[Senate Report 111-243]
[From the U.S. Government Publishing Office]
111th Congress Report
SENATE
2d Session 111-243
_______________________________________________________________________
Calendar No. 504
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND
RELATED AGENCIES APPROPRIATION BILL, 2011
----------
R E P O R T
of the
COMMITTEE ON APPROPRIATIONS
U.S. SENATE
on
S. 3686
August 2, 2010.--Ordered to be printed
Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriation Bill, 2011 (S. 3686)
Calendar No. 504
111th Congress Report
SENATE
2d Session 111-243
======================================================================
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND
RELATED AGENCIES APPROPRIATION BILL, 2011
_______
August 2, 2010.--Ordered to be printed
_______
Mr. Harkin, from the Committee on Appropriations,
submitted the following
REPORT
[To accompany S. 3686]
The Committee on Appropriations reports the bill (S. 3686)
making appropriations for Departments of Labor, Health and
Human Services, and Education, and related agencies for the
fiscal year ending September 30, 2011, and for other purposes,
reports favorably thereon and recommends that the bill do pass.
Amount of budget authority
Total of bill as reported to the Senate............. $731,887,768,000
Amount of 2010 appropriations....................... 738,707,813,000
Amount of 2011 budget estimate...................... 732,873,505,000
Bill as recommended to Senate compared to--
2010 appropriations............................. -6,820,045,000
2011 budget estimate............................ -985,737,000
CONTENTS
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Page
Summary of Budget Estimates and Committee Recommendations........ 4
Overview......................................................... 4
Other Highlights of the Bill..................................... 12
Title I: Department of Labor:
Employment and Training Administration....................... 13
Employee Benefits Security Administration.................... 26
Pension Benefit Guaranty Corporation......................... 27
Wage and Hour Division....................................... 28
Office of Labor-Management Standards......................... 28
Office of Federal Contract Compliance Programs............... 29
Office of Workers' Compensation Programs..................... 29
Occupational Safety and Health Administration................ 32
Mine Safety and Health Administration........................ 34
Bureau of Labor Statistics................................... 35
Office of Disability Employment Policy....................... 36
Departmental Management...................................... 37
General Provisions........................................... 40
Title II: Department of Health and Human Services:
Health Resources and Services Administration................. 42
Centers for Disease Control and Prevention................... 69
National Institutes of Health................................ 95
Substance Abuse and Mental Health Services Administration.... 128
Agency for Healthcare Research and Quality................... 139
Centers for Medicare and Medicaid Services................... 142
Administration for Children and Families..................... 147
Administration on Aging...................................... 162
Office of the Secretary...................................... 168
General Provisions........................................... 181
Title III: Department of Education:
Education for the Disadvantaged.............................. 183
Impact Aid................................................... 188
School Improvement Programs.................................. 189
Indian Education............................................. 195
Innovation and Improvement................................... 196
Safe Schools and Citizenship Education....................... 207
English Language Acquisition................................. 209
Special Education............................................ 210
Rehabilitation Services and Disability Research.............. 213
Special Institutions for Persons With Disabilities:
American Printing House for the Blind.................... 219
National Technical Institute for the Deaf................ 220
Gallaudet University..................................... 221
Career, Technical, and Adult Education....................... 221
Student Financial Assistance................................. 224
Student Aid Administration................................... 225
Higher Education............................................. 226
Howard University............................................ 238
College Housing and Academic Facilities Loans................ 238
Historically Black College and University Capital Financing
Program Account............................................ 238
Institute of Education Sciences.............................. 239
Departmental Management:
Program Administration................................... 242
Office for Civil Rights.................................. 242
Office of the Inspector General.......................... 243
General Provisions........................................... 243
Title IV: Related Agencies:
Committee for Purchase From People Who Are Blind or Severely
Disabled................................................... 245
Corporation for National and Community Service............... 245
Corporation for Public Broadcasting.......................... 250
Federal Mediation and Conciliation Service................... 250
Federal Mine Safety and Health Review Commission............. 251
Institute of Museum and Library Services..................... 252
Medicare Payment Advisory Commission......................... 253
National Council on Disability............................... 253
National Health Care Workforce Commission.................... 253
National Labor Relations Board............................... 254
National Mediation Board..................................... 254
Occupational Safety and Health Review Commission............. 254
Railroad Retirement Board.................................... 255
Social Security Administration............................... 256
Title V: General Provisions...................................... 260
Compliance With Paragraph 7, Rule XVI of the Standing Rules of
the Sen-
ate............................................................ 260
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules
of the Senate.................................................. 261
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of
the Senate..................................................... 261
Budgetary Impact of Bill......................................... 266
Disclosure of Congressionally Directed Spending Items............ 266
Comparative Statement of New Budget Authority.................... 321
SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS
For fiscal year 2011, the Committee recommends total budget
authority of $731,887,000,000 for the Departments of Labor,
Health and Human Services [HHS], and Education, and Related
Agencies. Of this amount, $169,626,000,000 is current year
discretionary funding, including offsets.
The bill provides discretionary program level funding of
$13,919,000,000 for the Department of Labor, $74,566,000,000
for the Department of HHS, $66,415,000,000 for the Department
of Education and $14,726,000,000 for related agencies. The
comparable fiscal year 2010 levels were $13,696,000,000 for
Labor, $72,424,000,000 for HHS, $63,717,000,000 for Education
and $13,890,000,000 for related agencies.
OVERVIEW
The Labor, HHS, and Education and related agencies
appropriations bill is the product of extensive deliberations,
driven by the realization that no task before Congress is more
important than safeguarding and improving the health and well-
being of all Americans. This bill is made up of over 300
programs, spanning three Federal departments and numerous
related agencies. But the bill is more than its component
parts. Virtually every element of this bill reflects the
traditional ideal of democracy: that every citizen deserves the
right to a basic education and job skills training; protection
from illness and want; and an equal opportunity to reach one's
highest potential.
The Committee wrote this year's bill in a period of great
uncertainty. Although the economy is expanding again, far too
many Americans still can't find a job, and the threat of a
double-dip recession looms large. In the longer term, the
national debt continues to rise to frightening levels. As the
largest nondefense Federal appropriations bill being considered
by Congress this year, this bill must respond to both sets of
challenges, addressing today's hard economic realities while
taking every possible opportunity to reduce waste, fraud, and
abuse.
Three themes permeate the Committee's recommendation.
First, this bill invests in critical programs that help people
gain the skills they need to find jobs, protect workers from
safety hazards, and provide a safety net for the neediest
Americans. Second, the Committee recognizes that every taxpayer
dollar should be used wisely; efforts to root out waste are
bolstered, and duplicative and inefficient programs are
eliminated. Finally, just because times are lean doesn't mean
that innovation should cease. This bill launches several new
initiatives that will leverage reform and transform key Federal
services.
Each theme is described more fully below.
SUPPORTING ECONOMIC RECOVERY AND GROWTH
Aid to Workers
With the Nation's unemployment rate at 9.5 percent,
programs that help Americans find jobs and upgrade their skills
are critically needed. This bill continues and expands support
for programs that provide important job training and education
services to workers.
Job Training.--The Committee provides an increase of
$163,582,000 over the fiscal year 2010 level for State grants
for job training and for employment services, for a total of
$3,836,607,000. These programs provide education and job
training to workers who have lost their jobs as a result of
plant closings or mass layoffs, low-income individuals, and
disadvantaged youth, particularly those who have dropped out of
school. In addition, this funding level supports services that
connect job seekers to employment opportunities and help
employers find a qualified and diverse workforce.
The Committee also provides $1,712,205,000, an increase of
$4,000,000, for the Office of Job Corps. This amount will
enable 125 Job Corps Centers across the country to help more
than 60,000 young people learn a career, earn a high school
diploma or GED, pursue higher education, and find a new job.
Finally, the bill includes $110,000,000, an increase of
$7,500,000, for the YouthBuild program to provide education,
employment training and job placements to disadvantaged youth
at risk of long-term unemployment.
Green Jobs.--The bill also provides a $25,000,000 increase
for the Green Jobs Innovation Fund, for a total of $65,000,000.
This fund provides workers with job training in green and
renewable energy industries as well as sustainable agriculture,
transportation and green construction.
State Paid Leave.--When jobs are hard to come by, many
workers are unable or reluctant to take time off to care for
loved ones who need their help. The Committee takes an
important step in addressing this problem by providing
$10,000,000 to create a new State Paid Leave Program. This
program will provide competitive grants to help States
establish paid leave programs, which typically offer up to 6
weeks of benefits to workers who must take time off to care for
a seriously ill child, spouse, or parent, or to bond with a
newborn or recently adopted child.
Worker Rights, Safety, and Health
Employers have an obligation to provide a safe and healthy
workplace for their employees; pay them the wages and benefits
they earn for their efforts; respect employee voices in the
workplace; and prevent discrimination on the basis of race,
disability or military service. Some workers' rights are more
vulnerable today because of the downturn in the economy, since
employees are less likely to report abuses that may jeopardize
their employment. In addition, staffing cuts to the Department
of Labor and related agencies during the previous
administration have limited their ability to carry out their
missions.
The Committee bill takes additional steps to reverse this
diminished capacity by making important investments in key
agencies that enforce rules protecting the health, safety, and
rights of workers, including $574,096,000, an increase of 2.8
percent over fiscal year 2010, for the Occupational Safety and
Health Administration; $377,000,000, an increase of 5.5
percent, for the Mine Safety and Health Administration; and
$244,240,000, an increase of 7.3 percent, for the Wage and Hour
Division. In general, these investments will bring the staffing
levels of these agencies back to levels last seen a decade ago.
International Labor Rights.--The bill also preserves jobs
here in the United States and supports the adherence to
internationally recognized labor rights around the globe by
making sure our international trading partners don't exploit
workers, particularly children. The Committee bill provides
$117,000,000 for the Bureau of International Labor Affairs for
its efforts in this area. This amount is an increase of
$24,331,000 over the fiscal year 2010 level. This significant
investment comes at a critical juncture, with trade
relationships increasing around the world and the global
economic downturn presenting threats to worker rights and the
possible exploitation of children.
Mine Safety Appeals.--The explosion at the Upper Big Branch
mine in West Virginia earlier this year is a tragic reminder of
the important role the Federal Government must play in ensuring
the safety of our Nation's miners. A key component of this is
the timely adjudication of mine safety violations at the
Federal Mine Safety and Health Review Commission. The number of
contested mine safety violations has more than quadrupled since
2006, while staffing at the Commission has not kept pace to
promptly review these cases. As a result, the number of cases
awaiting review has increased fourfold and it now takes over
400 days to issue a final decision. These delays can undermine
mine safety efforts and ultimately puts miners at risk. The
Committee addresses this issue by providing a total increase of
$23,397,000 for the Department of Labor and the Commission to
begin working down this backlog and reduce the time it takes to
review contested mine safety and health violations.
Safety Net for Neediest Americans
For many Americans, especially in a struggling economy,
programs funded in this bill make the difference between going
hungry and having a meal, attending college or ending their
education after high school, and having a warm place to stay or
sleeping on the street. The Committee targets many of the
increases in this bill to those who need help the most.
Child Care.--Quality child care helps children develop the
skills they need to succeed in school while allowing their
parents to maintain employment. The American Recovery and
Reinvestment Act included important investments in child care,
allowing States to increase assistance for low-income families
and support quality improvement activities. The Committee
maintains the funding level provided for in the Recovery Act by
providing an increase of $1,000,000,000 over the fiscal year
2010 level, for a total of $3,127,000,000.
Head Start.--The Committee provides $8,223,958,000 for Head
Start, an increase of $990,278,000 over the fiscal year 2010
appropriation. This will allow Head Start programs to provide
comprehensive early childhood development services to 978,000
low-income children, and maintain increases in families served
through Recovery Act funding in fiscal years 2009 and 2010.
Senior Nutrition Services.--The Committee bill includes
$857,552,000 for local programs that provide congregate and
home-delivered meals to seniors. This amount is an increase of
$38,199,000 over the fiscal year 2010 appropriation.
Homeless Services.--The Committee bill addresses the
problem of homelessness in a number of ways.
With many families unable to afford housing, a growing
number of children are at risk of having their education
disrupted by frequent moves from shelter to shelter. The
Committee notes that the most recent data reported to the
Department of Education show that a total of 956,914 homeless
students were reported enrolled in school districts in the
2008-2009 school year, a 20 percent increase from the 2007-2008
school year. The Committee bill increases funding for the
education of homeless children and youth by $10,000,000, for a
total of $75,427,000.
The bill also includes $159,362,000, an increase of
$17,009,000, for substance abuse and mental health services
targeting the homeless. Funds are included to support a new
initiative with the Department of Housing and Urban Development
that will help individuals at risk of chronic homelessness move
into, and remain, in permanent supportive housing.
Finally, the economic climate has put increasing pressure
on all families, which in turn, has increased the number of
runaway and homeless youth. The Committee provides $123,705,000
for runaway and homeless youth programs, an increase of
$8,000,000 over last year. This supports emergency shelter and
related services, transitional living programs, and outreach
activities for this vulnerable population.
Refugee Social Services.--Refugees are eligible for cash
and medical assistance for their first 8 months in the United
States. However, the economic downturn has made an already
challenging transition more difficult as newly arrived refugees
struggle to find employment and ultimately become self-
sufficient within that time period. Refugee Social Services
supports a variety of employment and support services to
address barriers to employment for newly arrived refugees. The
Committee provides an increase of $33,000,000 for this
activity, for a total of $187,005,000.
Title I (Education for the Disadvantaged).--The Committee
bill includes $14,942,401,000 for title I grants to local
education agencies for improving education for low-income
students. This amount is $450,000,000 higher than the budget
request and the fiscal year 2010 funding level. These funds
provide support to more than 90 percent of the 15,000 school
districts across the Nation--an important contribution given
the reductions to education spending by State and local
governments.
Student Financial Aid.--The Committee includes
$19,453,809,000 for student financial assistance, maintaining
the maximum discretionary Pell Grant Program award level at
$4,860. Combined with mandatory funding provided in the Health
Care and Education Reconciliation Act of 2010, the maximum
award is maintained at $5,550 for the 2011-2012 school year.
The Pell Grant program supports an estimated 8,743,000 low- and
middle-income students.
Health Professions
Healthcare training provides dual benefits--improving
access to necessary health services for patients and opening
doors to those who seek a career change as a response to long-
term unemployment. While precise estimates vary, no one
disputes that healthcare workforce shortages exist nationwide
and are likely to increase as baby boomers age and access to
healthcare expands. These shortages are particularly striking
in a time of record unemployment and a shrinking middle class.
The Committee includes an additional $170,000,000 over the
fiscal year 2010 level for a total of $706,807,000 to expand
health training programs.
The Committee recommendation invests heavily in occupations
at the first rung of a career ladder, and occupations that pay
a wage sufficient to support those struggling to raise families
or support aging dependents. Among the programs increased:
Nurse Career Ladders.--The Committee includes $10,000,000
within the Nurse Education, Practice and Retention program to
support programs that provide a continuous career ladder from
certified nurse assistants through advanced practice nursing.
Nurse Faculty Loan Forgiveness.--Over 50,000 students were
turned away from nurse training programs last year, largely due
to a lack of faculty. The Committee recommendation more than
doubles the resources available to provide loan forgiveness to
nurses who agree to teach, from $24,947,000 in fiscal year 2010
to $53,309,000 in fiscal year 2011.
Primary Care Training.--The Committee includes $90,000,000,
an increase of $51,077,000, for primary care training
activities. In recognition of the rapid expansion of coverage
required by the Patient Protection and Affordable Care Act over
the next 3 years, the Committee includes bill language allowing
the Department of Health and Human Services to direct more than
15 percent of the resources to physician assistant training.
Psychology Education.--The health professions initiative
includes an increase of $5,737,000, for a total of $8,682,000
within the Allied Health appropriation directed to the training
of mental and behavioral health specialists.
Oral Health Training.--The Committee includes an increase
of $15,063,000 for training programs in oral healthcare, for a
total of $47,982,000.
Public Health Workforce.--The Committee increases by
$20,000,000 the public health workforce training programs at
the Centers for Disease Control and Prevention, for a total of
$57,939,000.
Rural Physician Pipeline.--The Committee includes
$5,100,000 for a newly authorized program to create
opportunities for primary care physicians to train in rural
areas, in hopes they will continue to serve in these shortage
areas.
FISCAL ACCOUNTABILITY
Reducing Waste, Fraud, and Abuse
For fiscal year 2011, the Committee increases funding for a
variety of activities aimed at reducing fraud, waste, and abuse
of taxpayer dollars. These program integrity initiatives have
proven to be a wise Federal investment, resulting in billions
of dollars of savings from Federal entitlement programs--
unemployment insurance, Medicare and Medicaid, and Social
Security.
Unemployment Insurance Program Integrity.--The Committee
recommendation includes $65,000,000, an increase of $5,000,000
over the fiscal year 2010 level, to conduct eligibility reviews
of claimants of unemployment insurance [UI]. The recommendation
will support the continuation and expansion of this initiative
in approximately 40 States and will save State UI Trust funds
an estimated $210,000,000--representing a return on investment
of more than $3 for every $1 spent.
Social Security Program Integrity.--The Committee provides
$796,000,000 for Social Security Administration program
integrity activities. This amount is a $38,000,000 increase
over fiscal year 2010. These funds ensure that Federal benefits
are paid correctly by reviewing factors that could affect
eligibility and benefit amounts. Efforts include conducting
continuing disability reviews and redeterminations of
Supplemental Security Income program eligibility. The Committee
also includes funding for the completion of a financial asset
verification initiative. Combined, these activities have a
return on investment of $9 for every $1 spent and are expected
to save over $7,000,000,000 for the Social Security, Medicare,
and Medicaid programs over 10 years.
Health Care Program Integrity.--Fraud committed against
Federal healthcare programs puts Americans at increased risk
and diverts critical resources from providing necessary health
services to some of the Nation's most vulnerable populations.
The Committee includes $561,000,000 for Health Care Fraud and
Abuse Control activities at the Center for Medicare and
Medicaid Services. This amount is a $250,000,000 increase over
the fiscal year 2010 level of $311,000,000. The historical
return on investment for the life of the Medicare Integrity
program has been about $14 for every $1 spent. For fraud and
abuse activities throughout Medicare and Medicaid, the Federal
Government saves or recovers $6 for every $1 spent.
Inspectors General.--The bill provides $214,000,000, an
increase of $12,000,000, for the inspectors general at the
three Departments and the Corporation for National and
Community Service to conduct additional audits and
investigations of possible waste and fraud in Government
programs.
Improving Oversight of Federal Contracts.--The Committee
bill includes $16,096,280 to supplement existing acquisition
workforce improvement activities at the three Departments and
the Social Security Administration. These funds will help
agencies acquire goods and services at reduced costs and in
ways that are better aligned with the agencies' missions.
Program Eliminations.--Lean economic times require tough
choices and a critical look at all programs in the bill, even
those that have been funded for decades. The Committee bill
eliminates 23 programs totaling $371,467,000.
LEVERAGING REFORM
Workforce Innovation Funds.--The Committee includes a total
of $242,000,000 for five new Workforce Innovation Funds that
are intended to reform the Nation's workforce investment system
by improving the delivery of education and training programs to
workers. To ensure coordination of Federal investments in
education and training, these funds will be administered
jointly by the Secretaries of Labor and Education. The funds
consist of $55,000,000 for dislocated workers, $35,000,000 for
adult job training, $95,000,000 for youth, $27,000,000 for
disabled individuals and $30,000,000 for adult education
programs. Resources for the Innovation Funds come from funding
provided for State grants for these programs.
Early Learning Challenge Fund.--The Committee includes
$300,000,000 for a new Early Learning Challenge Fund that will
provide competitive grants to States to raise the bar for early
childhood programs. There is robust evidence that high-quality
early learning programs help children develop the cognitive,
social, and emotional skills needed to succeed in school and
later in life. Yet quality varies greatly across settings,
within States, and across the Nation. The Early Learning
Challenge Fund will encourage States to coordinate quality
improvement activities across early learning settings,
including child care, Head Start and pre-kindergarten programs;
expand the number of low-income children in high-quality
programs; and ensure that more children enter kindergarten
ready to succeed.
Prevention Fund.--The Patient Protection and Affordable
Care Act included $750,000,000 in mandatory spending for the
Prevention and Public Health Fund. The Committee is responsible
for allocating the resources by transferring them in this bill
to various programs within the Department of Health and Human
Services that are intended to improve public health and reduce
healthcare costs. The Committee has focused on community-based
programs that make healthy options more available and
preventive services more accessible.
Chronic Disease Block Grant.--Obesity is predominant risk
factor in 3 of the top 5 most prevalent chronic diseases in
this country: diabetes, heart disease, and arthritis. Yet, the
public health response to these diseases has historically been
fragmented and the relationship between the States and the
Centers for Disease Control and Prevention [CDC] has evolved
into five discrete ``silos'' that compete for resources at both
the Federal and State levels.
The Committee consolidates the funding streams and
requirements of these programs and adds additional resources to
create a comprehensive $687,151,000 public health initiative to
prevent and reduce obesity-related chronic disease. The
initiative includes: $308,978,000 for community-based programs,
$251,000,000 for State planning and policy change, $75,723,000
for national research and surveillance, and $51,450,000 for the
CDC to develop new models, evaluate current activities and
produce cutting edge-science.
Race to the Top.--The Committee includes $675,000,000 for
the administration's signature education reform program. Race
to the Top was created in the American Recovery and
Reinvestment Act but this will be the first time it is funded
in the Labor, Health and Human Services, and Education
appropriations bill. This competitive program has achieved
enormous success in spurring States to change their practices
for the purposes of closing the achievement gap and making
other needed improvements. Tennessee and Delaware have been
awarded funds so far and 36 States applied for phase 2 grants
that will be awarded over the next 2 months. Grants funded by
the fiscal year 2011 bill may be awarded to local school
districts as well as States.
Investing in Innovation.--The Committee bill includes
$250,000,000 to replicate education programs that have high
levels of effectiveness as established under rigorous research
and to develop and test promising new ideas. Like Race to the
Top, Investing in Innovation was created in the Recovery Act
but this will be the first time it is funded in the Labor,
Health and Human Services, and Education appropriations bill.
School Improvement Grants.--The Committee bill provides
$625,000,000, an increase of 14.5 percent over the fiscal year
2010 level, for school improvement grants. The bill requires
that 40 percent of school improvement grant funds be directed
to low-performing high schools and their feeder middle schools,
as part of an initiative to improve the academic skills and
graduation rates of secondary students. The bill also doubles--
to $100,000,000--funding for the high school graduation
program.
Extended Learning Time.--A growing body of evidence
suggests that students benefit academically from a longer
school day and a longer school year. The Committee includes
bill language that will allow grants for the 21st century
community learning centers program to be used to help
communities establish or expand extended learning time that
includes both academic instruction and enrichment
opportunities, and to support a more systemic restructuring of
the school year. The bill includes an increase of $100,000,000
for the 21st century community learning centers program, for a
total of $1,266,166,000.
Cures Acceleration Network.--Too often, basic biomedical
research will suggest a promising path for a cure or treatment,
but funding falls short to pursue the idea to its fullest
potential. The Committee bill includes $50,000,000 to create a
new Cures Acceleration Network [CAN] within the National
Institutes of Health that will help speed the translation and
application of discoveries that have shown signs of success at
the laboratory level but have not advanced far enough to
attract significant investments from the private sector. CAN
will make grants to biotech companies, universities and patient
advocacy groups, and will also help facilitate FDA review for
the high need cures that are funded by CAN.
Medical Home Demonstration.--The Committee includes
$40,000,000 for two new authorizations that support the
creation of patient-centered medical homes. Research indicates
that medical homes result in improved quality, reduced errors,
fewer emergency visits, and fewer hospitalizations, which all
result in savings to the healthcare system. While the concept
has been attempted in various medical systems since 1967, the
Committee hopes this demonstration will identify the best ways
of organizing and funding medical homes to maximize their
benefit.
Social Innovation Fund.--The Committee recommendation
provides an increase of $10,000,000 for the Social Innovation
Fund at the Corporation for National Community Service, for a
total of $60,000,000.
OTHER HIGHLIGHTS OF THE BILL
National Institutes of Health [NIH].--The bill provides
$32,007,237,000, an increase of $1,002,036,000, to fund
biomedical research at the 27 Institutes and Centers that
comprise the NIH. The 3.5 percent increase provided for the NIH
is equal to the rate of biomedical inflation.
Education for Individuals With Disabilities.--The Committee
bill provides $11,925,211,000 under section 611 of part B
grants to States for educating students with disabilities. This
amount is $420,000,000 more than the fiscal year 2010 level and
$170,000,000 more than the budget request.
Institute of Education Sciences.--The Committee bill
includes $722,756,000 to support the Institute's activities
related to education research, data collection and analysis,
and assessment of student progress. This funding level is
$63,750,000 more than the amount provided in the fiscal year
2010 appropriations bill and will expand much-needed
investments in research, development and evaluation to generate
solutions to critical problems in education. These funds also
will support evaluation of reforms taking place under the Race
to the Top fund and School Improvement Grants program.
Corporation for National and Community Service.--The
Committee bill recommends $1,365,586,000 for the Corporation
for National and Community Service. This level is $215,865,000
above the fiscal year 2010 level. The recommendation is
sufficient to increase the number of AmeriCorps members from
87,000 to over 97,000.
Social Security Administration.--The Committee bill
includes $12,378,863,000 for the administrative expenses of the
Social Security Administration. This amount is an increase of
$932,363,000 over the fiscal year 2010 level and will allow the
SSA to continue to work toward eliminating the disability
hearings backlog by the end of fiscal year 2013 while keeping
up with an unprecedented level of disability and retirement
claims. It also includes $796,000,000, an increase of
$38,000,000, in program integrity funding.
REPROGRAMMING AND TRANSFER AUTHORITY
The Committee includes bill language delineating
permissible transfer authority in general provisions for each
of the Departments of Labor, Health and Human Services, and
Education, as well as specifying reprogramming authority in a
general provision applying to all funds provided under this
act, available for obligation from previous appropriations
acts, or derived from fees collected.
TITLE I
DEPARTMENT OF LABOR
Employment and Training Administration
TRAINING AND EMPLOYMENT SERVICES
Appropriations, 2010.................................... $3,828,530,000
Budget estimate, 2011................................... 3,925,475,000
Committee recommendation................................ 3,877,478,000
The Committee recommends $3,877,478,000 for this account,
which provides funding primarily for activities under the
Workforce Investment Act [WIA]. The fiscal year 2010 comparable
amount is $3,828,530,000 and the budget request provides
$3,925,475,000 for this purpose.
The training and employment services account is comprised
of programs designed to enhance the employment and earnings of
economically disadvantaged and dislocated workers, operated
through a decentralized system of skill training and related
services. Funds provided for fiscal year 2011 will support the
program from July 1, 2011, through June 30, 2012. A portion of
this account's funding, $1,772,000,000, is available on October
1, 2011, for the 2011 program year.
Pending reauthorization of WIA, the Committee is acting on
the basis of current law.
As requested by the administration, the Committee
recommends designating a portion of the appropriations from the
WIA formula programs to create a workforce innovation fund to
make competitive awards for workforce innovation activities
under the act's pilot and demonstration authority. These
activities would test innovative strategies or replicate proven
practices that support systemic reform of the workforce
investment system and substantially improve education and
employment outcomes for participants. To support alignment at
the Federal level, the Committee expects the Secretary to make
such awards in cooperation with the Secretary of Education.
Awards would be made to either: States in partnership with
local workforce investment boards; or a local workforce
investment board or consortium of such boards that serve a
regional labor market. Priority will be given to applicants
that demonstrate significant alignment across workforce
development, education, and supportive services at the State,
regional, or local level and that support economic development
goals and improved education and employment outcomes for
participants, particularly those who are hardest to serve.
Awards would also prioritize applicants that demonstrate
comprehensive strategic planning and coordination at the State,
regional, or local level. The Committee directs that the
Department provide a briefing to the Committee not less than 30
days prior to the release of a solicitation of grant
applications for this program.
The Committee recommendation includes language in section
106 of the general provisions requiring that the Department
take no action to amend, through regulatory or other
administrative action, the definition established in 20 CFR
677.220 for functions and activities under title I of WIA until
such time as legislation reauthorizing the act is enacted. This
language is continued from last year's bill.
Grants to States
The Committee recommends $3,133,031,000 for Training and
Employment Services Grants to States, including a total of
$185,000,000 for the Workforce Innovation Fund. The fiscal year
2010 comparable amount is $2,969,449,000 and the budget request
provides $3,178,031,000 for this purpose.
The bill continues legislative language that allows a local
workforce board to transfer up to 30 percent between the adult
and dislocated worker assistance State grant programs, if such
transfer is approved by the Governor. This language was
proposed in the budget request. The bill also continues
legislative language that allows a local workforce board to
contract with eligible training providers to facilitate the
training of multiple individuals in high-demand occupations, as
long as it does not limit customer choice. This authority is
continued from the American Recovery and Reinvestment Act and
is intended to support local efforts to provide workers with
the skills they need to find and sustain employment.
Adult Employment and Training.--For Adult Employment and
Training activities, the Committee recommends $896,884,000. The
fiscal year 2010 comparable amount is $861,540,000 and the
budget request provides $906,884,000 for this purpose.
This program is formula-funded to States and further
distributed to local workforce investment boards. Three types
of services for adults will be provided through the one-stop
system; core services, intensive services, and job training.
Core services are available to all adults with no eligibility
requirements. Intensive services are provided to unemployed
individuals who are not able to find jobs through core services
alone. Training services may be available to adults who have
been determined unable to obtain or retain employment through
intensive services. Most customers receiving a training service
will use their individual training accounts to determine which
programs and providers fit their needs.
Funds made available in this bill support program year 2011
activities that occur from July 1, 2011, through June 30, 2012.
The bill provides that $184,884,000 is available for obligation
on July 1, 2011, and that $712,000,000 is available on October
1, 2011. Both categories of funding are available for
obligation through June 30, 2012.
The bill would make available to the Secretary of Labor not
more than $35,000,000 of the appropriated amount for workforce
innovation activities that strengthen the workforce investment
system to enhance program delivery and improve education and
employment outcomes for program beneficiaries. The
administration requested 5 percent of the funding for Adult
Employment and Training activities, $45,344,000, for this
purpose.
Youth Training.--For Youth Training, the Committee
recommends $995,000,000. The fiscal year 2010 comparable amount
is $924,069,000 and the budget request provides $1,025,000,000
for this purpose.
The purpose of Youth Training is to provide eligible youth
with assistance in achieving academic and employment success
through improved education and skill competencies, connections
to employers, mentoring, training, and supportive services. The
program also supports summer employment directly linked to
academic and occupational learning, incentives for recognition
and achievement, and activities related to leadership
development, citizenship, and community service. Funds made
available for youth training support program year 2011
activities, which occur from April 1, 2011, through June 30,
2012.
The bill would make available to the Secretary of Labor not
more than $95,000,000, for a new youth innovation fund to test
and evaluate activities that strengthen the workforce
investment system to enhance program delivery and improve
education and employment outcomes for at-risk youth,
particularly out-of-school youth. The administration requested
15 percent of Youth Training funds, or $153,750,000, for this
purpose. As requested in the budget, the bill provides that the
Governor may reserve not more than 10 percent of the youth
formula funds allotted to the State for statewide activities.
It also provides that not less than 30 percent would be used
for projects providing summer employment activities for youth.
Dislocated Worker Assistance.--For Dislocated Worker
Assistance, the Committee recommends $1,241,147,000. The fiscal
year 2010 comparable amount is $1,183,840,000 and the budget
request provides $1,246,147,000 for this purpose.
This program is a State-operated effort that provides core
and intensive services, training, and support to help
permanently separated workers return to productive,
unsubsidized employment. In addition, States must use statewide
reserve funds for rapid response assistance to help workers
affected by mass layoffs and plant closures. Also, States must
use these funds to carry out additional statewide employment
and training activities such as providing technical assistance
to certain low-performing local areas, evaluating State
programs, and assisting with the operation of one-stop delivery
systems. States may also use funds for implementing innovative
incumbent and dislocated worker training programs.
The bill would make available to the Secretary of Labor not
more than $55,000,000 for workforce innovation activities that
strengthen the workforce investment system to enhance program
delivery and improve education and employment outcomes for
program beneficiaries. The administration requested 5 percent
of Dislocated Worker Assistance funds, $62,307,000 for this
purpose.
Funds made available in this bill support program year 2011
activities, which occur from July 1, 2011, through June 30,
2012. The bill provides that $381,147,000 is available for
obligation on July 1, 2011, and that $860,000,000 is available
on October 1, 2011. Both categories of funding are available
for obligation through June 30, 2012.
Federally Administered Programs
Dislocated Worker Assistance National Reserve.--The
Committee recommends $229,160,000 for the Dislocated Worker
National Reserve, which is available to the Secretary for
activities such as responding to mass layoffs, plant and/or
military base closings and natural disasters that cannot be
otherwise anticipated as well as for technical assistance,
training, and demonstration projects. This amount is the same
as the fiscal year 2010 level and the budget request.
Funds made available in this bill support program year 2011
activities, which occur from July 1, 2011, through June 30,
2012. The bill provides that $29,160,000 is available for
obligation on July 1, 2011, and that $200,000,000 is available
on October 1, 2011. Both categories of funding are available
for obligation through June 30, 2012.
The Committee bill continues language authorizing the use
of funds under the dislocated workers program for projects that
provide assistance to new entrants in the workforce or
incumbent workers and assistance where there have been
dislocations across multiple sectors or local areas of a State.
Native American Programs.--The Committee recommends
$55,000,000, the same amount as the budget request, for Native
American programs. The comparable fiscal year 2010 level is
$52,758,000 for this program. This program is designed to
improve the economic well-being of Native Americans (Indians,
Eskimos, Aleuts, and Native Hawaiians) through the provision of
training, work experience, and other employment-related
services and opportunities that are intended to aid the
participants in securing permanent, unsubsidized employment.
Migrant and Seasonal Farmworker Programs.--The Committee
recommends $87,378,000, the same amount as the budget request,
for Migrant and Seasonal Farmworkers. The comparable fiscal
year 2010 level is $84,620,000 for this program. Authorized by
the Workforce Investment Act, this program is designed to serve
members of economically disadvantaged families whose principal
livelihood is derived from migratory and other forms of
seasonal farmwork, fishing, or logging activities. Enrollees
and their families are provided with employment training and
related services intended to prepare them for stable, year-
round employment within and outside of the agriculture
industry.
The Committee recommendation provides that $80,868,000 be
used for State service area grants. The Committee
recommendation also includes bill language directing that
$6,000,000 be used for migrant and seasonal farmworker housing
grants, of which not less than 70 percent shall be for
permanent housing. The principal purpose of these funds is to
continue the network of local farmworker housing organizations
working on permanent housing solutions for migrant and seasonal
farmworkers. The Committee recommendation also includes
$510,000 to be used for section 167 training, technical
assistance and related activities, including funds for migrant
rest center activities. Finally, the Committee wishes to advise
the Department regarding WIA requirements in selecting an
eligible entity to receive a State service area grant under
section 167. Such an entity must have already demonstrated a
capacity to administer effectively a diversified program of
workforce training and related assistance for eligible migrant
and seasonal farmworkers.
Women in Apprenticeship.--The Committee recommends
$1,000,000 for program year 2011 activities as authorized under
the Women in Apprenticeship and Non-Traditional Occupations Act
of 1992. This amount is the same as the fiscal year 2010 level
and the fiscal year 2011 budget request. These funds provide
for technical assistance to employers and unions to assist them
in training, placing, and retraining women in nontraditional
jobs and occupations.
YouthBuild.--The Committee recommends $110,000,000 for the
YouthBuild program. The fiscal year 2010 comparable amount is
$102,500,000. The budget request includes $120,000,000 for the
Youth Build program.
National Activities
Pilots, Demonstrations, and Research.--The Committee
recommends $73,559,000 for pilots, demonstration and research
authorized by section 171 of the Workforce Investment Act. The
comparable fiscal year 2010 level is $93,450,000 and the budget
request includes $46,556,000 for this purpose. These funds
support grants or contracts to conduct research, pilots or
demonstrations that foster promising practices for national
policy application or launch pilot projects on a broader scale.
The Committee bill provides that up to $40,000,000 can be
used to demonstrate and evaluate transitional job program
models. Transitional job models combine a comprehensive set of
support services including pre-job placement assessment, skills
development, job readiness training, and case management for an
individual in a subsidized transitional job that leads to
placement and continued support in competitive employment. This
represents the second year of funding for this initiative. The
Committee is aware that these models have shown great potential
in studies that evaluated employment outcomes for individuals
with multiple barriers to employment.
The budget proposes bill language to authorize the transfer
of up to 10 percent of the transitional jobs funds to the
Departments of Health and Human Services or Justice. The
Committee provides the requested transfer authority to assist
with the effective implementation of transitional jobs
projects, including support for leveraging resources under
their control, and to enable the Department of Labor to
evaluate such projects. Given that various Federal funding
streams currently support transitional jobs programs around the
United States, the Committee intends that the funds provided
not simply replace existing resources for such programs, but
leverage other resources to support program growth. The
Committee requests that the Department submit a plan and
timeline for the solicitation of grant applications as well as
advance notice prior to its publication in the Federal
Register.
The Committee remains concerned about the low level of
literacy and numeracy skills among adult workers, as 1 in 7
adults do not have basic literacy skills to succeed in
tomorrow's industries and jobs. The Committee encourages the
Department to continue to examine and publish successful
strategies and best practices that can help adults with low
literacy levels improve their overall skills and employment
opportunities.
The Committee recognizes the importance of building
stronger linkages between title I job training programs and
title II adult education and literacy programs in the Workforce
Investment Act of 1998 in order to create career pathways that
enhance participants' long-term economic success. The Committee
strongly urges the Department to expand funding to community-
based programs that have successfully implemented strategies
for delivering basic literacy instruction together with
employment training so that they may document and disseminate
best practices related to the integration of title I job
training programs with title II adult literacy programs.
The Committee notes the ongoing need for training and
education programs that prepare participants for employment in
high demand and emerging industry sectors such as healthcare.
The Health Care Training Initiative works to define career
pathways across the healthcare sector. As part of this
initiative, the Committee encourages the funding of replicable
demonstration programs that create apprenticeships for jobs in
healthcare.
The Committee recommendation includes language providing
funding for the following activities in the following amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
AFL-CIO Working for America Institute, Washington, DC, $1,000,000
for employment and training programs...................
Apprentice Training for Electrical Industry, 100,000
Philadelphia, PA, for a job training program...........
Arrowhead Economic Opportunity Agency, Virginia, MN, for 100,000
an educational and transportation assistance program
for job seekers........................................
Association of Village Council Presidents, Bethel, AK, 500,000
for workforce development and training.................
Baltimore City Mayor's Office of Employment Development, 150,000
Baltimore, MD, for a summer jobs program...............
Brevard Workforce Development Board, Rockledge, FL, for 600,000
a job training initiative..............................
Capps Workforce Training Center, Stoneville, MS, for 500,000
workforce training.....................................
Catholic Charities, Baltimore, MD, for a job training 250,000
and job placement program..............................
Center for Education, Business and the Arts, Interlocal 108,000
Agency, St. George, UT, for workforce development
program in green jobs..................................
Chesapeake Bay Trust, Annapolis, MD, for a job training 200,000
program and development of a training curriculum.......
City of Buffalo, NY, for youth employment readiness 500,000
programs...............................................
City of Jackson, MS, for workforce training............. 100,000
College of Southern Idaho, Twin Falls, ID, for job 150,000
training in green construction.........................
Community Transportation Association of America, 450,000
Washington, DC, to continue the Joblinks program.......
Des Moines Area Community College, Ankeny, IA, for the 400,000
development of the Perry Career Technical Academy......
Easter Seals of Southern Nevada, Las Vegas, NV, for a 200,000
job training program for dislocated workers............
Envirolution, Reno, NV, for a green jobs resources 200,000
center.................................................
Expertise, Inc, Las Vegas, NV, for job readiness and 100,000
employment training....................................
Finishing Trades Institute, Kenner, Louisiana, for job 150,000
training and workforce development.....................
First African Community Development Corporation, 100,000
Philadelphia, PA, for training in green and technology-
related jobs...........................................
Fletcher Community College, Houma, Louisiana, for job 200,000
training and workforce development.....................
Florida Institute of Technology, Melbourne, FL, for 250,000
training in cyber security.............................
Foundation for an Independent Tomorrow, Las Vegas, NV, 125,000
for job search support program.........................
Fox Valley Technical College, Appleton, WI, to expand 250,000
truck driver training program..........................
Fund for the City of New York, NY, for an academic 200,000
success and workforce development program..............
Goodwill Industries of Southeastern WI, Inc., Milwaukee, 750,000
WI, for community job center...........................
Goodwill of Southern Nevada, Las Vegas, NV, for the 100,000
career connections job training program................
Great Basin College, Elko, NV, for job training program. 200,000
Haven for Hope, San Antonio, TX, for job training and 200,000
education for the homeless.............................
Hispanic Federation, New York, NY, for a Latino 100,000
Workforce Training Initiative..........................
Holmes Community College, Goodman, MS, for workforce 225,000
training...............................................
Hopkins House, Alexandria, VA, for workforce development 150,000
and training in early childhood education..............
Iowa Workforce Development, Des Moines, IA, for the 1,000,000
IowaWORKS Integration Project..........................
Jobs for Mississippi Graduates, Inc., Jackson, MS, for 125,000
career development for at-risk youth...................
Lakeshore Technical College, Cleveland, WI, to support 750,000
the training of workers for manufacturing jobs.........
Las Vegas-Clark County Urban League, Las Vegas, NV, to 145,000
provide job development and workforce readiness skills
for unemployed or underemployed individuals............
Lawrence Technological University, Dearborn, MI, to 150,000
train displaced workers in green jobs..................
Maine Centers for Women, Work, & Community/University of 100,000
Maine at Augusta/University of Maine System, Augusta,
ME, for job training and workforce development.........
Maui Community College, Kahului, HI, for remote rural 2,300,000
Hawaii job training....................................
Maui Community College, Kahului, HI, for the Samoan/ 2,000,000
Asian Pacific Job Training program.....................
Maui Economic Development Board, Kihei, HI, Rural 300,000
Computer Utilization Training..........................
Maui Economic Development Board, Kihei, HI, to recruit, 450,000
train and retain women and minorities in STEM careers..
MedTech Association, Inc., Syracuse, NY, to identify 150,000
career pathways that connect to bioscience jobs........
Metropolitan State College of Denver, Denver, CO, for 100,000
the purchase of equipment for aviation training program
Milwaukee Area Technical College, Milwaukee, WI, for 300,000
Solar Jobs Training Center.............................
Mississippi Gulf Coast Community College, Perkinston, 250,000
MS, for workforce training.............................
Mississippi State University, Mississippi State, MS, for 375,000
the Mississippi Integrated Workforce Performance System
Mississippi Technology Alliance, Ridgeland, MS, for the 250,000
Mississippi ILED training program......................
Montana State University--Northern, Havre, MT, for 200,000
Energy Training Center.................................
Moore Community House, Biloxi, MS, for workforce 100,000
training...............................................
New Hampshire Manufacturing Extension Partnership, 200,000
Concord, NH, for incumbent worker retraining initiative
Nine Star Education & Employment Services, Anchorage, 100,000
AK, for job training for prisoner reentry pro- grams..
Nine Star Education and Employment, Anchorage, AK, to 200,000
expand Math for the Trades course......................
North Carolina Rural Economic Development Center, 150,000
Raleigh, NC, for Community Mobilization Project for
Dislocated Workers.....................................
North Dakota State College of Science, Fargo, ND, for 400,000
biosciences workforce training and equipment...........
Parnassa Fund, Inc., New York, NY, for EPI Emergency 150,000
Employment and Job Creation Network....................
Partners in Careers, Vancouver, WA, for workforce 100,000
development for female veterans........................
Peralta Community College District, Oakland, CA, for the 500,000
East Bay Green Jobs Project............................
Philadelphia Opportunities Industrialization Center, 100,000
Philadelphia, PA, for salaries and equipment...........
Plattsburgh-North Country Chamber of Commerce, 100,000
Plattsburgh, NY, for an on the job training program....
Rapides Parish Police Jury Office of Economic & 200,000
Workforce Development, Alexandria, LA, to train
displaced workers in demand occupations including green
jobs...................................................
Regional Education & Training Center at Satsop, Elma, 900,000
WA, for programs focused on rapid certifications, entry-
level degrees, and advanced certifications.............
River Valley Resources, Inc., Madison, IN, for workforce 100,000
training...............................................
San Mateo County Community College District, San Mateo, 150,000
CA, for curriculum development, job placement and job
retention services at the Allied Health Career
Advancement Academy....................................
Scranton Electricians JATC, Scranton, PA, for training 100,000
in green technologies..................................
SEIU Healthcare NW Training Partnership, Federal Way, 300,000
WA, for training of home care aides, including
equipment..............................................
South Delta Planning and Development District, 400,000
Greenville, MS, for workforce training.................
Southwest Alaska Vocational & Education Center, King 100,000
Salmon, AK, for workforce development programs in rural
Alaska.................................................
Southwest Mississippi Community College, Summit, MS, for 350,000
workforce training.....................................
Spectrum Resources, Des Moines, IA, to expand the 200,000
Project Phoenix job training program...................
St. Bernard Project, Chalmette, LA, for operational and 200,000
equipment expenses.....................................
State of Vermont Department of Public Safety, Waterbury, 100,000
VT, for firefighting and emergency services training
support................................................
Steamfitters Local 449 and Plumbers Local 27, 100,000
Pittsburgh, PA, for training program for those entering
the pipe trades industry...............................
Total Action Against Poverty, Roanoke, VA, to provide 250,000
job training to help individuals obtain and retain
employment.............................................
Twin Cities RISE!, Minneapolis, MN, to expand job 100,000
training program, and support program replication in
other cities...........................................
United 4 Economic Development, Salt Lake City, UT, for 250,000
workforce development and training.....................
Utah Capital Investment Corporation, Salt Lake City, UT, 250,000
for workforce development, education and train- ing...
Vermont HITEC, Williston, VT, for the Vermont HITEC Job 500,000
Training Initiative....................................
Vermont Technical College, Randolph Center, VT, for 300,000
development of a paramedicine program..................
Vermont Technical College, Randolph Center, VT, for 500,000
Green Jobs Workforce Development.......................
Veterans Leadership Program of Western Pennsylvania, 150,000
Pittsburgh, PA, for a jobs program for veterans........
Washington State Workforce Board, Olympia, WA, to better 1,000,000
engage employers with regional workforce development
systems................................................
Women's Initiative for Self Employment, San Francisco, 100,000
CA, for an economic self sufficiency program for low-
income women...........................................
Workforce Development Council of Seattle-King County, 400,000
Seattle, WA, to align K-12 and post-secondary education
to better meet the workforce skill needs in King County
Year Up Boston, Boston, MA, to support the expansion of 100,000
curriculum development and career placement services
for urban youth........................................
Youthcare, Seattle, WA, to provide youth with education 100,000
and training in the telecommunications industry........
YWCA Middle Rio Grande, Albuquerque, NM, for a 150,000
transitional living program for at-risk women veterans
and their children to prepare them for entry into the
workforce..............................................
------------------------------------------------------------------------
Green Jobs Innovation Fund.--The Committee recommends
$65,000,000 for the Green Jobs Innovation Fund. The budget
request includes $85,000,000 for the Fund and the comparable
fiscal year 2010 level is $40,000,000. The funds requested will
be used for competitive grants to help workers access green
training and green career pathways. Funds could be awarded for
activities including enhanced pre-apprenticeship and Registered
Apprenticeship programs, and innovative partnerships that
connect community-based organizations in underserved
communities with the workforce investment system. The Committee
notes that other programs within the Employment and Training
Administration such as Job Corps and YouthBuild are developing
green jobs curricula or programs, and it encourages the close
coordination of this Fund with other activities in the
Department to prevent duplication and ensure the sharing of
best practices. The Committee requests a report on the
implementation of this program and its coordination with other
green jobs initiatives within 90 days after enactment of this
act.
Reintegration of Ex-offenders.--The Committee recommends
$98,000,000, the same as the fiscal year 2011 budget request,
to continue funding for the Reintegration of Ex-offenders
program. The comparable fiscal year 2010 level is $108,493,000.
The Responsible Reintegration of Ex-offenders program targets
critical funding to help prepare and assist ex-offenders return
to their communities through pre-release services, mentoring,
and case management. The program also provides support,
opportunities, education, and training to youth who are court-
involved and on probation, in aftercare, on parole, or who
would benefit from alternatives to incarceration or diversion
from formal judicial proceedings. Programs are carried out
directly through State and local governmental entities and
community-based organizations, as well as indirectly through
intermediary organizations.
Evaluation.--The Committee recommends $11,600,000, the same
as the fiscal year 2011 budget request, to provide for new and
continuing rigorous evaluations of programs conducted under the
Workforce Investment Act, as well as of federally funded
employment-related activities under other provisions of law.
The comparable fiscal year 2010 level is $9,600,000 for this
purpose.
Career Pathways Innovation Fund.--The Committee concurs in
the budget request to eliminate funding for this program. The
comparable fiscal year 2010 level is $125,000,000. This program
focuses on expanding career pathway programs at community
colleges. The Committee is confident that significant other
funding sources exist to support community colleges. Most
recently, the Health Care and Education Reconciliation Act of
2010 provided $500,000,000 for each of fiscal years 2011-2014
for the Community College and Career Training Grant program.
Workforce Data Quality Initiative.--The Committee
recommends $13,750,000, the same as the requested level, for
the Workforce Data Quality Initiative. The comparable fiscal
year 2010 amount for this program is $12,500,000. Funds will be
used to assist States with incorporating comprehensive
workforce information into longitudinal data systems being
developed in part with the support of funding provided by the
Department of Education. The initiative also will help improve
the quality and accessibility of performance data being
produced by training providers.
OFFICE OF JOB CORPS
Appropriations, 2010.................................... $1,708,205,000
Budget estimate, 2011................................... 1,707,363,000
Committee recommendation................................ 1,712,205,000
For Job Corps, the Committee recommends $1,712,205,000. The
comparable fiscal year 2010 amount is $1,708,205,000. The
budget request includes $1,707,363,000 for Job Corps.
The recommendation for operations of Job Corps centers is
$1,577,095,000, comprised of $986,095,000 in fiscal year 2011
funds and $591,000,000 in advance appropriations from last
year's bill. For operations, the Committee also recommends
advance funding of $591,000,000, which will become available on
October 1, 2011.
The recommendation for administration is $30,110,000.
The Committee understands that construction on the new Job
Corps center in Ottumwa, Iowa, will be completed in March 2011.
The Committee's recommended level for operations includes funds
to ensure that competitively awarded contracts will be in place
to enable the Ottumwa center to open on or before July 2011 and
to serve the contracted capacity of 300 students.
The Committee also recommends $5,000,000 in construction,
renovation and acquisition funds, which are available from July
1, 2011, to June 30, 2014. In addition, $100,000,000 in
construction, rehabilitation and acquisition [CRA] funds are
provided in advance funding, which will make these funds
available on October 1, 2011, through June 30, 2014.
Job Corps received $211,646,000 in CRA funds in the
American Recovery and Reinvestment Act of 2009. These funds
helped address a number of Job Corps facility needs. In light
of this recent influx of capital funds and consistent with the
budget request, the Committee directs Job Corps to use its
authority to transfer up to 15 percent of CRA funds to meet the
operational needs of Job Corps centers.
For 3 years, Congress has highlighted the need to expand
Job Corps programs in areas experiencing increased numbers of
high school dropouts, unemployed youth, youth aging out of
foster care, and homeless youth. In fiscal year 2010, the
Committee included $5,000,000 to begin the process of
establishing a minimum of two new Job Corps centers,
particularly in large metropolitan areas without a Job Corps
center and areas focused on the acute socio-economic needs of
America's poorest rural youth. To date, the Department has yet
to begin the expansion process. The Committee directs the
Department to announce a competition for a minimum of two new
Job Corps centers as stated in House Report 111-366.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS
Appropriations, 2010.................................... $825,425,000
Budget estimate, 2011................................... 600,425,000
Committee recommendation................................ 600,425,000
The Committee recommends $600,425,000, the same as the
fiscal year 2011 budget request, for community service
employment for older Americans. The comparable fiscal year 2010
level is $825,425,000. The fiscal year 2010 appropriation
included a one-time program expansion designed to serve
additional unemployed low-income seniors affected by the
economic downturn.
This program, authorized by title V of the Older Americans
Act, provides part-time employment in community service
activities for unemployed, low-income persons aged 55 and over.
It is a forward-funded program, so the fiscal year 2011
appropriation will support the program from July 1, 2011,
through June 30, 2012.
The program provides a direct, efficient, and quick means
to assist economically disadvantaged older workers because it
has a proven effective network in every State and in
practically every county. Administrative costs for the program
are low and the vast majority of the money goes directly to
low-income seniors as wages and fringe benefits.
The program provides a wide range of vital community
services that would not otherwise be available, particularly in
low-income areas and minority neighborhoods. Senior enrollees
provide necessary and valuable services at Head Start centers,
schools, hospitals, libraries, elderly nutrition sites, senior
centers, and elsewhere in the community.
A large proportion of senior enrollees use their work
experience and training to obtain employment in the private
sector. This not only increases our Nation's tax base but also
enables more low-income seniors to participate in the program.
Bill language is continued from last year to enable the
Department to recapture and obligate unneeded program funds at
the end of a program year for support of technical assistance,
incentive grants or other purposes, as authorized by the Older
Americans Act. The budget did not propose continuing this
language.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
Appropriations, 2010.................................... $1,818,400,000
Budget estimate, 2011................................... 1,938,200,000
Committee recommendation................................ 1,938,200,000
The Committee recommends $1,938,200,000, the same as the
fiscal year 2001 budget request, in mandatory funds for Federal
unemployment benefits and allowances. The fiscal year 2010
comparable amount is $1,818,400,000. Trade adjustment benefit
payments are expected to increase from $1,067,000,000 in fiscal
year 2010 to $1,595,000,000 in fiscal year 2011, while trade
training expenditures in fiscal year 2011 are estimated to be
$278,200,000 for the expected certification of 321,000 trade-
affected workers.
The Trade and Globalization Adjustment Assistance Act of
2009 [TGAAA] reauthorized the Trade Adjustment Assistance [TAA]
programs. The reauthorization expanded TAA coverage to more
workers and employers, including those in the service sector.
It also made benefits available to workers whose jobs have been
lost to any country, not just those countries involved in a
trade agreement with the United States. The expansions
authorized under TGAAA sunset after December 31, 2010.
The TAA program assists trade-impacted workers with
services including: training, income support, employment, case
management, and assistance with health insurance coverage. In
addition, the program, through Reemployment Trade Adjustment
Assistance, includes a wage insurance option for certain
workers at least 50 years old.
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS
Appropriations, 2010.................................... $4,113,681,000
Budget estimate, 2011................................... 4,435,327,000
Committee recommendation................................ 4,440,327,000
The Committee recommends $4,440,327,000 for this account.
The recommendation includes $4,348,924,000 authorized to be
drawn from the Employment Security Administration account of
the unemployment trust fund, $91,403,000 to be provided from
the general fund of the Treasury.
The funds in this account are used to provide
administrative grants and assistance to State agencies that
administer Federal and State unemployment compensation laws and
operate the public employment service.
The Committee bill continues language that enables States
to use funds appropriated under this account to assist other
States if they are impacted by a major disaster declared by the
President; at the request of one or more States, authorizes the
Secretary to reallot funds for States to carry out activities
that benefit the administration of unemployment compensation
laws of a requesting State; and permits the Secretary to use
funds to make payments on behalf of States for the use of the
National Directory of New Hires.
The Committee recommends a total of $3,581,389,000 for
unemployment insurance activities.
For unemployment insurance [UI] State operations, the
Committee recommends $3,570,079,000. These funds are available
for obligation by States through December 31, 2011. However,
funds used for automation acquisitions, for re-employment and
eligibility assessments discussed below and funds awarded to
States under the misclassification initiative are available for
obligation by States through September 30, 2013.
The recommendation includes $65,000,000 to conduct in-
person reemployment and eligibility assessments [REAs] and
unemployment insurance improper payment reviews, as proposed in
the budget request. The recommendation will support
continuation and expansion of the REA initiative in
approximately 40 States. This important program integrity
initiative will save State UI trust fund accounts an estimated
$210,000,000 representing a return on investment of more than 3
to 1. The Committee intends for a portion of the funds to be
used for additional technology-based overpayment prevention,
detection, and collection activities.
In addition, the Committee recommendation provides for a
contingency reserve amount should the unemployment workload
exceed an average weekly insured claims volume of 6,051,000, as
proposed in the budget request. This contingency amount would
fund the administrative costs of the unemployment insurance
workload over the level of 6,051,000 insured unemployed persons
per week at a rate of $28,600,000 per 100,000 insured
unemployed persons, with a pro rata amount granted for amounts
of less than 100,000 insured unemployed persons.
