabilitation Hospital, Lincoln, NE for $250,000 Fortenberry Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Manchester Community Health Center, Manchester, NH $250,000 Shea-Porter Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Marian Medical Center, Santa Maria, CA for $500,000 Capps Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Marquette University, Milwaukee, WI for rural $410,000 Kagen; Obey Administration (HRSA)--Health dental health outreach Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Marshfield Clinic, Marshfield, WI for facilities $1,000,000 Obey Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Martin Methodist College, Pulaski, TN for $1,000,000 Davis (TN) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mary Queen of Vietnam Community Development $400,000 Cao Administration (HRSA)--Health Corporation, New Orleans, LA for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Massachusetts College of Pharmacy and Health $400,000 McGovern Administration (HRSA)--Health Sciences, Worcester, MA for health professions Facilities and Services training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services McCurtain Memorial Hospital, Idabel, OK for $250,000 Boren Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services McKay-Dee Hospital Center, Ogden, UT for facilities $150,000 Bishop (UT) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Medical University of South Carolina--Hollings $200,000 Brown (SC) Administration (HRSA)--Health Cancer Center, Charleston, SC for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Memorial Healthcare System, Hollywood, FL for $450,000 Wasserman Schultz; Meek (FL) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Memorial Hermann Foundation, Houston, TX for $250,000 Culberson; Green, Al; Jackson-Lee (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Memorial Hermann Healthcare System, Houston, TX for $1,000,000 Culberson Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Memorial Hospital, Miramar, FL for facilities and $250,000 Diaz-Balart, Lincoln Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mena Regional Health System, Mena, AR for $500,000 Ross Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mental Health Association in High Point, NC for $247,000 Coble Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mercy Health Foundation, Durango, CO for facilities $400,000 Salazar Administration (HRSA)--Health and equipment for a primary health clinic in La Facilities and Services Plata County ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mercy Medical Center--North Iowa, Mason City, IA $350,000 Latham Administration (HRSA)--Health for an electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Meridian Health, Neptune, NJ for facilities and $100,000 Smith (NJ) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Miami Beach Community Health Center, North Miami, $200,000 Ros-Lehtinen Administration (HRSA)--Health FL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Miami Children's Hospital, Miami, FL for facilities $450,000 Diaz-Balart, Lincoln; Diaz-Balart, Mario; Administration (HRSA)--Health and equipment Wasserman Schultz Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Miami Jewish Home and Hospital for the Aged, Miami, $500,000 Diaz-Balart, Lincoln Administration (HRSA)--Health FL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Middlesex Community College, Bedford, MA for $300,000 Tierney; Tsongas Administration (HRSA)--Health facilities and equipment for the Lowell dental Facilities and Services hygiene clinic ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mid-Illinois Medical District, Springfield, IL for $250,000 Schock Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services MidState Medical Center, Meridien, CT for $250,000 Murphy (CT) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Milwaukee Health Services, Milwaukee, WI for $100,000 Moore (WI) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Missouri Baptist Hospital, St. Louis, MO for $400,000 Carnahan Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Missouri State University, Springfield, MO, for a $250,000 Emerson Administration (HRSA)--Health nursing clinical simulation laboratory, including Facilities and Services facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Moffitt Cancer Center, Tampa, FL for the Cancer $700,000 Young (FL); Castor (FL) Administration (HRSA)--Health LifeLink program Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Monmouth Medical Center, Long Branch, NJ for $400,000 Pallone Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Monongahela Valley Hospital, Monongahela, PA for $400,000 Murtha; Murphy, Tim Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Monongalia General Hospital, Morgantown, WV for $450,000 Mollohan Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Montana Wyoming Tribal Leaders Council, Billings, $100,000 Rehberg Administration (HRSA)--Health MT for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Montgomery College, Rockville, MD for facilities $550,000 Van Hollen; Edwards (MD) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Morehead State University, Morehead, KY for a rural $250,000 Rogers (KY) Administration (HRSA)--Health health initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Morehouse School of Medicine, Atlanta, GA for $100,000 Lewis (GA); Bishop (GA); Johnson (GA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Morris College, Sumter, SC for facilities and $275,000 Clyburn Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Morrisania Diagnostic and Treatment Center, Bronx, $200,000 Serrano Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mount Nittany Medical Center, State College, PA for $150,000 Thompson (PA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Mount St. Mary's Hospital, Lewiston, NY for $300,000 Slaughter Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services MultiCare Health System, Tacoma, WA for facilities $250,000 Dicks Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Murphy Medical Center, Murphy, NC for facilities $350,000 Shuler Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Nanticoke Senior Center, Seaford, DE for facilities $100,000 Castle Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Nathan Littauer Hospital Association, Gloversville, $350,000 Tonko Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services National Association of Hispanic Nurses, $500,000 Roybal-Allard; Pastor (AZ) Administration (HRSA)--Health Washington, DC for health professions training Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services National Kidney Registry, Babylon, NY for purchase $177,000 King (NY) Administration (HRSA)--Health of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Native Women's Health Care, Rapid City, SD for $60,000 Herseth Sandlin Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services NC Dental Health Fund, Cary, NC for facilities and $300,000 Price (NC) Administration (HRSA)--Health equipment for the Missions of Mercy (MOM) free Facilities and Services dental clinics ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Nemours/Alfred I. duPont Hospital for Children, $350,000 Castle Administration (HRSA)--Health Wilmington, DE for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services New Horizons Health System, Owenton, KY for $250,000 Davis (KY) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services New York Eye and Ear Infirmary, New York, NY for $150,000 Maloney Administration (HRSA)--Health facilities and equipment for ophthalmology and Facilities and Services otolaryngology surgery ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services New York Eye and Ear Infirmary, New York, NY for $200,000 Nadler (NY) Administration (HRSA)--Health facilities and ultrasound equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services New York University Langone Medical Center, New $270,000 Maloney Administration (HRSA)--Health York, NY for facilities and equipment at Columbus Facilities and Services Medical in Reno Park, Queens ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Newton Memorial Hospital, Newton, NJ for facilities $300,000 Garrett (NJ) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Norman Regional Health System, Norman, OK for $1,715,000 Cole Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services North General Hospital, New York, NY for facilities $450,000 Rangel Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services North Shore Community College, Danvers, MA for $200,000 Tierney Administration (HRSA)--Health facilities and equipment for allied health Facilities and Services training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services North Shore Long Island Jewish Health System, Great $200,000 Israel; Ackerman Administration (HRSA)--Health Neck, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services North Woods Community Health Center, Minong, WI for $100,000 Obey Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Northeastern Ohio Universities Colleges of Medicine $200,000 Ryan (OH) Administration (HRSA)--Health and Pharmacy, Rootstown, OH for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Northern Dutchess Hospital, Rhinebeck, NY for $350,000 Murphy (NY) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Northern Oswego County Health Services, Inc., $150,000 McHugh Administration (HRSA)--Health Pulaski, NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Northwest Alabama Mental Health Center, Jasper, AL $200,000 Aderholt Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services NorthWest Arkansas Community College, Bentonville, $400,000 Boozman Administration (HRSA)--Health AR for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oakland Primary Health Services, Pontiac, MI for $500,000 Peters Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ohio State University Comprehensive Cancer Center-- $700,000 Kilroy Administration (HRSA)--Health James Cancer Hospital and Richard Solove Facilities and Services Institute, Columbus, OH for facilities and equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oklahoma City Community College, Oklahoma City, OK $250,000 Cole Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oklahoma Medical Research Foundation, Oklahoma $300,000 Cole Administration (HRSA)--Health City, OK for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oklahoma State University--Center for Health $300,000 Fallin; Boren; Lucas; Sullivan Administration (HRSA)--Health Systems, Tulsa, OK for purchase of equipment, Facilities and Services including a mobile clinic ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oklahoma State University, Stillwater, OK for $350,000 Fallin; Lucas Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oregon Health & Science University, Portland, OR $175,000 Blumenauer; Schrader; Wu Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oregon Institute of Technology, Klamath Falls, OR $250,000 Walden; Wu Administration (HRSA)--Health for purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Oregon Institute of Technology, Klamath Falls, OR $100,000 Walden; Wu Administration (HRSA)--Health for purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services OSF St. Francis Hospital and Medical Group, $250,000 Stupak Administration (HRSA)--Health Escanaba, MI for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Our Lady of Resurrection Medical Center, Chicago, $125,000 Quigley Administration (HRSA)--Health IL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ozark Tri-County Health Care Consortium, Neosho, MO $500,000 Blunt Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Ozarks Medical Center, West Plains, MO for $500,000 Emerson Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Pacific Northwest University of Health Sciences, $400,000 Hastings (WA) Administration (HRSA)--Health Yakima, WA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Palisades Medical Center, North Bergen, NJ for $350,000 Rothman (NJ); Sires Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Palmetto Health Foundation, Columbia, SC for $375,000 Clyburn Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Parkland Health and Hospital System, Dallas, TX for $400,000 Johnson, Eddie Bernice Administration (HRSA)--Health facilities and equipment for the Pharmacy Facilities and Services Inpatient Robotics program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Parkland Health and Hospital System, Dallas, TX for $100,000 Burgess Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Pennsylvania State University--Altoona, PA for $320,000 Shuster Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Petaluma Health Center, Petaluma, CA for facilities $500,000 Woolsey Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Peter Christensen Health Center, Lac du Flambeau, $140,000 Kagen Administration (HRSA)--Health WI for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Phoenix Children's Hospital, Phoenix, AZ for $200,000 Pastor (AZ) Administration (HRSA)--Health facilities and equipment for a Computerized Facilities and Services Tomography (CT) scanner for the emergency department ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Pine Rest Christian Mental Health Services, Grand $200,000 Ehlers Administration (HRSA)--Health Rapids, MI for an electronic medical records Facilities and Services initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Pioneer Valley Life Sciences Institute--Baystate $500,000 Neal Administration (HRSA)--Health Medical Center, Springfield, MA for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Porter-Starke Services, Inc., Valparaiso, IN for $550,000 Visclosky Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Providence Health and Services, Anchorage, AK for a $350,000 Young (AK) Administration (HRSA)--Health physician recruitment and retention initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Providence Hospital, Mobile, AL for facilities and $250,000 Bonner Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Providence St. Joseph Medical Center, Burbank, CA $500,000 Schiff Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Providence St. Mary Medical Center, Walla Walla, WA $100,000 McMorris Rodgers Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Puget Sound Neighborhood Health Centers, Seattle, $500,000 McDermott Administration (HRSA)--Health WA for facilities and equipment for the Rainier Facilities and Services Beach Medical and Dental Clinic ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Range Regional Health Services, Hibbing, MN for $400,000 Oberstar Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Red Cliff Band of Lake Superior Chippewa, Bayfield, $750,000 Obey Administration (HRSA)--Health WI for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Redlands Community Hospital, Redlands, CA for $500,000 Lewis (CA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Refuah, Spring Valley, NY for facilities and $390,000 Engel Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Renown Health Systems, Reno, NV for facilities and $800,000 Heller Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Rice University, Houston, TX for facilities and $150,000 Culberson Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Richland Parish Hospital, Delhi, LA for facilities $1,025,000 Alexander Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Richmond University Medical Center, Staten Island, $150,000 McMahon Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Riverside Community College District, Riverside, CA $150,000 Bono Mack; Calvert Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Riverside County Regional Medical Center, Moreno $400,000 Calvert Administration (HRSA)--Health Valley, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Roane County Committee on Aging, Inc., Spencer, WV $100,000 Capito Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Rochester General Health System, Newark, NY for $100,000 Maffei Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Rome Memorial Hospital Foundation, Rome, NY for $250,000 Arcuri Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Roper/St. Francis Hospital, Charleston, SC for $200,000 Brown (SC) Administration (HRSA)--Health purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Sacred Heart Hospital, Allentown, PA for facilities $350,000 Dent Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Saddleback Memorial Medical Center, San Clemente, $150,000 Calvert Administration (HRSA)--Health CA for an electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services SafeHaven of Tarrant County, Fort Worth, TX for a $200,000 Barton (TX) Administration (HRSA)--Health domestic violence prevention initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Antonio Community Hospital, Upland, CA for $750,000 Dreier Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Francisco Human Services Agency, San Francisco, $350,000 Pelosi Administration (HRSA)--Health CA for facilities and equipment for the Child Facilities and Services Advocacy Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Francisco State University, San Francisco, CA $500,000 Pelosi Administration (HRSA)--Health for facilities and equipment for health Facilities and Services professions training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Gorgonio Memorial Hospital, Banning, CA for $340,000 Lewis (CA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Luis Obispo County Community College District, $100,000 McCarthy (CA) Administration (HRSA)--Health San Luis Obispo, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services San Ysidro Health Center, San Ysidro, CA for $250,000 Filner Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Santa Clara Valley Health and Hospital System, San $292,000 Honda Administration (HRSA)--Health Jose, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Santa Fe College, Gainesville, FL for facilities $150,000 Stearns Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Schuylkill Health System, Pottsville, PA for $400,000 Holden Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Seton Hill University, Greensburg, PA to develop $500,000 Murphy, Tim Administration (HRSA)--Health the Advanced Certificate in Orthodontics, Facilities and Services including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Shore Memorial Hospital, Somers Point, NJ for $500,000 LoBiondo Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Sisters of Providence Health System, Springfield, $200,000 Neal Administration (HRSA)--Health MA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Sisters of St. Francis Health Services, Inc., $350,000 Jackson (IL) Administration (HRSA)--Health Olympia Fields, IL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Skagit Valley Hospital, Mount Vernon, WA for $400,000 Larsen (WA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Somerset Medical Center, Somerville, NJ for an $600,000 Frelinghuysen Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services South Boston Community Health Center, Boston, MA $100,000 Lynch Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services South Shore Hospital, Chicago, IL for facilities $250,000 Jackson (IL) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Southeast Arkansas College, Pine Bluff, AR for $200,000 Ross Administration (HRSA)--Health facilities and equipment for the nursing school Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Southeast Georgia Health System, Brunswick, GA for $1,000,000 Kingston Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Southeast Missouri State University, Cape $205,000 Emerson Administration (HRSA)--Health Girardeau, MO for the SHOW Mobile initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Southern Utah University, Cedar City, UT for $350,000 Matheson Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Southwest Center for HIV/AIDS, Phoenix, AZ for $300,000 Pastor (AZ) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Sparrow Health System, Lansing, MI for an $300,000 Rogers (MI) Administration (HRSA)--Health electronic medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Spectrum Health, Grand Rapids, MI for purchase of $200,000 Ehlers Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services SSM St. Mary's Health Center, Jefferson City, MO $200,000 Skelton Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Ambrose University, Davenport, IA for $300,000 Braley (IA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Bernardine Medical Center, San Bernardino, CA $500,000 Lewis (CA) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Bernardine Medical Center, San Bernardino, CA $500,000 Baca Administration (HRSA)--Health for facilities and equipment for an MRI system Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Bernards Development Foundation, Jonesboro, AR $300,000 Berry Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Clare's Health System, Denville, NJ for $600,000 Frelinghuysen Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Elizabeth Regional Health, Lafayette, IN for $300,000 Buyer Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Francis Hospital, Charleston, WV for facilities $650,000 Capito Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Francis Medical Center, Trenton, NJ for $350,000 Smith (NJ) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Francis Memorial Hospital, San Francisco, CA $500,000 Pelosi Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. John West Shore Hospital, Westlake, OH for $300,000 Kucinich Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. John's Hospital, Berryville, AR for facilities $200,000 Boozman Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. John's Hospital, Maplewood, MN for facilities $675,000 McCollum Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. John's Riverside Hospital, Yonkers, NY for $250,000 Lowey Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph Health System, Inc., Tawas City, MI for $400,000 Stupak Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph Hospital, Eureka, CA for facilities and $350,000 Thompson (CA) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph Hospital/Peace Health, Bellingham, WA $300,000 Larsen (WA) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph of the Pines, Southern Pines, NC for $453,000 Coble Administration (HRSA)--Health purchase and outfitting of a mobile health unit Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph's Mercy Care Services, Inc., Atlanta, GA $200,000 Lewis (GA) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Joseph's/Candler Health System, Savannah, GA $350,000 Barrow Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Luke's Health System, Boise, ID for facilities $350,000 Simpson Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Mary's Hospital, Passaic, NJ for facilities and $400,000 Pascrell Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Mary's Regional Medical Center, Reno, NV for $700,000 Heller Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Patrick Hospital