For UI national activities, the Committee recommends
$11,310,000. These funds are directed to activities that
benefit the State/Federal unemployment insurance program
including helping States adopt common technology-based
solutions to improve efficiency and performance and supporting
training and contracting for actuarial support for State trust
fund management.
For the Employment Service allotments to States, the
Committee recommends $703,576,000, which includes $22,683,000
in general funds together with an authorization to spend
$680,893,000 from the Employment Security Administration
account of the unemployment trust fund. This amount is the same
as the fiscal year 2011 budget request and the fiscal year 2010
comparable funding level.
The Committee also recommends $20,994,000 for Employment
Service national activities. This is the same level as the
budget request and the comparable amount for fiscal year 2010.
The administration of the work opportunity tax credit accounts
for $18,520,000 of the recommended amount while the balance is
for technical assistance, training, and the Federal share of
State Workforce Agencies Retirement System payments. The fiscal
year 2010 Committee report encouraged the Department to focus a
technical assistance program on services to individuals with
disabilities available through State Employment Services and
the One-Stop Career Center Network. The Committee anticipates a
report on the Department's response to that request.
For carrying out the Department's responsibilities related
to foreign labor certification activities, the Committee
recommends $65,648,000, the same amount proposed in the budget
request. The fiscal year 2010 comparable amount is $68,436,000.
In addition, 5 percent of revenue from H-1B fees is available
to the Department for costs associated with processing H-1B
alien labor certification applications.
For One-Stop Career Centers and Labor Market Information,
the Committee recommends $68,720,000. The budget request
includes $63,720,000, the same as the fiscal year 2010
comparable amount for these activities. The Committee
recommendation includes $17,000,000 for the Employment and
Training Administration [ETA], in collaboration with the Office
of Disability Employment Policy [ODEP], to implement a plan for
improving effective and meaningful participation of persons
with disabilities in the workforce. The Committee expects that
these funds, in combination with funding available to ODEP,
will improve the accessibility and accountability of the public
workforce development system for individuals with disabilities.
The Committee further expects these funds to continue promising
practices implemented by disability program navigators. These
practices include the effective deployment of staff in selected
States to: improve coordination among employment, training, and
asset development programs carried out at the State and local
level such as the Ticket to Work program; and build effective
community partnerships that leverage public and private
resources to improve services and employment outcomes for
individuals with disabilities. The Committee requests that ETA
and ODEP develop appropriate objectives and performance
measures by which this initiative will be evaluated. The
Committee eagerly awaits the issuance of the solicitation for
grant applications for fiscal year 2010 funds consistent with
language in the fiscal year 2010 Committee report that
described this initiative.
STATE PAID LEAVE FUND
Appropriations, 2010....................................................
Budget estimate, 2011................................... $50,000,000
Committee recommendation................................ 10,000,000
The Committee recommends $10,000,000 for the State Paid
Leave Fund, which is a new activity. The budget request
includes $50,000,000 for the Fund. The Fund will provide
competitive grants to help States establish paid leave
programs. Currently, California, New Jersey, and Washington
have passed legislation to offer such programs, which are
called family leave insurance. Typically, the programs offer up
to 6 weeks of benefits to workers who must take time off to
care for a seriously ill child, spouse, or parent, or to bond
with a newborn or recently adopted child. The programs are
typically employee funded through small payroll premiums.
Grants will support State start-up activities relating to
the implementation of paid leave programs, such as program
infrastructure in States that have passed but not implemented
paid leave programs. The Committee is interested in the
capacity of this new initiative to encourage passage of paid
leave programs in additional States. Accordingly, these funds
will have a 2-year period of availability to allow sufficient
time for States to consider and pass legislation authorizing
paid leave programs. The Committee directs the Department to
provide a briefing not less than 30 days prior to the release
of a solicitation of grant applications and provide regular
updates on the status of this initiative and State efforts to
pass paid leave legislation.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS
Appropriations, 2010.................................... $120,000,000
Budget estimate, 2011................................... 200,000,000
Committee recommendation................................ 200,000,000
The Committee recommends $200,000,000 in mandatory funds,
the same as the fiscal year 2011 budget request, for this
account. The fiscal year 2010 funding level is $120,000,000 for
this purpose. The appropriation is available to provide
advances to several accounts for purposes authorized under
various Federal and State unemployment compensation laws and
the Black Lung Disability Trust Fund, whenever balances in such
accounts prove insufficient.
The Committee bill includes language proposed in the budget
request to allow the Department additional flexibility to
access funds as needed for covered programs.
PROGRAM ADMINISTRATION
Appropriations, 2010.................................... $147,656,000
Budget estimate, 2011................................... 162,042,000
Committee recommendation................................ 162,042,000
The Committee recommends $104,904,000 in general funds for
this account, as well as authority to expend $57,138,000 from
the Employment Security Administration account of the
unemployment trust fund, for a total of $162,042,000. The
fiscal year 2010 comparable amount is $147,656,000, and the
budget request provides $162,042,000 for this purpose.
General funds in this account pay for the Federal staff
needed to administer employment and training programs under the
Workforce Investment Act, the Older Americans Act, the Trade
Act of 1974, the Women in Apprenticeship and Non-Traditional
Occupations Act of 1992, and the National Apprenticeship Act.
Trust funds provide for the Federal administration of
employment security functions under title III of the Social
Security Act.
The Committee recommendation includes funds requested to
continue essential oversight, monitoring, and closeout
activities related to the American Recovery and Reinvestment
Act of 2009.
Employee Benefits Security Administration
SALARIES AND EXPENSES
Appropriations, 2010.................................... $154,861,000
Budget estimate, 2011................................... 161,995,000
Committee recommendation................................ 161,995,000
The Committee recommends $161,995,000 for the Employee
Benefits Security Administration [EBSA]. This amount is the
same as the budget request. The comparable fiscal year 2010
amount is $154,861,000.
The EBSA plays a critical role in improving health benefits
and retirement security for American workers and their
families. The EBSA is responsible for the enforcement of title
I of the Employee Retirement Income Security Act of 1974
[ERISA] in both civil and criminal areas. EBSA is also
responsible for enforcement of sections 8477 and 8478 of the
Federal Employees' Retirement Security Act of 1986. EBSA
provides funding for the enforcement and compliance, policy,
regulation, and public services, and program oversight
activities.
The Committee expects this appropriation to help the EBSA
better protect pension and health benefits for workers,
retirees, and their families. These funds will provide for
increased enforcement capacity, continued investments in EBSA
education and compliance assistance programs, and enhanced
research and evaluation activities.
Pension Benefit Guaranty Corporation
The Pension Benefit Guaranty Corporation's estimated
obligations for fiscal year 2011 include single employer
benefit payments of $6,677,000,000, multi-employer financial
assistance of $102,000,000 and administrative expenses of
$466,301,000. Administrative expenses are comprised of three
activities: (1) Pension insurance activities, $71,896,000; (2)
pension plan termination expenses, $249,408,000; and (3)
operational support, $144,997,000. These expenditures are
financed by permanent authority.
The Pension Benefit Guaranty Corporation [PBGC] is a wholly
owned Government corporation established by ERISA. The law
places it within the Department of Labor and makes the
Secretary of Labor the chair of its board of directors. The
corporation receives its income primarily from insurance
premiums collected from covered pension plans, assets of
terminated pension plans, collection of employer liabilities
imposed by the act, and investment earnings. The primary
purpose of the corporation is to guarantee the payment of
pension plan benefits to participants if covered defined
benefit plans fail or go out of existence.
The President's budget proposes to continue from last
year's bill a contingency fund for the PBGC that provides
additional administrative resources when the number of
participants in terminated plans exceeds 100,000. When the
trigger is reached, an additional $9,200,000 becomes available
for every 20,000 participants in terminated plans. A trigger
also is included for additional investment management fees for
plan terminations or asset growth. These additional funds would
be available for obligation through September 30, 2012. The
Committee bill continues this provision to ensure that the PBGC
can take immediate, uninterrupted action to protect
participants' pension benefits. The Committee expects to be
notified immediately of the availability of any funds provided
by these provisions.
The President's budget also continues language included in
last year's bill that allows PBGC additional obligation
authority for unforeseen and extraordinary pre-termination
expenses, after approval by the Office of Management and Budget
and notification of the Committees on Appropriations of the
House of Representatives and Senate.
The single-employer program protects about 33,600,000
participants in approximately 28,000 defined benefit pension
plans. The multi-employer insurance program protects about 10
million participants in more than 1,500 plans.
Wage and Hour Division
SALARIES AND EXPENSES
Appropriations, 2010.................................... $227,606,000
Budget estimate, 2011................................... 244,240,000
Committee recommendation................................ 244,240,000
The Committee recommends $244,240,000, the same amount as
the budget request, for the Wage and Hour Division. The
comparable fiscal year 2010 amount is $227,606,000.
The Wage and Hour Division was formerly part of the
Employment Standards Administration, which was disbanded last
year. The Wage and Hour Division is responsible for
administering and enforcing laws that provide minimum standards
for wages and working conditions in the United States. The Fair
Labor Standards Act, employment rights under the Family and
Medical Leave Act, and the Migrant and Seasonal Agricultural
Worker Protection Act are several of the important laws the
Wage and Hour Division is charged with administering and/or
enforcing.
The Committee recommendation provides sufficient funding to
support the continued rebuilding of the Wage and Hour
Division's capacity to conduct inspections and investigations
of industries with high concentrations of low-wage and other
vulnerable workers, and industries with high levels of wage and
hour violations, including overtime violations. The Committee
is particularly interested in the continued focus of the Wage
and Hour Division on increased employer compliance with the
special minimum wage program authorized under section 14(c) of
the Fair Labor Standards Act.
The Committee recommendation also supports the
administration's misclassification initiative. The budget
request includes $12,000,000 for the Wage and Hour Division to
participate in a joint Department of Labor-Department of the
Treasury initiative to detect and deter the inappropriate
misclassification of employees as independent contractors. When
employees are inappropriately misclassified, it deprives them
of important benefits, such as overtime and unemployment
insurance, and reduces revenues that ought to be paid into the
Treasury and Unemployment Insurance programs. The Committee
expects to be updated on actions taken to implement this
important initiative.
Office of Labor-Management Standards
SALARIES AND EXPENSES
Appropriations, 2010.................................... $41,367,000
Budget estimate, 2011................................... 45,181,000
Committee recommendation................................ 45,181,000
The Committee recommends $45,181,000, the same amount as
the budget request, for the Office of Labor-Management
Standards. The comparable fiscal year 2010 amount is
$41,367,000. The Office of Labor-Management Standards was
formerly part of the Employment Standards Administration, which
was disbanded last year.
The Office of Labor-Management Standards administers the
Labor-Management Reporting and Disclosure Act of 1959 and
related laws. These laws establish safeguards for union
democracy and financial integrity. They also require public
disclosure by unions, union officers, employers and others. In
addition, the office also administers employee protections
under federally sponsored transportation programs.
Office of Federal Contract Compliance Programs
SALARIES AND EXPENSES
Appropriations, 2010.................................... $105,386,000
Budget estimate, 2011................................... 113,433,000
Committee recommendation................................ 112,433,000
The Committee recommends $112,433,000 for the Office of
Federal Contract Compliance Programs. The comparable fiscal
year 2010 amount is $105,386,000 and the budget request
includes $113,433,000 for this office. The Office of Federal
Contract Compliance Programs was formerly part of the
Employment Standards Administration, which was disbanded last
year.
The Office of Federal Contract Compliance Programs protects
workers and potential employees of Federal contractors from
employment discrimination as prohibited under Executive Order
11246, section 503 of the Rehabilitation Act of 1973 and the
Vietnam Era Veterans' Readjustment Assistance Act of 1974.
Office of Workers' Compensation Programs
SALARIES AND EXPENSES
Appropriations, 2010.................................... $118,295,000
Budget estimate, 2011................................... 127,346,000
Committee recommendation................................ 126,346,000
The Committee recommends $126,346,000 for the Office of
Workers' Compensation Programs. The budget request is
$127,346,000. The comparable fiscal year 2010 amount is
$118,295,000. The bill provides authority to expend $2,181,000
from the special fund established by the Longshore and Harbor
Workers' compensation Act.
The Office of Workers' Compensation Programs was formerly
part of the Employment Standards Administration, which was
disbanded last year. The Office administers four distinct
compensation programs which include the Federal Employees'
Compensation Act, the Longshore and Harbor Workers'
Compensation Act, the Black Lung Benefits programs and the
Energy Employees Occupational Illness Compensation Program. In
addition, the Office houses the Division of Information
Technology Management and Services, which provides services to
offices that were previously part of the Employment Standards
Administration.
DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION
SALARIES AND EXPENSES
Appropriations, 2010.................................... $51,900,000
Budget estimate, 2011................................... 53,778,000
Committee recommendation................................ 53,778,000
The Committee recommends $53,778,000 for the Division of
Energy Employees Occupational Illness Compensation. This amount
is the same as the budget request. The comparable fiscal year
2010 amount is $51,900,000. This is a mandatory appropriation.
The Division administers the Energy Employees Occupational
Illness Compensation Program Act [EEIOCPA], which provides
benefits to eligible employees and former employees of the
Department of Energy, its contractors and subcontractors or to
certain survivors of such individuals. The mission also
includes delivering benefits to certain beneficiaries of the
Radiation Exposure Compensation Act. The Division is part of
the Office of Workers' Compensation Programs, which was part of
the Employment Standards Administration until it was
reorganized last year.
In 2011, the volume of incoming claims under part B of the
EEOICPA is estimated at about 6,400 claims from Department of
Energy [DOE] employees or survivors, and private companies
under contract with DOE, who suffer from a radiation-related
cancer, beryllium-related disease, or chronic silicosis as a
result of their work in producing or testing nuclear weapons.
Under part E, approximately 6,800 new claims will be
received during fiscal year 2011. Under this authority, the
Department provides benefits to eligible DOE contractor
employees or their survivors who were found to have work-
related occupational illnesses due to exposure to a toxic
substance at a DOE facility.
SPECIAL BENEFITS
Appropriations, 2010.................................... $187,000,000
Budget estimate, 2011................................... 183,000,000
Committee recommendation................................ 183,000,000
The Committee recommends $183,000,000, the same as the
budget request, for this account. The comparable fiscal year
2010 amount is $187,000,000. This mandatory appropriation
primarily provides benefits under the Federal Employees'
Compensation Act [FECA]. This benefit program is administered
by the Office of Workers' Compensation Programs, which was
formerly part of the Employment Standards Administration, which
was disbanded last year.
The Committee recommends continuation of appropriation
language to provide authority to require disclosure of Social
Security account numbers by individuals filing claims under the
Federal Employees' Compensation Act or the Longshore and Harbor
Workers' Compensation Act and its extensions.
The Committee recommends continuation of appropriation
language that provides authority to use the FECA fund to
reimburse a new employer for a portion of the salary of a newly
re-employed injured Federal worker. The FECA funds will be used
to reimburse new employers during the first 3 years of
employment, not to exceed 75 percent of salary in the worker's
first year and declining thereafter.
The Committee recommendation also continues language
allowing carryover of unobligated balances from fiscal year
2010 to be used in the following year.
The Committee again includes appropriation language that
retains the drawdown date of August 15. The drawdown authority
enables the agency to meet any immediate shortage of funds
without requesting supplemental appropriations. The August 15
drawdown date allows flexibility for continuation of benefit
payments without interruption.
The Committee recommends continuation of appropriation
language to provide authority to deposit into the special
benefits account of the employees' compensation fund those
funds that the Postal Service, the Tennessee Valley Authority,
and other entities are required to pay to cover their fair
share of the costs of administering the claims filed by their
employees under FECA. Finally, the Committee continues to allow
use of fair share collections to fund capital investment
projects and specific initiatives to strengthen compensation
fund control and oversight.
SPECIAL BENEFITS FOR DISABLED COAL MINERS
Appropriations, 2010.................................... $225,180,000
Budget estimate, 2011................................... 203,220,000
Committee recommendation................................ 203,220,000
The Committee recommends a mandatory appropriation of
$158,220,000 in fiscal year 2011 for special benefits for
disabled coal miners. This is in addition to the $45,000,000
appropriated last year as an advance for the first quarter of
fiscal year 2011. These mandatory funds are used to provide
monthly benefits to coal miners disabled by black lung disease
and their widows and certain other dependents, as well as to
pay related administrative costs.
This account pays for the benefits and administrative costs
of part B of the Black Lung Benefits Act. The program is
administered by the Division of Coal Mine Workers'
Compensation, which is part of the Office of Workers'
Compensation Programs. The Office was part of the Employment
Standards Administration until it was reorganized last year.
Part B benefits are based on black lung claims filed on or
before December 31, 1973. In fiscal year 2011, an estimated
24,000 beneficiaries will receive benefits. By law, increases
in black lung benefit payments are tied directly to Federal pay
increases. The year-to-year decrease in this account reflects a
declining beneficiary population.
The Committee recommends an advance appropriation of
$41,000,000 for the first quarter of fiscal year 2012. This
amount is the same as the budget request. These funds will
ensure uninterrupted benefit payments to coal miners, their
widows, and dependents.
BLACK LUNG DISABILITY TRUST FUND
Appropriations, 2010.................................... $662,874,000
Budget estimate, 2011................................... 709,523,000
Committee recommendation................................ 709,523,000
The Committee recommends $709,523,000 for this mandatory
appropriations account. This amount is the same as the budget
request. The comparable fiscal year 2010 amount is
$662,874,000.
This benefit program is administered by the Division of
Coal Mine Workers' Compensation, which is part of the Office of
Workers' Compensation Programs. The Division was part of the
Employment Standards Administration until it was reorganized
last year.
The appropriation language continues to provide indefinite
authority for the Black Lung Disability Trust Fund to provide
for benefit payments. The recommendation assumes that
$228,389,000 for benefit payments will be paid in fiscal year
2011. In addition, the appropriation bill provides for
transfers from the trust fund for administrative expenses for
the following Department of Labor agencies: up to $33,075,000
for the part C costs of the Division of Coal Mine Workers'
Compensation Programs, up to $25,394,000 for Departmental
Management, Salaries and Expenses, and up to $327,000 for
Departmental Management, Inspector General. The bill also
allows a transfer of up to $356,000 for the Department of the
Treasury.
The trust fund pays all black lung compensation/medical and
survivor benefit expenses when no responsible mine operation
can be assigned liability for such benefits or when coal mine
employment ceased prior to 1970, as well as all administrative
costs that are incurred in administering the benefits program
and operating the trust fund.
It is estimated that 25,250 individuals will receive black
lung benefits financed through the end of the fiscal year 2011.
The basic financing for the trust fund comes from a coal
excise tax for underground and surface-mined coal. Additional
funds come from reimbursement from the Advances to the
Unemployment Trust Fund and Other Funds as well as payments
from mine operators for benefit payments made by the trust fund
before the mine operator is found liable. The advances to the
fund assure availability of necessary funds when liabilities
may exceed other income. The Emergency Economic Stabilization
Act of 2008 authorized the restructuring of the Black Lung
Disability debt and extended the current tax structure until
the end of 2018.
Occupational Safety and Health Administration
SALARIES AND EXPENSES
Appropriations, 2010.................................... $558,620,000
Budget estimate, 2011................................... 573,096,000
Committee recommendation................................ 574,096,000
The Committee recommends $574,096,000 for this account. The
comparable fiscal year 2010 amount is $558,620,000. The budget
request includes $573,096,000. This agency is responsible for
enforcing the Occupational Safety and Health Act of 1970 in the
Nation's workplaces.
In addition, the Committee has included language to allow
the Occupational Safety and Health Administration [OSHA] to
retain up to $200,000 per fiscal year of training institute
course tuition fees to be used for occupational safety and
health training and education grants in the private sector.
The Committee retains language carried in last year's bill
effectively exempting farms employing 10 or fewer people from
the provisions of the act with the exception of those farms
having a temporary labor camp. The Committee also retains
language exempting small firms in industry classifications
having a lost workday injury rate less than the national
average from general schedule safety inspections. These
provisions have been in the bill for many years.
The Committee recommendation supports the important mission
carried out by OSHA. The Committee notes that 14 workers
suffered a fatal occupational injury each day during calendar
year 2008. While an improvement over 2007, this rate is still
too high. This appropriation will help OSHA meet its goal of
securing safe and healthy workplaces, particularly for the most
dangerous workplaces. The Committee intends these funds to help
rebuild OSHA's enforcement capacity, accelerate safety and
health standards development, and maintain robust compliance
assistance programs.
The Committee recommends $105,893,000 for grants to States
under section 203(g) of the Occupational Safety and Health Act.
These funds are provided to States that have taken
responsibility for administering their own occupational safety
and health programs for the private sector and/or the public
sector. State plans must be at least as effective as the
Federal program and are monitored by OSHA. The Committee
continues language that allows OSHA to provide grants of up to
50 percent for the costs of State plans approved by the agency.
The Committee believes that, given the continuing fiscal
pressures facing State budgets, OSHA should continue its
practice of allowing States an extra year to match fiscal year
2011 resources offered for support of their State plans.
The Committee continues to be concerned that a significant
proportion of work-related injuries and illnesses appear not to
be captured on the OSHA Log of Work-related Injuries and
Illnesses or in the annual Bureau of Labor Statistics [BLS]
Survey of Occupational Injuries and Illnesses. The Committee
understands that several recent studies have found that the BLS
survey may miss between 25 percent and 70 percent of all
nonfatal injuries and illnesses, when compared to State
workers' compensation information. While there is some
explanation for why these data systems won't match completely,
the Committee believes the apparent level of underreporting
raises serious questions, particularly when firms may have
economic incentives to underreport and workers may fear
retaliation for reporting injuries.
Given that complete and accurate reporting of injuries and
illnesses is part of the foundation of the OSHA program, the
Committee continues to believe that OSHA needs to take steps to
better understand the completeness of employer-provided data.
Specifically, the Committee directs OSHA to continue oversight
and enforcement of its recordkeeping standard to ensure
complete and accurate recording and reporting by employers.
Within the Committee recommendation, funds are available to
continue a recordkeeping enforcement initiative on injury and
illness recording. The Committee intends for this effort to
enable OSHA to review the completeness and accuracy of
individual employers' injury and illness records and determine
whether there are employer policies or practices in place that
cause incomplete reporting of injuries and illnesses by
employees. The Committee expects OSHA to keep it updated of its
actions in this area.
The Committee strongly supports the Department's goal of
giving workers a voice in the workplace and OSHA's critical
role in that effort, which involves the enforcement of 17
whistleblower protection statutes. The Committee notes that
OSHA used a portion of the fiscal year 2010 appropriation to
provide an increase of 25 full-time equivalent [FTE] staff for
its work in this area. The Committee requests that future
congressional budget justifications identify funding and FTE
levels for whistleblower activities and the specific
performance goals and measures addressing program quality and
timeliness issues.
The Committee also believes that OSHA's worker safety and
health training and education programs, including the grant
program that supports such training, are a critical part of a
comprehensive approach to worker protection. The Committee
recommendation includes $11,000,000 for the OSHA Susan Harwood
Training Grant Program.
Mine Safety and Health Administration
SALARIES AND EXPENSES
Appropriations, 2010.................................... $357,293,000
Budget estimate, 2011................................... 360,780,000
Committee recommendation................................ 377,000,000
The Committee recommendation includes $377,000,000 for the
Mine Safety and Health Administration [MSHA]. The comparable
fiscal year 2010 amount is $357,293,000. The budget request
includes $360,780,000 for MSHA.
This agency insures the safety and health of the Nation's
miners by conducting inspections and special investigations of
mine operations, promulgating mandatory safety and health
standards, cooperating with the States in developing effective
State programs, and improving training in conjunction with
States and the mining industry.
The explosion at Upper Big Branch earlier this year was a
tragic reminder of the important role that MSHA must play in
preventing injury and death in our Nation's mines. The
Committee believes that MSHA must utilize effectively its
authority and resources to prevent another disaster through
vigorous enforcement of mine safety law and regulations. The
Committee has added $16,520,000 above the budget request to
support MSHA's efforts. This appropriation should be used to
address several key areas, as described below.
The Committee recommendation provides funding to support
the costs of the Upper Big Branch investigation and internal
review. The families of the deceased and injured miners, the
Department of Labor, MSHA, Congress, and the public must have a
complete understanding of what went wrong and why, as well as
the steps planned to address any issues identified. However,
the Committee believes that the yet-to-be-completed
investigation is not a reason to delay a single action that
would strengthen MSHA's ability to improve the health and
safety of our Nation's miners and help mine operators carryout
their responsibilities to provide for a safe workplace.
Miners know the conditions of their mine and equipment, and
potential safety and health threats, but the Committee believes
MSHA should take additional actions to ensure that miners are
trained properly in and aware of their rights to identify and
report safety hazards in their workplaces. The Committee has
provided additional funds for MSHA to support training on miner
rights in the workplace, focused particularly on identifying
and reporting safety and health hazards. Miners and their
families also must be protected from discrimination for
reporting safety and health hazards in the workplace and the
Committee urges MSHA to take action to ensure their rights are
protected. The Committee also has provided additional funds to
enhance MSHA's hazard conditions complaint system.
While every effort must be made to avoid a mine accident,
the Committee recommendation includes additional funds to
strengthen MSHA's emergency response capability in case one
does occur. Funds also are provided for the Office of
Assessments to effectively identify mines that meet a pattern
of violation status and support necessary rulemaking
activities. Sufficient funds are available to support adequate
staff for meeting MSHA's mission, including its inspection
requirements, technical support, and review of mining plans.
The Committee requests that MSHA prepare an operating plan
for this appropriation that describes how funds will be
utilized in carrying out its mission. This report shall be
provided to the Committees on Appropriations of the Senate and
House of Representatives not later than 30 days after enactment
of this act.
The Committee bill continues language authorizing MSHA to
use up to $2,000,000 for mine rescue and recovery activities.
It also retains the provision allowing the Secretary of Labor
to use any funds available to the Department to provide for the
costs of mine rescue and survival operations in the event of a
major disaster.
In addition, bill language is included to allow the
National Mine Health and Safety Academy to collect not more
than $750,000 for room, board, tuition, and the sale of
training materials to be available for mine safety and health
education and training activities. Bill language also allows
MSHA to retain up to $1,000,000 from fees collected for the
approval and certification of equipment, materials, and
explosives for use in mines, and may utilize such sums for such
activities.
The Committee also recommends $1,500,000 to the United Mine
Workers of America to continue an award for classroom and
simulated rescue training for mine rescue teams at its Beckley,
West Virginia, and Washington, Pennsylvania, career centers.
Bureau of Labor Statistics
SALARIES AND EXPENSES
Appropriations, 2010.................................... $611,447,000
Budget estimate, 2011................................... 645,351,000
Committee recommendation................................ 634,851,000
The Committee recommends $634,851,000 for this account. The
comparable fiscal year 2010 amount is $611,447,000. The budget
request includes $645,351,000. The recommendation includes
$67,438,000 from the Employment Security Administration account
of the unemployment trust fund, and $567,413,000 in Federal
funds. Language pertaining to the Current Employment Survey is
retained from prior-year bills.
The Bureau of Labor Statistics [BLS] is the principal fact-
finding agency in the Federal Government in the broad field of
labor economics.
The Committee continues to be concerned about the
significant discrepancies found in comparisons of BLS injury
and illness survey data, which are based on employer-reported
injury logs provided to the Occupational Safety and Health
Administration [OSHA], and State worker compensation
information. The research identified that the BLS data were
only capturing as few as one-third of injuries under certain
State worker compensation systems. While there is some
explanation for why data from State worker compensation systems
won't match perfectly with the BLS survey data, the research
conducted to date raises serious questions about the
completeness of the national workplace injury surveillance
system.
Therefore, the Committee recommendation includes resources
to continue BLS efforts to: strengthen the current BLS
examination of the differences between workers' compensation
information and BLS survey data; better understand employer
injury and illnesses recording practices; and conduct a pilot
study of using multiple data sources to capture injury and
illness data. The Committee expects to be kept apprised of BLS
work in this area.
The Committee recommendation also includes $1,500,000 to
continue the Mass Layoff Statistics Program.
The Committee notes that the fiscal year 2011 request for
BLS includes a number of proposals to reduce the cost of its
programs, including restructuring the current employment survey
program and developing an alternative source of data for
locality pay surveys. These actions will allow BLS to continue
its production of high-quality data at lower costs.
The Committee bill does not contain language included in
the fiscal year 2010 bill that requires the BLS to continue the
women worker series within the current employment statistics
program. The administration's fiscal year 2011 budget request
proposes deleting the language. The Committee understands BLS
will continue this data collection as it currently exists;
therefore, this bill language is unnecessary.
Office of Disability Employment Policy
Appropriations, 2010.................................... $39,031,000
Budget estimate, 2011................................... 39,138,000
Committee recommendation................................ 44,138,000
The Committee recommends $44,138,000 for this account in
fiscal year 2011. The comparable fiscal year 2010 level is
$39,031,000. The budget request is $39,138,000. The Committee
intends that at least 80 percent of these funds shall be used
to design and implement research and technical assistance
grants and contracts to develop policy that reduces barriers to
employment for youth and adults with disabilities.
Congress created the Office of Disability Employment Policy
[ODEP] in the Department of Labor's fiscal year 2001
appropriation. The mission of ODEP is to provide leadership,
develop policy and initiatives, and award grants furthering the
objective of eliminating physical and programmatic barriers to
the training and employment of people with disabilities. The
Committee strongly supports each of the components of ODEP's
mission and, in particular, urges the Secretary to ensure that
ODEP is properly supported in carrying out its leadership role
with respect to Government-wide policies related to the
training and employment of individuals with disabilities.
The Committee recommendation includes $17,000,000 for the
ODEP, in collaboration with the Employment and Training
Administration [ETA], to continue to implement their joint plan
for improving effective and meaningful participation of persons
with disabilities in the workforce. The Committee expects that
these funds, in combination with funding available to ETA, will
improve the accessibility and accountability of the public
workforce development system for individuals with disabilities.
The Committee further expects these funds to continue promising
practices implemented by disability program navigators,
including effective deployment of staff in selected States to:
improve coordination and collaboration among employment and
training and asset development programs carried out at a State
and local level, including the Ticket to Work program; and
build effective community partnerships that leverage public and
private resources to better serve individuals with disabilities
and improve employment outcomes.
Departmental Management
SALARIES AND EXPENSES
Appropriations, 2010.................................... $356,006,000
Budget estimate, 2011................................... 428,624,000
Committee recommendation................................ 432,624,000
The Committee recommendation includes $432,624,000 for the
Departmental Management account. The comparable fiscal year
2010 amount is $356,006,000 and the budget request includes
$428,624,000 for this purpose. An amount of $327,000 is
available by transfer from the Black Lung Disability Trust
Fund.
The primary goal of the Department of Labor is to protect
and promote the interests of American workers. The departmental
management appropriation finances staff responsible for
formulating and overseeing the implementation of departmental
policy and management activities in support of that goal. In
addition, this appropriation includes a variety of operating
programs and activities that are not involved in departmental
management functions, but for which other appropriations for
salaries and expenses are not suitable.
The Committee recommendation includes an increase above the
budget request of $16,000,000 within the legal services
activity to continue support of the Department's efforts to
reduce the backlog of cases before the Federal Mine Safety and
Health Review Commission [FMSHRC]. The Committee remains
concerned that the backlog of cases at the FMSHRC has increased
by greater than 400 percent over historical levels. The
Committee understands that this backlog is largely due to the
fact that the rate of contested citations has grown from 7
percent before the enactment of the MINER Act of 2006 to more
than 25 percent last year. The Committee is continuing its
efforts to address this issue by increasing funding for the
FMSHRC, as described later in the report, to reduce the backlog
by engaging additional judges and support staff, and continue
the transition to an electronic case management system.
The Committee intends these funds to support necessary
expenses of the Department of Labor related to an increased
capacity of the Commission to process caseloads pending before
it. The Committee expects the Department to make every effort
to support the timely processing of contested citations,
particularly for operators that have the highest proportion of
significant and substantial citations or other evidence of
unacceptable health and safety records.
Up to $7,200,000 of these additional funds for legal
services may be transferred to the Mine Safety and Health
Administration for related costs and other activities designed
to improve the safety and health of miners. The Committees on
Appropriations of the Senate and House of Representative shall
be notified not later than 10 days prior to the transfer of
such funds. The Committees further expect the Department and
Federal Mine Safety and Health Review Commission to continue to
implement activities that will reduce incentives for mine
operators to challenge cases and improve the efficiency by
which challenges are heard. The Committee requests that the
Department and FMSHRC submit such a plan not later than 30 days
after enactment of this act, and provide quarterly progress
reports thereafter on the status of activities identified in
the plan, including an explanation for any activity that is not
completed within the timeframe identified in the operating
plan.
The Committee recommendation includes $117,000,000 for the
Bureau of International Labor Affairs [ILAB]. The comparable
fiscal year 2010 appropriation is $92,669,000 and the budget
request includes $115,000,000. These funds are available to
help improve working conditions and labor standards for workers
around the world and carry out ILAB's statutory mandates and
international responsibilities. These funds may be used to
support microfinance programs and other livelihood activities
that contribute to a more comprehensive approach to addressing
the root causes of labor exploitation, including child and
forced labor. Of the funds provided for ILAB, $40,000,000 is
designated for the United States' contribution to the
International Labor Organization's International Program on the
Elimination of Child Labor.
The budget request proposes making the appropriation for
ILAB available for obligation through December 31, 2011. The
Committee bill allows $66,500,000 to be available for
obligation for an extra quarter, as was provided in the fiscal
year 2010 appropriations act. The Committee will continue to
monitor ILAB's use of the extended obligation authority
provided for the current fiscal year in making a final decision
about this budget proposal.
The Committee strongly supports ILAB's initiatives designed
to ensure compliance with internationally recognized worker
rights. The Committee believes that is important for ILAB to
support projects that enhance the capacity of governments at
all levels to enforce core labor standards; build support with
industry to ensure compliance with core labor standards
throughout the entire supply chain; and become self-financed
monitoring programs. In line with this goal, the Committee
supports extending monitoring efforts throughout the entire
supply chain to ensure that the worst forms of child labor are
not used to produce goods in target sectors. The Committee
requests that ILAB consult with the Committee on the planned
and proposed uses of all technical assistance activities and
other programs planned to be undertaken with funds available to
ILAB.
The Committee believes that the oversight committee created
in 2006 to report publicly on the progress of the
implementation of the Harkin-Engel protocol, a public private
partnership to eliminate the worst forms of child labor and
adult forced labor in the cocoa sector of West Africa, has been
beneficial to all stakeholders. The Committee intends for ILAB
to continue to support the implementation of the Harkin-Engel
Protocol by providing assistance to countries that helps them
strengthen partnerships; collect data; develop, expand, and
evaluate effective programs in order to substantially reduce
the worst forms of child labor in the cocoa sector.
The Committee continues to support ILAB's worker rights
technical assistance projects and programs, for which the
budget proposes additional resources. These projects will
support the implementation of model programs designed to
address worker rights in countries with which the United States
has trade preference programs or free trade agreements.
The Committee notes that ILAB is statutorily required to
compile and report to the Congress annually on the extent to
which each foreign country that has trade and investment
agreements with the United States enforces internationally
recognized worker rights. This report is required under
multiple U.S. laws and promotes core labor standards as
embodied in the ILO Declaration on Fundamental Principles and
Rights at Work as adopted and reaffirmed in 1998. The Committee
once again directs the Secretary to include in the 2010 report
all former GSP recipients that have achieved a Free Trade
Agreement with the United States over the preceding year.
The Committee recommendation includes $4,536,900 for the
departmental management working capital fund, as proposed in
the budget request. These funds are available, pursuant to
section 108 of the title I general provisions of this act. With
15-day advance notification of the Committees on Appropriations
of the Senate and House of Representatives, the Secretary may
transfer amounts made available to the fund to supplement
existing acquisition workforce improvement activities,
including training existing staff and hiring additional staff.
The Committee expects these funds to help DOL agencies acquire
goods and services at reduced costs and better aligned with
achievement of agencies' missions.
VETERANS EMPLOYMENT AND TRAINING
Appropriations, 2010.................................... $256,127,000
Budget estimate, 2011................................... 262,494,000
Committee recommendation................................ 262,494,000
The Committee recommends $262,494,000 for this account,
including $50,971,00 in general revenue funding and
$211,523,000 to be expended from the Employment Security
Administration account of the unemployment trust fund.
This account includes resources for the Veterans'
Employment and Training Services [VETS] that enable it to
maximize employment opportunities for veterans and
transitioning service members, including protecting their
employment rights. VETS carries out its mission through a
combination of grants to States, competitive grants, and
Federal enforcement and oversight.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2010.................................... $84,014,000
Budget estimate, 2011................................... 85,082,000
Committee recommendation................................ 85,082,000
The Committee recommends $85,082,000, the same amount as
the budget request, for the Office of the Inspector General
[OIG]. The bill includes $79,090,000 in general funds and
authority to transfer $5,992,000 from the Employment Security
Administration account of the unemployment trust fund. In
addition, an amount of $327,000 is available by transfer from
the black lung disability trust fund. The comparable fiscal
year 2010 amount is $84,014,000.
The OIG was created by law to protect the integrity of
departmental programs as well as the welfare of beneficiaries
served by those programs. Through a comprehensive program of
audits, investigations, inspections, and program evaluations,
the OIG attempts to reduce the incidence of fraud, waste,
abuse, and mismanagement, and to promote economy, efficiency,
and effectiveness.
General Provisions
General provision bill language is included to:
Provide for general transfer authority (sec. 101).
Prohibit funding for the procurement of goods and services
utilizing forced or indentured child labor in industries and
host countries already identified by the Labor Department in
accordance with Executive Order 13126 (sec. 102).
Require that funds available under section 414(c) of the
American Competitiveness and Workforce Improvement Act of 1998
may only be used for training in occupations and industries for
which employers are using H-1B visas to hire foreign workers
(sec. 103).
Require the Secretary to award competitively funds
available for section 414(c) of the American Competitiveness
and Workforce Improvement Act of 1998 (sec. 104).
Limit compensation from Federal funds to a rate not greater
than Executive Level II for any recipient or subrecipient of
funds under the heading, ``Employment and Training
Administration'' and limit the use of Job Corps funding for
compensation of an individual that is not a Federal employee at
a rate not to exceed Executive Level I (sec. 105).
Prohibit the Secretary from taking any action to alter the
procedure for redesignating local areas under subtitle B of
title I of the Workforce Investment Act (sec. 106).
Provides the Employment and Training Administration with
authority to transfer funds provided for technical assistance
services to grantees to program administration when it is
determined that those services will be more efficently
performed by Federal staff (sec. 107).
Provides $4,536,900 to the Departmental Management, Working
Capital Fund in support of an acquisition workforce initiative
and allows funds to be transferred to any other account in the
Department of Labor, subject to 15-day prior notification of
the Committees on Appropriations of the Senate and House of
Representatives (sec. 108).
Rescinds $3,900,000 in funds available for the Investment
in Reinvention Fund (sec. 109).
TITLE II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
HEALTH RESOURCES AND SERVICES
Appropriations, 2010.................................... $7,507,994,000
Budget estimate, 2011................................... 7,626,658,000
Committee recommendation................................ 7,515,663,000
The Committee provides a program level of $7,515,663,000
for Health Resources and Services. The Committee recommendation
includes $7,490,663,000 in budget authority and an additional
$25,000,000 via transfers available under section 241 of the
Public Health Service Act. The fiscal year 2010 comparable
program level was $7,507,994,000. The budget request for fiscal
year 2011 was $7,626,658,000.
HRSA activities support programs to provide healthcare
services for mothers and infants; the underserved, elderly and
homeless; migrant farm workers; and disadvantaged minorities.
This appropriation supports cooperative programs in community
health, AIDS care, healthcare provider training, and healthcare
delivery systems and facilities.
BUREAU OF PRIMARY HEALTH CARE
COMMUNITY HEALTH CENTERS
The Committee provides $2,185,146,000 in this bill for the
community health centers program. Combined with the
$1,000,000,000 appropriated for fiscal year 2011 in Public Law
111-152, the fiscal year 2011 program level totals
$3,185,146,000. The fiscal year 2010 comparable program level
was $2,185,146,000. The budget request for fiscal year 2011 in
this bill was $2,479,993,000. This group of programs includes
community health centers, migrant health centers, healthcare
for the homeless, and public housing health service grants. The
Committee continues to support strongly the ongoing effort to
increase the number of people who have access to medical
services at health centers.
Within the amount provided, the Committee has provided
$100,000,000 under the Federal Tort Claims Act [FTCA] for the
Health Centers program. The Committee has included bill
language making this funding available until expended and
allowing costs associated with the health centers tort
liability relief program to be paid from the fund. The
Committee intends that the fund be used to pay judgments and
settlements, occasional witness fees and expenses, and the
administrative costs of the program, which include the cost of
evaluating claims, defending claims, and conducting settlement
activities.
The Committee supports the proposal in the President's
budget to continue providing funds to health centers to care
for the 3 million patients added through the American Recovery
and Reinvestment Act [ARRA]. Within the fiscal year 2011
program level, the Committee directs HRSA to continue the
Increased Demand for Services funding and continue to support
the new access points established through ARRA.
The Committee strongly supports the expansion of primary
care services in school settings. Within the funds available
for new access points and expanded medical capacity, the
Committee directs HRSA to give priority to applications that
include school-based care. The Committee further encourages
HRSA to provide technical assistance to community health
centers on how they can form partnerships with school districts
and local health departments that currently operate school-
based health centers within the service area of the community
health center.
In addition, the Committee supports continued efforts to
expand the Health Centers program into those areas of the
country with high need and inadequate access to services to
meet such need. The Committee notes that the Government
Accountability Office [GAO], in an August 2008 report, found
that 60 percent of the Medically Underserved Areas [MUAs] in
the Midwest Census Region States are without a federally
supported health center site. These States had the highest
percentage of MUAs without a health center site in the United
States, according to the GAO report. The Committee urges HRSA
to make funding available to increase capacity at existing
centers, and for service expansion awards to expand access to
behavioral health services, oral health services, and pharmacy
services provided by community health centers. The Committee
expects HRSA to implement any new expansion initiative using
the existing, and statutorily required, proportionality for
urban and rural communities, as well as migrant, homeless, and
public housing health centers.
Child Maltreatment Prevention.--The Committee continues to
believe that parent training is a promising strategy for
preventing child maltreatment that should be tested in primary
care settings such as community health centers. The Committee
urges HRSA to ensure that community health centers are actively
engaged in the new home visitation initiative funded in the
Patient Protection and Affordable Care Act.
Substance Abuse Coordination.--The Committee is aware of
the initiative in the President's budget to expand behavioral
and mental health services in community health centers. Insofar
as those services include substance abuse treatment, the
Committee encourages HRSA to issue guidance to community health
centers on collaboration with State substance abuse agencies to
ensure the promotion of State standards of care, coordination
of referrals, and further services.
NATIVE HAWAIIAN HEALTH CARE
The Committee again includes the legal citation in the bill
for the Native Hawaiian Health Care Program. The Committee has
included sufficient funding so that healthcare activities
funded under the Native Hawaiian Health Care Program can be
supported under the broader community health centers line. The
Committee expects that not less than last year's level be
provided for these activities in fiscal year 2011.
The Committee encourages HRSA to support efforts to expose
our Nation's youth to potential careers in the health
professions; for example, in nursing, pharmacy, and public
health. It is especially important that youth in rural America
and from a range of ethnic groups, including Native Hawaiians,
have access to early career counseling and ``hands on''
experiences.
The Committee encourages HRSA to work collaboratively with
appropriate federally qualified community health centers to
develop screening, prevention and treatment initiatives
addressing the extraordinarily high incidence of kidney disease
among Filipino citizens.
STATE HEALTH ACCESS GRANTS
The Committee does not provide funding for State Health
Access Grants. The fiscal year 2010 comparable level was
$74,480,000 and the budget request for fiscal year 2011 was
$75,000,000.
This program gives grants to States to develop new models
for expanding access to healthcare coverage. The Committee
notes that the Patient Protection and Affordable Care Act
imposes new requirements on States relating to all activities
currently funded by this program. Therefore, there is no longer
a need for this program.
FREE CLINICS MEDICAL MALPRACTICE COVERAGE
The Committee provides $40,000 in funding for payments of
claims under the Federal Tort Claims Act to be made available
for free clinic health professionals as authorized by, section
224(o) of the Public Health Service Act. The fiscal year 2010
comparable level and the budget request for fiscal year 2011
both included $40,000 for this program. This appropriation
continues to extend Federal Tort Claims Act coverage to medical
volunteers in free clinics in order to expand access to
healthcare services to low-income individuals in medically
underserved areas.
NATIONAL HANSEN'S DISEASE PROGRAM
The Committee includes $16,109,000 for the National
Hansen's Disease Program, the same as the budget request for
fiscal year 2011. The fiscal year 2010 comparable level was
$16,075,000. The program consists of inpatient, outpatient,
long-term care, training, and research in Baton Rouge,
Louisiana; a residential facility at Carville, Louisiana; and
11 outpatient clinic sites in the continental United States and
Puerto Rico.
NATIONAL HANSEN'S DISEASE PROGRAM BUILDINGS AND FACILITIES
The Committee provides $129,000 for the repair and
maintenance of buildings at the Gillis W. Long Hansen's Disease
Center. The fiscal year 2010 comparable level was $128,000 and
the budget request for fiscal year 2011 was $129,000 for this
program.
PAYMENT TO HAWAII FOR HANSEN'S DISEASE TREATMENT
The Committee provides $1,976,000 for Hansen's Disease
services. The fiscal year 2010 comparable level was $1,976,000,
the same as the budget request for fiscal year 2011. Payments
are made to the State of Hawaii for the medical care and
treatment of persons with Hansen's Disease in hospital and
clinic facilities at Kalaupapa, Molokai, and Honolulu. Expenses
above the level of appropriated funds are borne by the State of
Hawaii.
BUREAU OF HEALTH PROFESSIONS
National Health Service Corps
The Committee provides $141,420,000 in this bill for
National Health Service Corps [NHSC] activities. Together with
$290,000,000 appropriated in fiscal year 2011 in the Patient
Protection and Affordable Care Act, the recommendation for the
fiscal year 2011 program level is $431,420,000. The fiscal year
2010 comparable level was $141,420,000. The budget request for
fiscal year 2011 in this bill was $168,589,000.
This program provides full-cost scholarships or sizable
loan repayment to students in exchange for an agreement to
serve as a primary care provider in a high-priority federally
designated health professional shortage area. These funds
should support multi-year, rather than single-year,
commitments. Salary costs of most new assignees are paid by the
employing entity.
The Committee continues to recognize that the NHSC is an
essential tool for recruitment and retention of primary care
health professionals in Health Professional Shortage Areas
nationwide. The Committee applauds efforts by HRSA to enhance
access to the NHSC by reducing application documentation
requirements, allowing for pre-qualification of applicants,
instituting rolling deadlines, and planning a part-time service
demonstration. The Committee encourages HRSA to continue with
these and other improvements, as well as collaboration with the
Health Centers program in order to maximize the investment in
the NHSC.
The Committee is aware that psychologists are among the
occupations eligible to participate in the NHSC if they agree
to practice in underserved areas, and the Committee encourages
HRSA to ensure that mental health professionals are aware of
this opportunity.
The Committee is aware that specialty care is increasingly
rare in communities that have been declared a public health
emergency and may be critically needed to respond to injuries
or illnesses sustained in the emergency. The Committee notes
that HRSA has the authority to consider requests by local
entities for alternative provider types with special
considerations. Therefore, the Committee encourages HRSA to
provide technical assistance to communities experiencing public
health emergencies to ensure that they can utilize all
available options to respond to needs resulting from the
disaster.
HEALTH PROFESSIONS
The Committee provides $648,868,000 for HRSA health
professions programs. The fiscal year 2010 comparable level was
$496,835,000. The budget request for fiscal year 2011 was
$503,903,000.
The Committee urges HRSA to maximize the capacity of health
professions education programs to be inter-professional in
nature in order that healthcare professionals educated through
these programs graduate competent to provide patient-centered,
team-based care.
In addition, the Committee is aware of research findings
that suggest a neurological basis for women's experience of
greater pain sensitivity which may account for the greater
degree to which women seek help for chronic pain. Therefore,
the Committee encourages HRSA to undertake a health
professional education effort regarding these conditions. Such
an effort should include the development of continuing medical
education courses and other curricula to reduce gender-based
barriers to effective care.
Training for Diversity
Centers of Excellence
The Committee provides $24,602,000 for the Centers of
Excellence program, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$24,550,000.
This program was established to fund institutions that
train a significant portion of the Nation's minority health
professionals. Funds are used for the recruitment and retention
of students, faculty training, and the development of plans to
achieve institutional improvements. The institutions that are
designated as centers of excellence are private institutions
whose mission is to train disadvantaged minority students for
service in underserved areas. Located in poor communities and
usually with little State funding, they serve the healthcare
needs of their patients, often without payment.
Health Careers Opportunity Program
The Committee provides $22,133,000 for the Health Careers
Opportunity Program, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$22,086,000.
This program provides funds to medical and other health
professions schools for recruitment of disadvantaged students
and pre-professional school preparations.
Faculty Loan Repayment
The Committee provides $6,266,000 for the Faculty Loan
Repayment program. The budget request for fiscal year 2011 and
the fiscal year 2010 comparable level were $1,266,000.
This program provides for the repayment of education loans
for individuals from disadvantaged backgrounds who are health
professions students or graduates, and who have agreed to serve
for at least 2 years as a faculty member of a health
professions school.
Scholarships for Disadvantaged Students
The Committee provides $49,342,000 for the Scholarships for
Disadvantaged Students program, the same as the budget request
for fiscal year 2011. The fiscal year 2010 comparable level was
$49,236,000.
This program provides grants to health professions schools
for student scholarships to individuals who are from
disadvantaged backgrounds and are enrolled as full-time
students in such schools.
Primary Care Training and Enhancement
The Committee provides $90,000,000 for Primary Care
Training and Enhancement programs. The fiscal year 2010
comparable level was $38,923,000. The budget request for fiscal
year 2011 included $39,275,000 for this program.
This program supports the expansion of training in internal
medicine, family medicine, pediatrics, and physician
assistance. Funds may be used for developing training programs
or providing direct financial assistance to students and
residents. The Committee has included bill language specifying
that no less than 15 percent of funds must be used to train
physician assistants. The Committee urges HRSA to prioritize
training physician assistants due to the ability of programs to
rapidly expand to graduate high numbers of clinicians to fill
the growing need for primary care.
The Committee notes the findings of the recent ``Annals in
Internal Medicine'' study ranking medical schools based on the
communities where their graduates worked and whether those
doctors practiced primary care. The Committee urges HRSA to
prioritize applications from schools with a proven record of
educating primary care physicians who go on to serve in
shortage areas.
Training in Oral Health Care
The Committee recommends $47,982,000 for Training in Oral
Health Care programs. The fiscal year 2010 comparable level was
$32,919,000 and the budget request for fiscal year 2011 was
$32,982,000.
These programs support a variety of training opportunities
in the field of oral health, authorized under sections 748 and
340G of the Public Health Service [PHS] Act. Funds may be used
to expand training in general dentistry, pediatric dentistry,
public health dentistry, dental hygiene, and other oral health
programs. Funds may be used to plan and operate training
programs, as well as to provide financial assistance to
students and residents.
Within the funds provided, the Committee intends no less
than $2,000,000 be used for public health dental residencies.
The Committee further intends that no less than $15,000,000 be
allocated for grants to training programs authorized under
section 748 of the PHS Act and that State Health Workforce
grants be funded at no less than $22,500,000.
The Committee supports efforts by States to develop
licensure requirements and by universities to develop curricula
for advanced dental hygiene practitioners.
The Committee strongly supports the continued development
of the faculty loan repayment program and expects HRSA to
allocate no less than last year's level to this newly
authorized activity. The Committee encourages HRSA to
prioritize applications from schools with a proven track record
of graduating dentists who go on to practice in underserved
areas.
The Committee is supportive of programs that link oral
healthcare with primary care training. In addition, the
Committee is supportive of dental public health specialty
training, including the completion of the Master of Public
Health or an equivalent degree and the 1-year residency
program.
Rural Physician Training
The Committee includes $5,100,000 for the Rural Physician
Training Grants program. This is a new program authorized by
the Patient Protection and Affordable Care Act. The budget
request for fiscal year 2011 did not propose funding.
This program will provide funds to health professions
schools to establish, improve, or expand a rural-focused
training program. Funds may be used to design curricula on
issues prevalent in rural care, provide clinical practice
experience in rural settings, and recruit students most likely
to practice in rural communities.
Interdisciplinary, Community-based Linkages
Area Health Education Centers
The Committee provides $33,345,000 for the Area Health
Education Centers [AHEC] program, the same as the budget
request for fiscal year 2011. The fiscal year 2010 comparable
level was $33,274,000.
This program links university health science centers with
community health service delivery systems to provide training
sites for students, faculty, and practitioners. The program
supports three types of projects: core grants to plan and
implement programs; special initiative funding for schools that
have previously received AHEC grants; and model programs to
extend AHEC programs with 50 percent Federal funding.
Allied Health and Other Disciplines
The Committee provides $10,617,000 for the Allied Health
and Other Disciplines programs. The fiscal year 2010 comparable
level was $4,880,000. The budget request for fiscal year 2011
was $4,890,000.
The Committee recommendation is sufficient to continue
Chiropractic Demonstration programs at the same levels as in
fiscal year 2010.
The Committee has included bill language providing
$8,672,000 for mental and behavioral health training grants
authorized in section 756 of the Public Health Service Act. The
Committee urges HRSA to allocate no less than last year's level
for graduate psychology education.
These programs seek to improve the diversity of allied
health practitioners and their distribution to areas of need.
The programs also improve access to comprehensive and
culturally competent healthcare services for underserved
populations.
The graduate psychology education program trains psychology
graduate students while they provide supervised behavioral and
mental health services to underserved populations. The
Committee is concerned that current economic conditions are
significantly increasing the numbers of people seeking mental
health services as they struggle with unemployment, job and
income loss, and the many associated problems that result. The
Committee supports efforts by HRSA that would help integrate
health service psychology trainees at Federally Qualified
Health Centers to provide behavioral and mental health services
to underserved populations. In addition, the Committee
encourages HRSA to focus on supporting programs with
demonstrated, scientifically based potential to improve the
outcome of mental and behavioral healthcare services. These
programs should include academic institutions with a
demonstrated commitment for improving health outcomes, as
documented by science-based accreditation processes.
Geriatric Education
The Committee provides $33,747,000 for Geriatric Education
programs, the same as the budget request for fiscal year 2011.
The fiscal year 2010 comparable level was $33,675,000.
Geriatric programs include: Geriatric Education Centers,
the Geriatric Academic Career awards program, and the Geriatric
Training program for Physicians, Dentists, and Behavioral and
Mental Health Professionals.
Health Professions Workforce Information and Analysis
The Committee is recommending $13,781,000 for health
professions workforce information and analysis. The budget
request for fiscal year 2011 was $8,781,000. The fiscal year
2010 comparable level was $2,826,000. The program provides
grants and contracts to eligible entities to provide for the
collection and analysis of targeted information, research on
high-priority workforce questions, the development of analytic
and research infrastructure, and the conduct of program
evaluation and assessment.
The allied health professions, like nurses and primary care
physicians, face serious workforce shortages due to student
recruitment, shortages of faculty and clinical sites. The
Committee encourages HRSA to include allied health professions
in any comprehensive workforce study of the health professions.
The Committee is aware that hospice and palliative medicine
[HPM] improves quality, controls cost, and enhances patient/
family satisfaction for the rapidly expanding population of
patients with serious or life-threatening illness. Therefore,
the Committee encourages HRSA to study workforce trends,
training capacity and need for HPM physicians, physician
assistants and nurse practitioners in our Nation's academic
medical centers, hospice organizations and palliative care
programs.
Public Health and Preventive Medicine Training Programs
The Committee provides $19,668,000 for these programs. The
fiscal year 2010 comparable level was $9,647,000. The budget
request for fiscal year 2011 included $9,668,000 for these
programs. The Committee intends that the increase over the
fiscal year 2010 appropriated level be used to expand
fellowships and training in the area of preventive medicine.
This funding supports awards to schools of medicine,
osteopathic medicine, and public health to provide for
residency training programs in preventive medicine and public
health; and for financial assistance to trainees enrolled in
such programs.
Nursing Workforce Development Programs
The Committee provides $292,285,000 for the Nursing
Workforce Development programs. The fiscal year 2010 comparable
level was $243,553,000. The budget request for fiscal year 2011
was $243,872,000.
The Committee recognizes that efforts to alleviate the
Nation's shortage of Registered Nurses [RNs] must focus on
addressing the nurse faculty shortage. According to the latest
survey from the American Association of Colleges of Nursing,
more than 50,000 qualified applicants were turned away from
baccalaureate and graduate nursing programs in 2009 due
primarily to a shortage of nurse faculty, including nearly
7,000 applicants to master's and doctoral programs. Supporting
programs that prepare more nurse educators is the key to
stabilizing the nursing workforce and reversing the RN
shortage.
The Committee recommends funding for the following
activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Budget activity 2010 Fiscal year Committee
comparable 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Advanced Education Nursing...................................... 64,301 64,438 74,438
Nurse education, practice and retention......................... 39,811 39,896 50,000
Nursing workforce diversity..................................... 16,073 16,107 16,107
Loan repayment and scholarship program.......................... 93,864 93,864 93,864
Comprehensive geriatric education............................... 4,557 4,567 4,567
Nursing faculty loan program.................................... 24,947 25,000 53,309
----------------------------------------------------------------------------------------------------------------
Within the allocation for advanced education nursing, the
Committee encourages HRSA to allocate funding for nurse
anesthetist education at no less than last year's level.
The increase provided for nurse education, practice, and
quality is intended to make grants for career ladder programs,
authorized in the Patient Protection and Affordable Care Act.
In all programs, the Committee encourages HRSA to
prioritize grant applications from institutions with a proven
track record for graduates practicing in underserved areas.
The Committee also encourages HRSA to support schools of
nursing in the development and implementation of both
traditional and telehealth outreach programs in rural
underserved communities.
Children's Hospitals Graduate Medical Education Program
The Committee provides $317,500,000 for the Children's
Hospitals Graduate Medical Education [GME] program, the same as
the budget request for fiscal year 2011. The fiscal year 2010
comparable level was $316,824,000.
The program provides support for health professions
training in children's teaching hospitals that have a separate
Medicare provider number (``free-standing'' children's
hospitals). Children's hospitals are defined under Medicare as
those whose inpatients are predominantly under the age of 18.
The funds in this program are intended to make the level of
Federal Graduate Medical Education support more consistent with
that of other teaching hospitals, including children's
hospitals that share provider numbers with other teaching
hospitals. Payments are determined by formula, based on a
national per-resident amount. Payments support training of
resident physicians as defined by Medicare in both ambulatory
and inpatient settings.
Patient Navigator
The Committee recommendation includes $5,000,000 for the
Patient Navigator Outreach and Chronic Disease Outreach
program, the same as the budget request for fiscal year 2011.
The comparable funding level for fiscal year 2010 was
$4,965,000.
The program provides demonstration grants to public or
nonprofit health centers to help patients overcome barriers in
the healthcare system to prompt screening, referral, diagnosis,
and treatment services.
National Practitioner Data Bank
The Committee provides $21,000,000 for the national
practitioner data bank. This amount is the same as the budget
request for fiscal year 2011. The fiscal year 2010 comparable
level was $19,750,000. The Committee and the budget request
assume that full funding will be provided entirely through the
collection of user fees and will cover the full cost of
operating the data bank. Bill language is included to ensure
that user fees are collected to cover all costs of processing
requests and providing such information to data bank users.
Healthcare Integrity and Protection Data Bank
The Committee provides $4,000,000 for the healthcare
integrity and protection data bank. This amount is the same as
the administration request for fiscal year 2011. The fiscal
year 2010 comparable level was $3,758,000. The Committee
assumes that full funding will be provided entirely through the
collection of user fees and will cover the full cost of
operating the data bank. Bill language is included to ensure
that user fees are collected to cover all costs of processing
requests and providing such information to data bank users. The
data bank is intended to collect, maintain, and report on
certain actions taken against healthcare providers, suppliers,
and practitioners.
MATERNAL AND CHILD HEALTH BUREAU
The Committee is pleased to learn of the successful launch
by the National Healthy Mothers-Healthy Babies Coalition of the
Text4Babies program, a program that sends text messages to
expectant woman and new mothers to help keep the mothers and
their babies healthy. Within the first 5 months of the program,
more than 25,000 women in more than 45 States have registered
for the free service, which is supported largely by private
contributions for this public-private partnership.
MATERNAL AND CHILD HEALTH BLOCK GRANT
The Committee provides $673,187,000 for the maternal and
child health [MCH] block grant, the same as the budget request
for fiscal year 2011. The fiscal year 2010 comparable level was
$660,710,000.
The Maternal and Child Health Block Grant program provides
a flexible source of funding that allows States to target their
most urgent maternal and child health needs through development
of community-based networks of preventive and primary care that
coordinate and integrate public and private sector resources
and programs for pregnant women, mothers, infants, children,
and adolescents. The program supports a broad range of
activities including providing prenatal care, well child
services and immunizations; reducing infant mortality;
preventing injury and violence; expanding access to oral
healthcare; addressing racial and ethnic disparities; and
providing comprehensive care for children, adolescents, and
families through clinics, home visits and school-based health
programs.
The Committee has included bill language identifying
$93,999,263 for the Special Projects of Regional and National
Significance [SPRANS] set-aside. Within that total, the
Committee recommendation includes sufficient funding to
continue the set-asides for oral health, epilepsy, sickle cell,
doula programs, and fetal alcohol syndrome at no less than last
year's level.
Epilepsy.--The Committee has provided funding to continue
outreach, technical assistance, and State demonstration
programs that develop and implement systems of care to improve
access to comprehensive, coordinated healthcare and related
services for children and youth with epilepsy living in
medically underserved areas.
Oral Health.--The Committee has provided funding to
continue and expand early childhood oral health interventions
and prevention programs encompassing the medical/dental
interface, topical fluorides, school and community-based
sealant programs, and systems building with WIC, Head Start,
and others.
Vision Screening.--The Committee is pleased that the
Maternal and Child Health Bureau has created the National
Universal Vision Screening for Young Children Coordinating
Center. The center's mission is to develop the public health
infrastructure to promote and ensure a continuum of eye care
for young children within the healthcare delivery system. The
Committee supports the mission and goals of this new center and
looks forward to hearing about its progress.
SICKLE CELL ANEMIA PROGRAM
The Committee provides $4,750,000 for the sickle cell
anemia demonstration program, the same as the budget request
for fiscal year 2011. The fiscal year 2010 comparable level was
$4,740,000. This program provides grants and contracts to help
coordinate service delivery for individuals with sickle cell
disease, including genetic counseling and testing; training of
health professionals; and identifying and establishing other
efforts related to the expansion and coordination of education,
treatment, and continuity of care programs for individuals with
sickle cell disease.
TRAUMATIC BRAIN INJURY PROGRAM
The Committee provides $9,939,000 for the traumatic brain
injury program, the same as the budget request for fiscal year
2011. The fiscal year 2010 comparable level was $9,918,000. The
program supports implementation and planning grants to States
for coordination and improvement of services to individuals and
families with traumatic brain injuries as well as protection
and advocacy. Such services can include: pre-hospital care,
emergency department care, hospital care, rehabilitation,
transitional services, education, employment, and long-term
support. The Committee includes no less than last year's
funding level for protection and advocacy services, as
authorized under section 1305 of Public Law 106-310.
AUTISM AND OTHER DEVELOPMENTAL DISORDERS
The Committee provides $55,000,000 for the autism and other
developmental disorders initiative, the same as the budget
request for fiscal year 2011. The fiscal year 2010 comparable
level was $47,898,000. The program supports surveillance, early
detection, education, and intervention activities on autism and
other developmental disorders, as authorized in the Combating
Autism Act of 2006.
Bill language is included to ensure that fiscal year 2011
grants may be awarded for multi-year activities, as the
authorization bill intended.
Within the funding provided for autism and other related
developmental disorders, an increase of no less than $2,000,000
is provided to continue and expand research on evidence-based
practices for interventions for individuals with autism and
other developmental disabilities, for development of guidelines
for those interventions, and for information dissemination. In
addition, an increase of no less than $2,000,000 is provided to
continue and expand the Leadership Education in Neuro-
developmental and Related Disabilities program.
NEWBORN SCREENING FOR HERITABLE DISORDERS
The Committee provides $10,013,000 for the newborn
heritable disorders screening program, as described in section
1109 of the Newborn Screening Saves Lives Act of 2008. The
fiscal year 2010 comparable level was $9,992,000 and the fiscal
year 2011 budget request was $10,013,000.
This program provides funding to improve the ability of
States to provide newborn and child screening for heritable
disorders. Newborn screening provides early identification and
followup for treatment of infants affected by certain genetic,
metabolic, hormonal, and/or functional conditions.
CONGENITAL DISABILITIES PROGRAM
The Committee has not provided funding for the congenital
disabilities program. The budget request for fiscal year 2011
included $500,000 for these activities. The fiscal year 2010
comparable level was $499,000. The Committee is pleased with
the materials created in this program and encourages HRSA to
distribute the materials through the Maternal Child Health
Bureau's programs.
The purpose of the program is to provide information and
support services to families receiving a positive test
diagnosis for down syndrome, spina bifida, dwarfism, or other
prenatally and postnatally diagnosed conditions. Grants may be
made to States, territories, localities, and nongovernmental
organizations with expertise in prenatally and postnatally
diagnosed conditions.
HEALTHY START
The Committee provides $103,200,000 for the Healthy Start
infant mortality initiative. The fiscal year 2010 comparable
level was $104,776,000 and the budget request for fiscal year
2011 was $110,186,000.
The Committee intends these funds to fully provide for
continuations of previously awarded grants. The Committee is
aware that the Patient Protection and Affordable Care Act
[PPACA] includes $250,000,000 in fiscal year 2011 for home
visitation programs to improve maternal and child birth
outcomes, and that Healthy Start grantees are eligible to apply
for this funding. In awarding the PPACA funds, the Committee
encourages HRSA to give full and fair consideration to grantees
currently and formerly funded in Healthy Start and in the home
visitation initiative under the Administration for Children and
Families.
The primary purpose of Healthy Start is to reduce infant
mortality by 50 percent and generally improve maternal and
infant health in at-risk communities. Grants are awarded
largely to State and local health departments, and nonprofit
organizations to conduct an infant mortality review, develop a
package of innovative health and social services for pregnant
women and for infants, and evaluate these efforts.
UNIVERSAL NEWBORN HEARING SCREENING AND EARLY INTERVENTION
The Committee provides $19,000,000 for universal newborn
hearing screening and early intervention activities, the same
as the budget request for fiscal year 2011. The fiscal year
2010 comparable level was $18,960,000.
The Committee expects HRSA to coordinate projects funded
with this appropriation with projects related to early hearing
detection and intervention by the National Center on Birth
Defects and Developmental Disabilities, the National Institute
on Deafness and Other Communication Disorders, the National
Institute on Disability and Rehabilitation Research, and the
Office of Special Education and Rehabilitative Services.
This program awards grants to 53 States and territories
that support statewide systems of newborn hearing screening,
audiologic diagnostic testing before 3 months of age and
enrollment in early intervention programs before the age of 6
months.
EMERGENCY MEDICAL SERVICES FOR CHILDREN
The Committee provides $22,500,000 for emergency medical
services for children [EMSC]. The fiscal year 2010 comparable
level was $21,454,000 and the budget request for fiscal year
2011 was $21,500,000. The program supports demonstration grants
for the delivery of emergency care to acutely ill and seriously
injured children.
The EMSC program makes funding available to every State EMS
office to improve emergency care for children, and to pay for
critical research and dissemination of best practices. The
Committee commends the program's efforts to improve the
evidence base for pediatric emergency care in the pre-hospital
and emergency department settings and to drive the rapid
translation of new science into professional practice.
HIV/AIDS BUREAU
ACQUIRED IMMUNE DEFICIENCY SYNDROME
RYAN WHITE AIDS PROGRAMS
The Committee provides $2,340,345,000 for Ryan White AIDS
programs. The recommendation includes $25,000,000 in transfers
available under section 241 of the Public Health Service Act.
The fiscal year 2010 comparable level was $2,312,179,000 and
the budget request for fiscal year 2011 was $2,330,401,000.
These programs provide a wide range of community-based
services, including primary and home healthcare, case
management, substance abuse treatment, mental health services,
and nutritional services.
The Committee is aware that many of the benefits currently
provided through Ryan White Care Act programs will become
available to people living with HIV/AIDS over the next few
years through State high-risk pools, health exchanges and other
newly authorized programs. The Committee expects HRSA to offer
a plan for how to transition Ryan White benefits into a larger
system of care so that Ryan White resources may be targeted to
the areas of most need. The plan should include a year-by-year
list of actions needed by the administration, the Congress and
the States in order to ensure the smoothest possible transition
for beneficiaries. The Committee expects the plan no later than
8 months after enactment of this act.
EMERGENCY ASSISTANCE
The Committee provides $679,074,000 for emergency
assistance grants to eligible metropolitan areas
disproportionately affected by the HIV/AIDS epidemic. This
amount is the same as the fiscal year 2010 comparable level and
the budget request for fiscal year 2011.
Grants are provided to metropolitan areas meeting certain
criteria. Two-thirds of the funds are awarded by formula and
the remainder is awarded through supplemental competitive
grants.
The Committee notes that the fiscal year 2010 comparable
level included a provision directing funds to particular
metropolitan areas facing dramatic cuts as a result of the
changes to the Ryan White formula. The Committee has not
continued this provision in fiscal year 2011.
COMPREHENSIVE CARE PROGRAMS
The Committee provides $1,303,791,000 for HIV healthcare
and support services. The fiscal year 2010 comparable level was
$1,278,791,000 and the budget request for fiscal year 2011 was
$1,283,791,000. Funds are awarded to States to support HIV
service delivery consortia, the provision of home and
community-based care services for individuals with HIV disease,
continuation of health insurance coverage for low-income
persons with HIV disease, and support for State AIDS drug
assistance programs.
The Committee includes bill language providing $885,000,000
for AIDS medications in the AIDS Drug Assistance Program
[ADAP]. The fiscal year 2010 comparable level was $860,000,000
and the budget request for fiscal year 2011 was $855,000,000.
The Committee is very concerned by the vulnerability of
State funding for ADAP, the continuing increases in drug
prices, and the ongoing unemployment that has caused spikes in
enrollment. Sufficient funding is included to continue the
emergency allocations from fiscal year 2010 and extend
additional life-saving support in fiscal year 2011.
The Committee strongly supports the use of ADAP funds to
pay coverage premiums as a means of getting ADAP beneficiaries
additional services while simultaneously reducing the cost and
expanding the number of individuals that can benefit. The
Committee urges HRSA to work with States, the Centers for
Medicare and Medicaid Services, and the Office of Personnel
Management to maximize this resource mechanism. The Committee
directs HRSA to report in the fiscal year 2012 budget
submission on the number of individuals and the amount of funds
being used from ADAP and each portion of the Ryan White Care
Act to support premiums.
In addition, the Committee requests that HRSA include in
the fiscal year 2012 submission the average cost to ADAP of
each drug included in the ADAP formulary and the cost of that
prescription drug to ADAP over the previous 3 fiscal years.
EARLY INTERVENTION SERVICES
The Committee provides $206,383,000 for early intervention
grants, the same as the fiscal year 2010 comparable level. The
budget request for fiscal year 2011 was $211,877,000.
Funds are awarded competitively to primary healthcare
providers to enhance healthcare services available to people at
risk of HIV and AIDS. Funds are used for comprehensive primary
care, including counseling, testing, diagnostic, and
therapeutic services.
CHILDREN, YOUTH, WOMEN, AND FAMILIES
The Committee provides $77,787,000 for grants for
coordinated services and access to research for women, infants,
children, and youth. This amount is the same as the budget
request for 2011. The fiscal year 2010 comparable level was
$77,621,000.
Funds are awarded to community health centers, family
planning agencies, comprehensive hemophilia diagnostic and
treatment centers, Federally qualified health centers under
section 1905(1)(2)(B) of the Social Security Act, county and
municipal health departments and other nonprofit community-
based programs that provide comprehensive primary healthcare
services to populations with or at risk for HIV disease.
AIDS DENTAL SERVICES
The Committee provides $13,565,000 for AIDS Dental
Services, the same as the fiscal year 2010 comparable level.
The budget request for fiscal year 2011 was $15,429,000.
This program provides grants to dental schools, dental
hygiene schools, and postdoctoral dental education programs to
assist with the cost of providing unreimbursed oral healthcare
to patients with HIV disease.
AIDS EDUCATION AND TRAINING CENTERS
The Committee provides $34,745,000 for the AIDS education
and training centers [AETCs], the same as the fiscal year 2010
comparable level. The budget request for fiscal year 2011
included $37,443,000.
AETCs train healthcare practitioners, faculty, and students
who care for AIDS patients outside of the traditional health
professions education venues, and support curriculum
development on diagnosis and treatment of HIV infection for
health professions schools and training organizations.
HEALTH CARE SYSTEMS BUREAU
Organ Donation and Transplantation
The Committee provides $27,991,000 for organ donation and
transplantation activities. The fiscal year 2010 comparable
level was $25,991,000 and the budget request for fiscal year
2011 was $26,049,000.
Funds support a scientific registry of organ transplant
recipients and the National Organ Procurement and
Transplantation Network to match donors and potential
recipients of organs. A portion of the appropriated funds may
be used to educate public and health professionals about organ
donations and transplants, and to support agency staff
providing clearinghouse and technical assistance functions.
The Committee is aware of the large and growing national
organ transplantation waiting list. Although an average of 80
patients received transplants each day last year, a daily
average of 18 patients died due to the unavailability of
organs. Healthcare professionals, particularly physicians,
nurses, and physician assistants, if given enhanced knowledge
and training, can positively impact organ donation. Therefore,
the Committee has included $500,000 for the development of
curriculum and continuing education programs for targeted
health professionals. The remainder of the increase is intended
to support additional projects to increase organ donation.
National Cord Blood Inventory
The Committee has provided $13,883,000 for the National
Cord Blood Inventory, which is the successor of the National
Cord Blood Stem Cell Bank program. The fiscal year 2010
comparable level was $11,957,000 and the budget request for
fiscal year 2011 was $13,883,000. The purpose of this program
is to provide funds to cord blood banks to build an inventory
of the highest-quality cord blood units for transplantation.
C.W. Bill Young Cell Transplantation Program
The Committee provides $26,544,000 for the C.W. Bill Young
Cell Transplantation Program, which is the successor of the
National Bone Marrow Donor Registry. The fiscal year 2010
comparable level was $23,467,000 and the budget request for
fiscal year 2011 was $26,544,000.
Office of Pharmacy Affairs
The Committee provides $5,220,000 for the Office of
Pharmacy Affairs, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level for this
program was $2,220,000. The Office of Pharmacy Affairs promotes
access to clinical and cost-effective pharmacy services among
safety-net clinics and hospitals that participate in the 340B
Drug Pricing program. Section 340B of the Public Health Service
Act requires drug manufacturers to provide discounts or rebates
to a specified set of HHS-assisted programs and hospitals that
meet the criteria in the Social Security Act for serving a
disproportionate share of low-income patients. These funds will
be used to help resolve deficiencies that could not be
addressed within resources available for the normal operations
of the office. Specifically, these deficiencies include
noncompliance with the 340B pricing requirements and errors and
omissions in the office's covered entity database.
The Committee strongly supports a definition of patient
that protects the 340B drug program's integrity while ensuring
the Nation's healthcare safety net is not weakened. The
Committee expects HRSA to provide guidance to 340B-covered
entities based upon current law.
The Committee also requests that HRSA and CMS convene a
working group to ensure that all phases of the 340B drug
discount program are administered without redundancy or
contradiction by the two agencies of jurisdiction.
Poison Control Centers
The Committee provides $29,314,000 for Poison Control
Center activities, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$29,250,000. The Poison Control Centers program currently
supports a mix of grantees: Most grantees serve entire States;
a few grantees serve multi-State regions; and, in a handful of
cases, more than one grantee serves a single State.
HRSA estimates that $7 is saved in medical spending for
every dollar spent on Poison Control Centers because treatment
guidance for the majority of poison exposures (over 70 percent)
can be provided over the phone, thereby reducing emergency
department visits, ambulance use, and hospital admissions. For
that reason, the Committee is strongly supportive of ensuring
that all citizens have access to poison control hotlines.
Declines in State budgets have reduced the staffing of
poison control centers, causing many centers to curtail
marketing their services. Given that first-time parents are one
of the main consumers of poison control services, marketing
efforts are essential to reach this ever-changing group. The
Committee notes that current technology allows for very
efficient routing of calls. The Committee requests HRSA to
submit a report 3 months after enactment of this act on the
advantages and disadvantages of the current system compared to
a regional system or a national system. The report should
include cost projections for each approach.
Medical Home Demonstration Programs
The Committee recommends $40,000,000 for medical home
demonstration programs. These programs have not been funded
previously, and the fiscal year 2011 budget request did not
include funds for this purpose.
Programs eligible for funding include the Community Health
Teams authorized in section 3502 of the Patient Protection and
Affordable Care Act and the Community-Based Collaborative Care
Network authorized in section 340H of the Public Health Service
Act. Under these authorizations, funds may be used for the
creation and support of interdisciplinary patient care teams,
assistance to low-income individuals to access care, case
management, benefit enrollment, and other assistance.
The Committee requests an operating plan no later than 90
days after enactment of this act detailing the number and size
of awards to be made under each authorization.
RURAL HEALTH PROGRAMS
Rural Healthcare Services Outreach Grants
The Committee provides $57,266,000 for rural health
outreach grants, the same as the budget request for fiscal year
2011. The fiscal year 2010 comparable level was $55,905,000.
This program supports projects that demonstrate new and
innovative models of outreach in rural areas, such as
integration and coordination of health services.
Frontier Extended Stay Clinics.--The Committee is aware
that a research program is underway at the Centers for Medicare
and Medicaid Services related to frontier extended stay
clinics. The Committee urges HRSA to maintain its existing
relationship with the clinics, so that there are no
complicating factors in the interpretation of the research
results.
Rural Health Research
The Committee provides $9,950,000 for the Rural Health
Research program, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$9,929,000.
The funds provide support for the Office of Rural Health
Policy to be the focal point for the Department's efforts to
improve the delivery of health services to rural communities
and populations. Funds are used for rural health research
centers, the National Advisory Committee on Rural Health, and a
reference and information service.
Rural Hospital Flexibility Grants
The Committee provides $41,200,000 for rural hospital
flexibility grants, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$40,915,000.
Under this program, HRSA works with the States to provide
support and technical assistance to Critical Access Hospitals
to focus on quality and performance improvement and to
integrate emergency medical services. Of the amount provided,
the Committee includes $15,000,000 to continue the Small Rural
Hospital Improvement Grant Program, as authorized by section
1820(g)(3) of the Social Security Act and Public Law 107-116
and outlined in House Report 107-342. The program provides
support for small rural hospitals and focuses on quality
improvement and adoption of health information technology.
The Committee remains strongly supportive of the
collaboration between the Department of Veterans Affairs and
rural hospitals to provide locally based care, and understands
that one of the largest barriers to this effort is the lack of
electronic medical records that are interoperable with the
VISTA system. For that reason, the Committee has again included
bill language identifying $1,000,000 for grants authorized
under section 1820(g)(6) of the Social Security Act to provide
telehealth equipment and to develop electronic health records
that are compatible with the VISTA system. The Committee
encourages HRSA to coordinate with the Department of Veterans
Affairs to ensure that this equipment furthers the goal of
treating the illnesses and disabilities of our Nation's
veterans. The Committee is particularly concerned with ensuring
that veterans receive appropriate mental healthcare.
Delta Health Initiative
The Committee has included $34,927,000 for the Delta Health
Initiative as authorized in section 219 of division G of Public
Law 110-161. The fiscal year 2010 comparable level was
$34,927,000. The budget request for fiscal year 2011 did not
include funds for this purpose.
Rural and Community Access to Emergency Devices
The Committee provides $2,526,000 for rural and community
access to emergency devices. This is the same amount as the
budget request for fiscal year 2011. The fiscal year 2010
comparable level was $2,521,000.
This appropriation provides funding for both the rural
program under section 413 of the Public Health Service Act and
the community access demonstration under section 313. The
Committee urges HRSA to prioritize rural communities.
Funding will be used to purchase automated external
defibrillators, place them in public areas where cardiac
arrests are likely to occur and train lay rescuers and first
responders in their use.
The Committee encourages the placement of additional
automated external defibrillators [AEDs] in rural areas. Only
an estimated 8 percent of victims who suffer a sudden cardiac
arrest outside of a hospital survive. Immediate cardiopulmonary
resuscitation and early intervention, using an AED, can more
than double a patient's chance of survival. Communities with
comprehensive AED programs, including training of anticipated
rescuers, have achieved survival rates of nearly 40 percent.
State Offices of Rural Health
The Committee provides $10,075,000 for the State Offices of
Rural Health, the same as the budget request for fiscal year
2011. The fiscal year 2010 comparable level was $10,005,000.
The State Offices of Rural Health program helps the States
strengthen rural healthcare delivery systems by allowing them
to better coordinate care and improve support and outreach in
rural areas.
Black Lung Clinics
The Committee provides $7,200,000 for black lung clinics.
This is the same amount as the budget request for fiscal year
2011. The fiscal year 2010 comparable level was $7,185,000.
This program funds clinics that treat respiratory and
pulmonary diseases of active and retired coal miners, steel
mill workers, agricultural workers, and others with
occupationally related respiratory and pulmonary impairments.
These clinics reduce the incidence of high-cost inpatient
treatment for these conditions.
Radiation and Exposure Screening and Education Program
The Committee provides $1,952,000 for activities authorized
by the Radiation Exposure Compensation Act. This is the same
amount as the budget request for fiscal year 2011. The fiscal
year 2010 comparable level was $1,948,000.
This program provides grants for the education, prevention,
and early detection of radiogenic cancers and diseases
resulting from exposure to uranium during its mining and
milling at nuclear test sites.
Native and Rural Alaskan Healthcare
The Committee does not provide funding for the Denali
Commission. The fiscal year 2010 comparable level was
$10,000,000 and the budget request for fiscal year 2011 did not
include funding for this program.
These funds support the construction and renovation of
health clinics, hospitals and social service facilities in
rural Alaska, as authorized by Public Law 106-113.
Family Planning
The Committee provides $327,356,000 for the title X family
planning program, the same as the budget request for fiscal
year 2011. The fiscal year 2010 comparable level was
$316,832,000.
Title X grants support primary healthcare services at
clinics nationwide. About 85 percent of family planning clients
are women at or below 150 percent of poverty level. Title X of
the Public Health Service Act, which established the family
planning program, authorizes the provision of a broad range of
acceptable and effective family planning methods and preventive
health services to individuals, regardless of age or marital
status. This includes FDA-approved methods of contraception.
The Committee urges HRSA to use the increased funds to
augment the awards for existing grantees to offset the rising
cost of providing healthcare services. In addition, the
Committee encourages the Department to provide a portion of the
increase provided for family planning to be used to provide
technical assistance to grantees to be prepared for healthcare
reform, including the expansion of Medicaid, technology
upgrades and participating as essential community providers.
The Committee is aware of a 2009 Institute of Medicine
[IOM] report which found that the title X family planning
program provides critically needed health services to
individuals with the most difficulty accessing family planning
care. The Committee supports the Office of Family Planning's
efforts to review and update the title X program guidance and
administrative directives in response to the IOM report. The
Committee encourages the Office of Family Planning to consider
additional ways to strengthen the program's infrastructure and
service delivery needs.
Healthcare-related Facilities and Activities
The Committee provides $156,329,000 for the construction
and renovation (including equipment) of healthcare-related
facilities and other healthcare-related activities. In fiscal
year 2010, $337,300,000 was provided and the budget request for
fiscal year 2011 included $100,000,000 for these activities.
The Committee expects HRSA to use no more than 1 percent of
the funds allocated for projects for agency administrative
expenses. These funds are to be used for the following projects
and in the following amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Aberdeen Area Tribal Chairmen's Health Board, Rapid $450,000
City, SD, for facilities and equipment to improve
prenatal care........................................
Alameda County Medical Center, Oakland, CA, for 775,000
facilities and equipment.............................
Alaska Medicare Clinic, Anchorage, AK, for facilities 500,000
and equipment........................................
Alaska Native Tribal Health Consortium, Anchorage, AK, 1,000,000
for facilities and equipment.........................
Alaska Native Tribal Health Consortium, Anchorage, AK, 250,000
for the oral health disparities project..............
Alexian Brothers Hospital Network, Arlington Heights, 375,000
IL, for facilities and equipment.....................
Anchorage Neighborhood Health Center, Anchorage, AK, 500,000
for facilities and equipment.........................
Anchorage Project Access, Anchorage, AK, for outreach, 200,000
care coordination, and support of oral health- care.
Apple Tree Dental, Minneapolis, MN, for facilities and 150,000
equipment related to oral healthcare.................
Archbold Medical Center, Thomasville, GA, for 150,000
facilities and equipment.............................
Arkansas Methodist Hospital Corporation, Paragould, 500,000
AR, for facilities and equipment.....................
Assiniboine and Sioux Tribes of the Fort Peck 200,000
Reservation, Poplar, MT, for facilities and equipment
related to dialysis..................................
Association for Utah Community Health, Salt Lake City, 106,000
UT, to implement an electronic medical record system.
Barbara Ann Karmanos Cancer Institute, Detroit, MI, 250,000
for facilities and equipment.........................
Barnabas Uplift, Waverly, IA, for a healthcare job 300,000
training program.....................................
Baton Rouge Children's Health Project, Baton Rouge, 200,000
Louisiana, for the purchase of mobile mental health
units................................................
Baxter Regional Medical Center, Mountain Home, AR, for 450,000
facilities and equipment.............................
Baylor Health Care System and City of Dallas, Dallas, 110,000
TX, for facilities and equipment.....................
Bear Lake Memorial Hospital, Montpelier, ID, for 150,000
facilities and equipment.............................
Beebe Medical Center, Lewes, DE, for facilities and 150,000
equipment related to nurse training..................
BioOhio, Columbus, OH, for a national vaccine 100,000
manufacturing and logistics center study.............
Bi-State Primary Care Association, Montpelier, VT, for 40,000
education and outreach...............................
Bi-State Primary Care Association, Montpelier, VT, for 110,000
equipment and support of a dental clinic.............
Bozeman Deaconess Hospital, Bozeman, MT, for 250,000
facilities and equipment, including electronic health
records..............................................
Briar Cliff University, Sioux City, IA, for health 100,000
training equipment and online instruction............
Broadlawns Medical Center, Des Moines, IA, for 500,000
facilities and equipment.............................
Brookhaven Memorial Hospital Medical Center, 100,000
Patchogue, NY, to establish the Brookhaven Breast
Cancer Coalition.....................................
Cassia Regional Medical Center, Burley, ID, for 150,000
facilities and equipment.............................
Center for Asbestos Related Disease, Libby, MT, for 300,000
facilities and equipment, including information
technology...........................................
Center for Enhanced Diabetic Eye Care, Pikesville, MD, 100,000
for programs related to diabetic retinopathy,
including equipment..................................
Central Arkansas Radiation Therapy Institute, Little 500,000
Rock, AR, for facilities and equipment...............
Central Maine Medical Center College of Nursing and 200,000
Health Professions, Lewiston, ME, for facilities and
equipment............................................
Central Maine Medical Center, Lewiston, ME, for health 225,000
professions training, including equipment............
Chestnut Health Systems, Bloomington, IL, for 350,000
facilities and equipment.............................
Children's Medical Center--Dallas, Dallas, TX, for 300,000
facilities and equipment.............................
Children's Memorial Hermann Hospital, Houston, TX, for 200,000
facilities and equipment.............................
Children's Aid and Family Services, Paramus, NJ, for 200,000
facilities and equipment.............................
Children's Hospital of Wisconsin and Health System, 700,000
Milwaukee, WI, for facilities and equipment..........
Children's Hospital, Aurora, CO, for information 150,000
technology upgrades..................................
Children's Mercy Hospital, Kansas City, MO, for 500,000
facilities and equipment.............................
Chippewa Valley Free Clinic, Eau Claire, WI, for 500,000
facilities and equipment.............................
CHRISTUS St. Frances Cabrini, Alexandria, LA, for 200,000
electronic health record implementation..............
Chronic Disease Fund, Plano, TX, to expand chronic 500,000
disease program......................................
Clarian Health, Indianapolis, IN, for outreach and 100,000
education services for diabetes......................
Cleveland State University, Cleveland, OH, for 100,000
facilities and equipment.............................
Coastal Carolina University, Conway, SC, for 200,000
facilities and equipment.............................
Coastal Family Health Center, Astoria, OR, for 100,000
facilities and equipment.............................
Columbus Regional Hospital, Columbus, IN, for 100,000
facilities and equipment.............................
Community Dental, Portland, ME, for dental health 450,000
services, including equipment........................
Community Foundation of Southwest Kansas, Dodge City, 150,000
KS, for facilities and equipment.....................
Community Health Access Project, Inc., Mansfield, OH, 250,000
for facilities and equipment.........................
Community Health Center of Ft. Dodge, Ft. Dodge, IA, 100,000
for facilities and equipment.........................
Community Health Center, Inc., Middletown, CT, for a 150,000
residency training program for nurse practition- ers
Community Health Centers of Arkansas, North Little 250,000
Rock, AR, for facilities and equipment...............
Community Health Centers of Southeastern Iowa, 100,000
Burlington, IA, for facilities and equipment.........
Community Health Centers of Southern Iowa, Leon, IA, 250,000
for facilities and equipment.........................
Community Health, Chicago, IL, for facilities and 150,000
equipment............................................
Comprehensive Community Action Inc., Cranston, RI, for 500,000
health center facilities and equipment...............
Concordia University School of Pharmacy, Mequon, WI, 500,000
for facilities and equipment.........................
Connecticut Children's Medical Center, Hartford, CT, 500,000
for facilities and equipment.........................
Coos County Family Health Services, Berlin, NH, for 150,000
facilities and equipment.............................
Copper River Native Association, Copper Center, AK, 500,000
for facilities and equipment.........................
Council Bluffs Community Health Center, Council 350,000
Bluffs, IA, for facilities and equipment.............
County of Riverside, Moreno Valley, CA, for facilities 1,000,000
and equipment related to trauma care.................
Crouse Hospital, Syracuse, NY, for facilities and 150,000
equipment............................................
Cure for the Kids Foundation, Las Vegas, NV, for 500,000
facilities and equipment.............................
Dakota Wesleyan University, Mitchell, SD, for health 200,000
training equipment...................................
Dallas County Community College District, Dallas, TX, 250,000
for a health careers resource center.................
Dartmouth Hitchcock Medical Center, Lebanon, NH, for 400,000
facilities and equipment.............................
Dean McGee Eye Institute, Oklahoma City, OK, for 150,000
facilities and equipment.............................
Delta State University, Cleveland, MS, for facilities 1,300,000
and equipment........................................
Denver Hospice, Denver, CO, for facilities and 150,000
equipment............................................
Dillard University, New Orleans, LA, for facilities 250,000
and equipment at the Gentille Center for Health
Disparities and Disease Prevention...................
Drew Memorial Hospital, Monticello, AR, for facilities 500,000
and equipment........................................
East Carolina University, Greenville, NC, for 500,000
facilities and equipment.............................
East Carroll Parish Hospital, Lake Providence, LA, for 600,000
facilities and equipment.............................
East Orange General Hospital, East Orange, NJ, for 200,000
facilities and equipment.............................
Easter Seals Joliet Region, Inc., Joliet, IL, for 200,000
facilities and equipment related to autism...........
Eastern Maine Healthcare System, Brewer, ME, for a 385,000
hospice and palliative care initiative...............
Eastern Shore Rural Health System, Inc., Nassawadox, 150,000
VA, for equipment related to oral healthcare.........
Egyptian Public & Mental Health Department, Eldorado, 275,000
IL, for facilities and equipment at a rural health
clinic...............................................
Flathead Valley Community College, Kalispell, MT, for 100,000
health professions training, including equipment.....
Floyd Medical Center, Rome, GA, for facilities and 100,000
equipment............................................
Free Clinics of Iowa, Des Moines, IA, for coordination 350,000
of care..............................................
Garfield Memorial Hospital, Panguitch, UT, for 106,000
facilities and equipment.............................
Gillette Children's Specialty Healthcare, St. Paul, 100,000
MN, for facilities and equipment.....................
Global to Local Health Initiative, Seattle, WA, for a 400,000
health disparities program, including equipment......
Good Samaritan Health Clinic of Cullman, Inc., 100,000
Cullman, AL, to implement an electronic medical
records system.......................................
Goodall Hospital, Sanford, ME, for facilities and 300,000
equipment............................................
Grays Harbor Community Hospital, Aberdeen, WA, for 750,000
facilities and equipment.............................
Greater Sioux Community Health Center, Sioux Center, 600,000
IA, for facilities, equipment, supplies, and outreach
Habersham Medical Center, Demorest, GA, for facilities 100,000
and equipment........................................
Harms Memorial Hospital District, American Falls, ID, 100,000
for facilities and equipment.........................
Harris County Hospital District, Houston, TX, for 250,000
facilities and equipment.............................
Hawkeye Community College, Waterloo, IA, for health 400,000
education facilities and equipment...................
Health Work Force Institute, Seattle, WA, for programs 300,000
to identify and address workforce needs..............
Healthy Howard Health Plan, Inc, Columbia, MD, for 500,000
outreach, support and care coordination..............
Hidalgo Medical Services, Lordsburg, NM, for 250,000
facilities and equipment in Silver City..............
Hospice of the Panhandle, Martinsburg, WV, for 3,000,000
facilities and equipment.............................
Houston Community College, Houston, TX, for 250,000
recruitment and nurse training.......................
Howard Community College, Columbia, MD, for health 250,000
education facilities and equipment...................
Hudson Perinatal Consortium, Jersey City, NJ, for a 200,000
program to improve birth outcomes....................
Idaho State University, Pocatello, ID, for facilities 150,000
and equipment........................................
Innovis Health, Fargo, ND, for facilities and 175,000
equipment............................................
Integrated Service Solutions, Caribou, ME, to 255,000
implement an electronic health record system.........
Iowa CareGivers Association, West Des Moines, IA, for 300,000
the Direct Care Worker Resource and Outreach Center..
Iowa Healthcare Collaborative, Des Moines, IA, to 650,000
improve healthcare provider efficiency and
effectiveness........................................
Iowa Nebraska Primary Care Association, Des Moines, 600,000
IA, for planning grants..............................
Iowa State University, Ames, IA, for facilities and 1,000,000
equipment for the Institute for Novel Vaccines and
Anti-Microbial Design................................
Iowa Valley Community College District, Marshalltown, 100,000
IA, to assist underserved individuals in pursuing a
healthcare career....................................
Iowa Western Community College, Council Bluffs, IA, 250,000
for facilities and equipment for the nursing cen-
ter..................................................
J.C. Blair Memorial Hospital, Huntingdon, PA, for 100,000
facilities and equipment.............................
Jackson Laboratory, Bar Harbor, ME, for facilities and 100,000
equipment............................................
Jackson Park Hospital, Chicago, IL, for facilities and 250,000
equipment............................................
Jackson State University, Jackson, MS, for facilities 1,000,000
and equipment........................................
Jacksonville State University, Jacksonville, AL, for a 100,000
nursing education program including equipment........
Jameson Health System, New Castle, PA, for facilities 100,000
and equipment........................................
Kalihi-Palama Health Center, Honolulu, HI, for a 250,000
program on renal disease.............................
Kanawha-Charleston Health Department, Charleston, WV, 350,000
for a chronic disease management program.............
Kauai Community Health Center, Lihue, HI, for 200,000
facilities and equipment.............................
Kennesaw State University, Kennesaw, GA, for 200,000
facilities and equipment.............................
King County Project Access, Seattle, WA, for 40,000
facilities and equipment.............................
La Clinica del Valle Family Health Care Center, Inc., 200,000
Medford, OR, for facilities and equipment............
Lake Area Technical Institute, Watertown, SD, for 100,000
health training equipment............................
Lanai'i Community Health Center, Lanai'i City, HI, for 100,000
facilities and equipment.............................
Leflore County Health Center, Inc, Greenwood, MS, for 250,000
a patient navigator initiative, including equip-
ment.................................................
Legacy Health System, Vancouver, WA, for telemedicine 125,000
programs, including equipment........................
Lewis-Clark State College, Lewiston, ID, for 150,000
facilities and equipment.............................
Linn Community Care, Cedar Rapids, IA, for facilities 250,000
and equipment........................................
Little Company of Mary Hospital, Evergreen Park, IL, 400,000
for facilities and equipment.........................
Livingston Health Care, Livingston, MT, for facilities 150,000
and equipment........................................
Los Angeles Community College District, Los Angeles, 150,000
CA, for health professions training, including
equipment............................................
Loyola University, Chicago, IL, for facilities and 400,000
equipment related to nurse training..................
Maine Medical Center, Portland, ME, for physician 355,000
recruitment, including scholarships..................
Manchester College, Fort Wayne, IN, for facilities and 150,000
equipment............................................
Maniilaq Association, Kotzebue, AK, for facilities and 1,500,000
equipment............................................
Marcus Autism Center, Atlanta, GA, for rural health 200,000
outreach.............................................
Marquette University, Milwaukee, WI, for a 850,000
comprehensive dental outreach program................
Marshall University, Huntington, WV, for facilities 2,300,000
and equipment related to genetic research............
Massachusetts League of Community Health Centers, 100,000
Boston, MA, for workforce training and development...
Maui Medical Center, Wailuku, HI, for health 100,000
professions training, including equipment............
Mental Crisis Services, Denver, CO, for electronic 150,000
health record implementation.........................
Mercy Medical Center, Inc., Canton, OH, to implement 250,000
an electronic medical records system.................
Mercy Medical Foundation, Des Moines, IA, for 500,000
pediatric care facilities and equipment..............
Minidoka Memorial Hospital, Rupert, ID, for facilities 150,000
and equipment........................................
Minot State University, Minot, ND, for its Great 200,000
Plains Autism Treatment Program to serve transition-
age youth with autism spectrum disorders.............
Mission Health System, Asheville, NC, for facilities 150,000
and equipment........................................
Mississippi Blood Services, Inc., Jackson, MS, for 485,000
facilities and equipment.............................
Mississippi County Hospital System d.b.a. Great River 200,000
Medical Center, Blytheville, AR, for facilities and
equipment............................................
Mississippi Primary Health Care Association, Jackson, 350,000
MS, for facilities and equipment.....................
Mississippi State University, Mississippi State, MS, 1,000,000
for biomedical engineering facilities and equip-
ment.................................................
Mississippi State University, Mississippi State, MS, 500,000
for facilities and equipment.........................
Mississippi University for Women, Columbus, MS, for 190,000
facilities and equipment.............................
Missouri River Medical Center, Fort Benton, MT, for 300,000
facilities and equipment.............................
Moses Cone Health System, Greensboro, NC, for 200,000
facilities and equipment.............................
Murray State University, Murray, KY, to purchase a 500,000
mobile health unit...................................
Nathan Adelson Hospice Foundation, Las Vegas, NV, for 590,000
facilities and equipment.............................
National Jewish Health, Denver, CO, for facilities and 250,000
equipment............................................
Native Women's Health Care Center, Rapid City, SD, for 100,000
facilities and equipment.............................
Navos, Seattle, WA, for facilities and equipment...... 100,000
Nevada Cancer Institute, Las Vegas, NV, for equipment. 750,000
New Mexico Foundation for Dental Health, Research and 100,000
Education, Albuquerque, NM, for outreach, care
coordination, and support of oral healthcare.........
New York Presbyterian Hospital, New York, NY, for 150,000
facilities and equipment.............................
New York University Langone Medical Center, New York, 750,000
NY, for facilities and equipment.....................
North Colorado Medical Center, Greeley, CO, for 250,000
facilities and equipment.............................
North Dakota Medical Association, Bismarck, ND, to set 250,000
up a statewide quality improvement network...........
North Idaho College, Coeur d'Alene, ID, to expand the 100,000
physical therapy program.............................
North Shore Long Island Jewish Health System, Great 500,000
Neck, NY, to implement electronic medical re- cords.
Northeast Missouri Health Council, Inc., Kirksville, 750,000
MO, for facilities and equipment.....................
Nye County, Pahrump, NV, for facilities and equipment. 400,000
Oakwood Healthcare, Inc., Dearborn, MI, for facilities 150,000
and equipment related to orthopedics.................
Oglala Sioux Tribe, Pine Ridge, SD, for facilities and 250,000
equipment related to emergency care..................
Ohio State University Comprehensive Cancer Center-- 200,000
James Cancer Hospital and Solove Research Institute,
Columbus, OH, for facilities and equipment...........
Ohio University, Athens, OH, for health outreach and 200,000
services in Appalachia Ohio..........................
Oklahoma Medical Research Foundation, Oklahoma City, 100,000
OK, for facilities and equipment.....................
Olympic College, Bremerton, WA, for facilities and 350,000
equipment related to nurse training..................
Our Lady of the Lake University, San Antonio, TX, for 110,000
nursing curriculum development, including equipment..
Palmer College of Chiropractic and Myrna Brind Center 400,000
of Integrative Medicine, Davenport, IA, to develop a
model integrative healthcare program for the
treatment of pain....................................
Parkland Health and Hospital System, Dallas, TX, for 400,000
facilities and equipment.............................
Parkview Medical Center, Pueblo, CO, for facilities 250,000
and equipment........................................
Peace Health Whatcom Region, Bellingham, WA, for 200,000
facilities and equipment.............................
Pennsylvania Breast Cancer Coalition, Ephrata, PA, for 100,000
screening programs and outreach......................
Penobscot Community Health Care, Bangor, ME, for a 150,000
rural dental health initiative.......................
Penobscot Valley Hospital, Lincoln, ME, for facilities 395,000
and equipment........................................
Peoples Community Health Clinic, Waterloo, IA, for 250,000
facilities and equipment.............................
Pierce College Puyallup, Puyallup, WA, for health 130,000
training equipment...................................
Pioneer Valley Life Sciences Institute, Springfield, 100,000
MA, for facilities and equipment.....................
Pratt Regional Medical Center, Pratt, KS, for 500,000
facilities and equipment.............................
Primary Care Association of Hawaii, Honolulu, HI, to 1,850,000
support community health centers, including equipment
Providence Alaska Family Medicine Residency, 500,000
Anchorage, AK, for physician recruitment and
retention initiative in rural Alaska.................
Providence ElderPlace Seattle, Seattle, WA, for 300,000
facilities and equipment.............................
Providence St. Peter Hospital, Olympia, WA, for 135,000
facilities and equipment.............................
Regis College, Weston, MA, for facilities and 100,000
equipment related to nurse training..................
Renown Health, Reno, NV, to expand nurse training..... 500,000
Rhode Island Free Clinic, Providence, RI, for 250,000
coordination of care, data collection and analysis...
Rice Lake Area Free Clinic, Rice Lake, WI, for 100,000
facilities and equipment.............................
Rice University, Houston, TX, for facilities and 200,000
equipment............................................
Richmond Medical Center dba Richmond University 350,000
Medical Center, Staten Island, NY, for facilities and
equipment............................................
Rosebud Sioux Tribe, Rosebud, SD, for facilities and 450,000
equipment............................................
Rosebud Sioux Tribe, Rosebud, SD, for facilities and 50,000
equipment including purchase of a vehicle related to
elderly care.........................................
Saint Elizabeth's Medical Center, Wabasha, MN, for 100,000
facilities and equipment.............................
Saint Patrick Hospital and Health Sciences Center, 150,000
Missoula, MT, for facilities and equipment...........
Salish Kootenai College, Pablo, MT, for facilities and 100,000
equipment related to health professions training.....
Salve Regina University, Newport, RI, for facilities, 500,000
equipment, and training for an expanded nursing
program..............................................
San Luis Valley Regional Medical Center, Alamosa, CO, 250,000
to implement electronic medical record system........
Sanders County Community Development Corporation, 300,000
Thompson Falls, MT, for facilities and equipment at
the Hot Springs Medical Clinic.......................
Seton Medical Center--Austin, Austin, TX, for 200,000
facilities and equipment.............................
Sherman County Health District dba Moro Medical 150,000
Clinic, Moro, OR, for facilities and equipment.......
Snow College, Ephraim, UT, for facilities and 150,000
equipment............................................
Solaris Health System--JFK Medical Center, Edison, NJ, 400,000
for facilities and equipment.........................
Somerset Hospital, Somerset, PA, for facilities and 100,000
equipment............................................
Southeast Missouri State University, Cape Girardeau, 200,000
MO, for the S.H.O.W. mobile initiative, including
equipment............................................
Southeastern Community College, West Burlington, IA, 200,000
for facilities and equipment.........................
Southeastern Ohio Regional Medical Center, Cambridge, 250,000
OH, for information technology upgrades..............
Southern Nevada Immunization Coalition, Las Vegas, NV, 200,000
for a community immunization project.................
Southwest Colorado Mental Health Center, Inc., 250,000
Durango, CO, for facilities and equipment at the
Cortez Clinic........................................
Sparrow Ionia County Memorial Hospital, Lansing, MI, 500,000
for facilities and equipment.........................
Spokane County Medical Society Foundation, Spokane, 100,000
WA, for outreach and care coordination...............
St. Alexius Medical Center Foundation, Bismarck, ND, 300,000
for facilities and equipment.........................
St. Charles Health Council, Inc., Pennington Gap, VA, 150,000
for a mobile respiratory care clinic, including
equipment............................................
St. John Medical Center Foundation, Longview, WA, for 100,000
health professions training equipment................
St. Joseph Hospital, Nashua, NH, to implement an 250,000
electronic medical record system.....................
St. Joseph's Mercy Health Foundation, Hot Springs, AR, 200,000
for facilities and equipment.........................
St. Jude Children's Research Hospital, Memphis, TN, 1,600,000
for facilities and equipment.........................
St. Louis Children's Hospital, St. Louis, MO, for 500,000
facilities and equipment.............................
St. Mary's Foundation for St. Mary's Regional Medical 300,000
Center, Reno, NV, for planning and support of oral
healthcare...........................................
St. Mary's Hospital, Cottonwood, ID, for facilities 100,000
and equipment........................................
St. Mary's Janesville Hospital, Janesville, WI, for 700,000
facilities and equipment.............................
St. Mary's Medical Center, Huntington, WV, for 250,000
facilities and equipment.............................
St. Vincent Hospital, Billings, MT, for facilities and 250,000
equipment............................................
State of Maryland, Baltimore, MD, for facilities and 1,250,000
equipment related to emergency care..................
Straub Hospital Burn Center, Honolulu, HI, for 150,000
facilities and equipment.............................
Temple University Health System, Philadelphia, PA, for 100,000
facilities and equipment.............................
Teton Valley Hospital, Driggs, ID, for facilities and 100,000
equipment............................................
Texas Children's Hospital, McAllen, TX, for education 250,000
and outreach programs at the Vannie E. Cook Jr.
Children's Cancer and Hematology Clinic..............
Texas Health Institute, Austin, TX, for emergency 200,000
response initiative, including purchase of equipment.
Texas Medical Center, Houston, TX, for facilities and 650,000
equipment............................................
Texas Tech University Health Sciences Center, Austin, 200,000
TX, for facilities and equipment.....................
Texas Women's University, Denton, TX, for facilities 300,000
and equipment........................................
Thomas Jefferson University Hospital, Philadelphia, 100,000
PA, for facilities and equipment.....................
Thompson Health, Canandaigua, NY, for facilities and 150,000
equipment............................................
Touro University Nevada, Henderson, NV, for facilities 750,000
and equipment at the College of Optometry............
Tulane University School of Medicine, New Orleans, LA, 300,000
for facilities and equipment.........................
Tulare Regional Medical Center, Tulare, CA, for 550,000
facilities and equipment.............................
Tyrone Hospital, Tyrone, PA, for facilities and 100,000
equipment............................................
Union Hospital, Terre Haute, IN, for facilities and 100,000
equipment............................................
United General Hospital, Sedro Woolley, WA, for 150,000
facilities and equipment.............................
University at Albany SUNY, Albany, NY, for facilities 200,000
and equipment related to orphan disease re- search..
University Hospitals, Cleveland, OH, for facilities 200,000
and equipment........................................
University Medical Center of Southern Nevada, Las 300,000
Vegas, NV, for a diabetes management program.........
University of Alabama, Tuscaloosa, AL, for facilities 15,000,000
and equipment........................................
University of Arkansas for Medical Sciences, Little 500,000
Rock, AR, for facilities and equipment...............
University of Arkansas for Medical Sciences, Little 200,000
Rock, AR, for facilities and equipment...............
University of California Davis Medical Center, Davis, 500,000
CA, for facilities and equipment.....................
University of California, Riverside, Riverside, CA, 750,000
for facilities and equipment at the School of Medi-
cine.................................................
University of Central Arkansas, Conway, AR, for 250,000
facilities and equipment related to training mental
health professionals.................................
University of Colorado--Denver School of Medicine, 400,000
Aurora, CO, for facilities and equipment for the
Linda Crnic Institute for Down Syndrome..............
University of Colorado--Denver, Aurora, CO, for a 150,000
health professions training program..................
University of Hawaii at Hilo School of Nursing, Hilo, 350,000
HI, to develop advanced degrees and expand rural
nurse training.......................................
University of Hawaii at Hilo, Hilo, HI, for a clinical 1,600,000
pharmacy training program............................
University of Hawaii School of Medicine, Honolulu, HI, 200,000
for curriculum development...........................
University of Hawaii School of Nursing-Manoa, 350,000
Honolulu, HI, for rural nurse training programs......
University of Iowa, Carver College of Medicine, Iowa 2,000,000
City, IA, for facilities and equipment for the
Institute for Biomedical Discovery...................
University of Iowa, Iowa City, IA, for facilities and 1,000,000
equipment at the College of Public Health............
University of Kansas Hospital, Kansas City, KS, for 500,000
facilities and equipment.............................
University of Kansas, Lawrence, KS, for facilities and 550,000
equipment............................................
University of Kentucky Research Foundation, Lexington, 1,900,000
KY, for a colorectal cancer research program,
including equipment..................................
University of Kentucky Research Foundation, Lexington, 2,000,000
KY, to establish a program to reduce heart disease in
rural areas..........................................
University of Louisville Research Foundation, 4,000,000
Louisville, KY, for facilities and equipment.........
University of Louisville Research Foundation, 900,000
Louisville, KY, for facilities and equipment.........
University of Louisville Research Foundation, 700,000
Louisville, KY, for facilities and equipment.........
University of Maryland Medical System, Baltimore, MD, 200,000
for equipment and information technology upgrades....
University of Maryland--Baltimore, Annapolis, MD, for 1,000,000
facilities and equipment related to stem cell
research.............................................
University of Massachusetts Memorial Health Care, 250,000
Worcester, MA, for implementation of an electronic
medical record.......................................
University of Mississippi Medical Center, Jackson, MS, 4,384,000
for facilities and equipment.........................
University of Mississippi, University, MS, for 5,000,000
facilities and equipment.............................
University of Nevada--Reno, NV, for health professions 300,000
training and public education efforts related to
pediatric Chron's disease............................
University of New Mexico, Albuquerque, NM, for 100,000
outreach, training and technical assistance related
to cerebral cavernous malformations..................
University of North Carolina--Greensboro, NC, for a 300,000
telespeech initiative, including equipment...........
University of North Dakota School of Medicine and 175,000
Health Sciences, Grand Forks, ND, for facilities and
equipment............................................
University of Pittsburgh Cancer Institute, Pittsburgh, 100,000
PA, for equipment....................................
University of Rhode Island, Kingston, RI, for 500,000
equipment related to nursing education...............
University of Southern Mississippi, Hattiesburg, MS, 6,000,000
for facilities and equipment.........................
University of Texas Health Center at Tyler, Tyler, TX, 500,000
for facilities and equipment.........................
University of Texas Health Science Center at San 500,000
Antonio, San Antonio, TX, for facilities and equip-
ment.................................................
University of Texas Health Science Center--Houston, 200,000
Houston, TX, for facilities and equipment............
University of Texas MD Anderson Cancer Center, 250,000
Houston, TX, for facilities and equipment............
University of Utah, Salt Lake City, UT, for facilities 1,000,000
and equipment........................................
University of Vermont, Burlington, VT, for equipment 500,000
related to DNA sequencing............................
University of Washington, Seattle, WA, for facilities 570,000
and equipment related to dental care.................
University of Wisconsin--Rock County, Janesville, WI, 250,000
for a higher education collaboration to promote
degrees in nursing...................................
Utah Department of Health, Salt Lake City, UT, for 100,000
facilities and equipment.............................
Utah Department of Health, Salt Lake City, UT, to 106,000
expand Monticello health education and screening
initiative...........................................
Utah Medical Education Council, Salt Lake City, UT, 500,000
for the purchase of a mobile dental unit.............
Utah Valley University, Orem, UT, for facilities and 400,000
equipment............................................
Vanderbilt University, Nashville, TN, for facilities 2,400,000
and equipment........................................
Virginia Community College System, Richmond, VA, for 100,000
expansion of the Emergency Medical Technician program
Virginia Mason Medical Center, Seattle, WA, for 500,000
facilities and equipment.............................
Virginia State University, Petersburg, VA, for 100,000
facilities and equipment related to nurse training...
Washington County, NC, Plymouth, NC, for facilities 400,000
and equipment........................................
Weber State University, Ogden, UT, for expansion of 350,000
nursing programs, including equipment................