and Health Sciences Center, $300,000 Rehberg Administration (HRSA)--Health Missoula, MT for the Western Montana Telemedicine Facilities and Services Network, including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Vincent Charity Hospital, Cleveland, OH for $500,000 Fudge Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Vincent Healthcare Foundation, Billings, MT for $400,000 Rehberg Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services St. Vincent Mercy Medical Center, Toledo, OH for $200,000 Kaptur Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Staten Island University Hospital, Staten Island, $400,000 McMahon Administration (HRSA)--Health NY for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Stewart-Marchman-Act Foundation, Inc., Daytona $700,000 Mica Administration (HRSA)--Health Beach, FL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Summa Foundation, Akron, OH for facilities and $250,000 Ryan (OH); Sutton Administration (HRSA)--Health equipment for the Center for Minority Health and Facilities and Services Health Disparities Solutions ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Sun Life Family Health Center, Casa Grande, AZ for $300,000 Kirkpatrick (AZ) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Taunton Nursing Home, Taunton, MA for facilities $650,000 Frank (MA) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Temple Health and Bioscience Economic Development $750,000 Carter Administration (HRSA)--Health District, Temple, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Texas Health Harris Methodist Hospital Fort Worth, $300,000 Granger Administration (HRSA)--Health Ft. Worth, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Texas Tech University Health Sciences Center, $300,000 Conaway Administration (HRSA)--Health Lubbock, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Texas Tech University, Lubbock, TX for facilities $480,000 Neugebauer Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Texas Tech University, Lubbock, TX for the Center $250,000 Neugebauer Administration (HRSA)--Health for the Study of Addiction Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Texas Wesleyan University, Ft. Worth, TX for $650,000 Granger; Burgess Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Thomas Jefferson University Hospital, Philadelphia, $700,000 Brady (PA) Administration (HRSA)--Health PA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Translational Genomics Research Institute (TGen), $300,000 Pastor (AZ); Mitchell Administration (HRSA)--Health Phoenix, AZ for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Trinity Regional Medical Center, Ft. Dodge, IA for $694,000 Latham Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Troy University, Troy, AL for facilities and $500,000 Bright Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services U.S. Virgin Islands Department of Health, St. $500,000 Christensen Administration (HRSA)--Health Thomas, VI for facilities and equipment for an Facilities and Services Emergency Medical Services Administrative and Clinical Health Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services U.S. Virgin Islands Department of Health, St. $200,000 Christensen Administration (HRSA)--Health Thomas, VI for facilities and equipment for the Facilities and Services Eldra Schulterbrandt Long-Term Care Facility ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services UAW Local 1005, Parma, OH for facilities and $300,000 Kucinich Administration (HRSA)--Health equipment for a health clinic Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Union College, Barbourville, KY for facilities and $500,000 Rogers (KY) Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Unity Health System, Rochester, NY for facilities $800,000 Lee (NY); Slaughter Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University Hospitals, Chardon, OH for an electronic $250,000 LaTourette Administration (HRSA)--Health medical records initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University Medical Center Foundation, El Paso, TX $600,000 Reyes Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Arkansas for Medical Sciences, Little $600,000 Berry Administration (HRSA)--Health Rock, AR for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of California--Riverside, Riverside, CA $3,400,000 Calvert; Baca; Bono Mack; Lewis (CA) Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of California, Davis Medical Center, $375,000 Matsui Administration (HRSA)--Health Sacramento, CA for facilities and equipment for Facilities and Services the surgery and emergency services pavilion ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of California--San Diego, San Diego, CA $500,000 Davis (CA) Administration (HRSA)--Health for health professions training Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Colorado Denver School of Medicine, $975,000 Perlmutter; Polis Administration (HRSA)--Health Aurora, CO for facilities and equipment for the Facilities and Services Linda Crnic Institute for Down Syndrome ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Colorado School of Medicine, Aurora, $300,000 Salazar Administration (HRSA)--Health CO for health professions training through the Facilities and Services Physician Pipeline for Rural Colorado ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Florida, Gainesville, FL for $350,000 Wasserman Schultz; Stearns Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Guam, Mangilao, GU for facilities and $400,000 Bordallo Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Illinois at Chicago College of $250,000 Manzullo Administration (HRSA)--Health Medicine at Rockford, IL for facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Illinois- College of Medicine at $400,000 Schock Administration (HRSA)--Health Peoria, Peoria, IL for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Kansas Medical Center, Wichita, KS $500,000 Tiahrt Administration (HRSA)--Health for development of the Clinical Skills Simulation Facilities and Services Laboratory, including curriculum development and purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Kansas, Lawrence, KS for facilities $1,500,000 Jenkins; Moran (KS) Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Louisiana at Monroe, Monroe, LA for $840,000 Alexander Administration (HRSA)--Health facilities and equipment, including purchase of a Facilities and Services mobile dental unit ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Maine Bangor, Augusta, ME for $300,000 Michaud Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Maryland Medical System, Baltimore, $400,000 Kratovil Administration (HRSA)--Health MD for facilities and equipment for an emergency Facilities and Services medical facility in Queen Anne's County ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Miami, Coral Gables, FL for $750,000 Diaz-Balart, Mario Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Michigan Health System, Ann Arbor, MI $500,000 Dingell Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Nebraska Medical Center, Omaha, NE $150,000 Fortenberry Administration (HRSA)--Health for a rural health initiative Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of North Alabama, Florence, AL for $700,000 Griffith Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Oklahoma--College of Medicine, Tulsa, $300,000 Sullivan Administration (HRSA)--Health OK for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Puerto Rico Medical Sciences Campus, $300,000 Pierluisi Administration (HRSA)--Health San Juan, PR for facilities and equipment for the Facilities and Services Unit of Comparative Medicine ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of South Alabama, Mobile, AL for $2,500,000 Bonner Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of South Florida Sarasota-Manatee, $250,000 Buchanan Administration (HRSA)--Health Tampa, FL for nursing program facilities and Facilities and Services equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of South Florida, Tampa, FL for the $500,000 Young (FL); Bilirakis Administration (HRSA)--Health Cancer Clinical Trial project Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Southern Maine, Portland, ME for $475,000 Pingree (ME) Administration (HRSA)--Health facilities and equipment for the nursing Facilities and Services simulation laboratory ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of St. Francis, Fort Wayne, IN for $200,000 Visclosky Administration (HRSA)--Health facilities and equipment for nurse training Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Tennessee Medical Center, Knoxville, $350,000 Duncan Administration (HRSA)--Health TN for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas at Arlington, Arlington, TX for $650,000 Barton (TX) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas at Brownsville, Brownsville, TX $500,000 Ortiz Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas Health Science Center, Houston, $100,000 Culberson; Green, Al Administration (HRSA)--Health TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas Health Science Center, San $270,000 Cuellar Administration (HRSA)--Health Antonio, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas Health Science Center, San $150,000 Smith (TX); Gonzalez Administration (HRSA)--Health Antonio, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services University of Texas M. D. Anderson Cancer Center, $1,000,000 Culberson Administration (HRSA)--Health Houston, TX for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Valley Presbyterian Hospital, Van Nuys, CA for $300,000 Berman Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Van Wert County Hospital, Van Wert, OH for $840,000 Latta Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Vanguard University, Costa Mesa, CA for facilities $300,000 Rohrabacher Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Variety--The Children's Charity of Wisconsin, $40,000 Moore (WI) Administration (HRSA)--Health Milwaukee, WI for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Victor Valley Community Hospital, Victorville, CA $250,000 McKeon Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Virginia Commonwealth University, Richmond, VA for $600,000 Scott (VA); Wittman Administration (HRSA)--Health facilities and equipment for the Massey Cancer Facilities and Services Center ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Visiting Nurse Services of Putnam County, Avon, IN $100,000 Ellsworth Administration (HRSA)--Health for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Visiting Nurses Association Healthcare Partners of $100,000 Sutton; Kucinich; LaTourette Administration (HRSA)--Health Ohio, Cleveland, OH for health professions Facilities and Services training ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Wadsworth-Rittman Hospital Foundation, Wadsworth, $600,000 Boccieri Administration (HRSA)--Health OH for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Wake Health Services, Inc., Raleigh, NC for $550,000 Miller (NC); Etheridge Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Warren Achievement Center, Inc., Monmouth, IL for $100,000 Hare Administration (HRSA)--Health rural health outreach Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Warren County Community College, Washington, NJ for $350,000 Garrett (NJ) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Warren County Planning Commission, Warren, PA for $350,000 Thompson (PA) Administration (HRSA)--Health health care facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Washington