Wesley College, Dover, DE, for facilities and 200,000
equipment related to nurse training..................
West Hawaii Community Health Center, Kailua-Kona, HI, 250,000
for facilities and equipment.........................
West Virginia Northern Community College, Weirton, WV, 3,000,000
for facilities and equipment related to health
professions training.................................
West Virginia University Health Sciences, Morgantown, 1,000,000
WV, for facilities and equipment.....................
West Virginia University, Morgantown, WV, for the 2,300,000
construction of a Multiple Sclerosis Center..........
Western Kentucky University, Bowling Green, KY, for 2,500,000
facilities and equipment.............................
Whatley Health Services, Greensboro, AL, for 150,000
facilities and equipment.............................
Wheeling Jesuit University, Wheeling, WV, for the 2,500,000
HealtheWV program, including equipment...............
White River Medical Center, Batesville, AR, for 500,000
facilities and equipment.............................
Whittemore-Peterson Institute for Neuro-Immune 1,000,000
Disease, Sparks, NV, for facilities and equipment....
Williamsport Hospital, Williamsport, PA, for 100,000
facilities and equipment.............................
Woman's Christian Association Hospital, Jamestown, NY, 150,000
for facilities and equipment.........................
Yankton Sioux Tribe, Marty, SD, for facilities and 100,000
equipment related to dialysis care...................
------------------------------------------------------------------------
Telehealth
The Committee provides $15,000,000 for telehealth
activities. The budget request for fiscal year 2011 was
$11,600,000. The fiscal year 2010 comparable level was
$11,575,000. The telehealth program promotes the effective use
of technologies to improve access to health services for people
who are isolated from healthcare and to provide distance
education for health professionals.
Program Management
The Committee provides $154,808,000 for program management
activities for fiscal year 2011. The fiscal year 2010
comparable level was $147,052,000 and the budget request for
fiscal year 2011 was $153,808,000.
Within the total provided, the Committee has included
$1,000,000 for a GAO study on hospital contract management. The
Committee recognizes the challenges that rural and safety-net
hospitals face in managing contracts, including contracts for
health professional services, information technology, supplies
and pharmaceuticals. The Committee intends the GAO study to
analyze the potential cost savings these hospitals can realize
from the use of electronic contract management, in particular
any possible savings to public assistance programs like
Medicare and Medicaid. Electronic contract management provides
for the construction of a database to administer the contracts
necessary for hospital operations and to provide comprehensive
Web-based access to such database through a software-as-a-
service application. The Committee expects a recommendation
from the GAO on the efficacy of an electronic contract
management service for rural, safety-net hospitals, especially
those hospitals participating in disproportionate share
hospital payments under the Medicaid and Medicare programs.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
The Committee has transferred the administration of the
Health Education Assistance Loans program to the Department of
Education, as proposed in the President's budget. The fiscal
year 2010 comparable level was $2,847,000.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
Appropriations, 2010.................................... $122,410,000
Budget estimate, 2011................................... 122,410,000
Committee recommendation................................ 122,410,000
The Committee provides that $122,410,000 be released from
the vaccine injury compensation trust fund in fiscal year 2011,
the same as the comparable level in fiscal year 2010 and the
budget request for fiscal year 2011. Of that amount, $6,502,000
is for administrative costs.
The National Vaccine Injury Compensation program provides
compensation for individuals with vaccine-associated injuries
or deaths. Funds are awarded to reimburse medical expenses,
lost earnings, pain and suffering, legal expenses, and a death
benefit. The vaccine injury compensation trust fund is funded
by excise taxes on certain childhood vaccines.
COVERED COUNTERMEASURE PROCESS FUND
Appropriations, 2010....................................................
Budget estimate, 2011................................... $2,500,000
Committee recommendation................................ 2,500,000
The Committee provides $2,500,000 for the administration of
the Covered Countermeasure Process fund and for costs under the
Smallpox Emergency Personal Protection Act of 2003. The fiscal
year 2011 budget request was $2,500,000. The fiscal year 2010
appropriation did not include funds for this purpose.
The Covered Countermeasure Process fund provides
compensation for individuals injured from the manufacture,
administration, or use of countermeasures that the Secretary
has declared necessary to respond to a public health threat.
Funds are available until expended.
Centers for Disease Control and Prevention
DISEASE CONTROL, RESEARCH, AND TRAINING
Appropriations, 2010.................................... $6,804,946,000
Budget estimate, 2011................................... 6,891,695,000
Committee recommendation................................ 6,905,810,000
The Committee provides a program level of $6,905,810,000
for the Centers for Disease Control and Prevention [CDC]. The
Committee recommendation includes $6,527,235,000 in
discretionary budget authority, an additional $138,358,000 via
transfers available under section 241 of the Public Health
Service Act, an additional $55,358,000 in mandatory funds and
assumes $184,859,000 in balances from Public Law 111-32 in
accordance with the budget request. In addition, the Committee
recommends $663,000,000 be transferred to the CDC from the
Prevention and Public Health Fund. The fiscal year 2010
comparable program level was $6,804,946,000, and the program
level budget request for fiscal year 2011 was $6,891,695,000.
The activities of the CDC focus on several major
priorities: providing core public health functions; responding
to urgent health threats; monitoring the Nation's health using
sound scientific methods; building the Nation's health
infrastructure to insure our national security against
bioterrorist threats; assuring the Nation's preparedness for
emerging infectious diseases and potential pandemics; promoting
women's health; and providing leadership in the implementation
of nationwide prevention strategies to encourage responsible
behavior and adoption of lifestyles that are conducive to good
health.
The Committee is aware that the CDC began reorganizing
itself in August 2009 and the reorganization took place in
fiscal year 2010. That reorganization is largely complete;
personnel have been moved and new leadership positions have
been filled. Despite repeated requests, the Committee has yet
to receive a reprogramming notification that would align the
budget with the reorganization. Therefore, the recommendation
that follows reflects the structure of the CDC Centers as they
existed in fiscal year 2009. In addition, the Committee has
included enacted figures in the internal funding tables in
order to provide a better frame of reference as programs
experience transfers, reorganizations and reprogrammings over
the course of fiscal year 2010.
NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES
The Committee has included a program level of $735,807,000
for the activities of this Center in fiscal year 2011. The
comparable level for fiscal year 2010 was $718,460,000. The
budget request for fiscal year 2011 included $579,463,000 for
this Center. The Committee recommendation includes $12,864,000
in transfers available under section 241 of the Public Health
Service Act and $116,344,000 in transfers from Public Law 111-
32 in accordance with the budget request.
The Committee recommendation includes funding for the
following activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Section 317 Immunization Program................................ 496,847 511,062 511,062
Vaccine Purchase Grants..................................... 261,977 289,546 289,546
State Infrastructure Grants................................. 234,870 221,516 221,516
Program Operations.............................................. 62,621 65,630 65,630
National Immunization Survey (PHS Evaluation Transfers) (non- 12,864 12,864 12,864
add).......................................................
----------------------------------------------------------------------------------------------------------------
Immunization.--The Committee supports the expansion of the
section 317 immunization program contained in the Patient
Protection and Affordable Care Act, and encourages the CDC to
publish guidance expeditiously. The Committee requests that the
CDC identify in the fiscal year 2012 budget justification a
detailed breakdown of adult vaccines purchased by the States
using the new authority. The Committee encourages the CDC to
create and manage a broad public education campaign targeted at
improving adult immunization rates, with active participation
by and collaboration with State and local public health
departments. The Committee further encourages the CDC to
increase its capacity to measure adult immunization coverage
rates and support enhanced development, interoperable
functionality, and use of State and regional immunization
registries and/or take advantage of advances in electronic
medical health records.
Influenza.--The Committee recommendation includes
$159,115,000 for influenza activities, of which $116,344,000 is
assumed to be transferred from Public Law 111-32 balances,
consistent with the budget request. However, the Committee is
concerned by the administration's proposal to use previously
appropriated emergency funds to pay the salaries of the
scientists and staff in the Influenza Division of this Center.
Therefore, the Committee has provided $40,000,000 in budget
authority for the pandemic influenza program. The Committee
intends these funds to be used to pay the costs of FTE.
NATIONAL CENTER FOR ZOONOTIC, VECTOR BORNE, AND ENTERIC DISEASES
The Committee includes $80,488,000 for fiscal year 2011 for
this Center. The comparable fiscal year 2010 level was
$76,647,000 and the fiscal year 2011 budget request was
$58,027,000. This Center provides outbreak investigation,
infection control and scientific evaluations of zoonotic,
vector borne, and enteric diseases; and conducts food-borne
illness surveillance and investigation.
The Committee recommendation includes funding for the
following activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Vector-borne Diseases........................................... 26,717 .............. 26,717
Lyme Disease.................................................... 8,938 9,055 10,000
Food Safety..................................................... 26,942 35,195 35,195
Chronic Fatigue Syndrome........................................ 4,825 4,598 4,825
----------------------------------------------------------------------------------------------------------------
Chronic Fatigue Syndrome.--The Committee urges the CDC to
follow recommendations made by the CFS Advisory Committee and
the 2008 peer review panel to prioritize laboratory efforts
aimed at the identification of diagnostic subtypes and
therapeutic biomarkers with increasing efforts in viral
etiology. Intervention, including vaccination studies, against
pathogens with known associations with CFS should be pursued in
collaboration with other agencies and investigators to support
genetic, genomic and intervention studies. The Committee
continues to support efforts to make data accumulated since
1984 by the CFS research program available to outside
researchers to maximize the value of this data.
Food Safety.--The Committee strongly supports the
administration's proposal to expand food safety surveillance.
In particular, the Committee believes that efforts to improve
multi-jurisdictional outbreak investigations are crucial to
improving the safety of the Nation's food. Further, the
Committee believes that PulseNet should be a model program at
the CDC for the way in which it allows officials at the
Federal, State and local levels to submit and view information
on outbreaks that are happening or could be happening within
their jurisdictions.
Prion Diseases.--The Committee has not included funding
specifically for prion diseases. The fiscal year 2010 enacted
level was $5,474,000 and the President requested $5,390,000 for
this activity. Prion diseases are most often transmitted
through food. The Committee has increased funding for food
safety efforts by the CDC and intends that surveillance for
prion diseases be incorporated into the national food safety
detection and control programs.
Vector Borne Disease.--The Committee has rejected the
administration's proposal to eliminate funding for research and
surveillance of vector-borne disease. The Committee notes that
recent natural disasters like hurricanes or floods result in
unavoidable pools of standing water that are breeding grounds
for mosquitoes, and changes in weather patterns extend the
areas in our country that are hospitable to mosquitoes. For
these reasons, the Committee believes it would be irresponsible
to eliminate funding to track vector borne diseases and
premature to cancel research on prevention methods.
NATIONAL CENTER FOR HIV, VIRAL HEPATITIS, STD, AND TB PREVENTION
The Committee includes $1,072,004,000 for the activities at
this Center in fiscal year 2011. The fiscal year 2010 level was
$1,045,382,000 and the fiscal year 2011 budget request was
$1,083,286,000. The Committee has included funding for the
following activities at the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Domestic HIV/AIDS Prevention and Research....................... 727,980 758,540 746,041
HIV Prevention by Health Departments........................ 328,887 343,062 328,887
HIV Surveillance............................................ 109,455 109,113 109,455
National/Regional/Local/Community/Other Organizations....... 134,793 135,052 134,793
Enhanced HIV Testing........................................ 65,273 63,680 65,273
Improving Program Effectiveness............................. 89,572 107,633 107,633
Viral Hepatitis................................................. 19,259 21,107 21,107
Sexually Transmitted Diseases................................... 153,875 160,588 160,588
Tuberculosis.................................................... 144,268 143,051 144,268
----------------------------------------------------------------------------------------------------------------
Hepatitis Testing.--The Committee recognizes the high
incidence of hepatitis and its often undocumented state. In
fiscal year 2010, the Committee requested the CDC to formulate
a plan for significant testing for hepatitis, including the
implementation of rapid testing technology as a means of
ascertaining the prevalence of hepatitis and updating its
testing guidelines. The Committee encourages the development of
a pilot testing program to enhance this effort.
HIV Prevention.--The Committee fully supports the goals of
the National HIV/AIDS Strategy. Racial and ethnic minorities,
men who have sex with men [MSM], and women are
disproportionately affected by HIV in the United States. The
Committee encourages the CDC to expand the range of
interventions available through the Diffusion of Evidence-based
Interventions program by increasing support for the development
of promising ``home grown interventions'' that can be rapidly
evaluated and disseminated into the field. The Committee also
encourages the CDC to increase technical assistance and
training activities to community-based organizations involved
in adapting promising evidence-based interventions to new
settings.
HIV/AIDS Surveillance.--The Committee commends ongoing
efforts by the CDC to enhance HIV/AIDS surveillance activities
that monitor the HIV/AIDS epidemic and provide data for
targeting the delivery of HIV prevention, care, and treatment
services.
HIV Testing.--The Committee commends ongoing efforts by the
CDC to expand HIV testing among African Americans in clinical
settings and encourages health departments to work with
community-based organizations to expand testing in nonclinical
settings.
Improving Program Effectiveness.--The Committee commends
the CDC efforts to improve the effectiveness of existing HIV
prevention programs and to develop new tools for HIV
prevention. Within the total provided, $10,000,000 is for
efforts to integrate data in ways that improve program
performance.
Special Populations.--Recent CDC reports have shown that
MSM account for more than one-half of all new HIV infections
each year, with African-American MSM making up a
disproportionate share of these infections, and that MSM are 44
times more likely to acquire HIV than other men. The Committee
urges the CDC to enhance prevention programs tailored to gay
and bisexual men that integrate behavioral and biomedical
interventions, community-level interventions, and structural
interventions to shift social norms in support of safer sex and
family acceptance of young gay men.
Viral Hepatitis.--The Committee is aware of the January
2010 Institute of Medicine report that outlined a national
strategy for prevention and control of hepatitis B and C.
Therefore, the Committee encourages the CDC to address the
report's recommendations and continue to validate interventions
focused on the mother-child transmission issue. Also, as the
hepatitis B virus is the single greatest health disparity
impacting the Asian and Pacific Islander populations in the
United States, the Committee urges a targeted and increased
effort to address this issue, including the funding of
replicable demonstration projects to help reach these
populations.
NATIONAL CENTER FOR PREPAREDNESS, DETECTION AND CONTROL OF INFECTIOUS
DISEASES
The Committee includes $168,689,000 for fiscal year 2011
for this Center. The fiscal year 2010 level was $168,689,000
and the budget request for fiscal year 2011 was $192,075,000.
In addition, the Committee recommends $50,000,000 in transfers
from the Prevention and Public Health Fund. This Center builds
epidemiology and laboratory capacity and provides technical
assistance to identify and monitor infectious diseases.
The Committee recommendation provides sufficient funding to
maintain all existing activities at the fiscal year 2010
enacted level.
Epidemiology and Laboratory Capacity [ELC] Grants.--The
Committee includes $50,000,000 for ELC grants from amounts
transferred from the Prevention and Public Health Fund. The
Committee has included bill language exempting the awards from
statutory funding floors that exceed the transferred amount.
The administration transferred $20,000,000 for this purpose in
fiscal year 2010. The Committee is aware that the number of
genetic and metabolic disorders included in State newborn
screening programs ranges from 4 to 36 and that most States
screen for 8 or fewer disorders. Tandem mass spectrometry has
greatly increased the number of disorders that can be detected,
but States have varying resources to acquire this technology.
The Committee encourages the CDC to consider bulk purchasing to
increase States' ability to utilize this life-saving
technology.
Lyme Disease.--The Committee requests that the CDC report
on its implementation of its Lyme disease plan. In particular,
the report should include details on grants on diagnostic
methods, long-term complications, plans to support community-
based Lyme disease prevention and control programs, and the
development of Lyme disease education for physicians and
communities. The Committee is supportive of innovative
advancements and technologies that provide opportunities for
improved diagnostics beyond the technologies employed today.
NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION
The Committee recommends $931,154,000 for chronic disease
prevention and health promotion. The comparable level for
fiscal year 2010 was $931,154,000 and the budget request for
fiscal year 2011 was $937,307,000. In addition, the Committee
recommends $542,000,000 in transfers from the Prevention and
Public Health Fund.
Chronic diseases are the most prevalent and costly
healthcare problems in the United States, but are often
preventable. Nearly half (45 percent) of all Americans suffer
from at least one chronic disease. More than two-thirds of all
deaths are caused by one or more of five chronic diseases:
heart disease, cancer, stroke, chronic obstructive pulmonary
disease, and diabetes. Many chronic diseases are lifelong
conditions, and their impact lessens the quality of life not
only of those suffering from the diseases, but also of their
family members, caregivers, and others.
Chronic disease not only affects health and quality of
life, but is also a major driver of healthcare costs and
threatens healthcare affordability. Research from the CDC
indicates that chronic disease accounts for about 75 percent of
the Nation's aggregate healthcare spending--or about $5,300 per
person in the United States each year. In taxpayer-funded
programs, treatment of chronic disease constitutes an even
larger proportion of spending--96 cents per dollar for Medicare
and 83 cents per dollar for Medicaid. Much of the persistent
increase in spending over the past two decades is attributable
to rising disease prevalence, lower clinical thresholds for
treatment, and new medical innovations that have emerged to
treat chronic and other diseases.
Unhealthy behavior and increased incidence of chronic
disease are also extremely costly in terms of healthcare
coverage affordability. Since 2000, health insurance premiums
for employer-sponsored family coverage have increased by 87
percent. Healthcare costs for people with a chronic condition
average $6,032 annually--five times higher than for those
without such a condition.
For these reasons, the Committee has included a major
initiative in fiscal year 2011 to transform the chronic disease
activities undertaken by the CDC in cooperation with State
health departments.
Currently, CDC funding to help States plan their approaches
to addressing many of these chronic diseases is allocated
through competitive, discrete, State-based programs. In fact,
many States have received funding from the CDC to create
separate plans for up to 4 of the 5 top chronic diseases, with
only chronic obstructive pulmonary disease not directly funded.
With the exception of the comprehensive cancer program, each of
the other State funding streams has nearly identical target
populations and largely overlapping public health
interventions. Yet the programs that fund and manage these
State plans have remained separate and distinct.
The States and the CDC have long struggled with how to
coordinate these separate programs through a variety of
management devices. The President's budget, for example,
includes statutory authority to allow States to redirect 10
percent of their CDC chronic disease funds to supplement any
other CDC grant on chronic disease that addresses the top five
chronic diseases in that State.
Compounding the problem, the amount of funding available to
States to create or implement their multiple chronic disease
plans have been far less than needed. Heart disease and stroke
plans are being implemented in only 14 States. Nine of the
remaining 36 States did not receive any funding in fiscal year
2010 to create a plan. Diabetes plans, meanwhile, were created
in every State, but only one State has more than $1,000,000 to
address a disease that currently affects nearly 24 million
Americans and will soon strike an estimated 57 million more.
The Committee believes that the time is long past for a
comprehensive approach to chronic disease, in particular, those
chronic diseases for which obesity is the prime risk factor.
Therefore, the Committee recommendation includes new bill
language creating a State block grant for chronic disease that
will consolidate several of the individual existing chronic
disease programs. The Committee believes that this new approach
will increase efficiency at the State level by breaking down
the ``silos'' that currently divide each program. In addition,
the Committee recommendation includes substantially more
funding for the block grant than is currently available for the
various programs combined. This increase will ensure that
States receive funding to address all of the top obesity-
related chronic diseases, rather than apply to the CDC for
competitive funds for each one.
The Committee includes $687,151,000 for chronic disease
efforts by the CDC, including $410,000,000 from the Prevention
and Public Health Fund. The comparable fiscal year 2010 funding
level was $301,327,000. Within this total, $308,978,000 is for
community grants, $251,000,000 is for a new chronic disease
block grant, $75,723,000 is for national activities, and
$51,450,000 is for CDC leadership activities.
Community Grants
The Committee includes $308,978,000 for community grants,
including $270,000,000 in transfers from the Prevention and
Public Health Fund. This amount includes $220,000,000 for the
community transformation grants authorized under section 4201
of the Patient Protection and Affordable Care Act [PPACA] and
$88,978,000 for the Racial and Ethnic Approaches to Community
Health [REACH] program.
The Committee intends the increase in the REACH program
primarily to increase the efforts of existing Action
communities. The Committee is particularly interested in
ensuring that REACH communities are taking full advantage of
all the preventive benefits included in the PPACA.
The Committee has not included funding for the Healthy
Communities program with the intention that the CDC should use
community transformation grants funds to complete all
obligations made under that program. Within the community
transformation grants, the Committee directs the CDC to give
full and fair consideration to nonprofit organizations that
have pioneered effective models for community transformation in
cooperation with the CDC.
The Committee has not included specific funding for the
administration's proposed Big Cities Initiative. The budget for
fiscal year 2011 proposed $20,000,000 for this initiative. The
Committee intends that funding for the community transformation
grants be structured in such a way that all communities may
fully participate. For that to happen, the Committee is
strongly supportive of efforts to ensure that municipal areas
compete with areas of similar size.
State Grants
The Committee recommendation includes $251,000,000,
including $140,000,000 from the Prevention and Public Health
Fund, to create a Chronic Disease block grant. Of this amount,
$25,000,000 is available until September 30, 2012.
Included in this block grant are existing State grant
programs on diabetes; heart disease, and stroke; nutrition,
physical activity, and obesity; arthritis; and school health,
which totaled $111,000,000 in fiscal year 2010. Sufficient
funding is included at the Committee-recommended level for
every State to receive more funding from the block grant than
it currently receives from the individual programs combined.
The goal of the block grant shall be to decrease the
incidence of preventable chronic diseases through surveillance,
planning, policy change, and the implementation of evidence-
based public health interventions. Funds may be awarded to
States, the District of Columbia, territories, and tribal
nations.
Of the amounts provided, $226,000,000 shall be awarded by
formula based on rates of chronic disease and population to
create and implement a comprehensive chronic disease plan. No
State shall receive less than $2,000,000.
In addition, $25,000,000 shall be awarded competitively for
bonus payments. In the first year of this initiative, bonus
payments shall be awarded based on a review of the strength of
the comprehensive plan submitted. The Committee has included 2-
year availability for these funds to ensure that entities have
sufficient time to complete quality plans. In subsequent years,
a bonus payment shall be awarded to any State that achieves a
goal from the comprehensive plan or enacts a major policy
change in line with the comprehensive plan.
The strength of the plan shall be determined by reviewing
the degree to which the plan includes:
--Active participation from the State Departments of Public
Health, Education, Human Services, Aging and
Transportation;
--An assessment of the burden of chronic disease in the
State, a review of the existing programs and strategies
in place, and a plan for ongoing surveillance for
chronic diseases;
--A review of and a plan to increase the number, reach, and
quality of policies and standards related to chronic
disease;
--Implementation and evaluation plans for culturally
appropriate, evidence-based interventions and
prevention strategies aimed at reducing the top chronic
diseases related to obesity, including but not limited
to: diabetes, heart disease, stroke, and arthritis;
--Efforts to address special populations currently impacted
by chronic disease and those at particular risk for
future chronic diseases (i.e., people with
disabilities, racial and ethnic populations, school-age
youth, seniors, etc.);
--A plan for increasing public awareness of chronic disease
and prevention options;
--An effort to increase collaboration between community,
public and private sector partners, including the
engagement with health professionals to increase
screening, referral to treatment and connections with
public health interventions; and
--A plan to increase access to and use of environments to
support healthful eating and physical activity in
various settings;
National Activities on Chronic Disease
The Committee includes $75,723,000 for national activities
on chronic disease. This funding includes research,
demonstration programs, outreach, surveillance and evaluation
efforts.
Arthritis.--The Committee is aware of the work by the CDC
and stakeholders to develop a national public health agenda for
osteoarthritis. This effort will use evidence-based strategies
to prevent and reduce the burden of osteoarthritis, which today
affects more than 27 million Americans.
Diabetes.--The Committee recognizes that approximately one-
third of people with diabetes do not know that they have it,
while another 57 million have pre-diabetes and are at high risk
for developing this deadly disease. The Committee is impressed
by the success of the National Diabetes Prevention program and
is encouraged by private-sector implementation of this
evidence-based model. The Committee encourages the CDC to
continue expanding this model through public and private
efforts including wide-spread distribution of training
standards and models for training programs. The Committee
further encourages the CDC to continue translating research
findings into clinical and public health practice; supporting
the National Diabetes Education Program; and strengthening
public health surveillance. The Committee feels strongly that
CDC efforts to develop, advance, and implement innovative
interventions and national programs will improve diabetes
outcomes and prevent diabetes.
Diabetes in Native Americans/Native Hawaiians.--The high
incidence of diabetes among Native American, Native Alaskan,
and Native Hawaiian populations persists. The Committee is
pleased with the CDC's efforts to target this population and
assist the leadership of the Native Hawaiian and Pacific Basin
Islander communities in addressing this disease. The Committee
encourages the CDC to build on its historical efforts in this
regard.
Diabetes and Women's Health.--The Committee is concerned by
the rising incidence of type 2 diabetes mellitus. Although the
onset of type 2 diabetes can be prevented or delayed through
prevention methods, obstetricians and other women's healthcare
providers and their patients are often unaware of the woman's
later risk and need for followup and preventive measures. Less
than one-half of women with gestational diabetes receive
recommended glucose testing at a postpartum visit. The
Committee encourages the CDC to promote education and awareness
among both patients and providers.
Heart Disease and Stroke.--The Committee has included
sufficient funding within chronic disease national activities
to maintain the CDC's Paul Coverdell National Acute Stroke
Registry. In addition, the Committee is supportive of the
effort to establish a cardiovascular disease surveillance
system to monitor and track these disorders at the national,
State, and local levels. The Committee further notes that the
CDC has developed an ``ABCS'' Initiative, which promotes
appropriate, low-dose aspirin therapy, improved high blood
pressure and cholesterol control and prevention, and smoking
avoidance and cessation. The Committee urges the CDC to
continue its work with communities, other Federal agencies, and
food manufacturers to reduce sodium in food, thus helping
control heart disease and stroke.
The Mississippi Delta Region experiences some of the
Nation's highest rates of chronic diseases, such as diabetes,
hypertension, obesity, heart disease, and stroke. The Committee
recognizes CDC's expertise in implementing research and
programs to prevent the leading causes of death and disability.
The Committee recommendation for chronic disease national
activities provides a total of not less than $5,000,000 to
expand CDC's background community assessment of health and
related social and environmental conditions in the Delta.
Within the total provided for the National Center for
Chronic Disease Prevention and Health Promotion, the following
amounts are available for the following categories of funding:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Office of Smoking and Health.................................... 110,704 107,214 197,214
Prevention and Public Health Fund Transfer (non-add)........ 14,500 .............. 90,000
Health Promotion................................................ 29,856 26,724 29,866
BRFSS....................................................... 7,316 7,179 7,316
Community Health Promotion.................................. 6,468 6,365 6,468
Sleep (non-add)......................................... 861 845 861
Mind-Body Institute......................................... 1,500 .............. 1,500
Glaucoma.................................................... 3,519 3,524 3,524
Visual Screening Education.................................. 3,229 3,234 3,234
Alzheimer's Disease......................................... 1,846 1,813 1,846
Inflammatory Bowel Disease.................................. 686 .............. 686
Interstitial Cystitis....................................... 660 .............. 660
Excessive Alcohol Use....................................... 2,500 2,474 2,500
Chronic Kidney Disease...................................... 2,132 2,135 2,132
Prevention Centers.............................................. 33,675 33,136 43,675
Prevention and Public Health Fund Transfer (non-add)........ .............. .............. 10,000
Cancer Prevention and Control................................... 370,346 355,152 385,177
Breast and Cervical Cancer.................................. 214,850 210,935 217,550
WISEWOMAN--Total (non-add).............................. 20,787 20,787 20,787
Breast Cancer Awareness for Young Women..................... 5,000 5,006 5,000
Cancer Registries........................................... 51,236 51,303 54,000
Colorectal Cancer........................................... 44,532 44,590 44,590
Comprehensive Cancer........................................ 20,693 20,730 30,000
Johanna's Law............................................... 6,807 .............. 6,807
Ovarian Cancer.............................................. 5,707 5,714 5,707
Prostate Cancer............................................. 13,638 13,656 13,638
Skin Cancer................................................. 2,190 2,200 2,190
Geraldine Ferraro Cancer Education Program.................. 4,677 .............. 4,677
Cancer Survivorship Resource Center......................... 1,016 1,018 1,018
Oral Health..................................................... 15,000 14,607 25,000
Safe Motherhood/Infant Health................................... 44,782 55,643 46,782
Pre-term Birth (non-add).................................... 2,005 2,008 2,008
Sudden Infant Death Syndrome (non-add)...................... 207 207 207
Community Health Workers (Prevention and Public Health Fund .............. .............. 30,000
Transfer non-add)..............................................
Prevention Outreach Activities (Prevention and Public Health .............. .............. 2,000
Fund Transfer non-add).........................................
Epilepsy........................................................ 7,976 7,817 7,976
Lupus........................................................... 4,505 4,425 4,505
Psoriasis....................................................... 1,500 1,498 1,500
Genomics........................................................ 12,308 11,708 12,308
----------------------------------------------------------------------------------------------------------------
Aortic Aneurysms.--The Committee notes the release of new
treatment guidelines for the management of aortic aneurysms by
leaders in the professional cardiology community. The Committee
encourages the CDC to raise awareness of the guidelines, which
are of importance to millions of patients suffering from
familial aortic aneurysms, Marfan syndrome, and other related
conditions.
Autoimmune-related Disease.--Correct diagnosis of
autoimmune diseases often takes more than 4 years and
approximately four doctors. The Committee recognizes the
importance of increased awareness for early intervention and
treatment of autoimmune disease. The Committee also recognizes
the chronic nature of autoimmune disease and the importance of
targeting minority communities and women that may be
underserved or disproportionately affected by autoimmune
diseases.
Cancer Screening.--The Committee is aware that CDC's cancer
screening programs cover only 1 in 10 eligible Americans and is
strongly supportive of the dramatic expansion of preventive
screening coverage authorized under the recent health reform
legislation. The Committee has included additional funding with
the intention that it be used to ensure that community-based
screening programs are able to effectively transition from
grant funding to reimbursement based care. The Committee
requests the CDC to submit to the Committee no later than 8
months from enactment of this act a plan for ensuring that CDC-
funded screening programs are able to be reimbursed by the new
high-risk pools and private insurers. The plan should include
projections for the number and proportion of screenings
conducted by grant funds, Medicare, Medicaid, high-risk pools,
private insurance, and by other funding sources over the next 5
years.
Childhood Cancer.--The Committee is pleased with the
efforts the CDC has undertaken to implement the Conquer
Childhood Cancer Act, which requires the CDC to track the
epidemiology of pediatric cancer in a comprehensive nationwide
registry. Additional funding is included in the Committee
recommendation to continue the development of rapid reporting
and simplifying the procedure for biomedical researchers to
utilize registry data. The Committee is hopeful that these
improvements will strengthen the registry for all forms of
cancer.
Chronic Obstructive Pulmonary Disease.--COPD is the fourth
leading cause of death in the United States and the only 1 of
the top 5 causes of death that is on the rise. The Committee
encourages the CDC to develop, in consultation with appropriate
stakeholders, a Federal plan to respond to this disease.
Chronic Pain Conditions in Women.--The Committee encourages
the CDC to build on its previous related epidemiological work
to undertake a study of the prevalence, overlapping nature, and
shared risk factors of chronic pain conditions which solely or
disproportionately impact women, including vulvodynia, TMJ
disorders, endometriosis, fibromyalgia, interstitial cystitis,
and chronic fatigue syndrome. The Committee further encourages
the CDC to educate the public about the seriousness and
societal costs of these conditions; make available and promote
sources of reliable information on the symptoms, diagnosis,
treatment, and overlapping nature of the conditions; and make
available information to women with chronic pain about how to
communicate effectively with their health professionals about
these conditions.
Community Health Worker Demonstration.--The Committee
recommendation includes $30,000,000 in transfers from the
Prevention and Public Health Fund for grants to hire community
health workers, newly authorized in the Patient Protection and
Affordable Care Act [PPACA]. The Committee encourages the CDC
to prioritize applications that include increasing awareness of
the new preventive benefits covered in the PPACA.
Deep Vein Thrombosis [DVT] and Pulmonary Embolism [PE].--
The Committee believes that public education and awareness are
key to reducing the death rate blood clots that form in the
legs [DVT] and then travel to the lungs [PE]. Therefore, the
Committee encourages the CDC to expand its efforts to increase
public and health provider awareness about the causes and
prevention of DVT and PE, expand surveillance activities, and
stimulate research.
Epilepsy.--The Committee strongly supports the CDC epilepsy
program, which has made considerable progress over the past
decade in establishing and advancing a public health agenda to
meet the needs of Americans with epilepsy. This funding allows
for national programs to improve the lives of youth, seniors,
young adults and others living with epilepsy; research
activities that promote self-management and improved quality of
life for people with epilepsy; and epidemiologic and
surveillance research to improve understanding of the causes
and prevalence of epilepsy among higher-risk subpopulations, as
well as their needs and ability to access quality care.
Excessive Alcohol Use.--The Committee applauds the work
being done by the CDC to prevent underage and excessive alcohol
use and encourages the development of tools that will support
the translation of prevention strategies that have been shown
to be effective through scientific reviews into public health
practice.
Inflammatory Bowel Disease [IBD].--The Committee continues
to prioritize CDC's inflammatory bowel disease epidemiology
study and has included funding to continue current research
focused on the etiology of IBD, why the course of illness
varies among individuals, and what factors may improve patient
outcomes.
Interstitial Cystitis.--The Committee is pleased with CDC's
education and awareness campaigns on interstitial cystitis.
Funding is included to continue education outreach activities
to healthcare providers.
Office of Smoking and Health.--The Committee includes
$197,214,000 for the Office of Smoking and Health, including
$90,000,000 in transfers from the Prevention and Public Health
Fund. The Committee has long recognized that efforts to reduce
tobacco use are among the most effective and cost-effective
investments in prevention that can be made.
The Committee is pleased with the work of the Environmental
Health Laboratory's effort to analyze tobacco products and
cigarette smoke, and believes this work will only grow in
importance as the FDA continues to implement the Family Smoking
Prevention and Tobacco Control Act. The Committee expects the
Office of Smoking and Health to transfer no less than the
amount it did in fiscal year 2010 to the Environmental Health
Laboratory to support this work. The Committee notes that this
transfer is to be provided to the lab in a manner that
supplements and in no way replaces existing funding for
tobacco-related activities.
The Committee has included $55,000,000 through the
Prevention and Public Health Fund for a media campaign to
prevent tobacco use in youth. In addition, the Committee has
long supported counseling through quitlines, and has increased
funding for quitlines by $15,000,000 through the Prevention and
Public Health Fund.
To complement the efforts of the quitlines, the Committee
is recommending $20,000,000 for a new demonstration program on
providing expanded smoking cessation services to low-income and
uninsured individuals. The Committee intends for the CDC to
coordinate the existing quitlines and the new cessation program
so that individuals with the hardest struggle can avail
themselves of the best chance of success. The Committee
requests to be briefed on the program model prior to funds
being announced.
Oral Health.--The Committee understands that preventing
oral disease through broad-based community programs can
ultimately result in significant cost savings. The Committee
has increased funding for the Division of Oral Health to invest
in community prevention of oral disease and to expand its
program to States to strengthen their oral health
infrastructure programs. The Committee remains concerned about
the high incidence of tooth decay among American Indian/Alaska
Native [AI/AN] children and therefore encourages the Division
to collaborate with the Indian Health Service to assess the
current Early Childhood Caries [ECC] epidemiology in AI/AN
children. The Committee encourages the CDC to identify and fill
strategic information gaps about age of onset, prevalence,
severity and microbiology to improve and accelerate existing
and novel approaches to prevent ECC and reduce the large
disproportionate disease burden in Native American children.
Prevention Outreach.--The Committee includes $2,000,000 for
the education and outreach campaign authorized in section 4004
of the Patient Protection and Affordable Care Act, funded
through transfers from the Prevention and Public Health Fund.
Prevention Research Centers.--The Committee recommendation
includes $43,675,000 for the Prevention Research Centers,
including $10,000,000 in transfers from the Prevention and
Public Health Fund. The Committee intends the additional
funding be used to expand existing centers and create new
centers.
Primary Immune Deficiency Diseases.--The Committee remains
strongly supportive of this program and believes it has
demonstrated success in identifying, and moving into treatment,
persons with undiagnosed diseases that pose a public health
threat.
Psoriasis.--As many as 7.5 million Americans are affected
by psoriasis and/or psoriatic arthritis--chronic, inflammatory,
painful, and disfiguring autoimmune diseases for which there
are limited treatment options and no cure. Recent studies show
that people with psoriasis are at elevated risk for other
chronic and debilitating health conditions, such as heart
attack, diabetes, Crohn's disease, obesity, and liver disease,
and that people with severe psoriasis have a 50 percent higher
risk of mortality. The Committee encourages the CDC to continue
to refine and implement the psoriasis and psoriatic arthritis
data collection and registry process.
Pulmonary Hypertension.--The Committee notes the
significant increase in FDA-pproved therapies for pulmonary
hypertension in recent years and encourages the CDC to expand
awareness of the disease and its new treatment options among
the general public and healthcare providers.
Safe Motherhood/Infant Health.--The Committee is concerned
about late preterm infants, who are at greater risk of
morbidity and mortality, and it encourages the CDC to expand
work in this area and to improve national data systems to track
preterm birth rates and expand epidemiological research that
focuses especially on the causes and prevention of preterm
birth and births at 37-38 weeks gestation.
Stillbirths.--The Committee is aware that there are more
than 25,000 stillbirths and more than 4,000 Sudden Unexpected
Infant Deaths [SUIDs] each year. In addition, in 2006 about 1
in 11 newborns were late preterm in the United States--an
increase of 20 percent from 1996. Late preterm births make up
71 percent of all preterm births, and late preterm infants are
at greater risk of morbidity and mortality. The Committee
believes the CDC should continue to research and evaluate these
issues. The Committee includes additional funding within the
Safe Motherhood funding to improve and expand national and
state data systems to track stillbirth, SUIDs, and preterm
birth rates and expand epidemiological research that focuses
especially on the causes and prevention of stillbirth, SUIDs,
and preterm births.
Vision Health.--The Committee recognizes that good vision
is an integral component to health and well-being, affects
virtually all activities of daily living, and impacts
individuals physically, emotionally, socially, and financially.
Vision-related conditions affect people across the lifespan
from childhood through elder years. The Committee supports the
Vision Health Initiative, which aims to improve State-based
public health approaches to address vision and eye health;
research on evidence-based public health interventions; and
initiatives to address the growing problem of diabetes among
children and the associated impacts of diabetic retinopathy,
which can develop later in life.
Well-integrated Screening and Evaluation for Women Across
the Nation [WISEWOMAN].--WISEWOMAN screens uninsured and under-
insured low-income women ages 40 to 64 for heart disease and
stroke risk and provides counseling, education, referral and
followup to those with abnormal results. From 2000 to mid-2008,
WISEWOMAN reached more than 84,000 low-income women, provided
more than 210,000 lifestyle interventions, and identified 7,647
new cases of high blood pressure, 7,928 new cases of high
cholesterol, and 1,140 new cases of diabetes. Among those
participants who were re-screened 1 year later, average blood
pressure and cholesterol levels had decreased considerably.
NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES,
DISABILITY AND HEALTH
The Committee includes $145,289,000 for birth defects,
developmental disabilities, disability, and health in fiscal
year 2011. The comparable level for fiscal year 2010 was
$143,347,000 and the fiscal year 2011 budget request was
$143,539,000.
Within the total provided, the following amounts are
provided for the following categories of funding:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Birth Defects and Developmental Disabilities.................... 64,697 65,442 71,613
Birth Defects............................................... 21,342 20,819 26,492
Prevention and Public Health Fund Transfer (non-add).... .............. .............. 5,000
Craniofacial Malformation (non-add)..................... 1,878 1,882 2,028
Fetal Death (non-add)................................... 846 848 848
Alveolar Capillary Dysplasia (non-add).................. 247 .............. 247
Fetal Alcohol Syndrome...................................... 10,140 9,990 10,140
Folic Acid.................................................. 3,126 3,110 3,126
Infant Health............................................... 8,028 7,696 8,028
Autism...................................................... 22,061 23,827 23,827
Human Development and Disability................................ 58,759 57,854 66,473
Disability and Health (includes Child Development Studies).. 13,611 13,361 18,361
Prevention and Public Health Fund Transfer (non-add).... .............. .............. 5,000
Charcot Marie Tooth Disorders............................... 1,000 1,002 1,000
Limb Loss................................................... 2,906 2,908 2,908
Tourette Syndrome........................................... 1,749 1,749 1,749
Early Hearing Detection and Intervention.................... 10,888 10,689 10,888
Muscular Dystrophy.......................................... 6,291 6,021 6,021
Special Olympics Healthy Athletes........................... 5,534 5,545 6,000
Paralysis Resource Center................................... 6,882 6,886 6,886
Attention Deficit Hyperactivity Disorder.................... 1,751 1,755 1,751
Fragile X................................................... 1,905 1,909 1,909
Spina Bifida................................................ 6,242 6,029 7,000
Congenital Heart Failure.................................... .............. .............. 2,000
Public Health Approach to Blood Disorders....................... .............. 20,243 ..............
Hemophilia...................................................... 17,203 .............. 17,203
----------------------------------------------------------------------------------------------------------------
Birth Defects Research and Surveillance.--The Committee
commends the CDC's work in the area of birth defects
surveillance, research, and prevention and has provided
$5,000,000 through the Prevention and Public Health Fund for
CDC to analyze genetic samples obtained through the National
Birth Defects Prevention Study. The Committee believes it is
important to begin analyzing these samples because the
identification of genetic risk factors for certain birth
defects will further preventive efforts by targeting
interventions to women at the highest-risk for certain defects.
Blood Disorders.--The Committee recommendation rejects the
administration's proposal to create a new public health
approach to blood disorders. The Committee notes that the plan
for the new program was significantly delayed and did not
adequately address the transition from the current approach to
the new structure. The Committee has included sufficient
funding to maintain the Hemophilia Treatment Centers at the
fiscal year 2010 enacted level. However, the Committee did not
restore funding for thallasemia, diamond blackfan anemia or
hemachromatosis.
Congenital Disabilities.--The Committee encourages the CDC
to continue to increase scientifically sound information and
support services provided to patients receiving a positive test
result for Down syndrome or other pre- or postnatally diagnosed
conditions. The Committee further urges CDC to disseminate
current and accurate information about the tested condition;
coordinate the provision of, and access to, supportive services
for patients and families; and provide assistance to State and
local health departments to integrate the results of prenatal
testing and pregnancy outcomes into State-based vital
statistics and birth defects surveillance programs.
Charcot-Marie-Tooth [CMT] Disorders.--The Committee has
included funding to continue the national CMT resource center.
This center will foster collaboration between CMT patients and
their providers and ensure that patients are being properly
diagnosed and treated with the latest standards of care.
Congenital Heart Disease.--Approximately 800,000 children
and 1,000,000 adults in the United States are now living with
congenital heart disease [CHD], which requires life-long
cardiac care. The Committee is concerned that there is a lack
of rigorous epidemiological and longitudinal data on
individuals of all ages with CHD and has included funding to
begin to compile this information. The Committee is
particularly interested in information on prevalence, barriers
to effective care, survival outcomes, and neuro-cognitive
outcomes.
Craniofacial Malformation.--The Committee includes $150,000
above last year's funding level for the enrichment of a
physician awareness program on craniostosis for its
dissemination not only to craniofacial centers throughout the
United States, but also to medical schools, pediatricians, and
fetal medicine doctors nationwide. This physician awareness
program will be developed from already created medical postcard
programs with the information and data presented at the March
2010 conference in Atlanta, and will include Web-based courses
for pediatricians, nurses, obstetricians and fetal medicine
doctors on craniosyntosis to be developed starting in 2011.
Disability and Health.--The Committee recommendation
includes $18,361,000 for disability and health, including
$5,000,000 in transfers from the Prevention and Public Health
Fund. The Committee intends the increase to be used to expand
research grants into health promotion for people with
disabilities.
Folic Acid Education Campaign.--The Committee strongly
supports the folic acid education campaign. The Committee
encourages the CDC to explore strengthening this campaign by
incorporating its message in other prevention education
initiatives aimed at improving birth outcomes, such as obesity
prevention and medication use during pregnancy.
Fragile X Syndrome.--The Committee has included funding to
support the National Fragile X Public Health Initiative.
Hereditary Hemorrhagic Telangiectasia [HHT].--The Committee
is aware of a recent conference on HHT and encourages the CDC
to review strategies and recommendations from that conference
aimed at increasing the knowledge, education, and outreach on
this preventable condition.
Maternal Mortality.--The Committee encourages the CDC to
address maternal mortality, given that each day two to three
women in the United States die from delivery complications. The
Committee encourages the CDC to expand its work gathering
information on pregnancy-related deaths, collecting and
providing information about women's health and behaviors around
pregnancy, and translating findings and guidelines on
preconception care into everyday practice and healthcare
policy.
Obesity Research, Treatment, and Prevention.--Obese
pregnant women are at increased risk for poor maternal and
neonatal outcome. The Committee urges the CDC to conduct
research and interventions to address the increased risk of
birth defects and stillbirths in obese women, especially those
receiving infertility treatment; ways to optimize outcome in
obese women who become pregnant after bariatric surgery; and
the increased future risk of childhood obesity in their
offspring.
Spina Bifida.--The Committee recognizes that spina bifida
is the most common permanently disabling birth defect in the
United States. While spina bifida and related neural tube
defects are highly preventable through adequate daily folic
acid consumption, there are an estimated 166,000 individuals
living with all forms of this complex birth defect. The
Committee intends the funding provided for the National Spina
Bifida Program to be used to support the implementation of a
patient registry to improve the efficiency and quality of care.
Tourette Syndrome.--The Committee commends CDC for its work
in developing a public health education and research program on
Tourette syndrome. The Committee encourages CDC to use these
funds to continue to educate physicians, educators, clinicians,
allied professionals, and the general public about the disorder
and to expand on the scientific knowledge base on prevalence,
risk factors, and co-morbidities of Tourette syndrome.
NATIONAL CENTER FOR HEALTH STATISTICS
The Committee recommendation includes $161,883,000 for the
National Center for Health Statistics [NCHS]. This amount is
the same as the budget request for fiscal year 2011. The fiscal
year 2010 comparable funding level was $138,683,000.
In addition, the Committee recommendation provides
$34,000,000 in transfers from the Prevention and Public Health
Fund. The administration transferred $20,000,000 for these
activities in fiscal year 2010.
Statistics collected by NCHS provide policymakers with
critical data to assess the health of the Nation and make
informed decisions about how best to direct resources and
activities. Health statistics also provide researchers with
population-based trends that help identify the best targets for
research and the data needed to reach reliable conclusions, and
they help enable individuals to make informed choices in their
lives and the lives of their families.
National Health and Nutrition Examination Survey
[NHANES].--Since 1959, NHANES has provided critical data about
the state of the Nation's health. This information has resulted
in a number of highly successful public health actions,
including removing lead from gasoline and vaccinating all
infants and children against hepatitis B infections. While
these national data have been extremely important, many of our
most pressing public health challenges are faced at the State
and local level. The Committee encourages NHANES to consider
ways to expand the applicability of NHANES reports to the State
and local level.
Sodium.--The Committee is strongly supportive of the work
that the CDC is doing to determine the most appropriate method
for ongoing surveillance of sodium intake. The Committee
requests to be briefed by the CDC on the results of the various
survey-design research efforts. The Committee further requests
that the briefing include cost estimates for implementation.
Vital Statistics.--The Committee strongly supports the
effort to transition vital statistic collection to electronic
systems, in particular the effort to phase in electronic death
records. The Committee also encourages the CDC to work with the
Centers for Medicare and Medicaid Services and the Office of
the National Coordinator to pilot test the integration of
electronic birth and death records and electronic medical
records.
NATIONAL CENTER FOR PUBLIC HEALTH INFORMATICS
The Committee recommendation includes $67,285,000 for the
National Center for Public Health Informatics. The budget
request for fiscal year 2011 was $67,285,000. The comparable
level for fiscal year 2010 was $70,597,000.
The Committee is concerned that, despite approximately
$70,000,000 in appropriations to the informatics division in
fiscal year 2010, programs of the CDC routinely contract for
informatics support outside the agency. The Committee
reiterates its belief that the public health informatics
division should serve the programs of the CDC.
Information systems and information technology are critical
to the practice of public health. The activities of this Center
reflect ongoing efforts to build a national network of public
health information systems that will enhance public health
partner capabilities in detection and monitoring, surveillance,
data analysis and interpretation, and other public health
activities.
NATIONAL CENTER ON HEALTH MARKETING
The Committee recommendation includes $72,180,000 for the
National Center for Health Marketing. The budget request for
fiscal year 2011 was $77,779,000. The comparable level for
fiscal year 2010 was $79,374,000. In addition, the Committee
provides $7,000,000 through transfers from the Prevention and
Public Health Fund. The administration transferred $5,000,000
for this purpose in fiscal year 2010.
The CDC links directly with the people whose health it is
trying to improve. This activity uses commercial, nonprofit,
and public service marketing practices to better understand
people's health-related needs and preferences; to motivate
changes in behaviors; and to enhance the CDC's partnerships
with public and private organizations to more effectively
accomplish health protection and improvement.
Task Force on Community Preventive Services.--The Committee
recommendation includes $12,000,000 for the task force,
including $7,000,000 in transfers from the Prevention and
Public Health Fund.
NATIONAL CENTER FOR ENVIRONMENTAL HEALTH
The Committee recommends $190,710,000 for Environmental
Health in fiscal year 2010. The fiscal year 2010 comparable
funding level was $187,090,000 and the budget request for
fiscal year 2011 was $182,350,000.
Many modern public health successes can be traced to
innovations in environmental health practices. However,
emerging pathogens and environmental toxins continue to pose
risks to our health and significant challenges to public
health. The task of protecting people's health from hazards in
their environment requires a broad set of tools. First among
these tools are surveillance and data collection to determine
which substances in the environment are getting into people and
to what degree. It also must be determined whether or not these
substances are harmful to humans, and at what level of
exposure.
The Committee recommendation includes funding for the
following activities:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Environmental Health Laboratory................................. 43,346 41,980 43,346
Newborn Screening Quality Assurance Program (non-add)....... 6,915 6,755 6,915
Newborn Screening for Severe Combined Immuno. Diseases (non- 988 982 988
add).......................................................
Environmental Health Activities................................. 78,043 75,022 82,016
Safe Water (non-add)........................................ 7,237 7,001 8,737
Environmental and Health Outcome Tracking Network (non-add). 33,124 32,548 33,124
Amyotrophic Lateral Sclerosis Registry (non-add)............ 6,014 5,795 7,000
Climate Change (non-add).................................... 7,540 7,567 7,540
International Emergency & Refugee Health (non-add).......... 6,262 6,250 6,262
Built Environment & Health Initiative (non-add)............. .............. 4,000 4,000
Asthma.......................................................... 30,924 30,734 30,734
Health Homes/Childhood Lead Poisoning........................... 34,805 34,614 34,614
----------------------------------------------------------------------------------------------------------------
Asthma.--The Committee continues to encourage the CDC to
work with States and the asthma community to implement
evidence-based best practices for policy interventions, with
specific emphasis on indoor and outdoor air pollution. The
Committee requests an update on the status of implementation in
the CDC fiscal year 2012 budget justification.
Biomonitoring.--The Committee applauds the CDC's ongoing
national biomonitoring efforts, which gather data that are
invaluable in understanding the population's exposure to
environmental chemicals and in helping prioritize research into
the health impacts of those chemicals. The Committee commends
the CDC for the publication of the Fourth National Report on
Human Exposure to Environmental Chemicals. Funds may be used
for State biomonitoring programs; intramural programs such as
providing expertise, training and technical assistance to
States; development and simplification of laboratory methods
for detecting chemicals; studies to investigate the
relationship between exposure to chemicals and adverse health
effects; ongoing support to the National Children's Study; and
measurements for new priority chemicals.
Built Environment.--The Committee has included funding for
the administration's built environment initiative, including
the Healthy Community design activities. The Committee strongly
supports efforts to integrate health impact assessments into
community planning as universally as possible and as quickly as
possible. For that reason, the Committee is concerned that the
CDC's planned activities focus almost exclusively on adding
personnel to health departments, rather than on designing
toolkits and health assessment curricula that can be adopted by
all actors in community planning. The Committee once again
urges the CDC to design materials that can be used by nonhealth
experts, and engage with urban planning schools and
professional organizations. Further, the Committee notes that
the new chronic disease State grant program seeks to
incorporate State Departments of Transportation in the chronic
disease planning and policy change process. The Committee urges
the CDC to utilize the built environment resources to engage
with State transportation officials to support this effort.
National Environmental Public Health Tracking Network.--An
estimated 125 million Americans suffer from at least one
chronic condition. These chronic conditions account for three-
quarters of healthcare spending and 7 out of every 10 deaths in
the United States. Since 2002, Congress has provided funding
for, and the CDC has administered, the National Environmental
Public Health Tracking program. The program's objective is to
analyze environmental hazard data in relation to health outcome
data to identify possible public health interventions and
prevention strategies.
Polycythemia Vera Cluster.--The Committee has not continued
funding for research into polycythemia vera clusters. The
Committee is pleased by the research completed and published in
2010, funded by the CDC. The Committee notes that the 2-year
award made in fiscal year 2009 is complete and the Agency for
Toxic Disease Registry closed its investigation in 2008. The
Committee expects the CDC to continue funding ongoing
surveillance through the cancer registry program in the
National Center on Chronic Disease Prevention and Health
Promotion.
NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL
The CDC is the lead Federal agency for injury prevention
and control. Programs are designed to prevent premature death
and disability and reduce human suffering and medical costs
caused by: fires and burns; poisoning; drowning; violence; lack
of bicycle helmet use; lack of seatbelt and proper baby seat
use; and other injuries. The national injury control program at
the CDC encompasses nonoccupational injury and applied research
in acute care and rehabilitation of the injured. Funds are
utilized for both intramural and extramural research as well as
assisting State and local health agencies in implementing
injury prevention programs.
The Committee recommends $147,729,000 for injury prevention
and control activities at the CDC. The comparable fiscal year
2010 funding level was $148,593,000. The budget request for
2011 was $147,570,000.
The Committee recommendation includes $6,152,000 for
Traumatic Brain Injury programs, the same as the enacted fiscal
year 2010 level. The President's budget request for fiscal year
2011 was $5,985,000. In addition, the Committee has included
$5,000,000 for the National Violent Death Reporting System. The
enacted fiscal year 2010 level was $3,544,000 and the budget
request for fiscal year 2011 was $5,008,000. All other
activities are funded at the budget request level.
Explosives.--The Committee recognizes the most likely cause
of injuries in a man-made disaster will be related to
explosives, and yet our emergency medical system is unprepared
for bomb blast injuries, especially in a mass casualty
situation. The Committee encourages the CDC to continue its
ongoing work in preparing cities and hospital systems to
respond to such events, with a special emphasis on assessing
the bomb blast response capacity of high-risk cities and
communities.
Injury Control Research Centers.--Funds are provided to the
centers to support core operations; conduct the research
necessary to fill gaps in the evidence base for developing and
evaluating new injury control interventions and improving
translation of effective interventions; conduct training of
injury control professionals; and undertake other programmatic
activities to reduce the burden of injury.
National Violent Death Reporting System.--The Committee
supports the National Violent Death Reporting System [NVDRS], a
State-based system aimed at preventing violent deaths by
developing an understanding of the circumstances surrounding
them. The program enables the collection and analysis of data
from medical examiners, coroners, police, crime labs, and death
certificates. NVDRS information is then used to develop,
inform, and evaluate violence prevention programs at the
national, State and community level. The Committee urges the
CDC to continue to work with States to develop electronic
portals at the State level for the submission of NVDRS data.
States that apply for funding and demonstrate the ability to
collect electronic data should be given priority.
Suicide Prevention.--The Committee encourages the CDC to
support evaluation efforts to identify promising and effective
suicide prevention strategies that follow the public health
model and prevent self-directed violence by promoting and
strengthening connectedness among individuals, families, and
communities.
Traumatic Brain Injury [TBI].--The Committee has included
funding to continue programs authorized by the Traumatic Brain
Injury Act as amended in 2008, including public awareness and
education efforts, grants to States for TBI registries, and
studies on the incidence and prevalence of TBI in the United
States.
Violence Against Women.--The Committee encourages the CDC
to continue research on the psychological sequelae of violence
against women and expand research on special populations and
their risk for violence, including adolescents, older women,
ethnic minorities, women with disabilities, immigrant women,
and other affected populations.
Youth Violence Prevention.--The Committee supports the
CDC's efforts to foster innovation in evidence-based youth
violence prevention strategies through its Striving to Reduce
Youth Violence Everywhere program.
OCCUPATIONAL SAFETY AND HEALTH
The Committee recommends a program level of $453,293,000
for occupational safety and health programs. The fiscal year
2010 program level was $373,129,000 and the budget request for
fiscal year 2011 was $456,042,000.
The CDC's National Institute for Occupational Safety and
Health [NIOSH] is the only Federal agency responsible for
conducting research and making recommendations for the
prevention of work-related illness and injury. The NIOSH
mission spans the spectrum of activities necessary for the
prevention of work-related illness, injury, disability, and
death by gathering information, conducting scientific
biomedical research (both applied and basic), and translating
the knowledge gained into products and services that impact
workers in settings from corporate offices to construction
sites to coal mines. The Committee recommendation includes
funding for the following activities at the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Education and Research Centers.................................. 24,370 24,460 26,460
Personal Protective Technology.................................. 17,218 16,892 16,892
Healthier Workforce Center...................................... 5,036 5,055 5,459
National Occupational Research Agenda [NORA].................... 117,406 124,528 117,406
NORA--Budget Activity....................................... 25,682 32,804 95,682
NanoTechnology (non-add)................................ 9,500 16,544 9,500
NORA--PHS Evaluation Transfers.............................. 91,724 91,724 21,724
World Trade Center--BA.......................................... 70,723 150,137 150,137
Mining Research............................................. 53,705 52,736 53,705
Other Occupational Safety and Health Research............... 84,713 82,234 83,234
Miners Choice (non-add)................................. 648 650 650
National Mesothelioma Registry and Tissue Bank (non- 1,024 1,028 1,028
add)...................................................
----------------------------------------------------------------------------------------------------------------
Construction Research.--Construction is one of the most
dangerous industries for its workers. Every year, some 1,200
construction workers are killed on the job and thousands more
die from occupationally related diseases. In 1990, Congress
directed NIOSH to develop a comprehensive prevention program
directed at health and safety problems affecting construction
workers. The Committee is aware that the National Academy of
Sciences/Institute of Medicine's Review of the NIOSH
Construction Research Program, published in 2009, concluded
that the NIOSH Construction Research Program has been highly
relevant and has had an impact in improving safety and health
in the construction industry. The Committee requests NIOSH to
include in the fiscal year 2012 budget justification a
description of plans to implement the recommendations of the
report.
Food Processing.--Within the funding for Occupational
Safety and Health Research, the Committee has included
additional funding for NIOSH to conduct a study on the
relationship between line speed and worker safety in the meat
packing, poultry and food processing industries. The Committee
intends this study to be multi-year and industry-wide.
National Occupational Research Agenda.--NIOSH continues to
work with partners and stakeholders across the country to
update the National Occupational Research Agenda [NORA]. This
collaborative effort has produced strategic plans for priority
research in each of the eight sectors into which the U.S.
economy is divided. Several plans, such as that for
agriculture, mining, and construction, are also informed by the
major program reviews and positive feedback from the National
Academies. Important issues cutting across all the different
sectors are also addressed by NORA, such as developing methods
of reducing the impact of stressful workplaces on psychological
and physical health. The Committee is very concerned that the
research coming from NORA be designed in a way that facilitates
expeditious translation into practice. The Committee requests a
report in the CDC fiscal year 2012 budget justification on the
steps the agency is taking to integrate translational goals
into the NORA prioritization system.
Volcanic Emissions.--The Committee has included increased
funding for NIOSH to continue to study the impact of
potentially toxic volcanic emissions. In particular, pre-
existing respiratory conditions such as asthma, chronic
bronchitis, and emphysema seem to be particularly susceptible
to the effects of sulfur dioxide. Further study is warranted on
the acute and long-term impact that these emissions have on
both the healthy and the residents predisposed to illness. The
Committee strongly advises the establishment of a dedicated
center that embraces a multi-disciplinary approach studying the
short- and long-term health effects of the volcanic emissions.
GLOBAL HEALTH
The Committee recommends $353,294,000 for global health-
related activities at the CDC in fiscal year 2011. The fiscal
year 2010 comparable level was $336,075,000 and the budget
request for fiscal year 2011 was $351,944,000.
The Global Health Center leads and coordinates the CDC's
global programs to promote health and prevent disease in the
United States and abroad, including ensuring rapid detection
and response to emerging health threats. The Committee
recommendation includes funding for the following activities in
the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Global AIDS Program............................................. 118,979 118,092 118,092
Global Immunization Program..................................... 153,676 151,792 153,191
Polio Eradication........................................... 101,800 100,601 102,000
Other Global/Measles........................................ 51,876 51,191 51,191
Global Disease Detection........................................ 37,756 37,805 37,756
Global Malaria Program.......................................... 9,405 9,173 9,173
Other Global Health............................................. 16,308 35,082 35,082
----------------------------------------------------------------------------------------------------------------
The Committee has included bill language that would allow
the CDC to administer the Afghanistan Health initiative
formerly appropriated to the Office of the Secretary. The
Committee has not specified a recommended amount in statute,
consistent with the administration's fiscal year 2011 budget
request.
Chronic Disease.--The Committee is greatly concerned by the
spread of chronic disease throughout the world. The Committee
strongly supports the expansion of the Field Epidemiology
Training programs to increase the capacity of other countries
to conduct surveillance and evaluate local interventions to
address this growing global crisis.
Hepatitis B.--The Committee notes that there are 400
million people chronically infected with hepatitis B worldwide,
with more than 120 million of these individuals in China. While
hepatitis B transmission requires direct exposure to infected
blood, worldwide misinformation about the disease has fueled
inappropriate discrimination against individuals with this
vaccine-preventable, blood-borne, and treatable disease. The
Committee encourages the CDC to consider global programs to
increase the rate of vaccination, reduce mother-child
transmission and promote educational programs to prevent the
disease and to reduce discrimination targeted against
individuals with the disease.
Malaria.--The Committee is pleased with the CDC's
continuing contribution to global malaria prevention and
control efforts, particularly as part of the President's
Malaria Initiative. In particular, CDC scientists and doctors
excel in ``downstream'' research that connects basic science to
practical field applications in order to develop new or modify
existing prevention and control tools, enhance monitoring and
surveillance to track outbreaks and measure disease control
success.
Neglected Tropical Diseases [NTDs] and Diarrheal
Diseases.--NTDs are infections that affect more than 1.4
billion people worldwide, many of them in the poorest nations.
NTDs--including diarrheal and arboviral diseases--stigmatize,
disable, and inhibit individuals from caring for themselves or
their families, thereby promoting poverty. The Committee
recognizes that the CDC has had a long history of working on
NTDs and has provided much of the science that underlies those
global policies and programs in existence today. The Committee
encourages the CDC to continue its work on NTDs, diarrheal
diseases believed to kill 2 million children ages 5 and younger
worldwide each year, and arboviruses, such as Japanese
encephalitis and dengue.
PUBLIC HEALTH PREPAREDNESS AND RESPONSE
The Committee provides $1,464,668,000 for public health
preparedness and response activities. The amount requested by
the administration in fiscal year 2011 was $1,464,656,000. The
comparable fiscal year 2010 level was $1,549,128,000. The
Committee recommendation includes funding for the following
activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
State and Local Preparedness and Response Capability............ 761,100 757,793 757,793
Public Health Emergency Preparedness Cooperative Agreement 714,949 714,738 714,738
(non-add)..................................................
Academic Centers for Public Health Preparedness (non-add)... 30,013 30,009 30,009
Advanced Practice Centers (non-add)......................... 5,263 5,262 5,262
CDC Preparedness and Response Capability........................ 192,509 183,330 183,342
BioSense (non-add).......................................... 34,404 34,362 34,362
Quarantine (non-add)........................................ 26,518 26,485 26,518
Strategic National Stockpile.................................... 595,749 523,533 523,533
Public Law 111-32 Transfer (non-add)........................ .............. 68,515 68,515
----------------------------------------------------------------------------------------------------------------
Biosurveillance Activities.--The Committee supports efforts
by the CDC and State public health laboratories to strengthen
national and international biosurveillance systems for
effective, rapid detection and identification of influenza,
emerging infectious diseases, biothreats, and ``all-threats''
detection. The Committee encourages the CDC to collaborate with
other global and Federal agencies and continue to assist State
laboratories in advancing these important efforts.
PUBLIC HEALTH RESEARCH
Public Health Research.--The Committee has provided
$31,170,000 to fund the Public Health Research program. This
amount is the same as the fiscal year 2010 comparable level and
the fiscal year 2011 budget request. In addition, the Committee
recommends $20,000,000 in transfers from the Prevention and
Public Health Fund, which is intended to support extramural
grants for research on public health and prevention.
The Committee is strongly supportive of public health and
prevention research, which bridges the gap between medical
research discoveries and behaviors that people adopt by
identifying the best strategies for detecting new diseases,
assessing the health status of populations, motivating healthy
lifestyles, communicating effective health promotion messages,
and acquiring and disseminating information in times of crisis.
PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP
The Committee provides $209,808,000 for public health
improvement and leadership activities at the CDC. The fiscal
year 2010 comparable level was $211,404,000 and the budget
request for fiscal year 2011 was $192,916,000.
The Committee recommendation includes funding for the
following activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year Fiscal year Committee
Budget activity 2010 enacted 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
Leadership and Management....................................... 149,986 142,469 142,469
Director's Discretionary Fund................................... 3,000 2,508 5,000
Public Health Workforce Development............................. 37,826 47,939 57,939
----------------------------------------------------------------------------------------------------------------
Disability.--The Committee is pleased by the formation of
the first Disability and Health Work Group at the CDC. The
Committee hopes the work group will advance the health of
people with disabilities by facilitating collaboration on
disability inclusion within and across all relevant components
and activities, including surveys, showcasing best practices,
and ensuring that relevant issues for people with disabilities
are reflected in the CDC's programs and policies.
Institutional Research Training Grant Program.--The
Committee encourages the CDC to continue the Institutional
Research Training Grant program.
Leadership and Management Savings.--The Committee strongly
believes that as large a portion as possible of funding should
go to programs and initiatives that improve the health and
safety of Americans. To facilitate this goal, any savings in
leadership and management may be reallocated to the Director's
Discretionary Fund upon notification of the Committee.
Public Health Workforce.--The Committee has included
funding above the President's budget request for public health
workforce efforts. Of the increase, the Committee intends that
$5,000,000 be used for section 776 of the PHS Act and the
remainder be used to supplement the Epidemiology Intelligence
Service. In addition, the Committee is strongly supportive of
the administration's proposed Health Prevention Corps and
encourages the CDC to consider creating an inter-agency
agreement with the Corporation for National and Community
Service [CNCS] to provide loan repayment to participants
through the CNCS Education Award Program.
In addition, the Committee has included sufficient funding
for the following projects in the following amounts for fiscal
year 2011:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Chicago Public Schools, Chicago, IL, for nutrition and $150,000
health education programs, including equipment............
City of Fort Wayne, IN, for outreach, screening and 100,000
education for Burmese refugees............................
East Carolina University, Greenville, NC, for a health 300,000
disparities behavioral and chronic disease management
initiative................................................
Fibrous Dysplasia Foundation, Washington, DC, for the 200,000
development of a patient network..........................
Fletcher Allen Health Care, Burlington, VT, to expand the 100,000
Center for Nutrition and Healthy Food Systems.............
Hawaii Primary Care Association, Honolulu, HI, to continue 200,000
a program on childhood asthma.............................
John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ, 750,000
to establish an outreach and education program to combat
childhood obesity.........................................
Lower Brule Sioux Tribe, Lower Brule, SD, for health 100,000
education and promotion programs..........................
Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, 200,000
for cancer outreach initiatives...........................
National Council of La Raza, Washington, DC, for the 1,000,000
Institute of Hispanic Health..............................
PE4life Foundation, Kansas City, MO, for expansion and 300,000
assessment of PE4life programs across Iowa................
Shelburne Farms, Shelburne, VT, to expand Farm-to-School 250,000
activities................................................
Silent Spring Institute, Newton, MA, for studies of the 200,000
impact of environmental pollutants on breast cancer and
women's health............................................
South Dakota State University, Brookings, SD, for research 200,000
on health promotion.......................................
University of Georgia, Athens, GA, for obesity intervention 100,000
and prevention............................................
University of Hawaii at Hilo, HI, for occupational safety 100,000
and health research.......................................
University of Northern Iowa, Cedar Falls, IA, for a health 300,000
literacy program..........................................
Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school- 150,000
based injury prevention program...........................
------------------------------------------------------------------------
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT
The Committee provides $102,034,000, the same as the fiscal
year 2011 budget request, for the Preventive Health and Health
Services block grant. The fiscal year 2010 comparable level was
$102,019,000.
The block grant provides funding for primary prevention
activities and health services that address urgent health
problems in local communities. This flexible source of funding
can be used to target concerns where other funds do not exist
or where they are inadequate to address the extent of the
health problem. The grants are made to the 50 States, the
District of Columbia, two American Indian tribes, and eight
U.S. territories.
BUILDINGS AND FACILITIES
The Committee provides $12,000,000 for buildings and
facilities of the Centers for Disease Control and Prevention.
The fiscal year 2010 comparable level was $69,140,000 and the
budget request for fiscal year 2011 did not include funding for
this activity.
The Committee again provides bill language to allow the CDC
to enter into a single contract or related contracts for the
full scope of development and construction of facilities, and
instructs the CDC to utilize this authority when necessary.
The Committee has provided the statutory authority and
sufficient funding for the CDC to conduct the necessary repairs
to the Lake Lynn laboratory. The Committee is concerned that
this unique research facility has been closed due to unsafe
conditions, making it impossible for the United States to
conduct some types of mine safety research, including research
on mine explosions. This situation is unacceptable.
BUSINESS SERVICES AND SUPPORT
The Committee provides $382,152,000 for business services
support functions. This amount is the same as the
administration request for fiscal year 2011. The fiscal year
2010 comparable level was $369,814,000. These funds will be
used to support agency-wide support functions.
National Institutes of Health
The Committee recommends an overall funding level for the
National Institutes of Health [NIH] of $32,007,237,000, the
same as the budget request. This amount is $1,002,036,000 more
than the fiscal year 2010 level.
The Committee recognizes that the NIH faces an imposing
``funding cliff'' following the historic increase--nearly
$10,400,000,000--provided by the American Recovery and
Reinvestment Act of 2009 [ARRA]. Negotiating the softest
possible landing is critical to maintaining the scientific
momentum gained over the past 2 years and ensuring that young
investigators in particular can find a bright future in the
field of biomedical research. While the 3.2 percent increase
proposed by the administration and recommended by the Committee
is less than what would have been desired in stronger economic
times, it keeps up with biomedical inflation--a distinction
that was all too rare during the mid-2000s. The Committee hopes
that this will mark the first of several years of growth for
the NIH that, if not spectacular, are at least steady and
predictable.
Within the increase provided, the Committee includes
$50,000,000 to create the Cures Acceleration Network [CAN],
which is described more fully in the section on the Office of
the Director, which will administer the new program.
The Committee recommends $561,629,000 for the Common Fund.
This is the same amount as the budget request. The fiscal year
2010 level was $544,109,000.
NATIONAL CANCER INSTITUTE
Appropriations, 2010.................................... $5,100,906,000
Budget estimate, 2011................................... 5,264,643,000
Committee recommendation................................ 5,256,409,000
The Committee recommends an appropriation of $5,256,409,000
for the National Cancer Institute [NCI], of this amount,
$8,000,000 is available for repairs and improvements to the NCI
facility in Frederick, Maryland. The budget request for fiscal
year 2011 is $5,264,643,000, and the comparable level for
fiscal year 2010 is $5,100,906,000.
The Committee commends the NCI for launching programs that
will translate knowledge gained from sequencing the cancer
genome into benefits for patients, such as the cancer Human
Biobank [caHUB], a tissue acquisition and storage center; and
BIG Health, an interoperable information technology program
that is an offshoot of the highly successful cancer Biomedical
Informatics Grid [caBIG].
Adolescents.--NCI is encouraged to give additional
consideration to adolescents, whose overall risk of contracting
most cancers is lower than for adults, but who, because of
factors peculiar to adolescence, are less likely to participate
in clinical trials and often diagnosed at later stages. In
particular, a research focus on health communication strategies
for adolescents, their families and their health providers is
encouraged.
Behavioral Research on Tobacco Control.--The Committee
notes that NCI's research on smoking cessation, smokeless
tobacco and collaborations with NIDA, NICHD, and NHLBI are
critical to building knowledge to reduce the use of tobacco by
adolescents. The Committee also believes that behavioral
science should facilitate FDA regulation of tobacco, including
consumer perceptions, development of warning labels, product
development and response, risk communication, and cultural
effects, and recommends that the NCI support such research.
Bone Defects.--The Committee urges research on how to
repair bone defects caused by cancer cells, mechanisms by which
cancer cells affect the bone's endogenouse cells, the biology
of tumor dormancy and the role of tumor stroma in conferring
therapeutic resistance.
Breast Cancer Surveillance.--The Committee commends the
NCI's commitment to breast cancer research and evaluation
through the support and funding of the Breast Cancer
Surveillance Consortium. This research program is critical for
improving breast cancer surveillance and improving clinical and
community practices. The NCI is urged to maintain support for
this program in order to further the advancement of lifesaving
breast cancer prevention research, improve quality of care, and
save lives. The Committee also urges the NCI to expand current
data collection and surveillance systems to monitor utilization
and quality of other widely prescribed cancer screening tools.
Breast Cancer Vaccines.--The Committee strongly urges the
NCI to support research on and clinical development of
prophylactic breast cancer vaccines.
Clinical Trials Network.--The Committee is concerned by the
findings of the recent Institute of Medicine [IOM] report
regarding the NCI clinical trials network. The IOM concluded
that the network is too bureaucratic, underfunded, and poorly
coordinated. The Committee understands that the NCI requested
the report and plans to consider seriously its recommendations.
The Committee requests an update on the NCI's progress in
implementing the recommendations in the fiscal year 2012
congressional budget justification.
Gastric Cancer.--The Committee remains concerned about the
rise in deadly gastrointestinal cancers in young people, as
highlighted in a recently published study by NCI scientists.
The Committee strongly supports the NCI's efforts to address
gastric cancer and is pleased to see the inclusion of gastric
cancer in the Cancer Genome Atlas. The Committee recommends
that NCI convene a workshop of experts in the field of gastric
cancer to stimulate research and quickly analyze forthcoming
data on this lethal cancer.
Liver Cancer.--The Committee encourages a stronger focus on
liver cancer and urges the funding of a series of Specialized
Programs of Research Excellence [SPOREs] focused on this
cancer. While SPOREs currently exist for other major cancers,
none are focused on liver cancer.
Lung Cancer.--The Committee continues to urge the NCI to
support increased research for lung cancer diagnosis and
treatment.
Melanoma.--The Committee continues to encourage NCI to work
with advocates, researchers, and industry to fund the areas of
research--basic, translational, clinical, and prevention--
identified by the strategic research plan and to utilize all
available mechanisms. The Committee is aware of recent
successes in the therapy of molecularly classified subgroups of
melanoma that are the result of translating basic research
efforts on the genetic signature of melanomas, and is
encouraged by the NCI's recent decision to support inclusion of
melanoma in the Cancer Genome Atlas [TCGA]. The Committee urges
the NCI to develop new models of alliances between industry,
academia and foundations in the field of melanoma research to
foster earlier validation of biomarker-driven therapies in the
laboratory and clinical trials involving key therapeutic
agents, regardless of whether they are within the NCI
portfolio. Since initial data suggest that concomitant
administration of two or more therapies will be required to
cure the majority of melanomas, NCI is urged to participate in
efforts to develop rational therapeutic drug combinations,
including through the use of novel partnerships. The Committee
also encourages the Developmental Therapeutics Program to
incorporate a more relevant panel of melanoma cell lines based
on molecular subtypes, many of which have been developed with
NCI funding, to facilitate its goal of identifying novel
chemical leads and biologic mechanisms relevant to the
prevention and treatment of melanoma. Lastly, the Committee
encourages the NCI to explore the feasibility of a screening
program, with a focus on high-risk individuals. The Committee
requests an update on these requests in the fiscal year 2012
congressional budget justification.
Nanoparticles.--The Committee encourages the NCI to
accelerate the testing and development of nanoparticles for the
improved treatment of cancer that are composed of nontoxic
materials and remain at the nano-scale in biological fluids,
resisting aggregation.
Neuroblastoma.--The Committee continues to encourage NCI to
expand genetic and clinical research on neuroblastoma and
convene a state of the science conference on treatment options
for high-risk and relapse patients.
Pancreatic Cancer.--The Committee is disappointed with the
lack of progress toward a pancreatic cancer-specific research
initiative. The Committee again calls upon the NCI to establish
a discrete pancreatic cancer research grant program; re-
institute a policy of ``exceptions'' funding for grant
applications whose primary focus is pancreatic cancer; and
include more experts in pancreatic cancer on scientific review
panels. Further, the Committee notes that the NCI released the
``Consensus Report of the National Cancer Institute Clinical
Trials Planning Meeting on Pancreas Cancer Treatment'' 2 years
after the meeting was held and that the report does not include
an action plan. The Committee strongly encourages the NCI to
develop and implement action steps for research on this
disease.
Social Media.--The Committee encourages the NCI to fund
research on how social media can be used to promote health
behaviors and social support.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Appropriations, 2010.................................... $3,095,349,000
Budget estimate, 2011................................... 3,187,516,000
Committee recommendation................................ 3,182,524,000
The Committee recommendation includes $3,182,524,000 for
the National Heart, Lung, and Blood Institute [NHLBI]. The
budget request for fiscal year 2011 is $3,187,516,000, and the
comparable level for fiscal year 2010 is $3,095,349,000.
Aortic Aneurysm and Dissection.--The Committee commends the
NHLBI for its strong support of the Genetically Triggered
Thoracic Aortic Aneurysms and Other Cardiovascular Conditions
Registry (GenTac).
Congenital Heart Disease.--The Committee commends the NHLBI
for the development and implementation of the Bench to Bassinet
program in an effort to provide multidisciplinary translational
research for congenital heart defects across the life-span. The
Committee urges the NHLBI to continue its work with patient
advocacy organizations, other NIH Institutes, and the CDC to
expand collaborative research initiatives and other related
activities targeted to the diverse life-long needs of
congenital heart defect survivors.
Diamond-Blackfan Anemia [DBA].--The Committee understands
that NHLBI's research initiatives regarding DBA continue to
demonstrate the benefits of translational research and have led
to important insights into the biology of blood disorders,
birth defects, and cancer development and to a breakthrough in
one of the first human disorders linked to a ribosomal protein
defect. The Committee understands that, prior to this
discovery, changes in the ribosomal protein gene expression
were considered inconsequential but have now proven to be a
fundamental unit of cellular function. The Committee commends
the NHBLI for its attention to this important area of disease
research and strongly encourages the Institute to continue
efforts to make understanding the role of ribosomal proteins in
DBA and related marrow failure diseases an investigative
priority.
Heart Disease.--The Committee strongly urges the NHLBI to
aggressively expand and intensify its investment in basic,
translational, and clinical heart research to capitalize on
advances and burgeoning scientific opportunities. The Committee
supports the allocation of increased resources for heart
research to expand current studies; support promising and novel
research; through all available mechanisms, as appropriate; and
accelerate implementation of priorities highlighted in its
Division of Cardiovascular Diseases Strategic Plan.
Marfan Syndrome.--The Committee commends the NHLBI for its
continued support of research related to Marfan syndrome,
particularly in the area of pediatrics. The Committee
encourages the Institute to facilitate support of research
related to surgical outcomes for adult patients who undergo
procedures to repair compromised aortas and valves.
Pulmonary Hypertension [PH].--The Committee continues to
support research in this area and commends the NHLBI for
convening a working group on pulmonary hypertension to identify
priority research topics. The Committee urges support for the
working group's agenda and encourages the Institute to
collaborate with the PH community to raise awareness of the
disease among the general public and healthcare providers.
Sarcoidosis.--The Committee is concerned that little
progress has been made in understanding the cause of
sarciodosis, which can cause chronic debilitating or life
threatening heart, neurological, and internal organ disease. To
date, there are no effective treatments options. The Committee
strongly encourages the NHLBI to place a higher priority on
sarcoidosis by intensifying its investments in basic research,
clinical investigations and trials.
Sleep Disorders.--The Committee is impressed by research
demonstrating a clear association between sleep disruption and
cardiovascular disease, diabetes, hypertension, and stroke, as
well as workplace and traffic accidents. The Committee
encourages increased research and education programs to
decrease the impact of sleep problems on health and safety.
Social Network Analysis.--The Committee commends the NHLBI
for contributing to a recent trans-NIH initiative on social
networks. Social network analysis can be used to study the
transmission of viral infections, behaviors, attitudes,
information, or the diffusion of medical practices within
social networks.
Sudden Cardiac Arrest [SCA].--The Committee is deeply
concerned by the prevalance of and mortality rates associated
with SCA and urges the NHLBI to make this condition a top
research priority. In particular, the Committee strongly
encourages the NHLBI to investigate the use of induced
hypothermia therapy as both a life-saving treatment for SCA
victims and one that is demonstrating promise in improving
neurological outcomes for patients. In addition, the Committee
encourages the NHLBI and the NINDS to enhance and coordinate
data collection associated with SCA and hypothermia therapy in
particular.
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH
Appropriations, 2010.................................... $413,014,000
Budget estimate, 2011................................... 423,511,000
Committee recommendation................................ 422,845,000
The Committee recommendation includes $422,845,000 for the
National Institute of Dental and Craniofacial Research [NIDCR].
The budget request for fiscal year 2011 is $423,511,000, and
the comparable level for fiscal year 2010 is $413,014,000.
Behavioral Research.--The Committee applauds the NIDCR's
recognition of behavior as a critical factor in oral health,
and it encourages research on the development of educational
and behavioral oral health promotion interventions to improve
maternal and infant oral health.
Craniofacial Skeleton.--The Committee urges continued
support for research on the effects on the craniofacial
skeleton of systemic drugs prescribed for the treatment of bone
diseases, including factors predisposing individuals to
osteonecrosis of the jaw, as well as novel approaches to
facilitate bone regeneration.
Temporomandibular Disorders [TMJD].--The Committee
appreciates the Institute's recent support for research on TMJD
but notes that prospects for significant progress are hampered
by the lack of a coherent body of knowledge on the etiology and
pathogenesis of these conditions. Therefore, as it did last
year, the Committee requests the NIDCR to take the lead in
developing a comprehensive multidisciplinary 5-year TMJD
research plan that articulates the strategies and goals
necessary to resolve the issues that have plagued the TMJD
field over the decades. The plan should include research to
develop definitive diagnostic criteria; support an updated
epidemiology, including a count of co-morbid conditions;
examine genetic and other factors that increase risk for TMJD;
and support endocrine, immune, and nervous system research on
pain mechanisms and treatments. The plan's research goals
should incorporate the appropriate mix of multidisciplinary,
basic, clinical and translational science, recruitment
strategies to recruit scientists from the many pertinent
disciplines, and meaningful training programs to enlarge the
pool of investigators and indicate what funding mechanisms
should be employed. The Committee requests an update on this
request in the fiscal year 2012 congressional budget
justification.
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES
Appropriations, 2010.................................... $1,807,094,000
Budget estimate, 2011................................... 1,857,589,000
Committee recommendation................................ 1,854,674,000
The Committee recommendation includes $1,854,674,000 for
the National Institute of Diabetes and Digestive and Kidney
Diseases [NIDDK]. The budget request for fiscal year 2011 is
$1,857,589,000, and the comparable level for fiscal year 2010
is $1,807,094,000.
Childhood Liver Disease Research and Education Network
(ChiLDREN).--The Committee commends the NIDDK for funding 16
ChiLDREN centers to study biliary atreisa and seven other rare
pediatric liver diseases.
Chronic Kidney Disease [CKD] and Asian/Pacific Islanders.--
The Committee notes that the incidence of CKD among the Asian/
Pacific Islander [API] population is higher than for most other
groups. The Committee urges the NIDDK to focus research efforts
on preventing chronic kidney disease among this population.
Drug-induced Liver Injury and Acute Liver Failure.--The
Committee supports the NIDDK's decisions to continue funding
the Drug Induced Liver Injury Network for an additional 5 years
and continue funding the adult and pediatric acute liver
failure multicenter networks.
Glomerular Disease Research.--The Committee is pleased that
the NIDDK and the NCMHD are collaborating on a scientific
conference on the MYH9 gene, which has been linked to the high
prevalence of focal segmental glomerulosclerosis among
AfricanAmericans, and it urges the NIDDK to collaborate with
the NCMHD to support expanded research on this condition
through the Nephrotic Syndrome Rare Disease Clinical Research
Network.
Inflammatory Bowel Disease [IBD].--The Committee encourages
expanded support for research on IBD as identified in the NIH
National Commission on Digestive Diseases report and the
scientific community's Challenges in IBD Research agenda,
particularly as they relate to pediatrics.
Inflammatory Digestive Diseases in Children.--Some
inflammatory digestive diseases begin in childhood and progress
through life. Examples include inflammatory bowel disease,
gluten sensitive enteropathy, autoimmune enteropathy,
necrotizing enterocolitis with resultant intestinal failure,
acute and chronic pancreatitis, autoimmune hepatitis,
autoimmune cholangitis, and primary sclerosing cholangitis. As
more effective interventions in the pediatric age group could
reduce the burden of these illnesses in children and adults,
the Committee urges the NIDDK to encourage more research
leading to earlier diagnosis and treatment of these and other
digestive diseases that are lifelong burdens.
Interstitial Cystitis [IC].--The Committees supports the
important work of the Multidisciplinary Approach to the Study
of Chronic Pelvic Pain [MAPP] Research Network but encourages
the NIDDK to continue to expand its portfolio specifically on
IC research.
Irritable Bowel Syndrome [IBS].--The Committee encourages
the NIDDK to consider collaborating with the IBS patient and
scientific community to host a state of the science conference
focusing on recent breakthroughs in the etiology and
epidemiology of IBS.
National Commission on Digestive Disease.--The Committee
requests a progress report on implementing recommendations in
the Commission's final report issued in March 2009. This report
should be included in the NIDDK's annual report and include the
NIDDK digestive disease research funding history over the past
3 years.
Pediatric Kidney Disease.--Because many adult kidney
diseases originate prenatally or during childhood, the
Committee encourages the NIDDK to assign a higher priority to
pediatric kidney disease research, especially congenital kidney
abnormalities, pediatric glomerular disease, pediatric acute
kidney injury, and pediatric chronic kidney disease. Due to the
unique challenges of recruiting children into clinical trials,
an emphasis on funding for both infrastructure and
collaborative registries to enhance comparative multicenter
pediatric prospective clinical/translational trials that will
improve patient outcomes is strongly encouraged.
Polycystic Kidney Disease [PKD].--The Committee applauds
the NIDDK's commitment to the CRISP and HALT-PKD clinical
studies, the four PKD Centers of Excellence, research grants
supporting the development of PKD biomarkers, high-throughput
screening assays, and additional PKD specific translational
research. The Committee suggests that the NIDDK's strategic
plan for PKD complement current public/private partnerships
such as the FDA partnership designed to speed the development
of PKD therapies to market and the establishment of PKD
diagnostic and clinical treatment centers in collaboration with
the NIH. To expand and solidify this integrated approach, the
Committee urges the NIDDK to consider sponsoring an
international PKD strategic planning meeting.
Vitamin D and Chronic Kidney Disease.--The Committee
encourages support for research on the relationship between
vitamin D and morbidity and mortality in chronic kidney
disease. Research is also needed on the value of anti-
resorptive therapies, the link between renal insufficiency and
diabetic bone disease, the differences in calcification of
blood vessels, the mechanisms of metastasis of renal cell
carcinoma, and diseases that occurs in patients with end stage
chronic renal disease on hemodialysis.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE
Appropriations, 2010.................................... $1,635,477,000
Budget estimate, 2011................................... 1,681,333,000
Committee recommendation................................ 1,678,696,000
The Committee recommendation includes $1,678,696,000 for
the National Institute of Neurological Disorders and Stroke
[NINDS]. The budget request for fiscal year 2011 is
$1,681,333,000, and the comparable level for fiscal year 2010
is $1,635,477,000.
Charcot-Marie-Tooth [CMT].--The Committee commends the
NINDS for its recent efforts to advance understanding and
development of therapies for CMT and related neurodegenerative
diseases. The Committee supports translational research that
has the greatest potential to rapidly develop therapies for
patients with CMT and other degenerative disorders. The
Committee encourages the NINDS to develop innovative
communications mechanisms to ensure that information on
treatments can be shared in an accurate and timely manner with
practitioners and patients.
Dystonia.--The Committee commends NINDS and the Office of
Rare Disease Research for supporting the Dystonia Rare Disease
Clinical Research Coalition, part of the Rare Diseases Clinical
Research Network.
Epilepsy.--The Committee applauds the NINDS for recognizing
epilepsy as a priority area and for developing new research
opportunities that will accelerate the rate at which research
will be conducted. Following on the heels of the Curing
Epilepsy 2007 Conference that resulted in community-determined
benchmarks designed to forward the progress of finding a cure
for epilepsy, these new grant opportunities will provide
avenues for cooperative programs in translational research and
high-risk transformative research programs designed to yield
new information about epilepsy. The Committee continues to be
particularly interested in three areas of epilepsy research--
epileptogenesis, co-morbidities, and sudden unexplained death--
and encourages the NINDS to focus attention on existing and new
grants and mechanisms to address these areas.
Frontotemporal Dementia.--The Committee commends the NINDS
and NIA for establishing a frontotemporal dementia [FTD] module
of the Uniform Data Set [UDS], with data collected in a uniform
manner across the Alzheimer's Disease Centers [ADCs] and
maintained within the National Alzheimer's Coordinating Center
database. The Committee encourages the two Institutes to
establish a pilot program of FTD core centers within the
existing ADCs to characterize and follow patients with FTD
longitudinally in order to prepare for participation in drug
trials.
Spinal Cord, Brachial Plexus, and Peripheral Nerve
Injuries.--The Committee encourages research support into the
pathophysiology of spinal cord, brachial plexus, and peripheral
nerve injuries in order to develop targeted therapies to
improve neural regeneration and functional recovery.
Stroke.--The Committee is concerned that the NIH continues
to invests only 1 percent of its budget on stroke research,
recognizing that funding and resources for this often deadly
and disabling disease is not commensurate with current
scientific opportunities, the number of Americans afflicted,
the increasing prevalence of stroke in an aging population, and
the economic toll it exacts on our Nation. In light of the
exorbitant burden that stroke places on our society now and in
the future, the Committee urges the NIH to aggressively expand
and intensify its investment in basic, translational and
clinical stroke research to capitalize on advances and
burgeoning scientific opportunities.
Stroke in Women.--Many studies have shown significant
gender differences concerning stroke. For example, women often
receive fewer diagnostic tests and intervention procedures;
women have a much higher rate of death from brain aneurysms;
and hormone replacement therapy and oral contraceptives
increase risk of stroke. The Committee encourages the NINDS to
give specific attention to gender-related differences in stroke
risk, preventative measures, acute stroke management, post-
stroke recovery, long-term outcomes, and quality of care. Also
of particular concern is the under-representation of women in
many NIH-sponsored trials of stroke.
Stroke Rehabilitation.--The Committee is pleased that the
NINDS has convened an expert panel to discuss issues related to
stroke treatment and recovery and how people reintegrate into
their daily lives following a stroke. Given that stroke
produces a substantial financial and emotional stress on the
caregiver who is more often than not the female companion,
wife, or daughter, the Committee encourages the NINDS to
support studies that address the long-term consequences of
stroke on the family and quality of life.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES
Appropriations, 2010.................................... $4,816,051,000
Budget estimate, 2011................................... 4,977,070,000
Committee recommendation................................ 4,969,301,000
The Committee recommendation includes $4,969,301,000 for
the National Institute of Allergy and Infectious Diseases
[NIAID]. The budget request for fiscal year 2011 is
$4,977,070,000, and the comparable level for fiscal year 2010
is $4,816,051,000. Included in these funds is $300,000,000 to
be transferred to the Global Fund to Fight HIV/AIDS, Malaria,
and Tuberculosis. The fiscal year 2010 transfer amount was also
$300,000,000.
Antimicrobial Resistance.--The Committee strongly urges the
NIAID to devote additional resources to developing new
antibacterial drugs. Priority bacteria include Enterococcus
faecium, Staphylococcus aureus, Klebsiella pneumoniae,
Acinetobacter baumannii, Pseudomonas aeruginosa, and ESBL
positive bacteria such as E. coli and Enterobacter species,
which cause the majority of healthcare-associated infections.
Rapid diagnostic tests that support antibacterial clinical
trials and antibiotics' appropriate use are also needed.
Chronic Hepatitis B.--The Committee understands that while
there are now a number of medications approved for the
treatment of hepatitis B, they are of limited therapeutic value
since they mostly target the same virus functions. The
Committee urges additional research on different courses of
treatment as well as ways to support efforts to identify new
cellular and antiviral targets and develop new strategies for
intervention. The Committee also urges an increased focus on
pregnant women and pediatric cases of hepatitis B.
Eosinophil-associated Disorders.--The Committee urges the
NIAID, in consultation with the NIDDK, NICHD, and NIMH, to
convene a working group to develop a research agenda aimed at
improving the diagnosis and treatment of eosinophil-associated
diseases. The Committee requests an update on this effort in
the fiscal year 2012 congressional budget justification. The
Committee understands that a number of private sector
organizations are interested in funding research in this area
and encourages the NIAID to collaborate with these
organizations as well as other NIH Institutes in supporting
relevant research activities.
Inflammatory Bowel Diseases [IBD].--The Committee
encourages the NIAID to expand support for IBD research through
its Immune Tolerance Network and Autoimmune Disease Prevention
Centers in collaboration with the IBD community.
Microbicides.--The recent results of the CAPRISA study in
South Africa mark an important milestone for the field of HIV
prevention. The Committee urges the NIH to continue to work
with USAID, CDC, and other appropriate agencies to coordinate
and increase investment in microbicides research and
development, prioritizing support for ``next generation'' ARV-
based microbicides. The NIH is encouraged to support public-
private partnerships that have a robust ARV product pipeline.
Neglected Tropical Diseases.--The Committee is pleased that
the NIH has included global health as one of its research
priorities. The Committee encourages NIH to continue and expand
its investment in neglected tropical disease, diarrheal, and
arbovirus research and coordinate that work with other
Government agencies to maximize resources and ensure
development of basic discoveries into useable solutions.
Organ Donation.--The Committee recognizes the need for more
intensive screening processes to prevent the transmission of
viral, bacterial, and fungal infections from donors, and it
urges additional research in this area in collaboration with
the United Network for Organ Sharing.
Tuberculosis [TB].--The Committee applauds the NIAID for
its increased attention to the development of new TB
diagnostics, drugs and vaccines, and it urges the Institute to
continue to expand these efforts to halt the spread of TB,
including drug-resistant TB.
Vaccine Development for Hepatitis C.--The Committee urges a
refocused effort on the development of a hepatitis C vaccine
and requests an update in the fiscal year 2012 congressional
budget justification.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
Appropriations, 2010.................................... $2,050,665,000
Budget estimate, 2011................................... 2,125,090,000
Committee recommendation................................ 2,121,783,000
The Committee recommendation includes $2,121,783,000 for
the National Institute of General Medical Sciences [NIGMS]. The
budget request for fiscal year 2011 is $2,125,090,000, and the
comparable level for fiscal year 2010 is $2,050,665,000.
Behavioral Research Training.--The Committee applauds the
Institute's leadership role in the OppNet initiative, which
will support basic behavioral science throughout the NIH. The
Committee encourages the NIGMS to support basic behavioral
research to its fullest potential, and to incorporate basic
behavioral training in its forthcoming training plan.
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
Appropriations, 2010.................................... $1,328,828,000
Budget estimate, 2011................................... 1,368,894,000
Committee recommendation................................ 1,366,750,000
The Committee recommendation includes $1,366,750,000 for
the Eunice Kennedy Shriver National Institute of Child Health
and Human Development [NICHD]. The budget request for fiscal
year 2011 is $1,368,894,000, and the comparable level for
fiscal year 2010 is $1,328,828,000.
Adverse Pregnancy Outcomes.--The Committee is concerned
that women with severe, early adverse pregnancy outcomes are at
increased risk for long-term chronic health problems, including
hypertension, stroke, diabetes, and obesity. The Committee
urges the NICHD to undertake studies to identify women at risk
for long-term morbidity and develop strategies to prevent long-
term adverse outcomes in these women.
Behavioral Neuroscience.--The Committee is pleased that the
NICHD supports a broad spectrum of behavioral neuroscience
research, particularly as it relates to real-world problems.
The Committee encourages further work on the effects of
socioeconomic adversity on children's brain development.
Chromosome Abnormalities.--The Committee again urges the
NIH to convene a state of the science meeting on chromosome
abnormalities involving multiple contiguous genes in order to
create a plan to collect data regarding dosage-sensitive and
dosage-insensitive genes and establish phenotyping and
genotyping standards for data collection. The Committee also
encourages the NIH to provide new funding to support
independent investigators whose work can provide pilot data or
insight into future directions for the study of chromosome
abnormalities, particularly those involving chromosome 18.
Contraceptive Research and Development.--The Committee
encourages the NICHD to strengthen its support for
contraceptive research and development for the prevention of
unintended pregnancies and the efficacy and safety of hormonal
contraceptives among overweight and obese women. The Committee
additionally urges the Institute to identify opportunities and
research priorities in contraceptive development, such as the
need for nonhormonal contraception, postcoital contraception,
and multipurpose technologies that would prevent both pregnancy
and sexually transmitted infections.
Demographic Research.--The NICHD's historic support for
demographic research on the nonaged population has yielded
landmark scientific findings, confirming how health and well
being in the early years affects long-term health and
socioeconomic outcomes. Many of these advances have derived
from the Institute's investment in large-scale, longitudinal
studies, such as the National Longitudinal Study of Adolescent
Health and Child Development Supplement to the Panel Study of
Income Dynamics, and inter-agency studies, including the
National Survey of Family Growth and National Longitudinal
Survey of Youth. The Committee expects the Institute to sustain
its support for these important resources and reaffirm its
commitment to supporting research on how maternal factors
before and during pregnancy and early life events affect health
and well being in later life.
Fragile X Syndrome.--The Committee encourages the NIH to
implement the NIH Research Plan on Fragile X Syndrome and
Associated Disorders and continue to fund translational
research that shows significant promise of a safe and effective
treatment for Fragile X-associated Disorders [FXD].
Intellectual and Developmental Disabilities Research
Centers [IDDRCs].--The Committee continues to recognize the
outstanding contributions of the IDDRCs toward understanding
the causes for a wide range of developmental disabilities
including autism, Fragile X syndrome, Down syndrome and other
genetic and environmentally induced disorders. The Committee is
particularly pleased with how the IDDRCs have collaborated with
each other to leverage resources and scientific capital on such
efforts as developing a pilot national registry of patient
populations and training and supporting young scientists. These
centers received administrative supplements through the
American Recovery and Reinvestment Act of 2009 that were used
to purchase equipment and develop enhanced scientific core
services. However, the Committee urges the NICHD to provide
additional resources to the IDDRC network to help bring about
progress in expanding registries to include larger samples
across different disorders, support and mentor new
investigators, and develop opportunities for translational
research efforts.
Maternal Fetal Medicine Units Network.--The Committee
continues to encourage the NICHD to support this network.
Metabolic Disease and Bone Health.--The Committee urges
more research in the emerging field of metabolic disease and
bone health in children and adolescents, especially childhood
obesity, anorexia nervosa and other eating disorders. Research
is also needed on what the optimal vitamin D levels should be
in children to achieve maximal bone health and the implications
of chronic seasonal vitamin D deficiency to the growing
skeleton. Development and testing of therapies and bone-
building drugs for pediatric patients are also a pressing
clinical need.
Pediatric Research Acceleration.--The Committee recognizes
that the NIH and the NICHD in particular use a variety of
mechanisms to support pediatric research, including condition-
specific centers, clinical trials networks, and the Clinical
and Translational Science Awards. The Committee nevertheless
remains concerned as to the overall level of support for
pediatric biomedical research, particularly for initiatives
that focus on the continuum from basic to translational
research; that provide infrastructure support, particularly to
early-career researchers; and that are connected through a
networked approach that encourages resource sharing and
collaboration. The Committee urges the NIH to support a
networked pediatric research consortia model and requests an
update on this request in the fiscal year 2012 congressional
budget justification.
Preterm Birth and Stillbirth.--The Committee urges the
NICHD to expand its support of preterm birth related research
by exploring the feasibility of establishing integrated
transdisciplinary research centers as recommended by the
Institute of Medicine and the Surgeon General's Conference on
the Prevention of Preterm Birth. NICHD is also encouraged to
take advantage of high-throughput technologies to understand
the causes of preterm birth and stillbirth, and to support
genomics, proteomics, and metabolomics studies focusing on
prediction and prevention of preterm birth and stillbirth, as
well as the use of existing biobanks.
Psychosocial Stress in Children.--The NICHD is encouraged
to develop a program of research to better understand the
immediate and long-term effects of stress in children, in
contexts including families of deployed military personnel, and
experiences in natural disasters and war zones.
Vulvodynia.--The Committee is encouraged by positive signs
that the NICHD is devoting greater attention to this long-
neglected condition, especially with regard to stimulating
interest in the research community and ensuring adequate
representation of vulvodynia experts on peer-review panels. The
Committee expects to be updated on progress in these areas. The
Committee also notes that vulvodynia coexists with other
persistent pain conditions, including interstitial cystitis,
fibromyalgia, temporomandibular joint and muscles disorders,
irritable bowel syndrome, endometriosis, headache and chronic
fatigue syndrome. The Committee strongly urges the creation of
a trans-NIH research initiative that will support studies aimed
at identifying common etiological pathways among these
disorders, with the goal of developing potential therapeutic
targets.
NATIONAL EYE INSTITUTE
Appropriations, 2010.................................... $706,659,000
Budget estimate, 2011................................... 724,360,000
Committee recommendation................................ 723,220,000
The Committee recommendation includes $723,220,000 for the
National Eye Institute [NEI]. The budget request for fiscal
year 2011 is $724,360,000, and the comparable level for fiscal
year 2010 is $706,659,000.
Cataracts.--The Committee is encouraged by the NEI's
collaboration with NASA in developing a new diagnostic
technology that identifies those at risk for cataract
development before it is clinically detectable.
Improving Clinical Practice.--The Committee recognizes the
NEI's leadership in conducting several comparative
effectiveness clinical trials to improve ophthalmic care,
including the Diabetic Retinopathy Clinical Research Network's
comparison of drug therapies as an alternative to laser
treatment for diabetic macular edema and proliferative diabetic
retinopathy. The Committee is also encouraged by the use of new
analytic techniques to evaluate published data from clinical
trials for therapies for Primary Open Angle Glaucoma that
enable researchers to compare the merits of multiple
interventions without conducting additional clinical trials,
which will also substantially impact clinical practice.
Leber Congenital Amaurosis.--The Committee is encouraged by
recent reports of initial success in treating Leber congenital
amaurosis with gene therapy and is pleased that the NEI will
evaluate gene transfer in younger patients with less severe
disease. The Committee urges the Institute to pursue studies of
this promising treatment on an expedited basis in other
genetically inherited, retinal degenerative diseases. The
Committee requests an update on such efforts in the fiscal year
2012 congressional budget justification.
Trachoma.--The Committee is pleased that a recent NEI
clinical trial of a multi-dose treatment course of the
antibiotic azithromycin in severely affected communities led to
the eradication of trachoma, the leading cause of blindness in
the developing world.
Training Program.--The Committee is pleased that the NEI is
committed to developing the next generation of vision
researchers by expanding its institutional training grant
program with a program in ocular statistical genetics to
provide the vision research community with expertise in
mathematics, modeling, and computation.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES
Appropriations, 2010.................................... $689,462,000
Budget estimate, 2011................................... 707,339,000
Committee recommendation................................ 706,227,000
The Committee recommendation includes $706,227,000 for the
National Institute of Environmental Health Sciences [NIEHS].
The budget request for fiscal year 2011 is $707,339,000, and
the comparable level for fiscal year 2010 is $689,462,000.
Alternative Methods of Testing.--The Committee supports the
implementation of the National Research Council's report
``Toxicity Testing in the 21st Century: A Vision and a
Strategy'' to create a new paradigm for risk assessment based
on use of advanced molecular biological methods in lieu of
animal toxicity tests. The Committee urges the NIH to play a
leading role by funding relevant intramural and extramural
research projects. Current activities at the NIESH, the NIH
Chemical Genomics Center and the Environmental Protection
Agency show considerable potential, and the NIH is strongly
encouraged to explore additional opportunities to augment this
effort.
Endocrine Disruption.--The Committee urges the NIEHS to
continue to increase its research in the effects of endocrine-
disrupting chemicals on women's health outcomes. The Committee
requests an update on these efforts in the fiscal year 2012
congressional budget justification.
Genes and Environment Initiative.--The Committee continues
to support NIEHS's leadership in this trans-Institute
initiative.
Sister Study and Breast Cancer.--The Committee requests an
update on this important study in the fiscal year 2012
congressional budget justification.
Women's Health and the Environment.--The Committee urges
the NIEHS to increase its research in several areas of special
importance to women's health: exposures that may initiate or
promote autoimmune diseases; exposures associated with risk of
uterine fibroids; the effects of engineered nanomaterials in
consumer products, especially cosmetics and personal care
products; and environmental exposures that are associated with
increased time to pregnancy.
NATIONAL INSTITUTE ON AGING
Appropriations, 2010.................................... $1,109,634,000
Budget estimate, 2011................................... 1,142,337,000
Committee recommendation................................ 1,140,547,000
The Committee recommendation includes $1,140,547,000 for
the National Institute on Aging [NIA]. The budget request for
fiscal year 2011 is $1,142,337,000, and the comparable level
for fiscal year 2010 is $1,109,634,000.
Age-related Bone Loss.--The Committee encourages research
to better define the causes of frailty, age-related bone loss
and fractures, and reduced physical performance, including
identifying epigenetic changes, with the aim of translating
basic and animal studies into novel therapeutic approaches. The
prevention and treatment of other metabolic bone diseases,
including osteogenesis imperfect, glucocorticoid-induced
osteoporosis, and bone loss due to kidney disease, should also
be priority research areas.
Behavioral Economics.--The Committee is pleased with the
NIA's focus on this emerging area of research, which is
yielding insights into the neural and behavioral underpinnings
of a variety of social and economic behaviors, and the
Committee encourages additional work on this topic.
Demographic and Economic Research.--The Committee urges the
NIA to continue to invest in its demographic research
portfolio, particularly large-scale longitudinal studies such
as the Health and Retirement Study. The Committee also urges
the NIA to continue working with other Federal agencies,
including the Fogarty International Center, to support and
expand its investment in national and international demographic
research projects.
Roybal Centers for Translational Research on Aging.--The
Committee urges the NIA to continue supporting these important
centers.
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES
Appropriations, 2010.................................... $538,773,000
Budget estimate, 2011................................... 555,715,000
Committee recommendation................................ 554,846,000
The Committee recommendation includes $554,846,000 for the
National Institute of Arthritis and Musculoskeletal and Skin
Diseases [NIAMS]. The budget request for fiscal year 2011 is
$555,715,000, and the comparable level for fiscal year 2010 is
$538,773,000.
Bone Loss.--The Committee urges support for research into
the pathophysiology of bone loss in diverse populations in
order to develop targeted therapies to reduce fractures and
improve bone density, bone quality and bone strength.
Epidermolysis Bullosa [EB].--The Committee is aware that EB
is a group of heritable skin-blistering conditions for which
there is no cure. The Committee commends NIAMS for its support
of EB research and encourages continued and enhanced efforts to
address this painful and disabling condition.
Marfan Syndrome.--The Committee commends NIAMS for its
continued support of collaborative, multi-investigator research
related to Marfan syndrome and encourages expanded support for
research on the orthopedic manifestations of the disease.
Outcomes Measurement.--The Committee notes with approval
the success of the NIAMS-led PROMIS initiative, which aims to
revolutionize the way patient-reported outcome tools are chosen
and used in clinical research and practice.
Scleroderma.--The Committee continues to prioritize
research on scleroderma and commends the Institute for its work
in this area. The Committee requests an update on the NIAMS
scleroderma research portfolio as part of its fiscal year 2012
congressional budget justification.
Temporomandibular Joint Disorders [TMJDs].--As the
temporomandibular joint is a joint in the body, the Committee
continues to believe that its inclusion in the NIAMS portfolio
is clearly warranted. NIAMS scientific expertise and funding
would greatly accelerate the basic and clinical understanding
of this joint, which is critical to such functions as speaking,
breathing, eating, swallowing and making facial expressions.
The Committee calls on NIAMS to collaborate with the NIDCR to
develop multidisciplinary research teams involving basic and
clinical scientists to study the jaw anatomy, physiology and
the complex neural, endocrine, and immune systems interactions
that orchestrate jaw function and trigger jaw joint pathology.
NIAMS should integrate the findings from interdisciplinary
studies of the structure, mechanical function, metabolism, and
blood flow of bone, joints, and muscles with studies of central
and peripheral neural pathways, and the endocrine, paracrine,
and cytokine factors that impact upon these craniofacial
structures, as a means to understanding the underlying causes
of pain and dysfunction. The Committee requests a response from
NIAMS, in addition to the response from NIDCR, in the fiscal
year 2012 congressional budget justification.
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS
Appropriations, 2010.................................... $418,594,000
Budget estimate, 2011................................... 429,007,000
Committee recommendation................................ 428,331,000
The Committee recommendation includes $428,331,000 for the
National Institute on Deafness and Other Communication
Disorders [NIDCD]. The budget request for fiscal year 2011 is
$429,007,000, and the comparable level for fiscal year 2010 is
$418,594,000.
Early Detection and Intervention.--The Committee urges
continued support for research on early detection, diagnosis
and intervention of children with hearing loss. The NIDCD is
encouraged to fund studies that follow speech, language, voice,
and auditory behavior outcomes for children identified early in
life and for children using various hearing devices and
interventions.
Hair Cell Regeneration.--The Committee continues to place a
high priority on research involving hair cell regeneration and
stem cells.
Hearing Aids and Cochlear Implants.--The Committee strongly
encourages the NIDCD to support research to make hearing aids
more accessible to the millions of Americans with mild to
moderate hearing loss. It urges investigative collaborations
into low-cost hearing aids between industry, scientists,
clinicians and consumers so that more of the population who
need hearing aids can obtain them at affordable costs.
Regarding cochlear implants, the Committee recognizes the need
to study the expansion of electrical speech processing in
children and adults, and to conduct research into mechanisms of
acoustic hearing loss in subjects using acoustic plus electric
speech processing.
Noise and Environmentally Induced Hearing Loss.--The
Committee recognizes that while there is increasing
susceptibility to noise and environmentally induced hearing
loss as one ages, young individuals are also at risk. The
Committee urges the NIDCD to study how to identify school-age
children with sound-induced hearing loss and address its
negative consequences on their academic achievements and social
interactions. It understands the potentially deleterious
effects of noise and environmental pollutants in water and air
on the inner ear's hair cells, synapses and auditory nerve and
encourages studies of protective agents. It recommends
research, including proteomic studies, to identify,
characterize and prevent effects of toxicants, including such
chemicals as lead, mercury and carbon monoxide on hearing,
especially during aging, and during prenatal and early
postnatal development. The Committee also commends the NIDCD
for its efforts to raise public awareness of the omnipresent
threats to the auditory system posed by environmental noise.
Otitis Media.--The Committee recognizes the threat to
infants' and children's health and development from ear
infection. The Committee therefore urges the NIDCD to
accelerate its support to investigate the pathogenesis of ear
infection and its consequences. Studies should include
identification of genetic risk factors; new treatments for
chronic and recurrent otitis media; new methods for delivery of
drugs to the middle ear; and development of vaccines.
Plasticity.--The Committee continues to support research on
functional changes of synapses of the central auditory nervous
system, including the cortex, following developmental hearing
loss. It encourages research that builds on understanding of
the dramatic dysfunction that occurs and explores experimental
approaches to restoration of normal function of these synapses.
Basic research of ways to use auditory training/learning tasks
to restore perception in normal adult subjects and those with
auditory or vestibular deficits is also recommended.
Presbycusis.--The Committee urges the NIDCD to continue its
support of physiological and neurological studies of the
peripheral and central mechanisms of presbycusis.
Tinnitus.--The Committee commends NIDCD for hosting a
multi-agency collaborative workshop to support new and expanded
research into tinnitus. The Committee recommends that the NIDCD
expand its research into causal mechanisms underlying
peripheral and central tinnitus and pursue research devoted to
preventions, treatments and cures of this prevalent disorder,
which is also the largest service-connected disability for
returning military personnel.
Vestibular Research.--The Committee continues to urge the
NIDCD to conduct vestibular research in animal models and
humans to improve the diagnosis, intervention strategies and
treatment of vertigo and balance disorders, including studies
to prevent the severe vertigo attacks and disequilibrium
associated with Meniere's disease.