County Hospital, Hagerstown, MD for $750,000 Bartlett Administration (HRSA)--Health facilities and equipment and for an electronic Facilities and Services medical records initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Washington County, North Carolina, Plymouth, NC for $150,000 Butterfield Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Washington State University, Spokane, WA for $150,000 McMorris Rodgers; Baird Administration (HRSA)--Health distance learning technologies and purchase of Facilities and Services equipment related to nursing programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Weber State University, Ogden, UT for expansion of $350,000 Bishop (UT) Administration (HRSA)--Health nursing programs, including purchase of equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services WellSpan Health, York, PA for purchase of equipment $100,000 Platts Administration (HRSA)--Health Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services West Jefferson Medical Center, Marrero, LA for $100,000 Scalise Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services West Liberty State College, West Liberty, WV for $50,000 Mollohan Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services WestCare Health Systems, Sylva, NC for facilities $350,000 Shuler Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Wheeling Hospital, Inc., Wheeling, WV for $150,000 Mollohan Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services White Memorial Medical Charitable Foundation, Los $500,000 Roybal-Allard Administration (HRSA)--Health Angeles, CA for facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services White Plains Hospital Center, White Plains, NY for $250,000 Lowey Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Wills Eye Health System, Philadelphia, PA for $150,000 Brady (PA) Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Wilmington College, Wilmington, OH for facilities $200,000 Turner Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services World Impact Good Samaritan Clinic, Wichita, KS for $1,000,000 Tiahrt Administration (HRSA)--Health facilities and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Xavier University of New Orleans, LA for facilities $350,000 Cao Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Youth Dynamics, Inc., Billings, MT for facilities $100,000 Rehberg Administration (HRSA)--Health and equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Health Resources and Services Zufall Health Center, Dover, NJ for facilities and $225,000 Lance Administration (HRSA)--Health equipment Facilities and Services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services HHS Office of the Secretary (OS)-- BayCare Health System, Tampa, FL for a community- $200,000 Castor (FL) Research & Demonstration based health outreach program to address health (including Minority & Women's disparities in South Pinellas and Hillsborough Health) counties ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services HHS Office of the Secretary (OS)-- South Central Family Health Center, Los Angeles, CA $100,000 Becerra Research & Demonstration for a community diabetes management initiative (including Minority & Women's Health) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services HHS Office of the Secretary (OS)-- University of West Florida, Pensacola, FL for a $400,000 Miller (FL) Research & Demonstration health information technology evaluation project (including Minority & Women's Health) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health American Combat Veterans of War, San Diego, CA for $175,000 Filner Services Administration mental health services for returning veterans (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health American Red Cross, Lower Bucks County Chapter, $100,000 Murphy, Patrick Services Administration Levittown, PA for mental health services and case (SAMHSA)--Mental Health management ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health BayCare Health System, Clearwater, FL for a mental $200,000 Bilirakis Services Administration health initiative (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Bellfaire JCB, Shaker Heights, OH for the Social $200,000 LaTourette Services Administration Advocates for Youth program (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Cheyenne River Sioux Tribe, Eagle Butte, SD for $90,000 Herseth Sandlin Services Administration alcohol and drug awareness and youth suicide (SAMHSA)--Mental Health prevention programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health City of Detroit, MI for behavioral health services $700,000 Conyers Services Administration at the Grace Ross Health Center (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Foothill Family Service, Pasadena, CA for mental $200,000 Napolitano Services Administration health services to children ages 0-5 and parenting (SAMHSA)--Mental Health education that supports the services provided to the children ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Gateway Healthcare, Pawtucket, RI for behavioral $200,000 Kennedy Services Administration health services for returning veterans (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Hathaway-Sycamores Child and Family Services, $100,000 Schiff Services Administration Pasadena, CA for mental health and emotional (SAMHSA)--Mental Health support services for children of the terminally ill during the illness and after the death ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Heartland Health Outreach, Chicago, IL for a mental $200,000 Schakowsky Services Administration health supportive services program (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Hispanic Counseling Center, Hempstead, NY for $200,000 McCarthy (NY); Israel Services Administration mental health services and treatment for the (SAMHSA)--Mental Health uninsured and underinsured Hispanic population on Long Island ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Jacksonville Community Rehabilitation Center, $200,000 Brown, Corrine Services Administration Jacksonville, FL for long-term substance abuse and (SAMHSA)--Mental Health mental health programs for those with severe mental health ailments ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Ohel Children's Home and Family Services, Brooklyn, $550,000 Weiner; Engel; McCarthy (NY); Towns Services Administration NY for inpatient and outpatient mental health (SAMHSA)--Mental Health treatment services ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Pacific Clinics, Arcadia, CA for mental health and $500,000 Napolitano Services Administration suicide prevention programs for adolescents (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Rosebud Sioux Tribe, Rosebud, SD for suicide $500,000 Herseth Sandlin Services Administration prevention and early intervention services (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Spectrum Programs Inc., Miami, FL for a mental $200,000 Diaz-Balart, Lincoln Services Administration health and substance abuse program (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health St. Bernard Project, Chalmette, LA for mental $100,000 Melancon Services Administration health services (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health St. Luke's Hospital, Adult Behavioral Services, $400,000 Loebsack Services Administration Cedar Rapids, IA for behavioral health services (SAMHSA)--Mental Health ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Young & Healthy, Pasadena, CA for mental health $100,000 Schiff Services Administration care for children who are uninsured or (SAMHSA)--Mental Health underinsured ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Betty Ford Institute, Palm Springs, CA for a $250,000 Bono Mack Services Administration substance abuse prevention and training initiative (SAMHSA)--Substance Abuse Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Coalition for a Drug-Free Hawaii, Honolulu, HI for $200,000 Abercrombie Services Administration a youth alcohol abuse and suicide prevention (SAMHSA)--Substance Abuse program Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Operation UNITE, Somerset, KY for a multi-school $1,000,000 Rogers (KY) Services Administration substance abuse counseling and curriculum (SAMHSA)--Substance Abuse development program Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Postpartum Resource Center of New York, West Islip, $100,000 Israel Services Administration NY for perinatal mood disorder prevention and (SAMHSA)--Substance Abuse early detection programs, support groups, and a Prevention multilingual helpline ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Rhode Island State Nurses Association, Pawtucket, $100,000 Kennedy Services Administration RI for substance abuse programs for nurses (SAMHSA)--Substance Abuse Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health St. Ann's Corner of Harm Reduction, Bronx, NY for $100,000 Serrano Services Administration mental health consultations and substance abuse (SAMHSA)--Substance Abuse prevention and treatment support services Prevention ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health A Safe Haven Foundation, Chicago, IL for behavioral $300,000 Davis (IL) Services Administration health services for individuals affected by (SAMHSA)--Substance Abuse substance abuse Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Chesterfield County, VA for the Dual Treatment $143,000 Forbes Services Administration Track program (SAMHSA)--Substance Abuse Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Gavin Foundation, Inc., South Boston, MA for $200,000 Lynch Services Administration substance abuse treatment services at its Cushing (SAMHSA)--Substance Abuse House facility for adolescents Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Operation UNITE, Somerset, KY for a substance abuse $1,000,000 Rogers (KY) Services Administration treatment and voucher program (SAMHSA)--Substance Abuse Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Pinellas County Board of County Commissioners, $300,000 Young (FL) Services Administration Clearwater, FL for a substance abuse treatment (SAMHSA)--Substance Abuse initiative Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health San Francisco Department of Public Health, San $750,000 Pelosi Services Administration Francisco, CA for mental health and substance (SAMHSA)--Substance Abuse abuse services for homeless veterans Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Health & Human Services Substance Abuse and Mental Health Tuesday's Children, Manhasset, NY for a mental $750,000 King (NY) Services Administration health initiative (SAMHSA)--Substance Abuse Treatment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Access Community Health Network, Chicago, IL for a $400,000 Roskam Administration (ETA)--Training & job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Alabama Institute for the Deaf and Blind, $200,000 Bachus; Rogers (AL) Administration (ETA)--Training & Talladega, AL for an employer training and job Employment Services (TES) development initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Arkansas State University-Beebe, Searcy, AR for a $200,000 Snyder Administration (ETA)--Training & training program for employment in the natural gas Employment Services (TES) industry ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Atlanta Christian College, East Point, GA, for $350,000 Kingston Administration (ETA)--Training & curriculum development Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Beth Medrash Govoha, Lakewood, NJ for a job $150,000 Smith (NJ) Administration (ETA)--Training & training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Brevard Workforce Development Board, Rockledge, FL $1,000,000 Posey; Kosmas Administration (ETA)--Training & for a job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Bridge to Independence & Career Opportunities, $100,000 Murphy (CT) Administration (ETA)--Training & Danbury, CT for job training and job placement Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Bristol Community College, Fall River, MA for job $100,000 Frank (MA) Administration (ETA)--Training & placement services for veterans Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Bucks County Community College, Newtown, PA for the $600,000 Murphy, Patrick Administration (ETA)--Training & Renewable Energy Academy Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Campbellsville-Taylor County Industrial Development $500,000 Guthrie Administration (ETA)--Training & Authority, Campbellsville, KY for a job training Employment Services (TES) initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Center for Employment Training, San Jose, CA for $350,000 Lofgren, Zoe Administration (ETA)--Training & training dislocated workers and out-of-school Employment Services (TES) youth for green jobs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Central Pennsylvania Institute of Science and $250,000 Thompson (PA) Administration (ETA)--Training & Technology, Pleasant Gap, PA for job training Employment Services (TES) programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Chicago House and Social Service Agency, Chicago, $200,000 Schakowsky Administration (ETA)--Training & IL for an employment training and transitional Employment Services (TES) jobs program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Baltimore, Office of Employment $400,000 Ruppersberger Administration (ETA)--Training & Development, MD for its BRAC Employment Employment Services (TES) Preparedness Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Chesapeake, VA for a job training $250,000 Forbes Administration (ETA)--Training & initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Detroit, MI for its Summer Youth Services $500,000 Kilpatrick (MI); Conyers Administration (ETA)--Training & Program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of East Palo Alto, CA for workforce training $600,000 Eshoo Administration (ETA)--Training & in green jobs Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Grand Rapids, MI for the Our Community's $350,000 Ehlers Administration (ETA)--Training & Children job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Petersburg, Clearwater, FL for an $200,000 Castor (FL) Administration (ETA)--Training & employment readiness program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of Richmond, CA for the Richmond BUILD Pre- $500,000 Miller, George Administration (ETA)--Training & apprenticeship Construction Skills & Solar Employment Services (TES) Installation Training Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of St. Petersburg, FL for the Summer Youth $300,000 Castor (FL) Administration (ETA)--Training & Internship/Green Workforce Readiness Training Employment Services (TES) Program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training City of West Palm Beach, FL for its Youth $400,000 Wexler; Hastings (FL) Administration (ETA)--Training & Empowerment Centers Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Closing the Digital Gap, Lansing, MI for a computer- $250,000 Rogers (MI) Administration (ETA)--Training & based job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Coastal Enterprises, Inc., Wiscasset, ME to launch $250,000 Pingree (ME) Administration (ETA)--Training & the CEI Green Business Investment and Job Creation Employment Services (TES) Initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Columbia Gorge Community College, The Dalles, OR to $350,000 Walden Administration (ETA)--Training & develop a renewable energy training program, Employment Services (TES) including purchase of equipment ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Community Learning Center, Inc., Ft. Worth, TX for $500,000 Granger Administration (ETA)--Training & a job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Conservation Corps of Long Beach, Long Beach, CA $225,000 Sanchez, Linda Administration (ETA)--Training & for a job training program for at-risk youth Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Covenant House Florida, Fort Lauderdale, FL for job $550,000 Klein (FL); Wasserman Schultz Administration (ETA)--Training & readiness training Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Cypress Mandela Training Center, Inc., Oakland, CA $275,000 Lee (CA) Administration (ETA)--Training & for pre-apprentice construction training for solar Employment Services (TES) and green jobs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Danville Community College, Danville, VA for $100,000 Perriello Administration (ETA)--Training & training at its Wood Products Advanced Employment Services (TES) Manufacturing Lab ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Davinci Center for Community Progress, Providence, $200,000 Kennedy Administration (ETA)--Training & RI for workforce education and training Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training DaytonDefense, Beavercreek, OH for a job training $300,000 Turner Administration (ETA)--Training & initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Des Moines Area Community College, Ankeny, IA for $350,000 Boswell Administration (ETA)--Training & dislocated worker training and job placement in Employment Services (TES) financial services, health care and construction ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Digital Workforce Academy, Austin, TX for a job $300,000 Poe (TX) Administration (ETA)--Training & training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Duke Media Foundation, Hollywood, CA for career $100,000 Watson Administration (ETA)--Training & exploration and training for at-risk youth for Employment Services (TES) jobs in filmmaking ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Easter Seals Arc of NE Indiana, Ft. Wayne, IN for a $100,000 Souder Administration (ETA)--Training & job training program for adults with disabilities Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Fighting Back Partnership, Vallejo, CA for $250,000 Miller, George Administration (ETA)--Training & workforce recidivism services for state parolees Employment Services (TES) to reduce recidivism ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Filipino-American Service Group, Los Angeles, CA $250,000 Roybal-Allard Administration (ETA)--Training & for case management and job training for homeless Employment Services (TES) individuals ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Fordham Bedford Children's Services, Bronx, NY for $100,000 Serrano Administration (ETA)--Training & job placement, training, and workforce development Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Germanna Community College, Fredericksburg, VA for $100,000 Wittman Administration (ETA)--Training & nursing curriculum development Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Give Every Child A Chance, Manteca, CA for $500,000 McNerney Administration (ETA)--Training & employment mentoring Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Guadalupe Centers, Inc., Kansas City, MO for its $200,000 Cleaver Administration (ETA)--Training & Culinary Arts Institute job training and Employment Services (TES) employment program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training HARBEL Community Organization, Baltimore, MD for $250,000 Ruppersberger Administration (ETA)--Training & unemployed and underemployed individuals Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Hard Hatted Women, Warren, OH for the Tradeswomen $200,000 Ryan (OH); Sutton Administration (ETA)--Training & TOOLS program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Highline Community College, Des Moines, WA for a $250,000 Smith (WA) Administration (ETA)--Training & workforce training, education, and outreach Employment Services (TES) initiative ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Homeboy Industries, Los Angeles, CA for solar panel $300,000 Roybal-Allard Administration (ETA)--Training & installation training and certification for at- Employment Services (TES) risk young individuals in Los Angeles ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Hopkins House, Alexandria, VA for workforce $250,000 Moran (VA) Administration (ETA)--Training & development and training in early childhood Employment Services (TES) education ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training IndependenceFirst, Milwaukee, WI to provide $100,000 Moore (WI) Administration (ETA)--Training & employment support services to persons with Employment Services (TES) disabilities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Innovative Productivity, Inc., Louisville, KY for a $150,000 Davis (KY) Administration (ETA)--Training & job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Jacksonville Center for the Arts, Floyd, VA for $150,000 Boucher Administration (ETA)--Training & workforce training Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training JobPath, Inc., Tucson, AZ for underserved adults $200,000 Grijalva Administration (ETA)--Training & job training Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Johnstown Area Regional Industries, Inc., $200,000 Murtha Administration (ETA)--Training & Johnstown, PA for its workforce development Employment Services (TES) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Lansing Community College, Lansing, MI for a job $420,000 Rogers (MI); Schauer Administration (ETA)--Training & training initiative focused on alternative Employment Services (TES) automotive technologies ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Living Classrooms of the National Capital Region, $350,000 Norton Administration (ETA)--Training & Washington, DC for its youth workforce development Employment Services (TES) program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Los Angeles Community College District/Valley $300,000 Berman Administration (ETA)--Training & College, Valley Glen, CA for workforce development Employment Services (TES) in energy efficiency and green technology fields ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Macomb Community College, Warren, MI for training $550,000 Levin Administration (ETA)--Training & displaced workers in the aerospace and defense Employment Services (TES) industries ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training MAGNET, Cleveland, OH for veterans workforce $200,000 Fudge; Kucinich; Sutton Administration (ETA)--Training & development, training, and job placement in the Employment Services (TES) manufacturing industry ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Make the Road New York, Brooklyn, NY for English $200,000 Velazquez; Weiner Administration (ETA)--Training & language and economic literacy training in low- Employment Services (TES) income, primarily immigrant communities ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training McHenry County, Woodstock, IL for short-term $250,000 Bean Administration (ETA)--Training & occupational training Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Metropolitan Community