NATIONAL INSTITUTE OF NURSING RESEARCH
Appropriations, 2010.................................... $145,578,000
Budget estimate, 2011................................... 150,198,000
Committee recommendation................................ 149,963,000
The Committee recommendation includes $149,963,000 for the
National Institute of Nursing Research [NINR]. The budget
request for fiscal year 2011 is $150,198,000, and the
comparable level for fiscal year 2010 is $145,578,000.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
Appropriations, 2010.................................... $462,098,000
Budget estimate, 2011................................... 474,649,000
Committee recommendation................................ 473,904,000
The Committee recommendation includes $473,904,000 for the
National Institute on Alcohol Abuse and Alcoholism [NIAAA]. The
budget request for fiscal year 2011 is $474,649,000, and the
comparable level for fiscal year 2010 is $462,098,000.
Collaboration With State Substance Abuse Agencies.--The
Committee applauds the NIAAA for working with State substance
abuse agencies and encourages collaborative initiatives to
ensure that research findings are relevant and adaptable by
publicly funded State substance abuse systems.
Comorbidity. --The Committee recognizes that information
from NIAAA's National Epidemiologic Survey of Alcohol Related
Conditions and the National Longitudinal Alcohol Epidemiologic
Survey has transformed our understanding of alcohol use
disorders in the U.S. population at large. These unique
resources have provided important information on the extent and
nature of alcohol use disorders and their relationship to other
substance use problems and co-occurring mental disorders.
NATIONAL INSTITUTE ON DRUG ABUSE
Appropriations, 2010.................................... $1,059,288,000
Budget estimate, 2011................................... 1,094,078,000
Committee recommendation................................ 1,092,369,000
The Committee recommendation includes $1,092,369,000 for
the National Institute on Drug Abuse [NIDA]. The budget request
for fiscal year 2011 is $1,094,078,000, and the comparable
level for fiscal year 2010 is $1,059,288,000.
Behavioral Genetics.--The Committee encourages NIDA's
continued investment in behavioral genetics, especially in
studies that combine genetic and behavioral approaches. The
Committee particularly commends research on the relationships
among behavior, genetics and nicotine addiction, and how they
impact cognitive function.
Blending Research and Practice.--The Committee is pleased
with the continued success and progress of NIDA's National Drug
Abuse Treatment Clinical Trials Network, enabling an expansion
of treatment options for providers and patients, and applauds
NIDA for its collaborative Blending Initiative with SAMHSA.
Comparative Effectiveness Research.--The Committee
encourages NIDA to continue its investment in comparative
effectiveness research so that proven models of drug abuse
prevention and treatment can be further refined.
Engaging the Medical Community.--The Committee is pleased
with NIDAMed, an initiative designed to reach out to
physicians, physicians in training, and other healthcare
professionals regarding substance abuse. The Committee also
supports NIDA's ongoing efforts around the Centers of
Excellence for Physician Information and its Screening, Brief
Intervention, and Referral to Treatment initiative. The
Committee urges the Institute to continue its focus on
activities to provide physicians and other medical
professionals with the tools and skills needed to incorporate
NIDA-funded research findings into their clinical practices.
HIV/AIDS and Criminal Justice Populations.--The Committee
is concerned about drug abuse and HIV/AIDS in criminal justice
populations, and it supports research efforts to empirically
test the ``seek, test, and treat'' paradigm. NIDA should
continue its initiative in this area, which will yield
important linkages to appropriate health services and effective
HIV prevention, intervention, and treatment in these
populations.
Medications Development.--The Committee encourages NIDA to
continue to support research to develop new, effective
medications that could, either by themselves or combined with
validated behavioral therapies, help alleviate the personal and
social impact of this complex disease.
Military Personnel, Veterans, and Their Families.--The
Committee understands that NIDA has joined with the VA and two
other NIH Institutes to support research on substance abuse and
associated problems among U.S. military personnel, veterans,
and their families. Many returning military personnel need help
confronting a variety of war-related problems including
traumatic brain injury, post-traumatic stress disorder,
depression, anxiety, sleep disturbances, and substance abuse,
including tobacco, alcohol, and other drugs. Many of these
problems are interconnected and contribute to individual health
and family relationship crises, yet there has been little
research on how to prevent and treat the unique characteristics
of wartime-related substance abuse issues. The Committee
commends NIDA for this crucial work and asks for an update in
the fiscal year 2012 congressional budget justification.
Pulmonary Hypertension.--The Committee commends NIDA for
its interest in pulmonary hypertension related to
methamphetamine abuse and requests an update in the fiscal year
2012 congressional budget justification on efforts to initiate
a large scale survey to access the frequency of pulmonary
hypertension in methamphetamine users.
Relapse Prevention.--The Committee applauds the NIDA for
supporting emerging research on the use of cognitive-enhancing
therapy to reduce drug abuse relapse. The Committee understands
that this research is currently conducted with animal models,
and it encourages the NIDA to support research that tests this
model in clinical populations.
Teens and Drug Abuse.--The Committee commends NIDA for its
educational efforts to raise awareness among teens regarding
the harmful health effects associated with drugs of abuse.
Tobacco Addiction.--The Committee applauds the recent
progress of NIDA-supported researchers toward identifying
genetic factors that contribute to nicotine dependence and
affect the efficacy of smoking cessation treatments, and it
urges NIDA to continue developing much-needed evidence-based
treatments, medications, and prevention strategies to combat
nicotine addiction.
NATIONAL INSTITUTE OF MENTAL HEALTH
Appropriations, 2010.................................... $1,489,569,000
Budget estimate, 2011................................... 1,540,345,000
Committee recommendation................................ 1,537,942,000
The Committee recommendation includes $1,537,942,000 for
the National Institute of Mental Health [NIMH]. The budget
request for fiscal year 2011 is $1,540,345,000, and the
comparable level for fiscal year 2010 is $1,489,569,000.
Behavioral Management Drugs for Children.--The Committee is
aware that powerful psychotropic medications are being
prescribed for children as young as 5 years old. The NIMH is
encouraged to expand its research to better understand the
effects these medications have on the development of children,
as well to support research on treatment modalities that will
lessen both providers' reliance and children's dependence on
these medications for behavior management.
Children's Mental Health.--Early diagnosis, prevention, and
treatment is critical for the millions of families affected by
autism, attention deficit hyperactivity disorder, anxiety
disorders, depression, bipolar disorder, and eating disorders.
The NIMH is encouraged to continue supporting clinical trials
to demonstrate the evidence base for effective pharmacological
and behavioral interventions and treatments for child and
adolescent populations with these disorders.
Dissemination of Research Results.--The Committee commends
the NIMH for leading a multi-Institute research initiative to
identify, develop, and refine effective methods for
disseminating and implementing research-tested health behavior
change interventions into public health and clinical practice
settings.
Immigrant Health.--The Committee recognizes that immigrants
to the United States experience unique stresses, prejudice and
poverty, and it urges the NIMH to direct research on the
adaptation, development, health, and mental health needs of
diverse immigrant populations.
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
Appropriations, 2010.................................... $515,799,000
Budget estimate, 2011................................... 533,959,000
Committee recommendation................................ 533,127,000
The Committee recommendation includes $533,127,000 for the
National Human Genome Research Institute [NHGRI]. The budget
request for fiscal year 2011 is $533,959,000, and the
comparable level for fiscal year 2010 is $515,799,000.
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING
Appropriations, 2010.................................... $316,405,000
Budget estimate, 2011................................... 325,925,000
Committee recommendation................................ 325,415,000
The Committee recommendation includes $325,415,000 for the
National Institute of Biomedical Imaging and Bioengineering
[NIBIB]. The budget request for fiscal year 2011 is
$325,925,000, and the comparable level for fiscal year 2010 is
$316,405,000.
Bone Disease.--The Committee encourages research on bone
diseases and disorders utilizing bone imaging. The Committee
further encourages the Institute to use engineering strategies
to replace and regenerate bone and soft tissue affected by
trauma.
NATIONAL CENTER FOR RESEARCH RESOURCES
Appropriations, 2010.................................... $1,268,329,000
Budget estimate, 2011................................... 1,308,741,000
Committee recommendation................................ 1,306,695,000
The Committee recommendation includes $1,306,695,000 for
the National Center for Research Resources [NCRR]. The budget
request for fiscal year 2011 is $1,308,741,000, and the
comparable level for fiscal year 2010 is $1,268,329,000.
Under the Committee's recommendation, a portion of the
costs of the Clinical and Translational Science Awards [CTSAs]
program will continue to shift to the NCRR from the Common
Fund. The Committee recommendation includes a total of
$500,403,000 for the CTSAs in fiscal year 2011, divided as
follows: $477,700,000 from the NCRR, compared with $457,700,000
in fiscal year 2010; and $22,703,000 from the Common Fund, down
from $25,425,000 in fiscal year 2010. The fiscal year 2010
total for CTSAs was $482,945,000.
Chimpanzee Breeding.--The Committee is aware that the NCRR
instituted a breeding moratorium on chimpanzees that it owns
and supports in 1995, and that in 2007 it reaffirmed that
moratorium by declaring, ``NCRR has determined that it does not
have the financial resources to support the breeding of
chimpanzees that are owned or supported by NCRR.''
Nevertheless, disturbing questions have been raised about
whether this moratorium is being followed at the New Iberia
Research Center [NIRC], which is supported by the NCRR and
maintains a mix of chimpanzees that are federally owned and
privately owned. Records provided by the NIRC to animal rights
groups suggest that in the case of as many as 123 infant
chimpanzees born at the NIRC since 2000, either the dam or the
sire, or both, were federally owned. The Committee asks the
NCRR to investigate this matter promptly, take all steps
necessary to ensure that the NIRC is complying with the
moratorium, and update the Committee on the results.
Human Tissue Supply.--The Committee remains committed to
matching the increased needs of NIH-funded researchers who rely
upon human tissues and organs to study human diseases and
search for cures. Therefore, the Committee encourages the NCRR
to increase its core support for its nationwide human tissue
and organ procurement network and urge other Institutes to
expand their support as well.
Primate Research.--The Committee continues to support the
National Primate Research Centers [NPRCs], which provide the
necessary facilities, animal models, animal care experts, and
the translational research scientists for NIH-supported
institutions to conduct nonhuman primate research that is
essential to improving human health.
Research Centers at Minority Institutions [RCMI].--The
Committee continues to support the RCMI program and encourages
the NCRR to strengthen participation from the minority health
professions schools.
NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE
Appropriations, 2010.................................... $128,772,000
Budget estimate, 2011................................... 132,004,000
Committee recommendation................................ 131,796,000
The Committee recommendation includes $131,796,000 for the
National Center for Complementary and Alternative Medicine
[NCCAM]. The budget request for fiscal year 2011 is
$132,004,000, and the comparable level for fiscal year 2010 is
$128,772,000.
NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES
Appropriations, 2010.................................... $211,474,000
Budget estimate, 2011................................... 219,046,000
Committee recommendation................................ 218,705,000
The Committee recommendation includes $218,705,000 for the
National Institute on Minority Health and Health Disparities
[NIMHD], which was elevated from center status this year by the
Patient Protection and Affordable Care Act. The budget request
for fiscal year 2011 is $219,046,000, and the comparable level
for fiscal year 2010 is $211,474,000.
The Committee is pleased with the Centers of Excellence
program, which sponsors multidisciplinary and interdisciplinary
research on debilitating diseases affecting health disparities
populations. The Committee also recognizes the importance of
the research endowment program, which promotes health
disparities research capacity building, recruits diverse
faculty, and enhances recruitment and retention of
underrepresented students.
Urban-based Network.--The Committee encourages the
Institute to support a new network of urban-based academic
institutions focused on, and with demonstrated commitment and
capacity to, addressing recruitment and training needs of
minority and urban underserved populations and reducing health
disparities in these urban communities.
JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN THE HEALTH
SCIENCES
Appropriations, 2010.................................... $69,997,000
Budget estimate, 2011................................... 73,027,000
Committee recommendation................................ 72,914,000
The Committee recommendation includes $72,914,000 for the
Fogarty International Center [FIC]. The budget request for
fiscal year 2011 is $73,027,000, and the comparable level for
fiscal year 2010 is $69,997,000.
Global Health Research Training and Workforce Capacity.--
The Committee believes that the U.S. effort to improve health
in the developing world can only succeed if other countries can
contribute the necessary expertise and knowledge to fight
malaria, neglected tropical diseases, and other infectious
diseases that disproportionately impact the global poor. The
FIC plays a strong role by supporting long-term research and
training partnerships between U.S. research institutions and
those in developing countries. The Committee supports the FIC's
continued work in this area.
NATIONAL LIBRARY OF MEDICINE
Appropriations, 2010.................................... $350,557,000
Budget estimate, 2011................................... 364,802,000
Committee recommendation................................ 364,254,000
The Committee recommendation includes $364,254,000 for the
National Library of Medicine [NLM]. The budget request for
fiscal year 2011 is $364,802,000, and the comparable level for
fiscal year 2010 is $350,557,000. An additional $8,200,000 is
made available from program evaluation funds. Of the funds
provided, $4,000,000 is for improvement of information systems,
to remain available until expended.
Access to Research Information.--The Committee applauds the
NLM and the Nation's medical librarians for their continuing
efforts to improve public access to biomedical information, and
it encourages the NLM to continue to work with the network of
medical libraries to ensure rapid access to valuable health
information.
Disaster Information Management.--The Committee encourages
NLM's continued efforts to identify and implement best
practices for providing information during disasters, develop
innovative products and services to serve emergency responders
and preparedness activities, and conduct research to support
disaster health information management and recovery efforts.
The Committee also encourages the NLM to make accessible the
broad range of literature on disaster health, including an
information portal for traumatic brain injury and post
traumatic stress disorders.
Funding Needs.--The Committee is concerned that NLM funding
of extramural research and training programs has declined
precipitously, to the point where research opportunities across
the full range of biomedical informatics are being deferred,
and the necessary cadre of trained informatics scientists and
innovators is lacking. The Committee encourages the NLM to
contract with the National Research Council of the National
Academies of Science to provide: (1) an assessment of the
extramural biomedical informatics training programs supported
by the NLM, including funding trends and the career paths of
graduates; (2) an assessment of both current and past
biomedical informatics extramural research activities funded by
the NLM; (3) an assessment of the funding available for
extramural biomedical informatics research and education,
including trends over time; (4) the identification of promising
research opportunities that are not represented in the current
NLM portfolio; and (5) an estimate of funding needed to support
additional opportunities in biomedical informatics research and
education programs, including recommendations on such funding
goals as the field evolves further over the next decade.
Public Access.--The Committee strongly supports the NIH's
public access policy. As the last report on the policy's
implementation was completed in July 2008, shortly after it
became mandatory, the Committee requests a follow-up report by
May 1, 2011. The report should address updated figures on
participation rates by authors, collaborations with publishers,
and efforts to ensure compliance by NIH-funded researchers. In
a related matter, NLM international partners are now depositing
their manuscripts in PubMed Central, enhancing the benefits of
this database to U.S. researchers. The Committee believes the
results of NIH-funded research should likewise be shared with
these NLM partners, further accelerating the discovery process
and advancing global public health.
OFFICE OF THE DIRECTOR
Appropriations, 2010.................................... $1,176,844,000
Budget estimate, 2011................................... 1,220,478,000
Committee recommendation................................ 1,268,580,000
The Committee recommendation includes $1,268,580,000 for
the Office of the Director [OD]. The budget request for fiscal
year 2011 is $1,220,478,000, and the comparable level for
fiscal year 2010 is $1,176,844,000.
Within this total, the Committee recommendation includes
bill language appropriating $50,000,000 to create the Cures
Acceleration Network, which was newly authorized in the Patient
Protection and Affordable Care Act. The Committee believes this
program offers exciting potential to help speed the translation
and application of promising new treatments for diseases. CAN
will be administered under the Office of the Director and is
authorized to make grants to biotech companies, universities,
and patient advocacy groups to target new discoveries that have
shown potential at the laboratory level but have not advanced
far enough to attract significant investments from the private
sector. Specifically, CAN will focus on funding the development
of ``high need cures,'' which are defined as drugs, biological
products, or medical devices that the NIH Director determines
to be a priority ``to diagnose, mitigate, prevent, or treat
harm from any disease or condition, and for which the
incentives of the commercial market are unlikely to result in
its adequate or timely development.'' CAN is also intended to
reduce the barriers between laboratory discoveries and clinical
trials for new therapies and facilitate FDA review for the high
need cures funded by CAN.
Two types of awards are authorized-grant awards and
partnership awards, the latter of which require a $1 to $3
match. In both cases, the grants may be a maximum of
$15,000,000 per project in the project's first fiscal year. Up
to 20 percent of the appropriated funds may be used to obligate
funds through ``other transactions,'' which are funding
agreements or mechanisms that are not grants, contracts, or
cooperative agreements, and are intended to provide additional
flexibility akin to that of the Department of Defense's Defense
Advanced Research Projects Agency [DARPA].
The Committee hopes to fund CAN at higher levels in future
years, but notes that there will be limited time in fiscal year
2011 to award grants through this program, considering that a
CAN Review Board must first be established.
The Committee appreciates the information that the NIH
provides each year on how each Institute and Center plans to
use its appropriation by mechanism, both in the annual
congressional budget justification and again in an update it
provides by August 1 each year. The Committee understands that
small changes in mechanism totals may occur between August 1
and the end of the fiscal year as grants are awarded.
Therefore, the Committee requests that the NIH begin providing
the final mechanism totals for each fiscal year, in table form,
by November 30.
National Children's Study.--The Committee includes bill
language providing $194,400,000 for continuation of the
National Children's Study [NCS]. The Committee appreciates the
improvements to the management and oversight of this study that
have occurred in the past year. While the implementation of the
main study has been delayed, the Committee believes this will
allow more time to evaluate the project's scope and cost, and
allow the NIH and Congress to make better-informed decisions
about its future.
OFFICE OF BEHAVIORAL AND SOCIAL SCIENCES RESEARCH [OBSSR]
Basic Behavioral and Social Sciences.--The Committee is
pleased that the Basic Behavioral Opportunity Network (OppNet)
was launched in fiscal year 2010 with the support of 24
Institutes and Centers and the NIH Director. The Committee has
addressed basic behavioral science in many previous reports,
and it applauds NIH's recognition that basic behavioral
research is essential in efforts to improve the Nation's
health. The Committee understands that OppNet represents a
minimum of a 5-year, cross-NIH initiative designed to fill
critical gaps in the NIH's basic behavioral research
enterprise. The Committee requests an update on OppNet's
progress in the fiscal year 2012 congressional budget
justification.
OFFICE OF RARE DISEASES [ORD]
Dystonia Consortium.--The Committee commends the ORDR for
providing funding for 19 research consortia including the
Dystonia Coalition, as part of the second phase of the Rare
Diseases Clinical Research Network. The Committee requests an
update on the Dystonia Coalition research activities in the
fiscal year 2012 congressional budget justification.
OFFICE OF RESEARCH ON WOMEN'S HEALTH [ORWH]
The Committee commends the ORWH for convening a series of
town hall meetings across the Nation to receive input from
stakeholders regarding the strategic direction of women's
health research over the next decade. The Committee encourages
the ORWH to continue its dialogue with the scleroderma and
pulmonary hypertension communities in this regard.
Health Disparities Research in Women.--Women of racial and
ethnic minorities face higher rates of diseases including
obesity, cancer, diabetes, heart disease, and HIV/AIDS, when
compared with white women. There is also a disproportionately
higher rate of pre-term birth among African-American women that
cannot be accounted for by known risk factors. The Committee
encourages the ORWH to support research into the causes of
health disparities and develop and evaluate interventions to
address these causes. The Committee also understands that
continued and expanded collection of data capturing racial and
ethnic information is essential in understanding and reducing
disparities.
Stroke in Women.--The Committee encourages the ORWH to
support research to determine the biologic basis, including
studies of genetic susceptibility factors, as to why brain
aneurysms are much more frequent in women compared to men,
particularly at younger ages, and initiatives to advance the
understanding of stroke care in women, including poststroke
rehabilitation, and the identification of stroke treatment and
rehabilitation.
Vulvodynia.--The Committee notes the lack of resources
allocated to the vulvodynia educational campaign in fiscal
years 2009 and 2010, and it urges the Director to reinvigorate
this initiative by allocating sufficient resources to expanding
the scope of this important effort. Developed educational
materials should be widely disseminated to Federal funded
health centers and college health clinics, as well as to the
public, patient and medical communities. In addition, the
Committee requests that the ORWH support a vulvodynia
conference to be held in fiscal year 2011.
MULTI-INSTITUTE RESEARCH INITIATIVES
Amyotrophic Lateral Sclerosis [ALS].--The Committee urges
the NIH to collaborate and develop partnerships with voluntary
health associations and Government agencies, including the Food
and Drug Administration, in implementing programs targeting
those with ALS and other conditions with unmet medical needs.
NIH's collaboration with FDA to fast track innovations that
focus on translational and regulatory science is an example of
the type of partnership that may speed the delivery of new
treatments to people with ALS.
Angiogenesis.--The Committee supports the ongoing research
on angiogenesis to examine the ability to detect and treat
diseases at early stages. The Committee strongly encourages the
Director to coordinate with all relevant Institutes to study
correlation of platelet proteomes to angiogenesis with the goal
of developing a health marker.
Autoimmune Diseases.--The Committee urges the Director to
facilitate increased basic research on environmental triggers
and biomarkers of autoimmune diseases in collaboration with the
Directors of related research Institutes through the NIH
Autoimmune Diseases Coordinating Committee. The Committee
believes that basic research is needed to identify the
mechanisms that drive the autoimmune response.
Basic Cell Research.--The Committee believes that the
funding of basic biomedical research is an important investment
in the future health and well-being of our Nation. Ideas that
may one day result in the development of cures and treatments
for cancer and other diseases begin with basic research into
the understanding of how cells work. The Committee believes
that basic biomedical research should remain a key component of
both the intramural and extramural research portfolio at the
NIH.
Career Development Awards.--The Committee recognizes the
role of clinical researchers as a primary resource for
advancement and innovation in biomedical science. In order to
ensure and expand the pool of highly talented patient-oriented
researchers, the Committee supports the preservation of K
awards as a critical training mechanism.
Chronic Fatigue.--The Committee is aware that in October
2009, a group of researchers announced that it had performed
blood tests on patients with Chronic Fatigue Syndrome [CFS] and
found sufficient evidence of the presence of xenotropic murine
leukemia virus-related virus [XMRV] to suggest a correlation
between XMRV and CFS. While the work has not yet been
replicated, the reported research warrants further discussion
and investigation. The Committee is aware that NIH will host an
international symposium on XMRV in September 2010 to address
the pathogenesis and clinical and public health implications of
the XMRV virus and to obtain input in developing a coordinated
strategy for XMRV research. The Committee also is aware that
the second State of the Knowledge Conference is being planned
by the Trans-NIH Working Group on Chronic Fatigue Syndrome for
2011 and is encouraged that this conference will likely make
additional recommendations about future funding opportunities
for XMRV and CFS research.
Class B Animal Dealers.--The Committee noted with strong
interest the April 2010 report issued by the NIH titled ``The
Use of Random Source Class B Dealers in NIH-Supported
Research.'' The report concludes that the best way to phase out
the use of class B dealers as the providers for random-source
dogs and cats in NIH-supported research is to supplement class
A dealers so that they can provide these animals instead. The
3- to 4-year timeline projected by the NIH to complete this
transition is longer than the Committee would have preferred,
especially considering that the NIH largely ignored this issue
for years. However, the Committee is pleased that the NIH is on
track to meet the early milestones of this timeline. The
Committee expects this pace to continue and requests an update
in the fiscal year 2012 congressional budget justification.
Clinical and Translational Science Awards [CTSAs].--The
Committee strongly supports the CTSA program, a nationwide
network of research institutions that aims to increase the
translation of basic science, speed the delivery of treatments
and cures to the public, and foster the development of the next
generation of diverse, highly trained clinical and
translational science professionals. The Committee believes
that greater involvement from all 27 Institutes and Centers
[ICs] would help the program reach its full potential.
Therefore, the Committee requests that the Director consider
developing a formal, NIH-wide plan on how to align the CTSAs
with the programmatic and funding priorities of the ICs.
Communication of Research Findings.--The Committee is
pleased that the NIH has continued to support NIH MedlinePlus
magazine, which provides consumers and health professionals
with easy-to-read health information based on the latest NIH-
supported research, and a new bilingual version of the
magazine, NIH MedlinePlus Salud. While the bulk of the support
for the magazine comes from the NLM, the Committee urges the
Director to work with the Institutes and Centers to provide the
resources necessary to increase the distribution of these
important sources of consumer health information to reach all
physician offices, federally qualified health centers,
hospitals, libraries and free-standing health clinics.
Diabetes.--The Committee recognizes that more research and
education is needed on the disparate effects of diabetes on
minority populations. Therefore, the Committee urges the NIH to
expand, intensify, and support ongoing research and other
activities with respect to pre-diabetes and diabetes in
minority populations, including research to identify clinical,
socioeconomic, geographical, cultural, and organizational
factors that contribute to diabetes in such populations.
Specifically, the Committee encourages NIH to research behavior
and obesity; environmental factors that may contribute to the
increase in type 2 diabetes in minorities; environmental
triggers and genetic interactions that lead to the development
of type 2 diabetes in minority newborns; genes that may
predispose individuals to the onset of type 1 and type 2
diabetes and its complications; methods and alternative
therapies to control blood glucose; and diabetic and
gestational diabetic pregnancies in minority mothers. The
Committee also asks that the NIH, through the NIMHD and the
National Diabetes Education Program, mentor health
professionals to be more involved in weight counseling, obesity
research and nutrition; provide for the participation of
minority health professionals in diabetes-focused research
programs; and encourage increased minority representation in
diabetes-focused health fields.
Down Syndrome.--The Committee is pleased that the NINDS is
co-hosting a conference in December to further identify and
explore the issues involved in the development of a national
Down syndrome patient registry and one or more biobanks, and it
encourages additional support for this effort. As increased
Federal funding for translational research is important to
fostering a better understanding of Down syndrome and exploring
therapeutic treatments, the Director is encouraged to dedicate
sufficient resources to the implementation of the 2007 NIH
Research Plan for Down syndrome. Finally, the Committee
continues to urge the NIH to establish workshops and mentoring
programs to encourage young researchers and scientists to
successfully pursue NIH grants for Down syndrome research.
Fibromyalgia.--The Committee recognizes that fibromyalgia
is a disorder that impacts the lives of millions of Americans
and is deeply concerned regarding the lack of a sustained
commitment to fibromyalgia-specific research at the NIH. While
NIAMS has been the lead Institute for fibromyalgia, the NINDS
should also play a key role because of substantial evidence
implicating pathology within the central nervous system in the
development and expression of fibromyalgia symptoms, including
abnormal brain activity, abnormal concentrations of a variety
of neurotransmitters in cerebrospinal fluid, dysautonomia and
neuroendocrine dysfunction. The Committee urges both Institutes
to stimulate interest in this field by supporting additional
research through all available funding mechanisms and by
convening a conference to open the door to new scientific
findings. Areas of particular interest include neurotransmitter
abnormalities and other neurological problems revealed by prior
brain and cervical neck imaging studies, as well as further
investigation of sleep disturbances and genetic factors.
Lung Disease.--The Committee encourages the Director to
work with the NHLBI, NIEHS, NIAID, and FIC to develop cross-
Institute initiatives on the causes, identification, treatment
and prevention of lung disease.
Lupus.--The Committee continues to support additional
basic, clinical and translational research on lupus.
Lyme Disease.--The Committee is encouraged that the NIH has
signaled its intent to hold a scientific conference on Lyme and
other tick-borne diseases in coordination with the NIAID. The
Committee believes that the conference should represent the
broad spectrum of scientific views on Lyme disease as well as
individuals with Lyme disease.
Lymphatic Research and Lymphatic Disease.--The Committee
applauds the Trans NIH Coordinating Committee for Lymphatic
Research for the success of recent NIH lymphatic-related
symposia and for eliciting multidisciplinary extramural
recommendations from a Lymphatic Research Working Group. The
Committee is disappointed, however, that the NIH's June 2009
report on lymphatic research did not fulfill the Committee's
request ``to set forth short and long-term strategic plans to
advance research of the lymphatic system and lymphatic
diseases, and specifically addressing the Trans-NIH Working
Group 2008 Recommendations.'' Therefore, the Committee again
asks each of the Institutes and Centers [ICs] with an interest
in lymphatic research (NHLBI, NCI, NIDDK, NICHD, NINR, NEI,
NIAID, NIAMS, NIBIB, and ORD) to set forth explicit,
prospective, actionable plans and implementation strategies for
each Working Group recommendation for the years 2011-2014,
including but not limited to: (a) the creation of centralized
core facilities for experimental molecular and diagnostic
lymphatic imaging; (b) the development and standardization of
research reagents; (c) the generation of virtual networks to
facilitate basic, translational, and clinical research; (d) the
development of techniques for the quantitative and molecular
imaging of lymphatic function, lymphatic malformations, and
lymph nodes; (e) the creation of interdisciplinary programs to
train new investigators in lymphatic research; (f) the support
of patient registries and the creation of a lymphatic disease
tissue bank; (g) the generation and characterization of animal
models to foster and facilitate investigations in lymphatic
biology; and (h) the identification of suitable panels of
biomarkers for lymphatic disease. In addition, the Committee
once again urges all relevant ICs to continue to expressly
include lymphatic system research in related funding mechanism
requests where a lymphatic research component is appropriate.
Mitochondrial Disease and Dysfunction.--The Committee
supports the effort to make greater progress in researching
mitochondrial disease and dysfunction, and believes that the
Director should therefore continue to prioritize research on
functional variations in mitochondria under the Transformative
Research grants program and other Common Fund activities. In
light of the large number of NIH Institutes and Centers that
have some involvement in mitochondrial-related research, the
Committee urges the Director to enhance efforts to coordinate
and promote such research.
Neurodegeneration with Brain Iron Accumulation [NBIA].--The
Committee urges the NINDS, NICHD, NEI and ORDR to put a higher
priority on research involving NBIA, a group of rare disorders
for which there is no treatment or cure.
Neurofibromatosis [NF].--The Committee continues to place a
high priority on NF and requests an update in the fiscal year
2012 congressional budget justification on the research being
supported by the multiple NIH Institutes with an interest in
this disease.
Neurogenic Bladder.--The Committee encourages the NIDDK,
NICHD and NINDS to study the causes and care of the neurogenic
bladder in order to improve the quality of life of children and
adults with spina bifida; to support research to address issues
related to the treatment and management of spina bifida and
associated secondary conditions, such as hydrocephalus; and to
invest in understanding the myriad co-morbid conditions
experienced by children with spina bifida, including those
associated with both paralysis and developmental delay.
Overlapping Chronic Pain Disorders.--The Committee again
notes the growing body of evidence demonstrating considerable
overlap among chronic fatigue syndrome, endometriosis,
fibromyalgia, headache, interstitial cystitis, irritable bowel
syndrome, temporomandibular joint and muscle disorders, and
vulvodynia. These poorly understood and neglected conditions
impact millions of Americans and cost the Nation tens of
billions of dollars each year. The Committee requested last
year that the Director coordinate a trans-NIH research
initiative, and the NIH responded that this work would be
carried out by the Trans-NIH Working Group for Research of
Chronic Fatigue Syndrome [CFSWG]. The Committee is not
satisfied with that response, as the scope of the proposed
initiative spans well beyond the purview of the CFSWG, and
strongly urges the NIH to take a more comprehensive approach to
these conditions. The Committee urges the NIH to promptly
develop and coordinate, with all relevant ICs, a trans-
Institute research initiative to support studies aimed at
identifying etiological pathways of these overlapping
conditions with the goal of identifying potential therapeutic
targets.
Pain.--The Committee applauds the NIH for entering into
negotiations with the Institute of Medicine to convene a
``Conference on Pain'' to develop recommendations on how to
significantly improve the state of pain research, assessment,
diagnosis, treatment, and management, as authorized by the
Patient Protection and Affordable Care Act [PPACA]. The
Committee urges the NIH to assure that appropriate attention is
given to chronic pain conditions that solely or
disproportionately impact women, including chronic fatigue
syndrome, endometriosis, fibromyalgia, interstitial cystitis,
temporomandibular disorders, and vulvodynia. The Committee also
urges the NIH to promptly appoint and convene a new Interagency
Pain Research Coordinating Committee, as described in the
PPACA. This committee will provide important visibility to
existing efforts, help identify critical research gaps in this
field, stimulate pain research collaboration with other
Government agencies such as the Departments of Defense and
Veterans Affairs, and provide an important avenue for
extramural stakeholder involvement as the pain research agenda
evolves.
Palliative Care.--The Committee strongly urges the NIH to
develop a trans-Institute strategy for increasing funded
research in palliative care for persons living with chronic and
advanced illness. Research is needed on: treatment of pain and
common non-pain symptoms across all chronic disease categories,
which should include cancer, heart, renal and liver failure,
lung disease, Alzheimer's disease and related dementias;
methods to improve communication about goals of care and
treatment options between providers, patients, and caregivers;
care models that maximize the likelihood that treatment
delivered is consistent with patient wishes; and care models
that improve coordination, transitions, caregiver support, and
strengthen the likelihood of remaining at home.
Psoriasis.--The Committee recognizes that additional
genetics, immunology and clinical research focused on
understanding the mechanisms of psoriasis and psoriatic
arthritis are needed, and it encourages the NIAID and NIAMS to
further study the genetic susceptibility of psoriasis; develop
animal models of psoriasis; identify and examine immune cells
and inflammatory processes involved in psoriasis; and elucidate
psoriatic arthritis specific genes and other biomarkers. The
Committee also recognizes the mounting evidence of co-
morbidities associated with psoriasis and the 50 percent higher
risk of mortality for people with severe psoriasis. The
Committee urges the NHLBI to consider these factors in its
research, specifically that individuals with severe psoriasis
have an increased risk of heart attack, independent of other
major risk factors such as hypertension, diabetes and obesity,
and that for people in their 40s and 50s with severe psoriasis,
the risk of heart attack is more pronounced. The Committee also
urges the NIDDK and NIMH to consider in its research that
diabetes and psychiatric symptoms are more prevalent for
patients with severe psoriasis than for those with mild
disease.
Regenerative Medicine.--The field of regenerative medicine
represents a unique approach to treating diseases and disorders
by enabling the body to repair, replace, restore, and
regenerate damaged or diseased cells, tissues, and organs. The
Committee believes that the NIH should carefully and
deliberatively consider how best to organize and undertake
research in this promising field, with input from experts in
multiple disciplines. The Committee urges the Director to
develop a plan that would: assess current research; identify
research gaps including research methodologies; develop a
mechanism to allow for the coordination of research between
Institutes; consider the development of a separate study
section; and in coordination with FDA, develop clinical trial
methodologies and measures to assure the safety and efficacy of
therapies, including data and sample registries. The Committee
requests a response in the fiscal year 2012 congressional
budget justification.
Sex Differences.--The Committee urges the NIH to put a
higher priority on understanding the basic biology of the
impact of sex/gender in development, diagnosis, and treatment
of disease. Topics should include the cellular and molecular
basis of sex differences in the natural history of development
of and treatment for disease; a clearer definition of the
impact of the hormonal milieu on risk and progression of
diseases in women; and an integrated approach to understanding
how neurological/physiological factors impact development of
disease in women. The Committee recommends that study sections
should be better equipped to evaluate such proposals of sex
differences in disease, as these typically are complex
integrated physiological problems requiring a multidisciplinary
approach. The Committee requests an update on these efforts in
the fiscal year 2012 congressional budget justification.
Spinal Muscular Atrophy [SMA].--The Committee is concerned
that the declining NIH investment in developing treatments for
SMA comes at a time when treatments are closest to the clinic
and the community will benefit from NIH support most. When SMA
was designated by NIH in late 2003 as the model disease for a
therapeutics development program (the SMA Project), it was
viewed as an unprecedented opportunity to find treatments for
this devastating and relatively common childhood disease. The
Committee strongly supported this NINDS-initiated program to
enable the development of therapeutic candidates for the
treatment of SMA. Since then, the Committee understands that
research supported by private voluntary organizations and the
NINDS SMA Project have led to multiple potential treatments for
SMA that are advancing rapidly through the drug development
pipeline, with the most promising drug candidates expected to
reach the clinical trials stage within 12 months. To complete
development of any of these potential new treatments, NIH
support is needed to put into place the infrastructure for
clinical trials. The Committee requests an update in the fiscal
year 2012 congressional budget justification.
Spinal Muscular Atrophy [SMA] Carrier Screening.--The
Committee continues to support the development of a pan-ethnic
carrier screening program for SMA. While the Committee is
pleased that in October 2009 the NHGRI, NICHD, and NINDS
collectively sponsored a meeting of representatives from
government, academia, professional societies, advocacy groups,
and industry to explore the scientific basis for SMA carrier
screening, many challenges remain to implementing a
comprehensive pan-ethnic carrier screening protocol for SMA.
The Committee is particularly concerned that contradicting
recommendations from professional societies and inconsistencies
between various industry-published educational materials for
SMA carrier screening are creating confusion among
professionals and the public. The Committee strongly encourages
the NHGRI, NICHD, and NINDS to collaborate with stakeholder
groups to develop unified, specific, and consistent
recommendations, guidelines, and educational materials for
providers and patients.
Tuberous Sclerosis Complex [TSC].--The Committee applauds
the research funded to date by the NIH that has led to a better
understanding of TSC and its multiple manifestations. The
Committee encourages the Office of the Director to launch a
new, multi-Institute approach focused on translational research
that will lead to the identification of new drug targets and
new treatments for individuals with TSC. In addition, since TSC
is a gateway into understanding autism spectrum disorder, the
Committee encourages NIH to support research in this area.
OFFICE OF AIDS RESEARCH
The Office of AIDS Research [OAR] coordinates the
scientific, budgetary, legislative, and policy elements of the
NIH AIDS research program. The Committee recommendation does
not include a direct appropriation for the OAR. Instead,
funding for AIDS research is included within the appropriation
for each Institute, Center, and Division of the NIH. The
recommendation also includes a general provision which directs
that the funding for AIDS research, as determined by the
Director of the National Institutes of Health and the OAR, be
allocated directly to the OAR for distribution to the
Institutes consistent with the AIDS research plan. The
recommendation also includes a general provision permitting the
Director of the NIH and the OAR to shift up to 3 percent of
AIDS research funding among Institutes and Centers throughout
the year if needs change or unanticipated opportunities arise.
The Committee includes bill language permitting the OAR to
use up to $8,000,000 for construction or renovation of National
Primate Research Centers. This is the same as the fiscal year
2010 level and the budget request.
HIV/AIDS Behavioral Research.--The Committee urges the NIH
to support behavioral research aimed at reducing the likelihood
of HIV infection by determining risk factors in various
populations as well as the ways in which interventions need to
be tailored for specific populations at greatest risk of
becoming infected.
BUILDINGS AND FACILITIES
Appropriations, 2010.................................... $99,985,000
Budget estimate, 2011................................... 125,581,000
Committee recommendation................................ 125,420,000
The Committee recommendation includes $125,420,000 for NIH
buildings and facilities. The budget request for fiscal year
2011 is $125,581,000, and the comparable level for fiscal year
2010 is $99,985,000.
Substance Abuse and Mental Health Services Administration
Appropriations, 2010.................................... $3,562,701,000
Budget estimate, 2011................................... 3,673,596,000
Committee recommendation................................ 3,668,418,000
The Committee recommends $3,668,418,000 for the Substance
Abuse and Mental Health Services Administration [SAMHSA] for
fiscal year 2011. The comparable fiscal year 2010 level is
$3,562,701,000 and the administration request is
$3,673,596,000. The recommendation includes $132,234,000 in
transfers available under section 241 of the Public Health
Service Act. SAMHSA is responsible for supporting mental health
programs and alcohol and other drug abuse prevention and
treatment services throughout the country, primarily through
categorical grants and block grants to States. In addition, the
Committee recommends that $40,000,000 be transferred to SAMHSA
from the Prevention and Public Health Fund.
The Committee has provided funding for programs of regional
and national significance under each of the three SAMHSA
centers: mental health services, substance abuse treatment, and
substance abuse prevention. Separate funding is available for
the children's mental health services program, projects for
assistance in transition from homelessness, the protection and
advocacy program, data collection activities undertaken by the
Office of Applied Studies and the two block grant programs: the
community mental health services block grant and the substance
abuse prevention and treatment block grant.
The Committee has provided $159,362,000 for grants
throughout SAMHSA that fund mental health and substance use
treatment services targeted to homeless and at-risk families,
youth and individuals. This funding includes $15,800,000, as
requested by the administration, for a new inter-Departmental
Homeless Initiative. In this initiative, mental health and
substance abuse treatment funding from SAMHSA, together with
Medicaid resources and housing vouchers from the Department of
Housing and Urban Development, will be used to demonstrate
effective approaches to providing permanent supportive housing
for those who experience chronic, long-term homelessness. The
Committee notes that research shows a wide range of positive
benefits from permanent supportive housing programs, such as
long-term housing stability and lower criminal justice costs,
as well reductions in emergency room use, hospitalizations and
other high-cost health services.
CENTER FOR MENTAL HEALTH SERVICES
Appropriations, 2010.................................... $1,004,869,000
Budget estimate, 2011................................... 1,027,552,000
Committee recommendation................................ 1,041,677,000
The Committee recommends $1,041,677,000 for mental health
services. The comparable level for fiscal year 2010 is
$1,004,869,000 and the administration request is
$1,027,552,000. The recommendation includes $21,039,000 in
transfers available under section 241 of the Public Health
Service Act. In addition, the Committee recommends that
$40,000,000 be transferred to the Center for Mental Health
Services from the Prevention and Public Health fund. Included
in the recommendation is funding for programs of regional and
national significance, the community mental health services
block grant to the States, children's mental health services,
projects for assistance in transition from homelessness, and
protection and advocacy services for individuals with mental
illnesses.
PROGRAMS OF REGIONAL AND NATIONAL SIGNIFICANCE
The Committee recommends $386,309,000 for programs of
regional and national significance. The comparable level for
fiscal year 2010 is $361,352,000 and the administration request
is $374,184,000. In addition, the Committee recommends that
$40,000,000 be transferred to this activity from the Prevention
and Public Health Fund. Programs of regional and national
significance [PRNS] address priority mental health needs
through developing and applying best practices, offering
training and technical assistance, providing targeted capacity
expansion grants, and changing the delivery system through
family, client-oriented and consumer-run activities.
Within the total provided for CMHS programs of regional and
national significance, the Committee recommendation includes
funding for the following activities:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Budget activity 2010 Fiscal year Committee
comparable 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
Co-Occurring State Incentive Grant.......................... 2,168 3,611 3,611
Seclusion & Restraint....................................... 2,449 2,449 2,449
Youth Violence Prevention................................... 94,333 94,502 94,502
National Traumatic Stress Network........................... 40,800 40,800 44,800
Children and Family Programs................................ 9,194 9,194 9,194
Performance Management and Coordination Activities.......... 3,166 3,530 3,530
Consumer and Family Network Grants.......................... 6,236 6,436 6,436
Mental Health System Transformation & Health Reform......... 29,106 30,924 26,924
Transformation activities............................... 29,106 26,924 26,924
Mental Health/Substance Abuse SBIRT..................... .............. 4,000 ..............
Project LAUNCH.............................................. 25,000 27,000 29,000
Depression Centers of Excellence............................ .............. .............. 10,000
Primary and Behavioral Health Care Integration.............. 14,000 14,000 14,000
Prevention and Public Health Fund (non-add)............. 20,000 .............. 40,000
Community Resilience and Recovery Initiative................ 5,000 5,000 5,000
Suicide Lifeline............................................ 5,522 7,522 7,522
Garrett Lee Smith--Youth Suicide State Grants............... 29,738 30,438 29,738
Garrett Lee Smith--Youth Suicide Campus Grants.............. 4,975 5,400 4,975
American Indian/Native Suicide Prevention Initiative........ 2,944 5,888 5,888
Homelessness Prevention Programs............................ 32,250 39,696 39,696
Older Adult Programs........................................ 4,814 4,814 4,814
Minority AIDS............................................... 9,283 9,283 9,283
Criminal and Juvenile Justice Programs...................... 6,684 6,684 6,684
SCIENCE AND SERVICE:
Garrett Lee Smith--Suicide Prevention Resource Center....... 4,957 4,957 4,957
Information Dissemination and Training...................... 9,001 8,528 8,528
National Registry of Evidence-based Programs & Practices.... 544 544 544
SAMHSA Health Information Network........................... 2,673 2,644 2,644
Consumer & Consumer Support Technical Assistance Centers.... 1,927 1,927 1,927
Minority Fellowship Program................................. 4,279 4,279 4,279
Disaster Response........................................... 1,054 1,054 1,054
Homelessness................................................ 2,306 2,306 2,306
HIV/AIDS Education.......................................... 974 774 774
----------------------------------------------------------------------------------------------------------------
Child Trauma.--The Committee continues its strong support
for the National Child Traumatic Stress Network [NCTSN]. The
recommendation includes $44,800,000 for the NCTSN in
recognition of its contribution to the recovery of children and
youth impacted by a wide range of trauma, including physical
and sexual abuse, violence in families and communities, natural
disasters and terrorism, life-threatening injury and illness,
and refugee and war experience. The comparable level for fiscal
year 2010 is $40,800,000. With the additional funding provided,
the Committee encourages SAMHSA, in collaboration with the
NCTSN, to broaden the national impact of this critical program
while at the same time ensuring that the network's expertise
and experience in the field of trauma-related disorders is
maintained.
The Committee recognizes the extraordinary value of the
core data set developed by the National Center for Child
Traumatic Stress [NCCTS], which identifies the impact of
multiple traumas on the lives of children and the effectiveness
of evidence-based treatment and services. Within the funding
provided, the Committee again provides $1,000,000 to the NCCTS
for the continued data analysis and reports related to the core
data set.
Clinical Training.--The Committee is aware that a new
clinical accreditation program aims to ground practitioner
training in empirically supported treatments to ensure that
mental health and substance abuse treatment providers are
scientifically equipped. The Committee is aware that SAMHSA is
planning a conference on these issues, in collaboration with
relevant professional organizations, and it encourages SAMHSA
to continue this collaboration so that those seeking services
are assured of receiving scientifically sound treatment.
Depression.--The Committee notes that depression and
bipolar disorder afflict 1 in 5 Americans and are the second
most costly medical disorders in the United States, following
only heart disease. The Committee recommendation includes
$10,000,000 to implement the Establishing a Network of Health-
Advancing National Centers of Excellence for Depression, or
ENHANCED, Act. This funding will support the establishment of a
national network of depression centers of excellence to help
translate academic treatment advances into clinical care. This
network will help address the need for earlier clinical
detection of depression and new strategies to prevent
recurrences of depressive illnesses, as well as ways of
reducing their length and severity.
Minority Fellowship Program.--The Committee notes that
minorities represent 30 percent of the population and are
projected to increase to 40 percent by 2025. Yet only 23
percent of recent doctorates in psychology, social work, and
nursing were awarded to minorities. The Committee commends the
Minority Fellowship Program for training an increasing number
of culturally competent mental health professionals.
Primary and Behavioral Healthcare Integration.--The
Committee notes that people with serious mental illness [SMI]
die, on average, 25 years earlier than people in the general
population. Many of these deaths are caused by preventable
conditions such as cardiovascular disease and diabetes. The
Committee strongly believes that a crucial element to
eliminating this disparity is building new practice models that
integrate primary healthcare into community mental health
settings. These community programs will provide people with SMI
with better access to screening and care management, including
wellness programs that encourage more physical activity, better
nutrition, help with medications and smoking cessation
programs.
The Committee applauds the administration's goal of
increasing the lifespan for people with severe mental illness
by 10 years by 2018. Because the Committee believes aggressive
action is necessary to meet this goal, the Committee has
allocated funding for a major expansion of the Primary and
Behavioral Health Care Integration grants at SAMHSA. The
Committee provides $54,000,000 for this program, which includes
$14,000,000 provided in discretionary appropriations and
$40,000,000 in transfers from the Prevention and Public Health
Fund. The comparable level for fiscal year 2010 is $34,000,000.
Project LAUNCH.--The Committee reiterates its strong
support for this program, which it created in fiscal year 2008
to assist local communities with the integration of behavioral
and mental health into primary care settings. The Committee,
however, is disturbed that the administration proposes to split
management of this program between CMHS and the Center for
Substance Abuse Prevention [CSAP], as well as to fund a program
evaluation focusing solely on substance abuse prevention. The
Committee directs SAMHSA to manage this program exclusively at
CMHS, as originally intended. The Committee also intends that
activities funded by this program not duplicate activities
funded by other programs, such as the new Home Visitation
program created by the Patient Protection and Affordable Care
Act.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Children's Hospital Boston, Boston, MA, for Expansion of $200,000
Mental Health Capacity in Massachusetts Schools.......
Clifford W. Beers Guidance Clinic, Inc., New Haven, CT, 100,000
to expand child and family trauma services.............
Family Service Agency of Marin County, San Rafael, CA, 250,000
for suicide prevention and mental health serv- ices...
Help Center-211, Bozeman, MT, for suicide intervention 100,000
and outreach services..................................
Lindsey Wilson College, Columbia, KY, for professional 100,000
development and mental health services for the
Appalachia region......................................
Maniilaq Association, Kotzebue, AK, for suicide 200,000
prevention activities in Northwest Alaska..............
Oregon Partnership, Portland, OR, to provide suicide 200,000
prevention services to soldiers and military families..
Pen Bay Healthcare, Rockport, ME, for mental health 100,000
services...............................................
------------------------------------------------------------------------
COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT
The Committee recommends $420,774,000 for the community
mental health services block grant. This amount is the same as
the comparable fiscal year 2010 level and the administration
request. The recommendation includes $21,039,000 in transfers
available under section 241 of the Public Health Service Act.
The community mental health services block grant
distributes funds to 59 eligible States and territories through
a formula based on specified economic and demographic factors.
Grant applications must include an annual plan for providing
comprehensive community mental health services to adults with a
serious mental illness and children with a serious emotional
disturbance.
CHILDREN'S MENTAL HEALTH SERVICES
The Committee recommends $126,214,000, the same as the
administration request, for the children's mental health
services program. The comparable fiscal year 2010 level for
this program is $121,316,000. This program provides grants and
technical assistance to support a network of community-based
services for children and adolescents with serious emotional,
behavioral, or mental disorders. Grantees must provide matching
funds, and services must be coordinated with the educational,
juvenile justice, child welfare, and primary healthcare
systems.
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS [PATH]
The Committee recommends $70,000,000, the same as the
administration request, for the PATH Program. The comparable
fiscal year 2010 level is $65,047,000. PATH provides outreach,
mental health, case management, and other community support
services to individuals with serious mental illness who are
homeless or at risk of becoming homeless.
The Committee recognizes that the PATH program makes a
significant difference in the lives of homeless persons with
mental illnesses. Multidisciplinary teams provide a continuum
of services addressing mental illness, co-occurring substance
abuse and medical issues. The Committee has provided additional
funds to PATH in recognition that it is a key component in
ongoing strategies to end chronic homelessness.
PROTECTION AND ADVOCACY
The Committee recommends $38,380,000 for the protection and
advocacy for individuals with mental illness [PAIMI] program.
The comparable fiscal year 2010 funding level and the
administration request were both $36,380,000. This program
helps ensure that the rights of mentally ill individuals are
protected while they are patients in all public and private
facilities, or while they are living in the community,
including in their own homes. Funds are allocated to States
according to a formula based on population and relative per
capita incomes. The Committee notes that the PAIMI program is
playing an increasing role in correctional facilities due to
the fact that people with mental illness frequently do not
receive the community supports they need and often end up
incarcerated. The Committee recommendation includes additional
funding in recognition of the unmet need for protection and
advocacy services for the mentally ill.
CENTER FOR SUBSTANCE ABUSE TREATMENT
Appropriations, 2010.................................... $2,253,051,000
Budget estimate, 2011................................... 2,287,273,000
Committee recommendation................................ 2,272,123,000
The Committee recommends $2,272,123,000 for substance abuse
treatment programs. The comparable fiscal year 2010 level is
$2,253,051,000 and the administration request is
$2,287,273,000. The recommendation includes $87,796,000 in
transfers available under section 241 of the Public Health
Service Act. This appropriation funds substance abuse treatment
programs of regional and national significance and the
substance abuse prevention and treatment block grant to the
States.
Programs of Regional and National Significance
The Committee recommends $473,532,000 for programs of
regional and national significance [PRNS]. The comparable
fiscal year 2010 level is $454,460,000 and the administration
request is $488,682,000. The recommendation includes $8,596,000
in transfers available under section 241 of the Public Health
Service Act.
Programs of regional and national significance include
activities to increase capacity by implementing service
improvements using proven evidence-based approaches as well as
science to services activities which promote the identification
of practices thought to have potential for broad service
improvement.
Within the total provided for CSAT programs of regional and
national significance, the Committee recommendation includes
funding for the following activities:
[in thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Budget activity 2010 Fiscal year Committee
comparable 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
Co-occurring State Incentive Grants......................... 4,263 4,113 4,113
Opioid Treatment Programs/Regulatory Activities............. 8,903 8,903 8,903
Screening, Brief Intervention, Referral, and Treatment 29,106 37,106 29,106
[SBIRT]....................................................
SBIRT................................................... 29,106 22,106 29,106
Mental Health/Substance Abuse SBIRT..................... .............. 15,000 ..............
Targeted Capacity Expansion--General........................ 28,989 28,481 28,481
Pregnant & Postpartum Women................................. 16,000 17,350 17,350
Strengthening Treatment Access and Retention................ 1,775 1,775 1,775
Recovery Community Services Program......................... 5,236 5,236 5,236
Access to Recovery.......................................... 98,954 108,854 98,954
Children and Families....................................... 30,678 30,488 30,488
Treatment Systems for Homeless.............................. 42,750 47,360 47,360
Minority AIDS............................................... 65,988 65,888 65,888
Criminal Justice Activities................................. 67,635 84,191 84,191
Services Accountability..................................... 20,647 20,816 20,816
Prescription Drug Monitoring [NASPER]....................... 2,000 2,000 4,000
SCIENCE AND SERVICE:
Addiction Technology Transfer Centers....................... 9,081 9,081 9,081
Minority Fellowship Program................................. 547 547 547
Special Initiatives/Outreach................................ 2,400 2,420 2,420
Information Dissemination................................... 4,553 4,353 4,353
National Registry of Evidence-Based Programs and Practices.. 893 893 893
SAMHSA Health Information Network........................... 4,255 3,782 3,782
Program Coordination and Evaluation......................... 5,214 5,045 5,045
----------------------------------------------------------------------------------------------------------------
Hepatitis Testing.--The Committee recognizes the high
incidence of hepatitis and its often undocumented state,
particularly among substance abusers. The Committee commends
SAMHSA on its goal of providing HIV testing to 80 percent of
all clients accessing the services of its HIV/AIDS grantees and
recommends that SAMHSA consider a similar program for hepatitis
testing. In addition, the Committee requests that SAMHSA assess
the feasibility of a demonstration project to provide persons
who use drugs with viral hepatitis prevention services
including patient education and testing, as well as to support
hepatitis education and training for substance abuse treatment
providers.
HIV Screening.--The Committee notes that mental disorders
and substance use or dependence are common among people with
HIV. However, HIV screening is not widely available in settings
where mental health and substance use services are provided.
The Committee encourages SAMHSA to explore opportunities to
expand HIV screening throughout mental health and substance
abuse treatment delivery systems, and to collaborate with the
CDC to increase HIV/AIDS training opportunities for providers
in these programs. The Committee requests a progress report on
the implementation of its HIV screening efforts in the SAMHSA
fiscal year 2012 budget justification.
Screening, Brief Intervention, and Referral to Treatment
[SBIRT].--The Committee does not provide the additional funds
requested by the administration for expanding the SBIRT
program. The Committee is very supportive of SBIRT, and notes
that research shows that the program can result in significant
reductions in alcohol use among problem drinkers when used in
healthcare settings. However, the Committee is concerned that
the administration proposes to expand the SBIRT program to
include mental health disorders, as well as to non-medical
settings such as social service centers. The Committee notes
that insufficient evidence exists to suggest that SBIRT is
effective in these settings, and urges SAMHSA to instead
concentrate its efforts on promoting widespread adoption of the
existing evidence-based SBIRT model.
Substance Abuse Testing.--The Committee continues to
support SAMHSA in its efforts to revise its drug testing
policies and update its alternative testing matrix to reflect
the advances in science and offer an alternative to testers
including rapid, hair and oral fluid testing. The Committee
requests a progress report on the status of these policy
deliberations in its fiscal year 2012 budget justification.
Treatment Drug Courts.--The Committee recommendation
includes $84,191,000, the same as the administration request,
for criminal justice activities. The comparable fiscal year
2010 funding level is $67,635,000. The Committee has included
funding at the administration's proposed level for the drug
court, ex-offender re-entry, and adult criminal justice
treatment programs. The Committee has provided increased
funding for fiscal year 2011 in the recognition that, although
the number of treatment drug courts has grown, the availability
of treatment and recovery support services for individuals
involved in the criminal justice system remains extremely
limited. The Committee expects that SAMHSA shall ensure that
applicants for any drug treatment court grant in SAMHSA's
criminal justice portfolio continue to demonstrate extensive
evidence of working directly and extensively with the
corresponding State substance abuse agency in the planning,
implementation, and evaluation of the grant.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
City/County Alcohol Drug Programs, Rapid City, SD, for $200,000
substance abuse and recovery programs..................
Luna County Healthy Start, Deming, NM, for drug abuse 400,000
treatment services for women...........................
Rosebud Sioux Tribe, Rosebud, SD, for a drug and alcohol 150,000
treatment program......................................
------------------------------------------------------------------------
Substance Abuse Prevention and Treatment Block Grant
The Committee recommends $1,798,591,000 for the substance
abuse prevention and treatment [SAPT] block grant. The amount
is the same as the comparable level for fiscal year 2010 and
the administration request. The recommendation includes
$79,200,000 in transfers available under section 241 of the
Public Health Service Act. The block grant provides funds to
States to support alcohol and drug abuse prevention, treatment,
and rehabilitation services. Funds are allocated to the States
according to a formula. State plans must be submitted and
approved annually.
The Committee is aware that an independent and
comprehensive evaluation released in June 2009 found that the
SAPT block grant ensures accountability through Federal-State
communication, program monitoring, and data reporting. This
data reporting includes information on the positive impact
services have on jobs, housing and criminal justice activity.
In particular, SAPT block grant outcomes data found that, at
discharge, 74 percent of clients were abstinent from illegal
drugs and 78 percent of clients were abstinent from alcohol.
CENTER FOR SUBSTANCE ABUSE PREVENTION
Appropriations, 2010.................................... $202,039,000
Budget estimate, 2011................................... 223,075,000
Committee recommendation................................ 222,492,000
The Committee recommends $222,492,000 for programs to
prevent substance abuse. The comparable fiscal year 2010 level
is $202,039,000 and the administration request is $223,075,000.
The Center for Substance Abuse Prevention [CSAP] is the sole
Federal organization with responsibility for improving
accessibility and quality of substance abuse prevention
services.
Programs of Regional and National Significance
The Committee has provided $222,492,000 for programs of
regional and national significance [PRNS]. Through the PRNS,
CSAP supports: development of new practice knowledge on
substance abuse prevention; identification of proven effective
models; dissemination of science-based intervention
information; State and community capacity building for
implementation of proven, effective substance abuse prevention
programs; and programs addressing new needs in the prevention
system.
Within the total provided for CSAP programs of regional and
national significance, the Committee recommendation includes
funding for the following activities:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Budget activity 2010 Fiscal year Committee
comparable 2011 request recommendation
----------------------------------------------------------------------------------------------------------------
CAPACITY:
Strategic Prevention Framework.............................. 111,607 103,511 129,811
State Incentive Grant................................... 99,941 69,682 79,682
Partnerships for Success................................ 11,666 33,829 50,129
Mandatory Drug Testing...................................... 5,206 5,206 5,206
Minority AIDS............................................... 41,385 41,385 41,385
Performance Management...................................... 6,300 6,300 6,300
Sober Truth on Preventing Underage Drinking [STOP Act]...... 7,000 8,000 11,000
National Adult-Oriented Media Public Service Campaign... 1,000 1,000 1,000
Community-based Coalition Enhancement Grants............ 5,000 6,000 9,000
Intergovernmental Coordinating Committee on the 1,000 1,000 1,000
Prevention of Underage Drinking........................
Steroid Use Education Campaign.............................. .............. .............. 1,000
Project LAUNCH.............................................. .............. 9,683 ..............
Prevention Prepared Communities............................. .............. 22,600 ..............
SCIENCE AND SERVICE:
Fetal Alcohol Spectrum Disorder............................. 9,821 9,821 9,821
Center for the Application of Prevention Technologies....... 8,511 8,511 8,511
Science and Service Program Coordination.................... 4,789 4,789 4,789
National Registry of Evidence-based Programs and Practices.. 650 650 650
SAMHSA Health Information Network........................... 2,749 2,548 2,548
Minority Fellowship Program................................. 71 71 71
----------------------------------------------------------------------------------------------------------------
The Committee applauds the administration for proposing a
significant funding increase for CSAP. The Committee is
concerned, however, that the administration proposes to blend
substance abuse and mental health funding throughout SAMHSA.
The Committee recognizes that common risk and protective
factors exist for both mental illness and substance abuse.
However, the Committee notes that not every program will be
effective at addressing both issues. Furthermore, the Committee
recognizes that many substance abuse prevention programs are
unique in focusing on the environmental strategies for
preventing drug and alcohol abuse. According to the Task Force
on Community Preventive Services at the Centers for Disease
Control and Prevention [CDC], many of these strategies have
been proven to be effective regarding preventing excessive
alcohol use.
The Committee is also concerned that the latest results
from the Monitoring the Future survey, funded by the National
Institute on Drug Abuse, shows that the perceptions of harm and
social disapproval of drug use are declining among youth, and
that youth substance use and abuse are beginning to rise. The
Committee does not believe that this is the time to homogenize
prevention efforts across centers within SAMHSA or to abandon
universal prevention efforts to stop substance use before it
starts. Given the paucity of resources for bona fide substance
use and underage drinking prevention programs and strategies,
the Committee instructs that money specifically appropriated to
CSAP for substance use prevention purposes shall not be used or
reallocated for other programs or initiatives within SAMHSA. In
addition, the Committee is instructing SAMHSA to maintain a
specific focus on environmental and population based strategies
to reduce drug use and underage drinking due to the cost
effectiveness of these approaches.
HIV Screening.--Mental disorders and substance use or
dependence are common among people with HIV. However, HIV
screening is not widely available in settings where mental
health and substance use services are provided. The Committee
encourages SAMHSA to explore opportunities to expand HIV
screening throughout mental health and substance abuse
treatment delivery systems, and to collaborate with CDC to
increase HIV/AIDS training opportunities for providers in these
programs.
Partnerships for Success.--The Committee provides
$50,129,000, an increase of $38,463,000 for the Partnerships
for Success program. The administration requested $33,829,000
for this program. The Committee applauds CSAP for its
Partnerships for Success program, which is designed to achieve
quantifiable declines in substance use and abuse rates. The
program, which evolved from the Strategic Prevention Framework
State Incentive Grant [SIG], helps States partner with
organized communities to determine need, leverage resources,
set goals, and implement evidence-based approaches to substance
abuse prevention. The initiative also includes a financial
incentive to those grantees that meet or exceed performance
outcomes. The Committee urges SAMHSA to use the additional
funds provided to the SIG program to maximize the number of
States and tribes eligible for a Partnerships for Success
grant. The Committee also expects SAMHSA to ensure that States
who receive Partnership for Success grants give current and
former drug-free communities grantees priority status as
subrecipient grantees when working with communities within
their States.
Performance Enhancing Drugs.--The Committee continues to be
concerned about the use and abuse of steroids and other
performance enhancing drugs by young people. The Committee
recommendation includes $1,000,000 for SAMHSA, in collaboration
with the Department of Education, to develop and carry out a
cost-effective national education campaign focused on
preventing the use of anabolic steroids and other performance
enhancing drugs by young people. The Committee intends that
this campaign should be school-based as well as community-
based, and should focus on both athletes and non-athletes.
Prevention Prepared Communities.--The Committee
recommendation does not provide funding for the
administration's proposed Prevention Prepared Communities
initiative. According to the proposed budget, this new program
would use the Strategic Prevention Framework to implement
evidence-based programs to promote the wellness of individuals
aged 9 to 25. While the Committee commends the administration
for its commitment to prevention, it believes the proposal
would be redundant given the work of Partnerships for Success.
As a result, the Committee is redirecting funds for this
proposal to the Partnerships for Success program.
Underage Drinking Prevention.--The Committee recommendation
includes $9,000,000 for the Community-based Coalition
Enhancement Grant program authorized under the Sober Truth on
Preventing [STOP] Underage Drinking Act. The administration
requested $6,000,000 for these grants. STOP Act grantees focus
on implementing community-wide strategies which address the
broader culture and context regarding underage drinking. The
Committee provides additional funds above the administration
request in the recognition that STOP Act grants are a cost-
effective means of investing Federal dollars in underage
drinking prevention activities at the community level.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Hamakua Health Center, Honoka'a, HI, for a youth anti- $200,000
drug program...........................................
Waimanalo Community Health Center, Waimanalo, HI, for 200,000
drug abuse prevention..................................
West Virginia Prevention Resource Center, Charleston, 1,000,000
WV, for drug abuse prevention..........................
------------------------------------------------------------------------
PROGRAM MANAGEMENT
The Committee recommends $132,126,000 for program
management activities of the agency. The comparable level for
fiscal year 2010 is $101,947,000 and the administration
requested $135,696,000. The recommendation includes $23,399,000
in transfers available under section 241 of the Public Health
Service Act.
The program management activity includes resources for
coordinating, directing, and managing the agency's programs.
Program management funds salaries, benefits, space, supplies,
equipment, travel, and departmental overhead required to plan,
supervise, and administer SAMHSA's programs.
The Committee recommendation includes $19,000,000, the same
as the administration request, for the increased costs
associated with the agency's data systems and analytic studies.
The recommendation will also support a new initiative, proposed
by the administration, for the design and implementation of a
community-level early warning system that will detect the
emergence of new drug threats.
Agency for Healthcare Research and Quality
Appropriations, 2010.................................... $397,053,000
Budget estimate, 2011................................... 610,912,000
Committee recommendation................................ 397,053,000
The Committee recommends $397,053,000 for the Agency for
Healthcare Research and Quality [AHRQ]. This amount is the same
as the comparable funding level for fiscal year 2010. The
administration requested $610,912,000 for AHRQ. The Committee
recommendation is funded entirely from transfers available
under section 241 of the Public Health Service Act. In
addition, the Committee recommends that $17,000,000 be
transferred to AHRQ from the Prevention and Public Health Fund.
The Agency for Healthcare Research and Quality was
established in 1990 to enhance the quality, appropriateness,
and effectiveness of health services, as well as access to such
services. In order to fulfill this mission, AHRQ conducts,
supports and disseminates scientific and policy-relevant
research on topics such as reducing medical errors, eliminating
healthcare disparities, using information technology, and
comparing the effectiveness of drugs and medical procedures.
AHRQ-supported research provides valuable information to
researchers, policymakers, healthcare providers, and patients
on ways to improve our Nation's health system and make
healthcare more affordable.
HEALTH COSTS, QUALITY, AND OUTCOMES
The Committee provides $267,290,000 for research on health
costs, quality and outcomes [HCQO]. The comparable funding
level for fiscal year 2010 is $270,653,000 and the
administration requested $478,899,000 for this activity. In
addition, the Committee recommends that $17,000,000 be
transferred to HCQO from the Prevention and Public Health Fund.
The HCQO research activity is focused upon improving clinical
practice, improving the healthcare system's capacity to deliver
quality care, and tracking progress toward health goals through
monitoring and evaluation.
Within the total for HCQO, the Committee provides
$35,000,000 for patient-centered outcomes research, also known
as comparative effectiveness research [CER]. The administration
requested $272,750,000 for this activity. The comparable
funding level for fiscal year 2010 is $21,000,000. The
Committee notes that the Patient Protection and Affordable Care
Act [PPACA] created the Patient Centered Outcomes Research
Institute as a new non-governmental entity to manage and
prioritize this research. Since AHRQ will conduct much of the
research funded by this Institute, the Committee did not
provide the funding increase for CER requested by the
President, as it did not want to duplicate this effort. The
Committee recommendation includes sufficient resources for AHRQ
to continue evidence generation and systematic reviews already
underway. The funding provided will also allow AHRQ to sustain
its research infrastructure until the new Institute is fully
operational.
The Committee is aware of the valuable work being done by
the Centers for Education and Research in Therapeutics [CERTs],
which produce scientific data on the safety and effectiveness
of prescribed medications and medical devices. The research
performed by these Centers, in such areas as the appropriate
use of anti-psychotics and the safe and effective use of
medications by older adults, plays an important role in
improving healthcare quality by preventing adverse effects and
improving clinical practice. Within the HCQO total, the
Committee recommendation includes $13,463,000, the same as the
comparable level for fiscal year 2010, to continue the work of
the 14 CERTs and the coordinating center. The administration
proposed to eliminate funding for the existing CERTs.
The Committee recommendation for HCQO includes $10,000,000
for quality measurement activities. This is a new activity
authorized under section 3013 of the PPACA. These funds will be
used to identify gaps in quality measurement and develop
patient-centered measures to fill those gaps. The Committee
notes that strong quality measures that fill in current gaps
will help reduce geographic variations in care quality and
health disparities, improve the delivery of healthcare
services, eliminate waste and improve efficiency. In providing
these funds, the Committee recognizes the need for a measures
development process that is transparent, consensus-based,
involves input from stakeholders and other relevant
organizations, and includes strong conflict of interest
policies.
Building the Next Generation of Researchers.--The Committee
encourages AHRQ to offer more pre- and post-doctoral training
grants and fellowships for both clinician and non-clinician
researchers. This investment in the next generation of
researchers will help build capacity to respond to increasing
demands for health services research and will ensure America
stays competitive in the global research market.
Chronic Pain Conditions in Women.--The Committee notes that
up to 50 million American women suffer from one or more poorly
understood and often overlooked chronic pain conditions. The
Committee urges AHRQ to analyze the healthcare expenditures
associated with chronic fatigue syndrome, endometriosis,
fibromyalgia, interstitial cystitis, temporomandibular [TMJ]
disorders, and vulvodynia. The analysis should quantify costs
associated with the failure to promptly and adequately diagnose
and treat these conditions, as well as those incurred by
employers due to lost productivity, increased number of sick
days and increased disability claims.
Clinical Preventive Services Research.--The Committee has
included $10,000,000 in transfers from the Prevention and
Public Health Fund for clinical preventive services research at
AHRQ. This research would allow the agency to address new
research priorities as described in the Patient Protection and
Affordable Care Act [PPACA], and as determined by the Secretary
and the National Prevention and Health Promotion strategy. The
Committee intends that these funds will be used to focus on the
areas of health risk assessment, patient safety, health equity,
and implementing clinical preventive services in primary care
practice.
Clinical Trial Recruitment.--The Committee recognizes that
clinical trials play an important role in the development of
biomedical research, in addition to providing treatment options
to patients with understudied or rare conditions. The Committee
encourages AHRQ to collaborate with voluntary health
organizations to expand and improve patient registries, which
will connect patients to resources for treatment and assist
clinical researchers in recruitment.
HIV Research Network.--The Committee recognizes the HIV
Research Network [HIVRN] as a unique source for information on
the cost and cost-effectiveness of HIV care in the United
States and notes that HIVRN data and analyses are critical to
implementing health reform and an effective National HIV/AIDS
Strategy. Within the HCQO total, the Committee provides
$1,413,000, the same as the comparable level for fiscal year
2010, to the HIVRN to continue evaluating healthcare
utilization and clinical outcomes in HIV-infected children,
adolescents and adults. The administration did not request
funding for this activity.
Liver Disorders.--The Committee encourages AHRQ to develop
a comprehensive agenda that would promote health services
research and implementation science with regard to the broad
spectrum of liver disorders.
Lyme Disease.--The Committee continues to encourage AHRQ to
create a comprehensive clearinghouse of peer-reviewed
literature on tick-borne diseases. It should include literature
on persistent infection organized for use by the scientific
community, treating physicians, and the public. In the posting
of treatment guidelines for Lyme disease, the Committee
supports AHRQ's efforts to reflect the full spectrum of
creditable science and diverse clinical viewpoints.
Preterm Birth and Pregnancy-related Depression.--The
Committee continues to be concerned with the rate of pre-term
births in the United States. The Committee believes that AHRQ's
comparative effectiveness research may lead to a better
understanding of the range of interventions for preterm labor,
such as different drugs, tocolytics, preventive tools, and the
role of ultrasound care treatments and practices in the diverse
patient populations in which they are used. Additionally, the
Committee encourages AHRQ to support research evaluating the
efficacy of perinatal/postpartum screening tools and whether
they can impact the outcome of pregnancy and perinatal
depression.
Restoring Innovation and Competitiveness.--Investigator-
initiated research forms the backbone of AHRQ's ability to
improve healthcare with creative and innovative approaches to
ongoing and emerging healthcare issues. The Committee
recommendation includes $40,360,000, the same as the comparable
funding level for fiscal year 2010, for investigator-initiated
research. This funding level will allow ARHQ to support new
investigator-initiated research grants to advance discovery and
the free marketplace of ideas. The Committee urges AHRQ to
provide these opportunities through its Crosscutting Activities
Related to Quality, Effectiveness and Efficiency Research
portfolio, as well as other core programs, including the
Effective Health Care program.
U.S. Preventive Services Task Force [USPSTF].--The
Committee provides $11,700,000 for the USPSTF. The
recommendation includes $4,700,000 in evaluation transfers,
consistent with the budget request, and $7,000,000 in transfers
from the Prevention and Public Health Fund.
MEDICAL EXPENDITURES PANEL SURVEYS
The Committee provides $59,300,000, the same as the
administration request, for medical expenditures panel surveys
[MEPS]. The comparable funding level for fiscal year 2010 is
$58,800,000. MEPS collects detailed information annually from
families regarding healthcare use and expenditures, private and
public health insurance coverage, and the availability, costs
and scope of health insurance benefits. The data from MEPS is
used in the development of economic models projecting the costs
and savings of proposed changes in policy, as well as estimates
of the impact of policy changes on payers, providers, and
patients.
PROGRAM SUPPORT
The Committee recommends $70,463,000 for program support.
The comparable funding level for fiscal year 2010 is
$67,600,000 and the administration requested $72,713,000. The
Committee recommendation does not include $2,250,000 requested
by the administration for 15 new staff to support the patient-
centered outcomes research portfolio. Since it did not provide
the funding increase requested by the administration for this
research, the Committee does not believe additional staffing is
necessary.
Centers for Medicare and Medicaid Services
GRANTS TO STATES FOR MEDICAID
Appropriations, 2010
$220,962,473,000
Budget estimate, 2011
173,143,799,000
Committee recommendation
173,143,799,000
The Committee recommends $173,143,799,000 in mandatory
funding for Grants to States for Medicaid. This is the same
amount as the administration's request for fiscal year 2011.
The fiscal year 2010 comparable level was $220,962,473,000. The
fiscal year 2011 recommendation excludes $86,789,382,000 in
fiscal year 2010 advance appropriations for fiscal year 2011.
In addition, $86,445,289,000 is provided for the first quarter
of fiscal year 2012, as requested by the administration.
The Medicaid program provides medical care for eligible
low-income individuals and families. It is administered by each
of the 50 States, the District of Columbia, Puerto Rico, and
the territories. Federal funds for medical assistance are made
available to the States according to a formula, which
determines the appropriate Federal matching rate for State
program costs. This matching rate is based upon the State's
average per capita income relative to the national average, and
shall be no less than 50 percent.
PAYMENTS TO HEALTH CARE TRUST FUNDS
Appropriations, 2010
$214,590,070,000
Budget estimate, 2011
229,664,000,000
Committee recommendation
229,664,000,000
The Committee recommends $229,664,000,000 in mandatory
funding for Payments to Healthcare Trust Funds. This is the
same amount as the administration's request for fiscal year
2011. The fiscal year 2010 comparable level was
$214,590,070,000.
This entitlement account includes the general fund subsidy
to the Federal Supplementary Medical Insurance Trust Fund for
Medicare part B benefits and for Medicare part D drug benefits
and administration, plus other reimbursements to the Federal
Hospital Insurance Trust Fund for part A benefits and related
administrative costs that have not been financed by payroll
taxes or premium contributions.
The Committee provides $173,873,000,000 for the Federal
payment to the Supplementary Medical Insurance Trust Fund. This
payment provides matching funds for premiums paid by Medicare
part B enrollees. The Committee further provides
$54,393,000,000 for the general fund share of benefits paid
under Public Law 108-173, the Medicare Prescription Drug,
Improvement and Modernization Act of 2003. The Committee
includes bill language requested by the administration
providing indefinite authority for paying the general revenue
portion of the part B premium match and provides resources for
the part D drug benefit program in the event that the annual
appropriation is insufficient.
The Committee recommendation does not include funding for
hospital insurance for the uninsured, consistent with the
budget request. The Committee also recommends $275,000,000 for
the Federal uninsured benefit payment. This payment reimburses
the Hospital Insurance Trust Fund for the cost of benefits
provided to Federal annuitants who are eligible for Medicare.
The Committee recommendation also includes $382,000,000 to
be transferred to the Supplementary Insurance Trust Fund as the
general fund share of part D administrative expenses. The
Committee recommendation includes $561,000,000 in
reimbursements to the Health Care Fraud and Abuse Control
[HCFAC] fund.
PROGRAM MANAGEMENT
Appropriations, 2010.................................... $3,470,242,000
Budget estimate, 2011................................... 3,601,147,000
Committee recommendation................................ 3,574,527,000
The Committee recommends $3,574,527,000 for CMS program
management. The administration requested $3,601,147,000. The
fiscal year 2010 comparable level was $3,470,242,000.
Research, Demonstrations, and Evaluations
The Committee recommends $41,300,000 for research,
demonstrations, and evaluation activities. The Committee
includes sufficient funding to fulfill the President's request
for: the Medicare Current Beneficiaries Survey; the Real Choice
Systems Change grants; other activities; and continuations of
the demonstrations begun in fiscal year 2010.
CMS research and demonstration activities facilitate
informed rational Medicare and Medicaid policy choices and
decisionmaking. These studies and evaluations include projects
that measure the impact of Medicare and Medicaid proposed
policy changes, measure the impact of Medicare and Medicaid on
healthcare costs, measure patient outcomes in a variety of
treatment settings, and develop alternative strategies for
reimbursement, coverage, and program management.
Diabetes.--According to research conducted by AHRQ, the
Medicare program has costs of up to $1,300,000,000 attributable
to diabetes-related hospital costs that could potentially be
avoided by proper disease management. Using insulin is one of
the most effective ways to lower blood sugar levels and manage
diabetes. The Committee encourages CMS to consider conducting
research into the best delivery method for insulin therapy to
reduce dosing errors and lower annual treatment costs.
Graduate Nursing Education Pilot.--The Committee recognizes
the value of advanced practice registered nurses [APRNs] for
improving the accessibility, quality, and affordability of
healthcare. Section 5509 of the Patient Protection and
Affordable Care Act includes a demonstration project to test
the establishment of a Medicare Graduate Nursing Education
program. The Committee encourages CMS to begin the design of
this initiative. In this design, the Committee encourages CMS
to test a full geographically representative mix of small and
large, rural and urban APRN educational programs utilizing
different mixes of hospital and non-hospital community-based
clinical training sites. In addition, the Committee encourages
CMS to assure that reasonable costs for the demonstration take
into account all types of clinical training regularly employed
in and appropriate to the training of APRNs and are not reduced
by a factor related to the proportion of hospital inpatient
days that are Medicare inpatient days. The Committee requests a
progress report in the fiscal year 2012 budget justification.
Prosthetic Devices.--The Committee is aware of findings in
peer reviewed literature that identify significant
inconsistencies in the alignment of prosthetic devices through
the fitting process. Improper alignment for persons with limb
loss can result in trauma to the soft tissue, decreased
balance, and co-morbidities ranging from inactivity to back
pain and increased stress on the hip and knee joints.
Consistent prosthesis alignment may produce costs savings to
the Medicare program through reduced need for socket
replacements. The Committee encourages the CMS and its
Alphanumeric Working Group to consider utilizing a unique
Healthcare Common Procedure Coding System number for
technologies and services that produce consistent prosthesis
alignment.
Psychotropic Drugs and Children.--The Committee is aware of
findings from recent research showing that poor children are
more likely to be prescribed antipsychotic medications than
their peers. In addition to possibly causing serious long-term
health problems for the children, this pattern dramatically
increases Medicaid costs. CMS is urged to support research into
reasons for this disparity and to determine the cost of this
practice to the Medicaid program. CMS also is urged to work
with existing treatment programs to identify more effective
methods for treating these children and reducing their
dependence on drugs to manage behavior.
The Committee includes $2,500,000 for Real Choice Systems
Change Grants for Community Living to States to fund
initiatives that establish enduring and systemic improvements
in long-term services and supports.
The Committee strongly supports efforts by CMS to transform
and improve quality and efficiency under the Medicaid program,
particularly including expansions to the Home and Community
Based Service programs and the creation of health homes for
eligible beneficiaries. The Committee urges CMS to ensure that
the implementation of such initiatives involve providers in
ensuring beneficiary access to necessary food and nutrition
services integral to the proper management of chronic illness
in a non-institutional setting.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Iowa Prescription Drug Corporation, Urbandale, IA, for $500,000
programs to reduce the cost of prescription drugs...
University of Mississippi, University, MS, for the 800,000
Medication Use and Outcomes Research Group...........
------------------------------------------------------------------------
Medicare Operations
The Committee recommends $2,335,862,000 for Medicare
operations. The administration requested $2,356,604,000; the
comparable funding level for fiscal year 2010 was
$2,335,862,000.
The Medicare operations line item covers a broad range of
activities including claims processing and program safeguard
activities performed by Medicare contractors. These contractors
also provide information, guidance, and technical support to
both providers and beneficiaries. In addition, this line item
includes a variety of projects that extend beyond the
traditional fee-for-service arena.
The Committee recommendation includes $9,120,000 for CMS
Medicare contracting reform activities and includes bill
language that extends the availability of those funds until
September 30, 2012.
The Committee recommendation includes $156,000,000 for
contract costs for the Healthcare Integrated General Ledger
Accounting System and includes bill language that extends the
availability of those funds until September 30, 2012.
The Committee recommendation includes $363,200,000 for
Medicare and You, an increase of $51,700,000 over fiscal year
2010. This funding supports beneficiary materials, contact
centers and support services.
The Committee recommendation includes $68,000,000 for
research remaining from the Medicare Improvement for Patients
and Providers Act of 2008. Sufficient funding is included to
meet the statutory deadline on the section 153 provisions on
end-stage renal disease and begin work on section 131
provisions on quality reporting for physicians and the section
132 provision on e-prescribing.
The Committee intends that all other activities be funded
at the level requested in the fiscal year 2011 budget.
Health Care Data Improvement Initiative
The Committee recommends $110,000,000 for the Health Care
Data Improvement Initiative. This is the same amount as the
level requested in the fiscal year 2011 budget. This activity
was not funded in fiscal year 2010.
State Survey and Certification
The Committee recommends $362,000,000 for Medicare State
survey and certification activities. This is the same amount as
the administration's request. The fiscal year 2010 funding
level was $346,900,000.
Survey and certification activities ensure that
institutions and agencies providing care to Medicare and
Medicaid beneficiaries meet Federal health, safety, and program
standards. On-site surveys are conducted by State survey
agencies, with a pool of Federal surveyors performing random
monitoring surveys.
High Risk Insurance Pools
The Committee has not included funding for the High Risk
Insurance Pools. The fiscal year 2010 level was $55,000,000.
The administration did not request funds for this program. The
Committee notes that the Patient Protection and Affordable Care
Act provides $5,000,000,000 and a new structure for this
purpose.
Federal Administration
The Committee recommends $725,365,000 for Federal
administration costs. This amount is the same as the budget
request. The fiscal year 2010 funding level was $696,880,000.
The Committee congratulates CMS for updating its coverage
to include HIV testing for at-risk beneficiaries. The Committee
urges CMS to update its outreach information to advise
beneficiaries of this important new benefit.
The Committee also requests that HRSA and CMS convene a
working group to ensure that all phases of the 340B drug
discount program are administered without redundancy or
contradiction by the two agencies of jurisdiction.
HEALTH CARE FRAUD AND ABUSE CONTROL
Appropriations, 2010.................................... $311,000,000
Budget estimate, 2011................................... 561,000,000
Committee recommendation................................ 561,000,000
The Committee recommends $561,000,000, to be transferred
from the Medicare trust funds, for healthcare fraud and abuse
control activities. This amount, in addition to the
$1,172,683,000 in mandatory monies for these activities, will
provide a total of $1,733,683,000 for healthcare fraud and
abuse control activities in fiscal year 2011.
The Committee intends the funds to be allocated as they
were requested in the administration budget for fiscal year
2011.
Reducing fraud, waste, and abuse in Medicare and Medicaid
continues to be a top priority of the Committee. The Committee
is pleased by the progress being made by strike teams and is
strongly supportive of the proposed Health Enforcement Action
Teams Initiative. The Committee urges CMS to continue to focus
on large-scale overpayments, off-label prescribing, and
systemic pricing issues.
Administration for Children and Families
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT
PROGRAMS
Appropriations, 2010.................................... $3,788,449,000
Budget estimate, 2011................................... 2,482,814,000
Committee recommendation................................ 2,482,814,000
The Committee recommends $2,482,814,000 in fiscal year 2011
mandatory funds for payments to States for child support
enforcement and family support programs. This is in addition to
the $1,100,000,000 appropriated last year as an advance
appropriation for the first quarter of fiscal year 2011. The
Committee recommendation is the same as the budget request
under current law. The comparable fiscal year 2010 funding
level is $3,788,449,000, which included costs from an enhanced
Federal matching provision in the Recovery Act that expires on
September 30, 2010. In addition, the Committee recommends
$1,200,000,000, the same as the budget request, in advance
funding for the first quarter of fiscal year 2012.
These payments support the States' efforts to promote the
self-sufficiency and economic security of low-income families.
These funds also support efforts to locate noncustodial
parents, determine paternity when necessary, and establish and
enforce orders of support.
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM
Appropriations, 2010.................................... $5,099,223,000
Budget estimate, 2011................................... 3,300,000,000
Committee recommendation................................ 3,300,000,000
The Committee recommends $3,300,000,000, the same as the
budget request, in discretionary funding for fiscal year 2011
for the low income home energy assistance program [LIHEAP]. The
comparable fiscal year 2010 funding level is $5,099,223,000.
In addition to this discretionary funding, the budget
request includes a legislative proposal for a trigger that
would make additional mandatory funding available based on
changes in energy prices and the number of households living in
poverty. This trigger, if enacted, is estimated to make an
additional $2,000,000,000 in mandatory LIHEAP funding available
in fiscal year 2011, for a total program level of
$5,300,000,000. The Committee recommendation assumes enactment
of this proposal.
LIHEAP provides home heating and cooling assistance to low-
income households, generally in the form of payments to energy
vendors on behalf of the recipient. States have considerable
flexibility in administering their programs, including
determining benefit amounts and eligibility requirements within
broad Federal guidelines. This appropriation supports State
formula grants and the contingency fund.
The Committee recommendation includes $2,709,672,000 for
the State formula block grant. The comparable fiscal year 2010
funding level is $4,509,672,000 and the budget request is
$2,510,000,000. LIHEAP block grants are awarded to States,
territories, Indian tribes, and tribal organizations, according
to a statutory formula, based in part on each State's share of
home energy expenditures by low-income households. The
Committee includes similar bill language to that used since
fiscal year 2009 adjusting the formula for distributing these
funds to States and ensuring a comparable distribution of funds
as in recent years.
The Committee recommendation includes $590,328,000 for the
contingency fund. The comparable fiscal year 2010 funding level
is $589,551,000 and the budget request is $790,000,000. The
Committee does not include bill language making the contingency
fund available until expended, as proposed by the
administration. The contingency fund may be used to provide
additional assistance to one or more States adversely affected
by extreme heat or cold, significant price increases, or other
causes of energy-related emergencies.
The Committee is concerned about a recent Government
Accountability Office [GAO] investigation that found misuse of
LIHEAP funds, including instances of State agencies providing
assistance to individuals over the income eligibility limit and
applicants using the information of deceased or otherwise
ineligible individuals to increase their assistance payment.
The Committee strongly encourages ACF to continue to evaluate
internal controls and to work with State LIHEAP administrators,
including exploring the use of existing verification tools, to
prevent fraud and abuse within the program. The Committee
directs HHS to provide a briefing to the Committees on
Appropriations of the House of Representatives and the Senate
within 30 days of enactment on controls currently in place to
prevent misuse of LIHEAP funds; any additional steps that could
be taken, legislative, regulatory or otherwise, to further
improve program integrity; and any obstacles in the adoption of
these additional steps.
REFUGEE AND ENTRANT ASSISTANCE
Appropriations, 2010.................................... $730,817,000
Budget estimate, 2011................................... 877,602,000
Committee recommendation................................ 834,602,000
The Committee recommends $834,602,000 for refugee and
entrant assistance. The comparable fiscal year 2010 funding
level is $730,817,000 and the fiscal year 2011 budget request
is $877,602,000. The refugee and entrant assistance program is
designed to assist refugees, asylees, Cuban and Haitian
entrants, trafficking victims, and torture victims (summarized
below as ``refugees'') to become employed and self-sufficient
as quickly as possible. It also funds shelter and services for
unaccompanied alien children who are in Federal custody
awaiting adjudication of their immigration status.
Transitional and Medical Services
The Committee recommendation includes $392,000,000 for
transitional and medical assistance. The comparable fiscal year
2010 funding level is $353,281,000 and the budget request is
$417,000,000.
Transitional and medical services provide grants to States
and nonprofit organizations to provide up to 8 months of cash
and medical assistance to incoming refugees as well as foster
care services to unaccompanied minors. It also funds the
voluntary agency matching grant program that provides grants to
resettlement agencies to provide comprehensive services,
including case management, job development, job placement, and
interim housing and cash assistance, with the goal of refugees
becoming self-sufficient within their first 4 months. Refugees
enrolled in this program are not eligible for regular
transitional and medical assistance. The Committee continues to
support the voluntary agency matching grant program and
encourages the Office of Refugee Resettlement [ORR] to explore
the continued expansion of this program.
The Committee does not include funding for a no-year
contingency fund proposed by the administration. The Committee
understands the uncertainty in developing these estimates but
also notes that the budget request assumes refugees will
receive cash and medical assistance for a full 8 months, and
bill language provides for the extended availability of these
funds for 2 years.
Victims of Trafficking
The Committee recommendation includes $10,814,000 for
victims of trafficking. The comparable fiscal year 2010 funding
level is $9,814,000, the same as the fiscal year 2011 budget
request. This program supports a national network for
identifying, certifying, and providing comprehensive services
to international victims of trafficking. The Committee notes
that only an estimated 2 percent of international trafficking
victims in the United States are identified each year and has
provided additional funding to increase efforts to identify and
provide services to trafficking victims.
Social Services
The Committee recommendation includes $187,005,000 for
social services. The comparable fiscal year 2010 funding level
is $154,005,000 and the budget request is $179,005,000. These
funds include formula and discretionary grants to States and
nonprofit organizations to provide a variety of employment and
support services to incoming refugees.
The current economic conditions have continued to make it
difficult for refugees to find and maintain employment. The
Committee has included additional funding, above the budget
request, to increase discretionary activities to help refugees
address barriers to employment; connect to other Federal,
State, and related support services; and, in the worst cases,
prevent or resolve homelessness. Within the total for social
services, the Committee recommendation includes not less than
$15,000,000 for intensive case management activities to provide
comprehensive services to refugees and not less than
$10,000,000 for emergency housing assistance.
The Committee recommendation also includes up to
$18,000,000 for the refugee school impact program. This program
provides grants to support school districts with significant
populations of refugee children. The comparable fiscal year
2010 funding level is $15,000,000. The Committee intends that
the additional funding should be used to serve school districts
impacted by Haitian children and families coming to the United
States because of the earthquake on January 12, 2010. The
Committee has included bill language specifying that these
funds should be used to serve both Haitian national and United
States citizens formerly living in Haiti and arriving in the
United States between January 12, 2010 and May 31, 2010.
Preventive Health
The Committee recommendation includes $4,748,000 for
preventive health. This amount is the same as the comparable
fiscal year 2010 funding level and the budget request. This
program funds grants to coordinate and promote refugees' access
to health screening, treatment, and follow-up services.
Targeted Assistance
The Committee recommendation includes $48,590,000 for
targeted assistance. This amount is the same as the comparable
fiscal year 2010 funding level and the budget request. The
targeted assistance program provides additional funds to States
with an influx of refugee arrivals and a high concentration of
refugees facing difficulties achieving self-sufficiency.
Unaccompanied Alien Children
The Committee recommendation includes $179,357,000 for
unaccompanied alien children. The comparable fiscal year 2010
funding level is $149,291,000 and the budget request is
$207,357,000. The unaccompanied alien children program provides
shelter and related services to unaccompanied alien minors
apprehended in the United States by the Department of Homeland
Security [DHS] or other law enforcement agencies. Children are
taken into ORR's care pending resolution of their claims for
relief under U.S. immigration law or release to an adult family
member or guardian.
The Committee does not include additional funding to
concentrate more shelter space within 250 miles of the border,
as requested by the administration. The Committee supports the
initiative to limit the travel time of unaccompanied alien
children between DHS's and ORR's care. However, the Committee
does not support the specific initiative to move 65 percent of
beds within 250 miles of the border by 2012 without a
comprehensive evaluation of the support services available to
children in these areas compared to those in other shelter
locations across the country, and an evaluation of the costs of
such an initiative compared to savings from reducing
transportation costs. The Committee notes that over 65 percent
of beds are already located within 350 miles of the border. The
Committee also notes that ORR is developing a request for a
more general independent evaluation of the UAC program to
determine if the program is operating consistent with child
welfare best practices. The Committee encourages ORR to
incorporate the findings from this evaluation in any future
decisions regarding concentrating shelters closer to the
border.
The Committee recommendation fully funds all other shelter,
medical, and support services costs included the budget
request, including family reunification services, background
checks, home studies, placement follow-up services, and pro
bono legal services. The reduction below the budget request
reflects the specific costs of moving additional beds within
250 miles of the border.
Victims of Torture
The Committee recommendation includes $12,088,000 for
victims of torture. The comparable fiscal year 2010 funding
level is $11,088,000, the same amount as the budget request.
This program provides treatment, social, and legal services to
victims of torture and training to healthcare providers on
treating the physical and psychological effects of torture.
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT
Appropriations, 2010.................................... $2,126,757,000
Budget estimate, 2011................................... 2,927,081,000
Committee recommendation................................ 3,127,081,000
The Committee recommends $3,127,081,000 for the child care
and development block grant [CCDBG]. The budget request is
$2,927,081,000 and the comparable fiscal year 2010 funding
level is $2,126,757,000. The Recovery Act included an
additional $2,000,000,000 for the CCDBG, available through
fiscal year 2010. The CCDBG is a formula grant to States to
provide low-income families with financial assistance to pay
for child care. It also supports quality improvement activities
to increase availability and access to quality child care.
In addition to these discretionary funds, States receive
mandatory funding through the child care entitlement to States
program. The authorization for these mandatory funds expires at
the end of fiscal year 2010. The budget request includes a
proposal to increase this mandatory funding by $800,000,000,
but it is unclear whether this increase will be included in the
CCDBG reauthorization. Without such an increase, States would
be forced to cut child care subsidies to the low-income
families that depend on them to maintain employment because
Recovery Act funding will no longer be available. The
$200,000,000 increase recommended by the Committee would
prevent such a cut and maintain the fiscal year 2010 program
level which included Recovery Act funding.
The Committee has included specific set-asides in bill
language that provide targeted resources to specific policy
priorities: $26,805,000 for resource and referral programs and
school-aged child care activities; $9,910,000 for child care
research and evaluation activities; and $398,994,000 for child
care quality activities, including $146,328,000 specifically
for infant care quality. These quality funds are provided in
addition to the 4 percent quality set-aside established in the
authorizing legislation. The Committee continues to provide
these additional quality funds because of the considerable
research showing the importance to child development and school
readiness of serving children in high-quality child care
settings, which include adequately compensated, nurturing
providers who are specially trained in child development.
The Committee recommendation for resource and referral
activities includes $1,000,000 to continue support for a
national toll-free hotline that provides consumer education
materials and assists families in accessing local information
on child care options.
SOCIAL SERVICES BLOCK GRANT
Appropriations, 2010.................................... $1,700,000,000
Budget estimate, 2011................................... 1,700,000,000
Committee recommendation................................ 1,700,000,000
The Committee recommends $1,700,000,000 in mandatory funds
for fiscal year 2011 for the social services block grant
[SSBG]. This amount is the same as the comparable fiscal year
2010 funding level and the budget request. The SSBG is a
flexible source of funding that allows States to provide a
diverse array of services to low-income children and families,
the disabled and the elderly.
The Committee continues to regard the SSBG as a critical
source of funding for services that protect children from
neglect and abuse, including providing foster and respite care,
as well as related services for children and families, persons
with disabilities, and older adults. The Committee recognizes
the importance of this program, especially in providing mental
health and counseling services to underserved populations, and
recommends continued usage and flexibility of these funds for
such purposes.
CHILDREN AND FAMILY SERVICES PROGRAMS
Appropriations, 2010.................................... $9,313,180,000
Budget estimate, 2011................................... 10,312,070,000
Committee recommendation................................ 10,359,727,000
The Committee recommends $10,359,727,000 for fiscal year
2011 for children and families services programs. The
comparable funding level for fiscal year 2010 is $9,313,180,000
and the budget request is $10,312,070,000. The recommendation
includes an additional $5,762,000 in transfers available under
section 241 of the Public Health Service Act.
This appropriation supports a variety of programs for
children, youth, and families; the developmentally disabled;
Native Americans; victims of child abuse, neglect and domestic
violence; and other vulnerable populations.
Head Start
The Committee recommends $8,223,958,000, the same as the
budget request, for Head Start. The comparable funding level
for fiscal year 2010 is $7,233,680,000. The American Recovery
and Reinvestment Act (Recovery Act) included $2,100,000,000 for
Head Start, available through fiscal year 2010.
Head Start provides comprehensive development services for
low-income children and families that emphasize cognitive and
language development, socio-emotional development, physical and
mental health, and parent involvement to enable each child to
develop and function at his or her highest potential. At least
10 percent of enrollment opportunities in each State are made
available to children with disabilities.
The Committee recommendation allows Head Start to serve
approximately 978,000 low-income children and maintain the
increase in children served because of Recovery Act funding in
fiscal years 2009 and 2010. The Committee has also included
bill language to define Head Start slots funded with Recovery
Act funds as part of the base grant amount for purposes of
formula allocations and to allow additional funds to be used
for quality improvement activities. The Improving Head Start
for School Readiness Act of 2007 included several provisions to
improve classroom and teacher quality, including credentialing
requirements that become effective October 1, 2011. The
Committee has included the full budget request to ensure
grantees are able to provide quality, comprehensive early
childhood services.
At the same time, the Committee is concerned by a recent
Government Accountability Office [GAO] undercover investigation
at Head Start centers that revealed abuse of eligibility
requirements, including grantees enrolling families slightly
over the income eligibility limit or who are otherwise
ineligible into the program. The Committee strongly urges the
Office of Head Start [OHS] to continue to work with grantees to
ensure they are aware of their legal obligations to verify the
eligibility of each child served in Head Start programs,
including the serious consequences of falsifying eligibility
determinations, and to increase monitoring of Head Start
grantees, with a particular focus on unannounced visits. The
Committee notes that in conducting its investigation, GAO
contacted over 550 centers and found only 44 with current
openings. This illustrates the demand for the comprehensive
early childhood services Head Start programs provide, but also
the need to ensure these funds are properly used.
The Committee notes that the Improving Head Start for
School Readiness Act of 2007 allows Head Start grantees to
apply with HHS to transition from part-day to full-day
services, and from Head Start to Early Head Start slots. Only a
fraction of eligible infants and toddlers are currently served
by the Early Head Start program, and the Committee encourages
OHS to work with grantees to ensure they are aware of these
options, particularly those with current openings. The
Committee also notes that OHS is promulgating regulations to
implement provisions of the Improving Head Start for School
Readiness Act of 2007 concerning the re-competition of Head
Start grants, the first time grantees will undergo re-
competition, which will provide another check to ensure that
grantees are properly and effectively managing their Head Start
centers.
Consolidated Runaway and Homeless Youth Program
The Committee recommends $104,734,000 for the consolidated
runaway and homeless youth program. The comparable funding
level for fiscal year 2010 is $97,734,000, the same as the
budget request. This program consists of the basic center
program, which provides temporary shelter, counseling, and
after-care services to runaway and homeless youth under age 18
and their families, and the transitional living program, which
provides longer-term shelter and services for older youth.
Funding also supports a national toll-free runaway and homeless
youth crisis hotline that responds to between 100,000 and
120,000 calls annually.
Basic centers and transitional living programs provide
services to help address the needs of some of the estimated 1.6
million runaway and homeless youth, many of whom are running
away from unsafe or unhealthy living environments. These
programs have been proven effective at lessening rates of
family conflict and parental abuse, as well as increasing
school participation and the employment rates of youth.
The current economic climate has put increasing pressure on
families which has in turn increased the number of runaway and
homeless youth. The Committee has included additional funding
for this program, and other runaway and homeless youth programs
at ACF and the Department of Education, to address an increase
in this vulnerable population.
Runaway Youth Prevention Program
The Committee recommends $18,971,000 for the runaway youth
prevention program. The comparable funding level for fiscal
year 2010 is $17,971,000, the same as the budget request. This
competitive grant program awards funds to private nonprofit
agencies for the provision of services to runaway, homeless,
and street youth. Funds may be used for street-based outreach
and education, including treatment, counseling, provision of
information, and referrals for these youths, many of whom have
been subjected to, or are at risk of being subjected to, sexual
abuse.
Child Abuse Programs
The Committee recommends $105,519,000 for child abuse
programs. The comparable fiscal year 2010 funding level is
$97,244,000 and the budget request is $107,244,000. The
recommendation includes $26,535,000 for State grants,
$37,295,000 for discretionary activities, and $41,689,000 for
community-based child abuse prevention. These programs seek to
improve and increase activities that identify, prevent, and
treat child abuse and neglect through State grants, technical
assistance, research, demonstration, and service improvement.
Within the total for child abuse discretionary activities,
the Committee recommendation includes $10,000,000, as requested
by the administration, for a new competitive grant program to
support States' implementation and increased use of evidenced-
based child maltreatment prevention programs and activities.
This program will focus on families with very young children
who are at the greatest risk of child maltreatment, and will
include evidence-based prevention strategies to promote
parental resilience, knowledge of parenting and child
development, nurturing and attachment, concrete support, and
social connections.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Addison County Parent Child Center, Middlebury, VT, for $100,000
childcare and parental education programs..............
County of Contra Costa, Martinez, CA, for an initiative 350,000
for children and adolescents exposed to domestic
violence...............................................
Dakota County, Hastings, MN, for a home visitation 300,000
program for at-risk infants and toddlers and their
families...............................................
Georgia State University, Atlanta, GA, for child abuse 100,000
prevention education services..........................
Nez Perce Tribe, Lapwai, ID, for child abuse prevention. 100,000
South Carolina Department of Education, Columbia, SC, 100,000
for child abuse prevention education services..........
Southern Nevada Health District, Las Vegas, NV, for a 400,000
home visitation program for low-income first-time
mothers................................................
------------------------------------------------------------------------
Abandoned Infants Assistance
The Committee recommends $11,628,000 for abandoned infants
assistance. This amount is the same as the comparable fiscal
year 2010 funding level and the budget request. This program
provides grants to public and private community and faith-based
organizations to develop, implement, and operate demonstration
projects that prevent the abandonment of infants and young
children impacted by substance abuse and HIV. Funds may be used
to provide respite care for families and caregivers, allow
abandoned infants and children to reside with their natural
families or in foster care, and carry out residential care
programs for abandoned infants and children who are unable to
reside with their families or be placed in foster care.
Child Welfare Services
The Committee recommends $281,744,000, the same as the
budget request, for child welfare services. The comparable
fiscal year 2010 funding level is $281,691,000. This program
helps State and tribal public welfare agencies improve their
child welfare services with the goal of keeping families
together. States and tribes provide a continuum of services
that prevent child neglect, abuse, or exploitation; allow
children to remain with their families, when appropriate;
promote the safety and permanence of children in foster care
and adoptive families; and provide training and professional
development to the child welfare workforce.
Child Welfare Training
The Committee recommends $27,207,000 for child welfare
training. This amount is the same as the comparable fiscal year
2010 funding level and the budget request. These discretionary
grants are awarded to institutions of higher learning and other
nonprofit organizations for demonstration projects that
encourage experimental and promising types of child welfare
services, as well as projects that improve education and
training programs for child welfare service providers.
Within this amount, the Committee recommendation includes
$20,000,000, as requested by the administration, for the
innovative approaches to foster care program. This continues
funding for 5-year demonstration projects started in fiscal
year 2010 to improve the outcomes of children and families in
foster care, particularly those with long-term involvement.
The Committee encourages the Administration for Children
and Families to develop a federally supported, centralized Web
site that includes materials and information relevant to the
needs of foster youth who are aging out of the system. This
website should provide detailed information about relevant
Federal and State programs, child welfare advocacy agencies,
and nonprofit and community organizations dedicated to serving
foster youth.
Adoption Opportunities
The Committee recommends $39,332,000, the same as the
budget request, for adoption opportunities. The comparable
fiscal year 2010 funding level is $26,379,000. The budget
request eliminates the more narrowly focused adoption awareness
program and redirects that funding to the adoption
opportunities program. The Committee agrees with this
consolidation. Its funding recommendation for the combined
program is equal to the total of the two programs in fiscal
year 2010.
The adoption opportunities program funds grants that
eliminate barriers to adoption and help find permanent homes
for children who would benefit from adoption, particularly
children with special needs. The adoption awareness program
provides grants to train health center staff to inform pregnant
women about adoption and to make referrals on request to
adoption agencies. It also funds the planning, development, and
operation of a national campaign to inform the public about the
adoption of children with special needs. The adoption
opportunities program has broad authority to fund these types
of awareness activities, and will continue to fund them in the
consolidated program.
Adoption Incentives
The Committee recommends $42,000,000, the same as the
budget request, for adoption incentives. The comparable fiscal
year 2010 funding level is $39,500,000. This program provides
incentive payments to States to encourage an increase in the
number of adoptions of children from the foster care system,
with an emphasis on children who are the hardest to place. The
recommendation will fully fund adoption incentives earned by
States under current law.
Adoption Awareness
The Committee does not include funding for the Adoption
Awareness program, as requested by the administration. The
comparable fiscal year 2010 funding level is $12,953,000. The
budget request eliminated this program and redirected funding
to the Adoption Opportunities program. The Committee agrees
with this consolidation.
Social Services Research
The Committee recommends $9,738,000 for social services
research, which includes $5,762,000 in transfers available
under section 241 of the Public Health Service [PHS] Act. The
comparable funding level for fiscal year 2010 is $19,610,000,
which includes $5,762,000 in transfers available under section
241 of the PHS Act. The budget request is $8,762,000, which
also includes $5,762,000 in transfers available under the PHS
Act. These funds support research and evaluation of cost-
effective programs that increase the stability and economic
independence of American families, and contribute to the
healthy development of children and youth.
The Committee recommendation includes $3,000,000, as
requested by the administration, for a rigorous early childhood
and education evaluation. This 5-year evaluation will assess
which features of early care and education programs most
influence child outcomes, and how variations in such features
interact with children, family, and community characteristics
to produce results.
The Committee continues to support research and evaluation
of evidence-based programs that are intended to strengthen
families experiencing economic hardships. These projects aim to
mitigate the effects of poverty on the health and well-being of
children.
The Committee encourages ACF to work with the
Administration on Aging and other HHS agencies to evaluate
intergenerational approaches aimed at improving outcomes for
vulnerable populations. The Committee is aware of effective
neighborhood-based programs that utilize older volunteers to
foster permanency and improved outcomes for at-risk youth.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Access to Healthcare Network, Reno, NV, for a helpline $330,000
to assist residents with healthcare and social services
Campus Kitchen, Washington, DC, for services to the 100,000
homeless community in Atlantic City, NJ................
City of Mount Vernon, NY, for the Youth Development 150,000
Action Plan............................................
City of Tracy, CA, for gang-outreach, intervention, 300,000
prevention, and educational assistance programs........
Creative Visions, Des Moines, IA, for family 200,000
reunification and support services.....................
FAMILY, Inc., Council Bluffs, IA, for a home visitation 400,000
program for young children and their families..........
Jewish Social Service Agency, Rockville, MD, for autism 450,000
outreach, education, and case management services......
Lake County Community Foundation, Waukegan, IL, for 250,000
expanding access to services...........................
North Ward Center, Inc., Newark, NJ, for comprehensive 500,000
services for people with autism spectrum dis- orders..
Northern Kentucky Community Action Commission, 100,000
Covington, KY, for child care program activities.......
Olive Crest Pacific Northwest, Bellevue, WA, for 250,000
services for foster children and children in unstable
home situations........................................
Refuge Network, Cambridge, MN, for family violence and 150,000
sexual assault prevention and intervention services....
Springfield Area Parent Child Center, North Springfield, 500,000
VT, for services for teenage and expectant mo- thers..
TLC for Children and Families, Olathe, KS, for youth 500,000
transitional living programs...........................
United Way of Capital Area, Jackson, MS, for 2-1-1 408,000
Mississippi............................................
United Ways of California, South Pasadena, CA, for 750,000
expanding 2-1-1 services...............................
University of Medicine and Dentistry of New Jersey--The 300,000
Autism Center at NJ Medical School, Newark, NJ, for
identifying and treating children with autism spectrum
disorders..............................................
University of Nevada, Las Vegas, Las Vegas, NV, for 500,000
expanding access to services for people with autism
spectrum disorders.....................................
YWCA of Greater Portland, Portland, OR, for services for 600,000
victims of human trafficking...........................
------------------------------------------------------------------------
Developmental Disabilities
The Committee recommends $189,605,000 for developmental
disabilities programs. The comparable fiscal year 2010 funding
level is $186,579,000 and the budget request is $186,605,000.
These programs support community-based delivery of services
that promote the rights of persons of all ages with
developmental disabilities. Developmental disability is defined
as severe, chronic disability attributed to mental or physical
impairments manifested before age 22, which causes substantial
limitations in major life activities. These programs also
assist people with all types of disabilities participate in
political elections. Within the total for developmental
disabilities programs, the Committee recommendation includes
the amounts specified below.
The Committee recommendation includes $76,066,000 for State
and Territorial Councils. The comparable fiscal year 2010
funding level is $75,066,000, the same amount as the budget
request. These important entities work to develop, improve, and
expand the system of services and supports for people with
developmental disabilities. By engaging in activities such as
training, public education, capacity-building and advocating
for change in State policies, Councils on Developmental
Disabilities support the inclusion and integration of
individuals with developmental disabilities in all aspects of
community life.
The Committee recommendation includes $42,024,000 for
protection and advocacy grants. The comparable fiscal year 2010
funding level is $41,024,000, the same amount as the budget
request. This formula grant program provides funds to States to
establish protection and advocacy systems to protect the legal
and human rights of persons with developmental disabilities who
are receiving treatment, services, or rehabilitation.
The Committee recommendation includes $17,410,000 for
disabled voter services. This is the same amount as the
comparable fiscal year 2010 funding level and the budget
request. The Committee recommendation includes $12,154,000 to
promote disabled voter access and $5,256,000 for disabled
voters protection and advocacy systems. The election assistance
for individuals with disabilities program was authorized in the
Help America Vote Act of 2002. The program enables grantees to
make polling places more accessible and increase participation
in the voting process of individuals with disabilities.
The Committee recommendation includes $14,162,000, the same
amount as the budget request, for projects of national
significance to assist persons with developmental disabilities.
The comparable fiscal year 2010 funding level is $14,136,000.
This program funds grants and contracts that develop new
technologies and demonstrate innovative methods to support the
independence, productivity, and integration into the community
of persons with developmental disabilities. The Committee
supports the establishment of a National Autism Resource Center
and includes $2,000,000 for the continued support of these
activities.
The Committee recommendation includes $39,943,000 for the
University Centers for Excellence in Developmental Disabilities
[UCEDDs], a network of 67 university-based centers that provide
interdisciplinary education, conduct research, and develop
model services for children and adults with disabilities. The
comparable fiscal year 2010 funding level is $38,943,000 the
same amount as the budget request. The centers serve as the
major vehicle to translate disability-related research into
community practice and to train the next cohort of future
professionals who will provide services and supports to an
increasingly diverse population of people with disabilities.
The Committee recommendation will support training initiatives
for new and emerging needs, such as developing effective
services for people with autism spectrum disorder, as well as
partnerships with minority-serving institutions to focus
research, training and services on minority populations with
disabilities.
Native American Programs
The Committee recommends $48,773,000 for Native American
programs. This is the same as the comparable fiscal year 2010
funding level and the fiscal year 2011 budget request. The
Administration for Native Americans [ANA] assists tribal and
village governments, Native Indian institutions and
organizations to support and develop stable, diversified local
economies. In promoting social and economic self-sufficiency,
ANA provides financial assistance through direct grants for
individual projects, training and technical assistance, and
research and demonstration programs.