Colleges, Kansas City, MO $500,000 Cleaver Administration (ETA)--Training & for its Sustainability Training Center Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Michigan Works, Benton Harbor, MI for the basic $250,000 Upton Administration (ETA)--Training & workforce transformation program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training National Center for Family Literacy, Louisville, KY $100,000 Yarmuth Administration (ETA)--Training & for integration of career awareness and job Employment Services (TES) readiness activities into a family literacy program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training National Council of Negro Women, Washington, DC for $350,000 Norton Administration (ETA)--Training & a job readiness, life skills, and training program Employment Services (TES) for disadvantaged women ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Northern Marianas Trade Institute, Saipan, MP for $200,000 Sablan Administration (ETA)--Training & vocational and technical training programs Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Ocean Bay Community Development Corporation, $100,000 Meeks (NY) Administration (ETA)--Training & Averne, NY for a workforce preparation program for Employment Services (TES) youth and young adults residing in public housing ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Oklahoma City Community College, Oklahoma City, OK $200,000 Fallin; Cole Administration (ETA)--Training & for a veterans job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training People for the Parks, Venice, CA for a program to $165,000 Becerra Administration (ETA)--Training & train at-risk youth to maintain and operate Employment Services (TES) sustainable parks ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training San Jacinto College, Pasadena, TX for purchase of $350,000 Olson Administration (ETA)--Training & equipment Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Southeastern Louisiana University, Hammond, LA for $150,000 Scalise Administration (ETA)--Training & a workforce development initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Southwest Virginia Community College, Richlands, VA $400,000 Boucher Administration (ETA)--Training & for green jobs training in rural communities Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training St. Nicholas Neighborhood Preservation Corporation, $150,000 Velazquez Administration (ETA)--Training & Brooklyn, NY for a workforce development center Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Summit Academy OIC, Minneapolis, MN for a program $400,000 Ellison Administration (ETA)--Training & focused on weatherization technician training and Employment Services (TES) residential energy auditing ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Tulane University, New Orleans, LA for a community $250,000 Scalise; Cao; Melancon Administration (ETA)--Training & health worker training program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training UMWA Career Centers, Inc., Washington, PA for its $550,000 Murtha Administration (ETA)--Training & mine worker training and employment programs Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training University of West Florida, Pensacola, FL for the $450,000 Miller (FL) Administration (ETA)--Training & Hometown Heroes Reach Out and Raise Hope program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Upper Rio Grande Workforce Solutions, El Paso, TX $200,000 Rodriguez Administration (ETA)--Training & for its Rural Initiatives Program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Vanguard Services Unlimited, Arlington, VA for a $250,000 Moran (VA) Administration (ETA)--Training & comprehensive vocational counselor training Employment Services (TES) project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Wake Technical Community College, Raleigh, NC for $400,000 Price (NC); Miller (NC) Administration (ETA)--Training & job training in the computer simulation and green Employment Services (TES) automotive technologies industries ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training West Los Angeles College, Culver City, CA for the $600,000 Watson Administration (ETA)--Training & Pathways to 21st Century Careers program Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Workforce Services Unlimited, Inc., Circleville, OH $350,000 Turner Administration (ETA)--Training & for a job training initiative Employment Services (TES) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training WRTP/BIG STEP, Milwaukee, WI for workforce skills $100,000 Moore (WI) Administration (ETA)--Training & training to match needs in the construction, Employment Services (TES) manufacturing and healthcare sectors ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Youngstown Neighborhood Development Corporation, $305,000 Ryan (OH) Administration (ETA)--Training & Youngstown, OH for its Youngstown Grey to Green Employment Services (TES) Initiative to provide training in green jobs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Labor Employment and Training Youth Radio, Oakland, CA for training of at-risk $250,000 Lee (CA) Administration (ETA)--Training & youth in media production, digital technology and Employment Services (TES) broadcast engineering ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Aerospace Museum of California Foundation, Inc., $930,000 Lungren, Dan McClellan, CA for maintenance of collections ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Alameda County Library Foundation, Fremont, CA for $300,000 Lee (CA) technology and equipment for the Castro Calley Library ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Botanical Research Institute of Texas, Ft. Worth, $500,000 Granger TX to enhance collections ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Cedar Rapids Public Library, Cedar Rapids, IA for $300,000 Loebsack its flood recovery project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Center for American History, Austin, TX for $250,000 Hall (TX) educational programming at the Sam Rayburn Library and Museum ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Children's Discovery Museum of San Jose, San Jose, $120,000 Lofgren, Zoe CA for education programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of Chino Hills, CA for library facility $250,000 Miller, Gary improvements ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of Daphne, AL for library equipment $100,000 Bonner ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of Desert Hot Springs, CA for preservation of $100,000 Lewis (CA) collections at the Cabot's Pueblo Museum ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of San Diego, CA for books, technology, $25,000 Filner education and outreach programs for the Skyline Hills Branch Library ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of Twin Falls, ID to digitize collections $100,000 Simpson ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries City of Yucaipa, CA for expanded library $100,000 Lewis (CA) collections and technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Downingtown Library Senior Center, Downingtown, PA $350,000 Gerlach to expand collections and for technology upgrades ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Florida Holocaust Museum, St. Petersburg, FL for $200,000 Young (FL) exhibits, collections and educational outreach programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Gig Harbor History Museum, Gig Harbor, WA for $200,000 Dicks exhibits and interactive displays ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Glenville State College, Glenville, WV for $350,000 Mollohan programming and equipment for the college library's veteran's history project ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Gulf Coast Exploreum Science Center, Mobile, AL for $100,000 Bonner exhibits and educational outreach ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Isamue Noguchi Foundation and Garden Museum, Long $30,000 Maloney Island City, NY for conservation projects ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Mississippi Museum of Natural Science Foundation, $220,000 Harper Jackson, MS for educational outreach programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Morris Museum, Morristown, NJ for exhibits and $300,000 Frelinghuysen; Rothman educational programming ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Museum of Aviation, Warner Robins, GA for science $350,000 Marshall and educational programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Museum of Science and Industry, Chicago, IL for $175,000 Jackson (IL); Schakowsky teacher professional development ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Mystic Seaport Museum, Inc., Mystic, CT for $350,000 Courtney technology based educational programs ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries National Voting Rights Museum & Institute, Selma, $450,000 Davis (AL) AL for the preservation and restoration of exhibits ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Native American Cultural Center and Museum, $750,000 Cole Oklahoma City, OK for exhibits and educational programming ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries New Jersey State Library for the Blind and $100,000 Holt Handicapped, Trenton, NJ for an awareness campaign and digital materials ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Oakland Museum of California, Oakland, CA for a $250,000 Lee (CA) technology initiative for educational outreach ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Orange County Library System, Orlando, FL for $500,000 Grayson Spanish language media and books ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Phoenixville Public Library, Phoenixville, PA to $157,000 Gerlach enhance collections ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries St. Louis Art Museum Foundation, St. Louis, MO for $225,000 Clay restoration and reinstallation of exhibits ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Tallahatchie County Board of Supervisors, Glendora, $400,000 Thompson (MS) MS for preservation of exhibits and collections for the Emmett Till memorial complex ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Texas Southern University, Robert Terry Library and $300,000 Jackson-Lee (TX) Mickey Leland Center, Houston, TX for archive preservation ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Texas Tech University, Lubbock, TX for the Virtual $850,000 Johnson, Sam Vietnam Archive ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Theodore Roosevelt Inaugural Site Foundation, $150,000 Slaughter Buffalo, NY for exhibits and interactive displays ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Town of Jamestown, Jamestown, CA for books and $100,000 Clyburn materials for the Jamestown County Library ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Witte Museum, San Antonio, TX for exhibits and $100,000 Smith (TX); Gonzalez educational outreach ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Institute of Museum & Library Services Museums & Libraries Young at Art Children's Museum, Davie, FL for the $100,000 Wasserman Schultz; Wexler Global Village educational program ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement Arts in Education program authorized by the $40,166,000 Hastings (FL); Herseth Sandlin; Hirono; Holt; Elementary and Secondary Education Act Honda; Johnson, Eddie Bernice; Langevin; McDermott; Miller (NC); Pomeroy; Rahall; Slaughter; Tauscher; Van Hollen; Woolsey ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement Close Up Fellowships Program for activities $1,942,000 Grijalva; Hirono; Johnson (GA); Moran (VA); authorized under the Elementary and Secondary Oberstar; Payne; Ross; Sarbanes; Wu; Young Education Act (AK) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement National History Day for activities authorized $500,000 Abercrombie; Bordallo; Gerlach; Grijalva; under the Elementary and Secondary Education Act Hirono; Pingree (ME); Ross; Van Hollen ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement New Leaders for New Schools for activities $5,000,000 Miller, George authorized under the Elementary and Secondary Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Innovation and Improvement Reach Out and Read authorized under the Elementary $4,965,000 Abercrombie; Arcuri; Berkley; Brown (SC); and Secondary Education Act Capps; Capuano; Cardoza; Carnahan; Castor (FL); Clarke; Conyers; Costa; Crowley; Davis (AL); Davis (CA); Davis (IL); Doyle; Ellison; Eshoo; Fattah; Gerlach; Giffords; Gonzalez; Green, Gene; Grijalva; Gutierrez; Halvorson; Herseth Sandlin; Hinojosa; Hirono; Holt; Johnson (GA); Johnson, Eddie Bernice; Kildee; Kirkpatrick (AZ); Kucinich; Langevin; Lee (NY); Loebsack; Lofgren, Zoe; Marshall; McCarthy (NY); McDermott; McGovern; McHugh; Moore (WI); Murphy (CT); Nadler (NY); Napolitano; Oberstar; Paul; Payne; Perriello; Price (NC); Rahall; Rogers (MI); Roskam; Ross; Rush; Sarbanes; Scott (GA); Scott (VA); Shea-Porter; Sherman; Slaughter; Smith (NJ); Snyder; Spratt; Tauscher; Tonko; Waxman; Yarmuth; Young (AK) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Safe Schools and Citizenship Center for Civic Education and National Council $35,000,000 Abercrombie; Baca; Capps; Capuano; Carnahan; Education for Economic Education for We the People Castor (FL); Costa; Davis (CA); Davis (IL); (including a comprehensive program between the Dicks; Etheridge; Green, Gene; Grijalva; Center for Civic Education, Indiana University, Gutierrez; Herseth Sandlin; Hinojosa; and the National Conference on State Legislatures) Hirono; Johnson, Eddie Bernice; Kildee; and Cooperative Education Exchange as authorized Langevin; Lofgren, Zoe; McCarthy (CA); in the Elementary and Secondary Education Act as McGovern; Miller (NC); Oberstar; Pomeroy; part of the Civic Education program Rahall; Roskam; Ross; Shea-Porter; Van Hollen; Waxman; Yarmuth; Young (AK) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Department of Education--National Projects Special Education Recording for the Blind and Dyslexic, Inc. for $13,250,000 Holt; Moran (VA) development, production, circulation, and support of accessible educational materials as authorized under section 674(c)(1)(D) of the Individuals with Disabilities Education Act ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] MINORITY VIEWS OF THE HONORABLE JERRY LEWIS AND THE HONORABLE TODD TIAHRT Whatever is said about the individual benefits of this appropriations bill and the thought that has gone into developing it, one simple and irrefutable fact remains. When combined with all the other bills that have preceded it and those that will follow it, the spending course that we are on is not sustainable, and should not be sustained. Regardless of anyone's support for this individual bill when viewed in isolation, when placed in the larger context of total discretionary spending, and when discretionary spending is placed in context of total spending, quite clearly the sum of the parts greatly exceeds the whole. The final picture reveals a complete intolerance for reform or restraint in spending by the majority. That must change, and it must change now. SPENDING SPREE If recent polling data is even remotely accurate, most Americans are wondering if this Congress and this Administration understand the long-term ramifications of the massive spending spree we've been on since January. The stimulus bill passed in February spent nearly $800,000,000,000 of money we don't have. When you add the interest that we'll have to pay the Chinese and the Saudis and other foreign governments that buy our debt, the cost of that bill alone will have exceeded $1,000,000,000,000. To put that bill in perspective, it is larger than the entire discretionary budget submitted by President George W. Bush for fiscal year 2002, and when interest is added it exceeds the size of the total discretionary spending this Congress approved for fiscal year 2009. And what do we have to show for that exercise? Unemployment has hit 9.5 percent and is expected to rise above 10 percent. We have massive amounts of money spent on programs--many funded by the agencies in this bill--that may be good programs, but have absolutely nothing to do with bringing us out of the economic crisis we're in today. And worst of all, of the $126,000,000,000 contained in the stimulus bill for discretionary programs under the jurisdiction of this subcommittee, only about $7,700,000,000 has actually been spent. In the case of one agency that received nearly $23,000,000,000, only $200,000,000 had been spent as of May 31, 2009. The reality is that bill wasn't stimulus. What it did do is create a tidal wave of spending that will hit next year if we are to avoid what has been called the ``cliff effect.'' At the time, the President and Democrats in the majority party claimed this was one-time spending. We would like to believe that is true, because if it isn't, the fiscal year 2011 allocation for this bill will need to be somewhere in the neighborhood of $220,000,000,000--nearly $60,000,000,000 above the overly generous level contained in this bill--just to sustain funding for popular programs like grants to local school districts, Pell grants, special education, and biomedical research at NIH. One could argue that spending would be acceptable if we had an extra $60,000,000,000 in the treasury--but we do not have that money, it is borrowed money. It is borrowed from the American people and it is borrowed from foreign governments like China, Japan, Russia, Saudi Arabia and others. On July 16, House Democrats unveiled a health ``reform'' bill that looks like it's going to cost well over $1,000,000,000,000--and it is laden with provisions that instruct the Congressional Budget Office to ignore spending, so the cost is likely much higher. And last, we had a budget submitted to us by the White House earlier this year that, for the first time exceeded $1,000,000,000,000 in discretionary spending--and contains well over $3,500,000,000,000 in total spending. In short, the American people are being asked to shoulder an incredible financial burden that will have lasting effects on our economy. THE CURRENT PATH IS NOT SUSTAINABLE CBO's recent midyear ``Extended-Baseline Scenario'' analysis, which provides for the very best case that can be made, reveals that even under the best of circumstances the outcome is a shocking indictment of the spending path down which the Government is currently racing. The most frightening findings in this report are the deficit and debt projections. In this year and next year, the yearly budget shortfall, or deficit, will be the largest post-war deficits on record-- exceeding 11 percent of the economy or gross domestic product (GDP)--and by 2080 it will reach 17.8 percent of GDP. The national debt, which is the sum of all past deficits, will escalate even faster. Since 1962, debt has averaged 36 percent of GDP, but it will reach 60 percent, nearly double the average, by next year and will exceed 100 percent of the economy by 2042. Put another way, in about 30 years, for every $1 each American citizen and business earns or produces, the government will be an equivalent $1 in debt. By 2083, debt figures will surpass an astounding 306 percent of GDP. The report also finds high overall growth in the government as a share of the economy and as a share of taxpayers' wallets. While total government spending has hovered around 20 percent of the economy since the 1960s, it has jumped by a quarter to 25 percent in 2009 alone and is projected to exceed 32 percent. Taxes, which have averaged at 18.3 percent of GDP, will reach unprecedented levels of 26 percent unless something changes. And remember this is the best case. Never in American history have spending and tax levels been that high. THE SHORT TERM OUTLOOK IS NO BETTER According to CBO the Obama Administration is well on its way to doubling the national debt in 5 years. In so doing it will drive the Debt-to-GDP ratio from 41% today to a staggering 71%. And as the charts below show by 2019 the ratio will hit 80% under the Administration's own current assumptions. [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT] Let's face it, the United States Treasury is building a mountain of debt and the Federal Reserve has issued another mountain of dollars in its attempt to sustain the credit markets in recent months. The possibility of much higher inflation, which will reduce the value of the payments to the holders of the US debt, is a very real, if not the single largest threat against the ability of the economy to recover. That rapid rise in debt is being fueled by unprecedented increases in annual deficits. The deficits projected in the Obama Budget Blueprint, and adopted in the Budget Resolution, average just shy of $1,000,000,000,000 dollars annually for the next ten years--not including revenue shortfalls in Social Security, Medicare and Medicaid, which will add even greater amounts to the annual deficit. In addition, the Budget Resolution--at the behest of the Administration, and a harbinger of more to come--raises taxes by $1,500,000,000,000 over the next ten years, withdrawing those funds from private production in the economy as well. Before the recession, federal spending totaled $24,000 per U.S. household. President Obama and the budget resolution that incorporates that plan would hike it to $32,000 per household by 2019--an inflation-adjusted $8,000-per-household expansion of government. Even the steep tax increases planned for all taxpayers would not finance all of this spending. Simply put, the President's budget and the budget resolution which adopted those spending levels would add trillions of dollars in new debt. And as noted above that debt can only be paid for by borrowing even more. But the global demand for U.S. debt is not infinite and continued purchases of debt can only be induced by greater interest rates. We are already seeing that occur as treasury rates have soared recently in the face of government borrowing. As debt levels increase, interest rates, too, must increase in order to encourage more citizens or foreign governments to buy up debt. However, CBO does not attempt to model interest rate increases. Had CBO accounted for this, long-term deficit and debt numbers would be far higher because rising interest rates would drive net interest costs up further, driving deficits and debt up even higher, driving interest rates up further, and so on in a vicious cycle. As CBO states on page eight of the report: ``If debt actually increased as projected under either scenario, interest rates would be higher than otherwise and economic growth would be slower.'' This is not the time in our history to permanently add to the burden on taxpayers. It is the time to minimize that burden and hasten the recovery. The alternative budget blueprint that has been proposed by the Republican leadership and the specific alternative 302(b) allocations that were offered by Ranking Member Lewis do just that. BUT WHY SHOULD THIS YEAR BE ANY DIFFERENT? Many of these statistics are old news and the shock has worn off. The specific numbers from report to report by CBO and even other agencies have changed but the message about the budget's unsustainable course has stayed the same. Two factors should cause this year's ``Long-Term Budget Outlook'' to resonate more strongly and catalyze congressional action. 1. First, the current recession has proven how important it is to get and keep America's economy on track. America is in a period of high unemployment, negative economic growth, and trillion-dollar deficits. More trillion-dollar deficits, of which, at $163,400,000,000, this bill is a very significant part, will not get or keep America's economy on a sustainable path, nor will they be tolerated by the public, but that is precisely where the U.S. economy is headed unless we step up now and start to reduce spending wherever we can, and that includes this bill as well. 2. Second, the Obama Administration and Democratic congressional leadership are poised to make the budget situation far worse with proposals for new expensive federal programs, such as national health care. While many policy goals may seem important in isolation, they must still be paid for in the broader context of the entire budget. Americans cannot afford to let Congress develop yet another huge entitlement program funded by deception, budget gimmicks, phony phase-ins, deficits beyond the budget window, multiple scorekeepers, bogus offsets and relying on hypothetical long- term savings to finance coverage expansion. These gimmicks only undermine the credibility of Congress and load increasing debt on the next generation. CONGRESS HAS ONE OPTION: REDUCE SPENDING Cutting an earmark here or raising a soda tax there will be absolutely insufficient to overcome the upward pressure on the debt that we are now experiencing and which we seem unwilling and even unable to stop. Entitlement reform is a key necessity but so is the need to hold down spending in programs over which we have not only control, but an annual opportunity to impose restraint and reform. Not doing so is not just the fault of this bill. It is the fault of an overall process that has been established to prevent real and meaningful attempts to reduce costs. THE SITUATION IS TOO BAD TO IGNORE Now that Americans are all too familiar with the problems associated with economic slowdowns and trillion-dollar deficits, Congress ought to take the warnings issued in the CBO's ``Long-Term Budget Outlook'' seriously. Adding new entitlements, such as national health care, or ignoring the need to restrain domestic spending wherever possible while claiming to care about fiscal responsibility will be disingenuous at best and economically debilitating at worst. HEALTH REFORM Committee Republicans offered four amendments during full committee consideration of this bill in an effort to control costs and improve health reform legislation that is currently being considered in the House. Among those improvements was an amendment to prohibit the creation of a public health insurance plan. While the concept may sound good to some, the reality is that a public plan could exploit government's endless ability to borrow money to the point at which it would crowd out private insurance. Furthermore, according to recent reviews by CBO, the current plan for a government option, the purported purpose of which is to lower health care costs, would in fact accomplish the opposite. CBO has concluded that both plans do not make ``the sort of fundamental changes'' necessary to control the explosive growth in government health programs. CBO went on to conclude that as currently being considered, the House and Senate health reform bills would actually increase costs. Yet following on the philosophy that there is no problem the government can't solve if only Congress spends more and more money, every Democratic member of the Committee voted for a massive, and according to CBO, more expensive government-run plan. In addition, Committee Republicans offered an amendment to prohibit the Secretary of HHS from enforcing any new government health insurance mandate on small businesses, which are truly the engine of economic growth in the United States. In fact, According to the National Federation of Independent Business, as many as 1,600,000 million jobs could be lost as a result of the mandates, fees and taxes that would be levied in the current versions of health reform--and up to 1,000,000 of those are likely to be jobs created by small businesses. Unfortunately, this thoughtful and timely amendment was defeated, without a single Democratic member voting in support of our small businesses. Third, an amendment was offered that required Members of Congress who support a public health insurance option to enroll in it. Ironically, not a single Democratic member of the Committee supported that amendment--not one was willing to say to their constituents that they and their family are willing to live with what results from their vote. GIMMICKS AND GIVEAWAYS This bill contains several budget gimmicks--in the form of cap adjustments permitted by the budget resolution or transfers of other balances--that mask the true amount of spending. For example, in fiscal year 2009, the majority provided a massive increase for the Low Income Home Energy Assistance Program, or LIHEAP, nearly $2.8 billion of which was financed by emergency spending that did not count against the total amount of spending in the bill. In short, it was ``free money'' for purposes of the bill's cap. Of course it is not free money for purposes of the exploding debt that America's children and grandchildren will be responsible for paying down the road. In its wisdom, the Budget Committee permitted this committee to spend an additional $1.9 billion to continue that ``emergency'' funding via a budget gimmick. But what is more egregious is a provision that expands eligibility for LIHEAP funding from those earning 60 percent of a State's median income (SMI) level to 75 percent. For anyone wondering, in states like Connecticut, Massachusetts and Maryland, 75 percent of SMI exceeds $70,000 per year. We would hardly call those people low income, particularly when there are some states that are not providing full benefits to some of the poorest of the poor. If implemented, this misguided giveaway will benefit upper middle income taxpayers, while those most in need of heating and cooling assistance will continue to struggle. The bill also contains giveaways for big labor--and quite remarkably in some cases at the expense of regular union members. For example, the bill cuts by nearly 10 percent the budget of the Office of Labor-Management Standards (OLMS)--the organization at DOL that investigates and prosecutes potential crimes by union bosses against union members. What is worse, in justifying this cut the Committee report cites a study-- authored by a former union organizer--that has been widely criticized by objective observers and is clearly refuted by the facts. Since fiscal year 1998, OLMS has secured 1,444 convictions, which has resulted in more than $106 million in embezzled funds that were returned to union workers. Yet the majority has chosen to reduce funding for OLMS, which will, in turn, hinder its ability to prosecute those who break the law. In addition, the bill fails to address an insidious weakening of the disclosure requirements for union bosses that has been proposed by the Obama Administration in its continuing effort to pander to Big Labor. Meanwhile, the people who will suffer from this retrenchment of transparency are the average, run-of-the-mill union worker, whose dues are being siphoned off by corrupt union leadership. The bill also includes a provision that defers--rather than cancels--$511,000,000 of mandatory funding for the Academic Competitiveness/SMART Grant program at the Department of Education. By employing this budgetary sleight of hand, the majority ``saves'' $511,000,000 in FY10, and can ``save'' those same funds again in FY11. In reality, this ``savings'' amounts to nothing more than an effort to bend the rules that will end up costing the American taxpayer $511,000,000 every year it is used. If the majority party had any inclination toward fiscal responsibility it would cancel these funds and return them to the Treasury rather than deferring them over and over again as a means to ``finance'' their appetite for government spending. Additionally, the bill transfers $500 million of funding from the BioShield Special Reserve Fund--which was established for the express purpose of purchasing medical countermeasures in the event an act of bioterrorism is committed--to the National Institute of Allergy and Infectious Diseases under the fig leaf that more research is needed. In reality, if more research were needed, the appropriate place to transfer these funds would have been the Biomedical Advanced Research and Development Agency at HHS. It is clear the majority has taken these critical national security funds in an effort to pay for an increase in biomedical research. Committee Republicans support increases in biomedical research, and as a result, offered an amendment that would have reduced a host of programs that received mammoth increases to their FY09 levels, reduced funding for programs that are currently swimming in more ``stimulus'' funding than they can spend, or would have terminated or reduced other programs to President Obama's budget request. Sadly, not one Democratic member crossed the aisle to cast a vote that would have supported America's security and preserved critical biomedical research funding while reducing funding for lower priority programs or programs that are awash in funding already. Finally, because of the unorthodox and restrictive procedure followed on the House floor this year during consideration of appropriations bills, Mr. Lewis submitted an amendment that contained thirteen timely and thoughtful Republican ideas that, under an open floor procedure, would have and should have been considered by the full House. These ideas have largely been at the forefront of public discussion, and the American people deserve to have their representatives in Congress address them. Specifically, that amendment would have: Prohibited the employment of illegal aliens; Stopped federal funds from going to any State or locality that refuses to share information with Federal immigration authorities; Ensured housing benefits are not provided to aliens who are not entitled to those benefits; Expedited the requirement that Federal contractors use the e-Verify system; Protect the security of drivers' licenses; Denied visas to citizens of countries that refuse to repatriate their citizens ordered deported from the U.S.; Prohibited the extension of Miranda protections to U.S. detainees in Afghanistan; Ensured that US Government assistance is not provided to individuals who are members of terrorist organizations; Prohibited implementation of a costly and economically disastrous cap and trade system; Permitted the Department of Defense and other agencies to purchase certain alternative fuels; Stopped the public sale of Federally-owned trailers deemed to be uninhabitable; Ceased implementation of the Fairness Doctrine; and Denied funds to enforce changes to the wage rates on Guam. Unfortunately, Committee Democrats unanimously rejected this amendment. The text of the Lewis amendment follows: Jerry Lewis. Todd Tiahrt. [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]