Within the total, the Committee recommendation includes
$12,000,000 for Native American language preservation
activities, including no less than $4,000,000 for language
immersion programs authorized by 803C(b)(7)(A)-(C) of the
Native American Programs Act, as amended by the Esther Martinez
Native American Language Preservation Act of 2006. The
Committee encourages ANA to give priority to grantees with
rigorous immersion programs.
Community Services
The Committee recommends $791,669,000 for community
services programs. The comparable fiscal year 2010 funding
level is $772,551,000 and the fiscal year 2011 budget request
is $760,025,000. Within the total for community services
programs, the Committee recommendation includes the amounts
specified below.
The Committee recommendation includes $700,000,000 for the
community services block grant [CSBG]. This amount is the same
as the comparable fiscal year 2010 funding level and the fiscal
year 2011 budget request. The CSBG is used to make formula
grants to States and Indian tribes to provide a wide range of
services and activities to alleviate causes of poverty in
communities and to assist low-income individuals in becoming
self-sufficient.
The Committee recommendation includes $55,000,000 for the
community economic development program. The budget request
included $36,000,000 for this activity, the same as the
comparable fiscal year 2010 funding level. This program
provides grants to community development corporations to
support employment and business development opportunities for
low-income individuals. Within this total for community
economic development, the Committee recommendation includes up
to $20,000,000 for the Healthy Foods Financing Initiative
[HFFI]. A recent study by the Department of Agriculture found
that over 23 million Americans, including 6.5 million children,
live in low-income areas without ready access to grocery
stores. The HFFI is a joint initiative with the Department of
Agriculture and Department of the Treasury to provide financial
and technical assistance to community development financial
institutions, nonprofit organizations, and businesses to expand
access to healthy foods in these low-income and underserved
areas.
The Committee recommendation includes $10,000,000, the same
as the comparable fiscal year 2010 funding level, for the rural
community facilities program. The budget request did not
include funding for this program. The rural community
facilities program provides grants to nonprofit organizations
to provide training and technical assistance to low-income
rural communities in developing and managing safe and
affordable water and wastewater treatment facilities.
The Committee recommendation includes $2,644,000, the same
as the comparable fiscal year 2010 funding level, for the job
opportunities for low-income individuals program [JOLI]. The
budget request did not include funding for this program. JOLI
provides grants to nonprofit organizations to support
employment and business opportunities for TANF recipients and
other low-income individuals, focusing on micro-enterprise and
self-employment.
The Committee recommendation includes $24,025,000, the same
as the budget request, for individual development accounts. The
comparable fiscal year 2010 funding level is $23,907,000. This
program funds activities to encourage and help low-income
individuals and families accumulate savings for dedicated
purposes, including buying a home, paying for college, or
starting a business.
Domestic Violence Hotline
The Committee recommends $4,500,000, the same as the budget
request, for the national domestic violence hotline. The
comparable fiscal year 2010 funding level is $3,209,000. This
activity funds the operation of a national, toll-free, 24-
hours-a-day telephone hotline to provide information and
assistance to victims of domestic violence. The hotline
received approximately 270,000 calls in fiscal year 2009, up 14
percent from fiscal year 2007, but an estimated 50,000 calls
could not be answered because of increased demand. The
additional funding will increase capacity as well as support an
evaluation of hotline services.
Family Violence Prevention and Services
The Committee recommends $140,000,000, the same as the
budget request, for the family violence prevention and services
program, which includes battered women's shelters. The
comparable fiscal year 2010 funding level is $130,032,000.
These funds support programs to prevent family violence and
provide immediate shelter and related assistance for victims of
domestic violence and their dependents.
Within the total, the Committee recommendation includes
$4,000,000, as requested by the administration, for a new
discretionary grant program to improve services for children
exposed to domestic violence. The remaining increase will be
targeted to existing programs experiencing increased demand for
emergency services, including services for children.
Mentoring Children of Prisoners
The Committee recommends $49,314,000 for mentoring children
of prisoners. This amount is the same as the comparable fiscal
year 2010 funding level and the budget request. This program
provides competitive grants to community organizations to
create and sustain mentoring relationships between children of
prisoners and adults in their community. Research indicates
that mentoring programs can help children with incarcerated
parents reduce their drug and alcohol use, improve their
relationships and academic performance, and reduce the
likelihood that they will initiate violence.
Independent Living Training Vouchers
The Committee recommends $45,351,000 for independent living
training vouchers. This amount is the same as the comparable
fiscal year 2010 funding level and the budget request. This
program supports vouchers of up to $5,000 per year for
postsecondary education and training for foster care youth up
to 21 years of age. This program increases the likelihood that
individuals who age out of the foster care system will be
better prepared to live independently and contribute
productively to society.
Disaster Human Services Case Management
The Committee recommends $2,000,000 for the disaster human
services case management program. This amount is the same as
the comparable fiscal year 2010 funding level and the budget
request. This program assists States in establishing the
capacity to provide case management services in a timely manner
in the event of a disaster. It ensures that States are able to
meet social service needs during disasters by helping disaster
victims prepare recovery plans, referring them to service
providers and FEMA contacts in order to identify needed
assistance, and providing ongoing support and tracking through
the recovery process.
Faith-based Center
The Committee recommends $1,376,000 for the operation of
the Department's Center for Faith-Based and Community
Initiatives. This amount is the same as the comparable fiscal
year 2010 funding level and the budget request.
Program Administration
The Committee recommends $222,308,000, the same as the
budget request, for program administration. The comparable
fiscal year 2010 funding level is $208,398,000.
The Committee recommendation includes $1,500,000 to be
transferred to the National Commission on Children and
Disasters. The Commission submitted an interim report to
Congress and the President in October 2009 on its
recommendations to address the needs of children as they relate
to preparation for, response to, and recovery from emergencies
and disasters. The continued funding will allow the Commission
to follow up on its recommendations and continue coordination
efforts between Federal agencies; Federal, State, and local
governments; and nongovernmental organizations.
PROMOTING SAFE AND STABLE FAMILIES
Appropriations, 2010.................................... $408,311,000
Budget estimate, 2011................................... 408,311,000
Committee recommendation................................ 408,311,000
The Committee recommends $408,311,000 for promoting safe
and stable families. This amount is the same as the comparable
fiscal year 2010 funding level and the budget request. The
recommendation consists of $345,000,000 in mandatory funds
authorized by the Social Security Act and $63,311,000 in
discretionary appropriations.
This program supports activities that can prevent the
emergence of family crises which might require the temporary or
permanent removal of a child from his or her own home. Grants
allow States to operate coordinated programs of family
preservation services, time-limited family reunification
services, community-based family support services, and adoption
promotion and support services.
PAYMENTS FOR FOSTER CARE AND PERMANENCY
Appropriations, 2010.................................... $5,578,000,000
Budget estimate, 2011................................... 5,366,000,000
Committee recommendation................................ 5,366,000,000
The Committee recommends $5,366,000,000 in mandatory funds
for payments for foster care and permanency, an appropriated
entitlement that includes funding for the foster care, adoption
assistance, guardianship assistance, and independent living
programs. This is in addition to the $1,850,000,000
appropriated last year as an advance appropriation for the
first quarter of fiscal year 2011. The comparable funding level
for fiscal year 2010 is $5,578,000,000. In addition, the
Committee recommends $1,850,000,000, the same as the budget
request, for an advance appropriation for the first quarter of
fiscal year 2012. The Committee recommendation provides the
full amount requested under current law and does not reflect
the administration's proposal to extend enhanced Federal
support under the Recovery Act that is set to expire on
December 31, 2010.
The foster care program, authorized under title IV-E of the
Social Security Act, provides Federal reimbursement to States
and tribes for maintenance payments to families and
institutions caring for eligible foster children. Funds are
matched at the Federal medical assistance percentage [FMAP]
rate for each State. Funding is also provided for
administrative costs for the management of the foster care
program, as well as training costs for foster care workers and
parents.
The adoption assistance program provides funds to States
for maintenance payments and the nonrecurring costs of adoption
for children with special needs. The goal of this program is to
facilitate the adoption of hard-to-place children in permanent
homes, and thus prevent long, inappropriate stays in foster
care. As in the foster care program, State administrative and
training costs are eligible under this program for Federal
reimbursement subject to a matching rate.
The Fostering Connections to Success and Increasing
Adoptions Act of 2008 created a new IV-E guardianship
assistance program. This program gives States and tribes an
option under their IV-E foster care programs to provide
assistance payments to relatives taking legal guardianship of
eligible children who have been in foster care.
The independent living program provides services to foster
children under 18 and foster youth ages 18 to 21 to help them
make the transition to independent living by engaging in a
variety of services including educational assistance, life
skills training and health services. States are awarded grants
based on their share of the number of children in foster care,
subject to a matching requirement.
Administration on Aging
AGING SERVICES PROGRAMS
Appropriations, 2010.................................... $1,516,073,000
Budget estimate, 2011................................... 1,624,733,000
Committee recommendation................................ 1,659,383,000
The Committee recommends an appropriation of $1,659,383,000
for the Administration on Aging [AoA]. The comparable fiscal
year 2010 level is $1,516,073,000. The administration requested
$1,624,733,000 for this agency. The AoA is charged with
administering programs through the national aging network that
promote the development of comprehensive, coordinated home and
community-based care for seniors.
The Committee recommendation includes a total of
$104,582,000 for programs throughout AoA as part of the
administration's Caregiver Initiative. An estimated 49 million
Americans provide care for adult family members, friends or
other loved ones. Caregivers help older Americans and the
chronically ill with such tasks as preparing meals, helping
with household chores and arranging medical care and
transportation. Caregivers spend an average of 20 hours a week
providing care while at the same time balancing work and other
family responsibilities. This assistance allows recipients to
stay out of institutional care, but it comes at a tremendous
cost to caregivers' own health and emotional well-being.
According to a report issued in February 2010 by the National
Alliance for Caregiving, employees who care for older relatives
are more likely to report poorer health than other employees
and also greater rates of depression, diabetes, hypertension,
and pulmonary disease. The additional funds provided to
Supportive Services and Senior Centers, the Family Caregiver
Support program, Native American caregivers and the Lifespan
Respite Care program will relieve some of these pressures on
caregivers, allowing them to better care for their loved ones
while helping older Americans remain independent in their own
homes and communities for as long as possible.
Supportive Services and Senior Centers
The Committee recommends an appropriation of $416,348,000
for supportive services and senior centers. This amount is the
same as the administration request. The comparable funding
level for fiscal year 2010 is $368,294,000. The supportive
services program provides formula grants to States and
territories to fund a wide range of social services such as
multipurpose senior centers, adult day care, transportation,
and in-home assistance such as personal care and homemaker
assistance. State agencies on aging award funds to designated
area agencies on aging that, in turn, make awards to local
services providers.
The Committee recommendation includes an increase of
$48,054,000 as part of the administration's Caregiver
Initiative. These funds will provide 1 million more hours of
adult day care, as well as 1.3 million more hours of personal
care assistance to seniors unable to perform daily activities.
These vital services will relieve some of the pressures faced
by caregivers who might otherwise have to provide more
intensive assistance on their own to their loved ones.
Preventive Health Services
The Committee recommends $21,026,000 for preventive health
services. This amount is the same as the administration
request. The comparable funding level for fiscal year 2010 is
$21,023,000 for this activity. The preventive health services
program funds activities that help seniors stay healthy and
avoid chronic disease, thus reducing the need for more costly
medical interventions. The Committee has included bill language
that requires States to use these funds for evidence-based
programs, such as enhanced fitness and wellness, depression
screening, falls prevention, and chronic-disease self-
management programs. These evidence-based programs have been
shown through randomized-controlled trials to be effective at
helping older adults adopt healthy behaviors and lower their
use of healthcare services.
Protection of Vulnerable Older Americans
The Committee recommends $24,290,000 for grants to States
for protection of vulnerable older Americans. The
administration request is $23,290,000 and the comparable fiscal
year 2010 funding level is $21,880,000. Within the Committee
recommendation, $18,783,000 is for the ombudsman services
program and $5,507,000 is for the prevention of elder abuse
program. Both programs provide formula grants to States to
prevent the abuse, neglect, and exploitation of older
individuals. The ombudsman program focuses on the needs of
residents of nursing homes and other long-term care facilities,
while elder abuse prevention targets its message to the elderly
community at large.
National Family Caregiver Support Program
The Committee recommends $202,220,000 for the national
family caregiver support program. This amount is the same as
the administration request. The comparable fiscal year 2010
level is $154,197,000. Funds appropriated for this activity
establish a multifaceted support system in each State for
family caregivers, allowing them to care for their loved ones
at home for as long as possible. States may use funding to
include the following five components into their program:
information to caregivers about available services; assistance
to caregivers in gaining access to services; caregiver
counseling and training; respite care to enable caregivers to
be temporarily relieved from their caregiving responsibilities;
and limited supplemental services that fill remaining service
gaps. The additional funds provided are part of the Caregiver
Initiative and will allow nearly 200,000 additional caregivers
to be served and 3 million more hours of respite care to be
provided.
Native American Caregiver Support Program
The Committee recommendation includes $8,389,000 to carry
out the Native American caregiver support program. This amount
is the same as the administration request. The comparable
fiscal year 2010 funding level is $6,388,000. The program
assists tribes in providing multifaceted systems of support
services for family caregivers and for grandparents or older
individuals who are relative caregivers. The additional funds
are provided as part of the administration's Caregiver
Initiative. By providing additional counseling, outreach and
respite care to caregivers, these funds will allow more Native
American elders to remain in their homes and communities.
Congregate and Home-delivered Nutrition Services
For congregate nutrition services, the Committee recommends
an appropriation of $463,644,000. The administration requested
$445,644,000 for this activity and the comparable fiscal year
2010 level is $440,718,000. For home-delivered meals, the
Committee recommends a funding level of $232,893,000. The
administration requested $220,893,000 for this activity and the
comparable fiscal year 2010 level is $217,644,000.
These programs address the nutritional needs of older
individuals. Projects funded must make home-delivered and
congregate meals available at least once a day, 5 days a week,
and each meal must meet a minimum of one-third of daily dietary
requirements. While States receive separate allotments of funds
for congregate meals, home-delivered meals and supportive
services, they have flexibility to transfer funds between these
programs.
Nutrition Services Incentives Program
The Committee recommendation includes $161,015,000 for the
nutrition services incentives program [NSIP]. This amount is
the same as the administration request. The comparable funding
level for fiscal year 2010 is $160,991,000. This program
augments funding for congregate and home-delivered meals
provided to older adults. Funds provided under this program are
dedicated exclusively to the provision of meals. NSIP rewards
effective performance by States and tribal organizations in the
efficient delivery of nutritious meals to older individuals
through the use of cash or commodities.
Aging Grants to Indian Tribes and Native Hawaiian Organizations
The Committee recommends $29,708,000 for grants to Native
Americans. This amount is the same as the administration
request. The comparable fiscal year 2010 level is $27,704,000.
Under this program, awards are made to eligible organizations
based on their share of Native Americans, Native Alaskans, and
Native Hawaiians aged 60 and over. The additional funds are
part of the Caregiver Initiative and will provide increased
supportive services, nutrition services, information, and
assistance to Native Americans.
Program Innovations
The Committee recommends $14,699,000 for program
innovations. The comparable fiscal year 2010 level is
$19,020,000. The administration requested $13,049,000 for this
activity. These funds support activities that expand public
understanding of aging and the aging process, apply social
research and analysis to improve access to and delivery of
services for older individuals, test innovative ideas and
programs to serve older individuals, and provide technical
assistance to agencies that administer the Older Americans Act.
Within funding for Program Innovations, the Committee has
provided $1,000,000 to continue support for a 24-hour call
center that provides Alzheimer family caregivers with
professional care consultation and crisis intervention.
Civic Engagement.--The Committee is aware of new research
suggesting that interventions designed to promote health and
function in seniors through everyday activity may improve the
brain's plasticity, or the ability to bounce back, in key
regions that support executive function. The Committee urges
AoA to continue its work in advancing the field of civic
engagement for older Americans by partnering with organizations
with proven experience in creating robust, innovative
opportunities for baby boomers and other older Americans to
serve their communities while helping them to maintain and
improve their health.
Older Adults and Mental Health.--The Committee notes that
approximately 20 to 25 percent of older adults have a mental or
behavioral health problem. Older white males (age 85 and over)
currently have the highest rates of suicide of any group in the
United States. The Committee acknowledges the importance of
addressing the mental and behavioral health needs of older
adults and encourages AoA to implement the Older Americans Act
provisions related to mental and behavioral health.
Specifically, the Committee urges AoA to designate an officer
to administer the mental health services authorized under the
act, work to improve the delivery of mental health screening
and treatment services for older individuals, and increase
public awareness and reduce the stigma associated with mental
disorders in older individuals.
Transportation.--The Committee is aware of the rapidly
growing need for transportation services for older Americans.
In order to expand resources to meet this need, the Committee
encourages AoA to fund section 416 of the Older Americans Act.
Such funding could support successful, entrepreneurial models
of economically sustainable transportation that supplement
publicly funded services by accessing private resources and
voluntary local community support, and that do not rely on
Federal or other public financial assistance after 5 years.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Cathedral Square Corporation, South Burlington, VT, for $750,000
the Seniors Aging Safely at Home pilot program.........
Jewish Family Services of Delaware, Wilmington, DE, for 150,000
an aging-in-place initiative...........................
Jewish Federation of Las Vegas, Las Vegas, NV, for the 100,000
Las Vegas Senior Lifeline Program......................
PACE Greater New Orleans, New Orleans, LA, for the 150,000
expansion of senior services...........................
The Associated: Jewish Community Federation of 200,000
Baltimore, Baltimore, MD, to address safety and
community engagement issues among seniors..............
Vermont Association of Area Agencies on Aging, Barre, 200,000
VT, to expand nutrition assistance and related programs
Washoe County Senior Services, Carson City, NV, for the 100,000
RSVP Home Companion Senior Respite Care Program........
------------------------------------------------------------------------
Aging Network Support Activities
The Committee recommends $44,179,000 for aging network
support activities. This amount is the same as the
administration request. The comparable fiscal year 2010 level
is $44,276,000. The Committee recommendation includes funding
at the administration request level for the Eldercare Locator,
which is a toll-free, nationwide directory assistance service
for older Americans and their caregivers. Established in 1991,
the service links over 100,000 callers annually to an extensive
network of resources for aging Americans and their caregivers.
The Committee has included new bill language limiting the
funding provided to AoA for Aging and Disability Resource
Centers [ADRCs]. The Committee notes that the Patient
Protection and Affordable Care Act [PPACA] provided a mandatory
appropriation of $10,000,000 to AoA in fiscal year 2011 for the
ADRCs. In light of scarce discretionary resources, the
Committee recommendation has reduced funding for ADRCs by the
amount provided in the PPACA. The Committee believes that AoA
should use the funds previously allocated to ADRCs to focus on
other programs that will help seniors remain healthy and live
independently in their own communities. Specifically the
Committee directs AoA to prioritize evidence-based disease
prevention activities, such as the chronic disease self-
management program [CDSMP]. The Committee notes that Recovery
Act funding provided to AoA for the CDSMP will end this year,
and encourages AoA to use fiscal year 2011 funding to continue
this program, which has been proven to reduce the effects of
chronic conditions, improve health status and reduce
unnecessary healthcare use among seniors.
Alzheimer's Disease Demonstration Grants to States
The Committee recommends a funding level of $11,464,000 for
Alzheimer's disease demonstration grants to States. This amount
is the same as the administration request. The comparable
funding level for fiscal year 2010 is $11,462,000. This program
provides competitively awarded matching grants to States to
encourage program innovation and coordination of public and
private services for individuals with Alzheimer's disease and
their families. The Committee urges the AoA to continue this
program's focus on expanding services to people in the early
stages of dementia and providing chronic care management.
Lifespan Respite Care
The Committee recommends $7,000,000 for the Lifespan
Respite Care program. The administration requested $5,000,000
for this activity and the comparable fiscal year 2010 level is
$2,500,000. The Lifespan Respite Care program provides grants
to States to expand respite care services to family caregivers,
improve the local coordination of respite care resources, and
improve access and quality of respite care services, thereby
reducing family caregiver strain. The Committee has provided
additional funds to the Lifespan Respite Care program as part
of the administration's Caregiver Initiative. In carrying out
the program, the Committee urges AoA to ensure that State
agencies and ADRCs serve all age groups, chronic conditions and
disability categories.
Program Administration
The Committee recommends $22,508,000 for program
administration. This amount is the same as the administration
request. The comparable funding level for fiscal year 2010 is
$19,976,000. These funds support salaries and related expenses
for program management and oversight activities. The Committee
has included bill language requested by the administration that
allows AoA to continue program management activities for
Recovery Act grants awarded in fiscal year 2010 under title
XVII of the Public Health Service Act.
Office of the Secretary
GENERAL DEPARTMENTAL MANAGEMENT
Appropriations, 2010.................................... $555,576,000
Budget estimate, 2011................................... 609,360,000
Committee recommendation................................ 590,908,000
The Committee recommends $590,908,000 for general
departmental management [GDM]. The comparable fiscal year 2010
funding level is $555,576,000. The administration requested
$609,360,000 for this activity. The recommendation includes
$69,211,000 in transfers available under section 241 of the
Public Health Service Act. In addition, the Committee
recommends that $30,000,000 be transferred to this account from
the Prevention and Public Health Fund.
This appropriation supports activities that are associated
with the Secretary's role as policy officer and general manager
of the Department. It supports certain health activities
performed by the Office of Public Health and Science [OPHS],
including the Office of the Surgeon General. GDM funds also
support the Department's centralized services carried out by
several Office of the Secretary staff divisions, including
personnel management, administrative and management services,
information resources management, intergovernmental relations,
legal services, planning and evaluation, finance and
accounting, and external affairs.
The Office of the Surgeon General, in addition to its other
responsibilities, provides leadership and management oversight
for the U.S. Public Health Service Commissioned Corps,
including the involvement of the Corps in departmental
emergency preparedness and response activities.
The Committee has included $13,513,000 for the
transformation of the Commissioned Corps. This amount is the
same as the administration request. The comparable fiscal year
2010 funding level is $14,813,000. This activity provides for
training and career development programs for Corps officers, as
well as policies and systems that ensure the rapid response of
the Corps in public health and medical emergencies.
The Committee has again included $1,000,000 for the
Secretary to implement section 399CC of the Public Health
Service Act (as enacted in the Combating Autism Act, Public Law
109-416) related to administration of the Interagency Autism
Coordinating Committee. These funds are to be transferred to
the National Institute of Mental Health.
The Committee recommendation includes $10,000,000, the same
as the administration request, for a Federal employee health
and wellness initiative. This is a new activity for fiscal year
2011. This initiative will be coordinated by the OPHS but the
Committee has included bill language requested by the
administration that allows a portion of funds to be transferred
to other agencies in the Federal government. Funds will be used
to operate model wellness programs at Federal worksites that
will improve access to fitness opportunities and support
nutritional food options in employee cafeterias. A rigorous
evaluation will accompany this initiative to document its
effectiveness on improving employee health.
The Committee has included $800,000 for the National
Academy of Sciences [NAS] to update its 2005 report titled
``Assessment of the Scientific Information for the Radiation
Exposure Screening and Education Program.'' The NAS should
review new scientific data to determine whether the current
Radiation Exposure Compensation Act [RECA] program should be
expanded. More specifically, the study should include
recommendations as to whether additional diseases or illnesses,
classes of workers, and geographic areas should be compensated
through RECA.
Adolescent Health.--The Committee notes that adolescents
have morbidity and mortality rates twice those of younger
children. Many are vulnerable to poor health outcomes as a
result of risk-taking behaviors and exposure to environmental
risks. Despite their high rates of mental health conditions,
sexually transmitted diseases, obesity, asthma, and other
chronic conditions, adolescents are not receiving the care they
need. The Committee strongly urges the Secretary, through the
Office of Adolescent Health, to fund demonstrations of primary
care models staffed by an interdisciplinary team of
professionals who provide integrated preventive care, primary
care, sexual health, and mental health services. These models
should include care management and communication strategies for
adolescents at significant risk of poor health outcomes, as
well as opportunities for teen and parent involvement and
linkages to community prevention efforts.
Carrier Screening.--The Committee is concerned that the
Secretary is not more fully engaged in the development of
policies and recommendations relative to the efficacy and
appropriateness of carrier screening for genetic disorders. Ad
hoc policies developed by professional societies and industry
have bred inconsistencies and confusion. The Committee is aware
that the Advisory Committee on Heritable Disorders in Newborns
and Children and the Secretary's Advisory Committee on
Genetics, Health, and Society are exploring the creation of a
joint workgroup to explore carrier screening protocols. The
Committee urges the Secretary to facilitate the development of
the joint workgroup and to encourage broad participation by
stakeholder groups, including advocacy groups and health
economists.
Clinical Trial Operations.--The Committee recognizes the
importance of providing strict policies and regulations that
govern protections for human subjects that participate in
federally funded clinical trials. At the same time, concerns
have been raised that the various agencies that fund or provide
oversight of clinical trials have instituted different
regulations that are often inconsistent and unnecessarily
burdensome, especially for multi-institutional trials. This has
inhibited the initiation of new trials and access to promising
treatments for patients. The Committee encourages the Secretary
to bring together leading researchers with experience in the
operation of clinical trials and representatives from NIH, FDA,
CMS, and other agencies to determine if changes could be made
to better harmonize existing policies and regulations on
clinical trial operations.
Healthcare Associated Infections.--The Committee notes that
a recent study published in the Journal of the American Medical
Association found that lapses in infection control among
ambulatory surgical centers were common, with deficiencies
relating to practices such as hand hygiene, injection and
medication safety, and equipment reprocessing. These study
results are disturbing since outpatient procedures now
represent more than three-quarters of all operations performed.
The Committee applauds the Secretary for expanding the
Department's Action Plan to Prevent Healthcare-Associated
Infections to include ambulatory surgical centers and
encourages the Department to pay particular attention to
injection safety.
Hearing Loss.--The Committee is concerned about the effects
of noise on hearing and notes that the number one cause of
preventable hearing loss is loud noise. The Committee believes
the public should be educated to lower the risk of hearing loss
in later years and urges the Department to produce public
service announcements on noise reduction.
Hepatitis B and C.--The Committee is pleased that the
Secretary has convened and established an inter-departmental
task force to address the public health challenge of viral
hepatitis. The Committee urges the task force to review and
consider the Institute of Medicine report released in January
2010 titled ``Hepatitis and Liver Cancer: A National Strategy
for Prevention and Control of Hepatitis B and C,'' which
documents the problem and highlights a course of action to
address it. The Committee looks forward to an update on the
task force's recommendations and actions.
Lyme Disease.--The Committee encourages the Secretary to
better coordinate the Department's Lyme disease activities. A
Tick-borne Diseases Advisory Committee could achieve this goal
by advising relevant Federal agencies on priorities related to
Lyme and tick-borne diseases, minimizing overlap in efforts to
address such diseases, promoting communication with
constituency groups, and ensuring that a broad spectrum of
scientific viewpoints is represented in public health policy
decisions.
The recommendation includes bill language providing funding
for the following activities in the following amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Community Transportation Association of America, $950,000
Washington, DC, for technical assistance to human
services transportation providers on ADA requirements..
------------------------------------------------------------------------
Teen Pregnancy Prevention
The Committee recommendation includes $118,455,000 for the
Teenage Pregnancy Prevention [TPP] program. The recommendation
includes $8,455,000 in transfers available under section 241 of
the Public Health Service Act. The administration requested
$133,673,000 for this activity. The comparable funding level
for fiscal year 2010 is $114,434,000. The Committee
recommendation includes $4,000,000 for a Federal evaluation of
the projects funded by this program.
The Committee commends the Office of Adolescent Health
[OAH] for successfully implementing this new program in a short
amount of time and with very little staff and resources. In the
report accompanying the Consolidated Appropriations Act of
2010, the Committee stated its intention that the OAH be
responsible for implementing and administering the Teen
Pregnancy Prevention program. The Committee reiterates this
intention. While the Committee expects the OAH to collaborate
with and utilize the available expertise of other operating
divisions within the Department while implementing this
program, it directs the Secretary to ensure that the OAH
maintains administrative and programmatic control over any
funding announcement issued regarding the Teen Pregnancy
Prevention program.
Adolescent Family Life
The Committee provides $12,474,000 for the Adolescent
Family Life [AFL] program. The administration requested
$16,658,000, the same as the comparable fiscal year 2010 level.
The AFL program evaluates integrated approaches to the delivery
of comprehensive services to pregnant and parenting teens. The
Committee recommendation includes funding to support
continuations for existing care demonstration grants. The
Committee notes that the Patient Protection and Affordable Care
Act created the Support for Pregnant and Parenting Teens and
Women program, and also provided this program with $25,000,000
in mandatory funds for fiscal year 2011. The Committee believes
this new program duplicates activities funded by the AFL
program and, due to scarce discretionary resources, has not
provided funding for new grant awards for this activity.
Minority Health
The Committee recommends $58,180,000 for the Office of
Minority Health. The comparable fiscal year 2010 funding level
is $55,989,000 and the administration requested $57,980,000.
The Office of Minority Health [OMH] focuses on strategies
designed to decrease health disparities and to improve the
health status of racial and ethnic minority populations in the
United States. The OMH establishes goals and coordinates all
departmental activity related to improving health outcomes for
disadvantaged and minority individuals.
The Committee includes $4,000,000, the same as the
comparable fiscal year 2010 level, for programs focused on the
improvement of geographic minority health and the reduction in
health disparities for rural disadvantaged minority
populations. The administration did not provide funding for
this activity. Funds are available to: increase awareness of
healthcare issues and effective interventions relevant to these
populations; increase access to quality healthcare; increase
access to quality healthcare personnel available to provide
services to these populations; improve healthcare outcomes; and
develop a model that can be replicated to address national
policies and programs to improve the health of these rural
disadvantaged minority communities. This model should include
research, health services, education/awareness, and health
information components, with priority given to existing
programs with prior funding, that are located in areas with the
most need, and that can provide recommendations on projects
that benefit the health of minority and rural populations.
The Committee recommendation includes $1,000,000 to
continue the national health provider education program on
lupus. The Committee remains very concerned about racial
disparities in general and particularly about barriers to early
medical diagnosis of lupus, a debilitating autoimmune disease
that is up to three times more common among African Americans,
Hispanics and Native Americans than among Caucasians. The
Committee continues to support this critically important
national education effort to engage health professionals and
schools of health professions in working together to improve
lupus diagnosis and treatment through education.
Asian and Pacific Islanders.--The Committee notes that
Asian and Pacific Islanders [API] have a high incidence of
stomach and liver cancers compared to Caucasians. Overall,
cancer data are limited for this population. In addition, the
API population experiences a higher than average rate of
chronic kidney disease, with 1 person in 7 afflicted with this
disease, compared to a national average of 1 person in 9. Among
API population groups, Filipinos have one of the highest rates
of incidence per capita. The Committee urges the OMH to focus
on the unique and pressing needs of this at-risk population.
Hepatitis B.--The Committee is aware that hepatitis B and
liver cancer, as caused by the hepatitis B virus, are the
single greatest health disparities affecting the Asian and
Pacific Islander populations in the United States. Asian
Americans, Native Hawaiians, and other Pacific Islanders
comprise more than one-half of the 2 million estimated
hepatitis B carriers in the United States and consequently have
the highest rate of liver cancer among all ethnic groups. The
Committee urges the OMH to expand outreach and preventive
hepatitis B programs specific to Asian and Pacific Islanders
and other groups disproportionately affected by hepatitis B.
The recommendation includes bill language providing funding
for the following activities in the following amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
St. Francis Hospital Foundation, Wilmington, DE, for $200,000
outreach and preventive services to underserved
populations............................................
------------------------------------------------------------------------
Office of Women's Health
The Committee recommends $33,746,000 for the Office of
Women's Health. This amount is the same as the comparable
fiscal year 2010 level and the administration request. The
Office of Women's Health [OWH] develops, stimulates, and
coordinates women's health research, healthcare services, and
public and health professional education and training across
the Department. It advances important crosscutting initiatives
and develops public-private partnerships, providing leadership
and policy direction, and initiating and synthesizing program
activities to redress the disparities in women's health. The
Committee commends the work of the OWH and its important
leadership in advancing and coordinating a comprehensive
women's health agenda throughout the Department.
The Committee recommendation includes $3,375,000 to
continue the violence against women's initiative. This
initiative provides funding to public health programs that
integrate domestic and sexual violence assessment and
intervention into basic care, as well as encourages
collaborations between healthcare providers, public health
programs, and domestic and sexual violence programs.
HIV/AIDS in Minority Communities
To address high-priority HIV prevention and treatment needs
of minority communities heavily impacted by HIV/AIDS, the
Committee recommends $53,891,000. This amount is the same as
the administration request. The comparable fiscal year 2010
level is $53,880,000. These funds are available to key
operating divisions of the Department with expertise in HIV/
AIDS services to assist minority communities with education,
community linkages, and technical assistance.
Embryo Donation and Adoption
The Committee provides $4,200,000 for the Department's
embryo donation and adoption awareness activities. This amount
is the same as the comparable fiscal year 2010 level and the
administration request. The Committee again includes bill
language allowing funds appropriated for embryo donation and
adoption activities to be available to pay medical and
administrative costs deemed necessary to facilitate embryo
donations and adoptions.
Acquisition Reform
The Committee includes a new general provision proposed by
the administration that transfers $7,000,000 to the Office of
the Secretary for acquisition reform activities. The funding
level is the same as the administration request. These funds
will allow the Secretary to invest in the civilian acquisition
workforce through improved training and technology. The
Committee provides these funds with the expectation that this
investment will improve contracting performance and lower costs
in the long term.
OFFICE OF MEDICARE HEARINGS AND APPEALS
Appropriations, 2010.................................... $71,147,000
Budget estimate, 2011................................... 77,798,000
Committee recommendation................................ 77,798,000
The Committee provides $77,798,000 for the Office of
Medicare Hearings and Appeals [OMHA]. This is the same as the
administration request. The comparable fiscal year 2010 level
is $71,147,000.
The Office of Medicare Hearings and Appeals is responsible
for hearing Medicare appeals at the administrative law judge
level, which is the third level of Medicare claims appeals.
OMHA ensures that Medicare beneficiaries who are dissatisfied
with the initial decisions about their benefits or eligibility
can appeal and exercise their right to a hearing in front of an
Administrative Law Judge. The Committee recommendation includes
funding for OMHA to increase the number of administrative law
judge teams so that it can address its increasing workload.
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY
Appropriations, 2010.................................... $61,336,000
Budget estimate, 2011................................... 78,334,000
Committee recommendation................................ 78,334,000
The Committee makes available $78,334,000 to the Office of
the National Coordinator for Health Information Technology
[ONC]. This amount is the same as the administration request.
The comparable fiscal year 2010 funding level is $61,336,000.
The Committee recommendation includes $19,011,000 in transfers
available under section 241 of the Public Health Service Act.
The Office of the National Coordinator for Health
Information Technology is responsible for promoting the use of
electronic health records in clinical practice, coordinating
Federal health information systems and collaborating with the
private sector to develop standards for a nationwide
interoperable health information technology infrastructure. ONC
was permanently established under the Health Information
Technology for Economic and Clinical Health [HITECH] Act, which
was intended to promote not only the adoption of health
information technology, but its meaningful use. The Committee
recommendation includes funding for ONC activities relating to
the adoption of electronic health records, privacy and
security, interoperability, and research and evaluation. The
Committee recommendation also includes $4,000,000, as requested
by the administration, to integrate substance abuse and mental
health prevention and treatment into the health information
technology framework of the larger primary care delivery
system.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2010.................................... $50,279,000
Budget estimate, 2011................................... 51,754,000
Committee recommendation................................ 54,754,000
The Committee recommends an appropriation of $54,754,000
for the Office of Inspector General [OIG]. The comparable level
for fiscal year 2010 is $50,279,000 and the administration
requested $51,754,000 for this activity. In addition to
discretionary funds provided in this act, the Health Insurance
Portability and Accountability Act of 1996 provides a permanent
appropriation of $177,205,000 for the Office of Inspector
General.
The Office of Inspector General conducts audits,
investigations, and evaluations of the programs administered by
the Department's operating and staff divisions, including the
recipients of the Department's grant and contract funds. In
doing so, the OIG addresses issues of waste, fraud, and abuse
and makes recommendations to improve the efficiency and
effectiveness of the Department's programs and operations.
The Committee notes that recent GAO reports have
highlighted the need for greater oversight of the Department's
discretionary programs, including those that received increased
funding as part of the Recovery Act. The Committee strongly
believes that taxpayer resources must be used wisely, and
applauds the Secretary for announcing a new Department-wide
program integrity initiative to prevent waste and fraud. The
Committee recommendation includes funding above the
administration request so that the OIG can conduct additional
investigations and audits of discretionary programs as part of
this new initiative.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2010.................................... $41,093,000
Budget estimate, 2011................................... 44,382,000
Committee recommendation................................ 44,382,000
The Committee recommends $44,382,000 for the Office for
Civil Rights [OCR]. This amount is the same as the
administration's request. The comparable funding level for
fiscal year 2010 is $41,093,000. The Office for Civil Rights is
responsible for enforcing civil rights-related statutes in
healthcare and human services programs. To enforce these
statutes, OCR investigates complaints of discrimination,
conducts program reviews to correct discriminatory practices,
and implements programs to generate voluntary compliance among
providers and constituency groups of health and human services.
This office also has responsibility for implementing and
enforcing privacy protections under the Health Information
Technology for Economic and Clinical Health [HITECH] Act.
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS
Appropriations, 2010.................................... $474,557,000
Budget estimate, 2011................................... 517,536,000
Committee recommendation................................ 517,536,000
The Committee provides an estimated $517,536,000 for
retirement pay and medical benefits for commissioned officers
of the U.S. Public Health Service [PHS]. This amount is the
same as the administration request. This account provides for
retirement payments to PHS officers who are retired due to age,
disability, or length of service; payments to survivors of
deceased officers; and medical care to active duty and retired
officers, as well as their dependents.
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND
Appropriations, 2010.................................... $1,346,136,000
Budget estimate, 2011................................... 1,540,506,000
Committee recommendation................................ 1,526,795,000
The Committee recommends $1,526,795,000 for the Public
Health and Social Services Emergency Fund. The administration
requested $1,540,506,000 and the comparable fiscal year 2010
level is $1,346,136,000. The Committee recommendation includes
$1,196,795,000 in discretionary appropriations and $330,000,000
in balances from Public Law 111-32, consistent with the
administration request. This appropriation supports the
activities of the Office of the Assistant Secretary for
Preparedness and Response and other activities within the
Office of the Secretary to prepare for the health consequences
of bioterrorism and other public health emergencies, including
pandemic influenza, and to support the Department's cyber-
security efforts.
Office of the Assistant Secretary for Preparedness and Response [ASPR]
The Pandemic Preparedness and All-Hazards Preparedness Act,
enacted into law in December 2006, created the new position of
the Assistant Secretary for Preparedness and Response [ASPR].
The ASPR leads the Federal Government's activities regarding
preventing, preparing for and responding to public health
emergencies and disasters. The Committee recommendation
includes $1,045,806,000 for activities administered by ASPR.
The administration requested $1,053,734,000 and the comparable
funding level for fiscal year 2010 is $891,037,000. These funds
will support the Department's efforts to prepare for and
respond to public health emergencies, including acts of
terrorism.
Hospital Preparedness
The Committee's recommendation includes $426,000,000, the
same as the budget request, for hospital preparedness
activities. The comparable funding level for fiscal year 2010
is $425,928,000. This program provides funding to States and
localities to enhance hospital preparedness to respond to
public health emergencies. It also funds a national program
that helps health professionals volunteer in public health
emergencies and disasters.
Advanced Research and Development
The Committee has included bill language, proposed by the
administration, to transfer $476,194,000 from the Project
BioShield Special Reserve Fund advance appropriation to fund
advanced research and development. This is the same as the
administration request. The fiscal year 2010 comparable amount
is $340,066,000. The Committee has not included additional bill
language requested by the administration allowing the
Secretary, with 15 days notice to the Committee, to transfer
additional amounts from Project BioShield to advanced research
and development activities. The Committee notes that, in
addition to the funds provided in this bill, the most recent
obligation reports from the Department indicate that
approximately $358,000,000 in prior-year unobligated balances
remain available for advanced research and development
activities. Due to the large amount of funds available to
promote promising countermeasures, the Committee has not given
the Secretary the authority to independently transfer BioShield
balances. The Committee believes that additional transfers from
Project BioShield should be made with the full consideration
and prior approval of Congress, following sufficient
justification from the administration.
Advanced Adjuvants.--Advanced adjuvants have the potential
to be dose-sparing and to increase the immunogenicity of
influenza vaccine antigen in future pandemics. The Committee
recognizes the need to develop these adjuvants with pandemic
strains and demonstrate that potential now, before the next
pandemic. The Committee encourages ASPR, along with NIH and the
FDA, to facilitate the development of advanced adjuvants for
influenza vaccine.
Antibacterial Resistance.--The Committee notes that
antibacterial resistance and the diminishing antibacterial
pipeline are complex problems. Multi-pronged solutions are
required to sufficiently limit the impact of antibacterial
resistance on patients and the public and to spur the
development of products to address antibacterial resistant
infections. The Committee encourages ASPR and the National
Institute for Allergy and Infectious Diseases to create a
seamless approach to the research and development of new
antibacterial drugs, particularly those designed to combat
gram-negative infections, which will help the transition across
the spectrum of enterprise from basic research to product
development and procurement.
Emergency Care.--The Committee recognizes the significant
findings of the 2006 Institute of Medicine Report, titled
``Hospital-Based Emergency Care: At the Breaking Point,'' which
identified critical gaps in emergency medicine research.
Therefore, the Committee urges the Secretary to submit a report
on the funding information for the past 3 years with respect to
emergency medicine research, including the specific HHS
agencies involved.
Manufacturing Surge Capacity.--The Committee is concerned
that the response to the 2009 H1N1 influenza pandemic strained
the manufacturing surge capacity for products that are required
for surveillance, detection, and administration of vaccine. The
Committee urges ASPR to review the existing manufacturing surge
capacity for these products, as well as the adequacy of the
Strategic National Stockpile's current inventory of these
products. The Committee believes ASPR should continue to
develop advance procedures and guidance with respect to
relationships with private parties in emergency situations,
including establishing advance contracting logistics and
developing distribution channels for nonemergency products that
would be used in emergency situations.
Medical Countermeasures.--The Committee is aware of the
important effort underway by the Secretary to improve the
ability of the United States to respond in the event of a
natural, unintentional or deliberate high-consequence public
health emergency. The Committee looks forward to the
administration's review of the issues and challenges facing the
Public Health Emergency Medical Countermeasures Enterprise and
expects a full report as soon as possible. The Committee
requests that, following the medical countermeasures review,
the Secretary provide to the Committee a report detailing the
additional resources needed to ensure that the discovery,
development, procurement, and administration of end-to-end
medical countermeasures is adequate to protect the American
people from chemical, biological, radiological, and nuclear
threats.
Next Generation Ventilators.--The Committee is aware of a
request for proposals solicitation made by the Biomedical
Advanced Research and Development Authority [BARDA] in ASPR to
support advanced development of domestically manufactured next
generation portable ventilators. The Committee supports this
effort and requests that the ASPR provide to the Committee an
update on this solicitation and its other activities in this
area in its fiscal year 2012 budget justification.
Universal Flu Vaccine.--The Committee is encouraged that a
universal influenza vaccine, which could potentially provide
protection from all flu strains for decades, may become a
reality because of research performed by the National Institute
of Allergy and Infectious Diseases [NIAID]. Due to the strain-
specific nature of current flu vaccine, the Committee
recognizes that Federal funds could be saved every year and the
public's health could be better protected if a universal
influenza vaccine were available. The Committee encourages ASPR
to work with NIAID to ensure that sufficient research is being
done to develop and test a safe and effective influenza vaccine
that protects against all strains of the virus.
Facilities Project
The Committee recommendation includes $10,000,000 to co-
locate the majority of ASPR staff in a new facility. This
amount is the same as the administration request. This is a new
activity which was not funded in fiscal year 2010.
Other Activities
The Committee recommendation includes the following amounts
for the following activities within the Office of the Assistant
Secretary for Preparedness and Response:
--Operations--$12,847,000;
--Preparedness and Emergency Operations--$38,059,000;
--National Disaster Medical System--$56,540,000;
--Medical Countermeasures Dispensing--$10,000,000;
--Global Medicine, Science, and Public Health--$10,000,000;
and
--Policy, Strategic Planning and Communications--$6,166,000.
Office of the Assistant Secretary for Administration
The Committee recommendation includes $32,040,000 for
information technology cybersecurity. The administration
requested $37,040,000 and the comparable funding level for
fiscal year 2010 is $27,040,000. These funds provide for
continuous monitoring and security incident response
coordination for the Department's computer systems and
networks.
Office of Public Health and Science
The Committee recommendation includes $12,694,000 for the
medical reserve corps program, a national network of local
volunteers that work to strengthen the public health
infrastructure and preparedness capabilities of their
communities. This amount is the same as the administration
request. The comparable level for fiscal year 2010 is
$12,581,000.
Office of the Secretary
The Committee recommendation includes $436,255,000 for
activities within the Office of the Secretary. The
administration request is $437,038,000 and the comparable
fiscal year 2010 level is $415,478,000. The recommendation
includes $106,255,000 in discretionary appropriations and
$330,000,000 in balances from Public Law 111-32, consistent
with the administration request.
Pandemic Influenza Preparedness
The Committee provides $65,578,000 in annual funding for
pandemic influenza preparedness activities. This amount is the
same as the administration request. The Committee notes that,
in addition to the discretionary funds provided in this bill,
the Department plans to use an estimated $330,000,000 in
balances from Public Law 111-32, the fiscal year 2009 emergency
supplemental, for additional pandemic preparedness investments.
The total program level provided for pandemic influenza
preparedness activities in fiscal year 2011 is $395,578,000.
The comparable funding level for fiscal year 2010 is
$341,000,000. The funding provided will support pandemic
preparedness activities including the expansion of
international influenza vaccine production capacity,
development of diagnostic assays, improved communications, and
global planning efforts.
The Committee notes that a critical public health challenge
occurred last year when the 2009 novel H1N1 influenza pandemic
swept across our country and throughout the world. With
unprecedented speed, the Federal Government completed key steps
in the H1N1 influenza vaccine development process. The speed of
this vaccine development was possible due to the investments
made by the Department, with funding provided by this
Committee, over the past few years in advanced research and
development and infrastructure building. The Committee is also
aware that the Department has yet to use approximately
$2,260,000,000 in unobligated funds from the fiscal year 2009
emergency supplemental. The Committee requests that the
Secretary prepare a report containing an evaluation of the
lessons learned from the coordinated response to the H1N1
pandemic, especially as it pertains to the vaccine development
and delivery processes. This evaluation should include the
specific steps the Department will take to use unobligated
emergency supplemental funds to implement these lessons learned
so that our nation is better prepared for future pandemics.
This report to the Committee should be submitted by September
30, 2010.
The Committee is concerned that the CDC Morbidity and
Mortality Weekly Report from April 2, 2010 found that less than
35 percent of health workers received recommended annual
influenza vaccinations. The Committee encourages the Office of
the Secretary to work with CDC, CMS, and relevant Federal
departments and agencies to develop strategies to increase
influenza vaccination rates among healthcare workers.
The Committee understands that the Food and Drug
Administration has approved a process that could provide a
cost-effective way to recover the active pharmaceutical
ingredients in expiring courses of antivirals held in the
Strategic National Stockpile and by States. The Committee urges
the Secretary to explore this antiviral recovery process as a
cost effective way to maintain their current state of
preparedness to deal with an influenza pandemic.
Parklawn Replacement
The Committee has included $35,000,000 to support build-out
costs for the Parklawn Building replacement and relocation
expenses, as well as repositioning HHS within the Parklawn
Building under a short-term lease extension. This amount is the
same as the administration request. The comparable level for
fiscal year 2010 is $69,585,000.
Office of Security and Strategic Information
The Committee has included $5,677,000 for the Office of
Security and Strategic Information to secure and strengthen the
Department's critical assets. The comparable level for fiscal
year 2010 is $4,893,000 and the administration requested
$6,460,000 for this activity.
PREVENTION AND PUBLIC HEALTH FUND
The Prevention and Public Health Fund was created in
section 4002 of the Patient Protection and Affordable Care Act
[PPACA]. The fund provides $15,000,000,000 in mandatory funds
over the next 10 years to supplement investments in public
health and prevention.
The Committee strongly believes that additional resources
for prevention will improve people's health and reduce
healthcare costs over the long term. Discretionary funding is
needed for these purposes because many of the health promotion
activities that reach the populations most in need take place
outside the reimbursement system, through community- and State-
based initiatives.
In recognition of the Committee's responsibility to
determine funding levels for community-based prevention and
public health programs, the PPACA specifically gives the
Committee authority to transfer funds into Federal programs
that support the goal of making America healthier.
The PPACA provided $500,000,000 for the fund in fiscal year
2010. In fiscal year 2011, the level for the fund is
$750,000,000. The Committee includes bill language in section
221 of this act that requires that funds be transferred within
45 days of enactment of this act to the following accounts, for
the following activities, and in the following amounts:
------------------------------------------------------------------------
Account Activity Amount
------------------------------------------------------------------------
Disease Control, Research, Community Transformation $220,000,000
and Training. Grants authorized under
section 4201 of the
Patient Protection and
Affordable Care Act.
Disease Control, Research, Racial and Ethnic 50,000,000
and Training. Approaches to Community
Health.
Disease Control, Research, Chronic Disease State 140,000,000
and Training. grants.
Disease Control, Research, Office of Smoking and 20,000,000
and Training. Health for a
demonstration on tobacco
cessation.
Disease Control, Research, Office of Smoking and 15,000,000
and Training. Health for additional
resources for quitlines.
Disease Control, Research, Office of Smoking and 55,000,000
and Training. Health for a media cam-
paign.
Disease Control, Research, Epidemiology and 50,000,000
and Training. Laboratory Capacity
Grants.
Disease Control, Research, Task Force on Community 7,000,000
and Training. Preventive Services.
Disease Control, Research, Prevention Research 10,000,000
and Training. Centers.
Disease Control, Research, Extramural grants for 20,000,000
and Training. prevention and public
health research.
Disease Control, Research, National Center for 34,000,000
and Training. Health Statistics.
Disease Control, Research, Scientific review of 5,000,000
and Training. genetic samples from the
National Birth Defects
Prevention Study.
Disease Control, Research, Extramural grants on 5,000,000
and Training. disability and health
promo- tion.
Disease Control, Research, Education and outreach 2,000,000
and Training. campaign regarding
preventive benefits
authorized under section
4004 of the Patient
Protection and
Affordable Care Act.
Disease Control, Research, Community Health Worker 30,000,000
and Training. demonstration authorized
in section 399V of the
Public Health Service
Act.
Substance Abuse and Mental Primary and Behavioral 40,000,000
Health Services. Health Integration
grants.
Healthcare Costs, Quality and U.S. Preventive Services 7,000,000
Outcomes. Task Force.
Healthcare Costs, Quality and Clinical preventive 10,000,000
Outcomes. services research.
General Departmental Tobacco prevention and 10,000,000
Management. cessation activities.
General Departmental Public health and 19,000,000
Management. prevention coordination
and strategic planning,
including media
campaigns.
General Departmental National Prevention, 1,000,000
Management. Health Promotion and
Public Health Council.
------------------------------------------------------------------------
General Provisions
The Committee recommendation continues a provision placing
a $50,000 ceiling on official representation expenses (sec.
201).
The Committee recommendation continues a provision which
limits the assignment of certain public health personnel (sec.
202).
The Committee recommendation continues a provision limiting
the use of certain grant funds to pay individuals more than an
annual rate of executive level I (sec. 203).
The Committee recommendation continues a provision
restricting the Secretary's use of taps for program evaluation
activities unless a report is submitted to the Appropriations
Committees of the House and Senate on the proposed use of funds
(sec. 204).
The Committee recommendation continues a provision
authorizing the transfer of up to 2.5 percent of Public Health
Service funds for evaluation activities (sec. 205).
The Committee recommendation continues a provision
restricting transfers of appropriated funds and requires a 15-
day notification to both the House and Senate Appropriations
Committees (sec. 206).
The Committee recommendation continues a provision
permitting the transfer of up to 3 percent of AIDS funds among
Institutes and Centers by the Director of NIH and the Director
of the Office of AIDS Research at NIH (sec. 207).
The Committee recommendation retains language which
requires that the use of AIDS research funds be determined
jointly by the Director of the National Institutes of Health
and the Director of the Office of AIDS Research and that those
funds be allocated directly to the Office of AIDS Research for
distribution to the Institutes and Centers consistent with the
AIDS research plan (sec. 208).
The Committee recommendation continues a provision
regarding requirements for family planning applicants (sec.
209).
The Committee recommendation retains language which states
that no provider services under title X of the PHS Act may be
exempt from State laws regarding child abuse (sec. 210).
The Committee recommendation retains language which
restricts the use of funds to carry out the Medicare Advantage
Program if the Secretary denies participation to an otherwise
eligible entity (sec. 211).
The Committee recommendation modifies a provision which
facilitates the expenditure of funds for international health
activities (sec. 212).
The Committee recommendation continues a provision
authorizing the Director of the National Institutes of Health
to enter into certain transactions to carry out research in
support of the NIH Common Fund (sec. 213).
The Committee continues a provision that permits the
Centers for Disease Control and Prevention and the Agency for
Toxic Substances and Disease Registry to transfer funds that
are available for Individual Learning Accounts to ``Disease
Control, Research, and Training'' (sec. 214).
The Committee recommendation includes bill language
allowing use of funds to continue operating the Council on
Graduate Medical Education (sec. 215).
The Committee recommendation continues a provision
permitting the National Institutes of Health to use up to
$2,500,000 per project for improvements and repairs of
facilities (sec. 216).
The Committee recommendation includes a provision that
transfers funds from NIH to HRSA and AHRQ, to be used for
National Research Service Awards (sec. 217).
The Committee recommendation modifies a provision of the
Public Health Service Act which allows the Secretary to
allocate appropriated funds (sec. 218).
The Committee recommendation modifies a provision of the
Public Health Service Act which allows the Secretary to
transfer appropriated funds (sec. 219).
The Committee recommendation includes a provision providing
for an additional $7,000,000 for General Departmental
Management account and authorizes its transfer within the
Department (sec. 220).
The Committee recommendation includes a provision
transferring mandatory funds section 4002 of the Patient
Protection and Affordable Care Act to accounts with the
Department for activities outlined under the heading
``Prevention and Public Health Fund'' in this report (sec.
221).
TITLE III
DEPARTMENT OF EDUCATION
Education for the Disadvantaged
Appropriations, 2010.................................... $15,914,666,000
Budget estimate, 2011................................... 15,883,434,000
Committee recommendation................................ 16,726,579,000
The Committee recommends an appropriation of
$16,726,579,000 for education for the disadvantaged. The budget
request is $15,883,434,000. The fiscal year 2010 appropriation
is $15,914,666,000.
The President's budget for fiscal year 2011 was based on
the administration's proposal to reauthorize the Elementary and
Secondary Education Act [ESEA]. While the authorizing
committees have taken significant actions to reauthorize the
act, legislation has not yet passed the Senate. As a result,
the Committee bill is based on current law for programs
authorized under the ESEA.
The programs in the Education for the Disadvantaged account
help ensure that poor and low-achieving children are not left
behind in the Nation's effort to raise the academic performance
of all children and youth. Funds appropriated in this account
primarily support activities in the 2011-2012 school year.
Grants to Local Educational Agencies
Title I grants to local educational agencies [LEAs] provide
supplemental education funding, especially in high-poverty
areas, for local programs that provide extra academic support
to help raise the achievement of eligible students or, in the
case of schoolwide programs, help all students in high-poverty
schools meet challenging State academic standards.
The Committee recommends $14,942,401,000 for this program.
The budget request was $14,492,401,000, which was the same
amount as the fiscal year 2010 appropriation. Title I grants
are distributed through four formulas: basic, concentration,
targeted, and education finance incentive grant [EFIG].
For title I basic grants, including up to $4,000,000
transferred to the Census Bureau for poverty updates, the
Committee recommends an appropriation of $6,597,946,000. This
amount is the same as the budget request and the fiscal year
2010 appropriation.
For concentration grants, the Committee recommends
$1,365,031,000. This amount is the same as the budget request
and the fiscal year 2010 level.
For grants through the targeted formula, the Committee
recommends $3,489,712,000. The budget request and the amount in
the fiscal year 2010 appropriations bill are $3,264,712,000.
Finally, for grants through the EFIG formula, the Committee
recommends $3,489,712,000. The budget request and the amount in
the fiscal year 2010 appropriations bill are $3,264,712,000.
Of the funds available for title I grants to LEAs, up to
$4,000,000 shall be available on October 1, 2010, not less than
$3,145,801,000 will become available on July 1, 2011, and
$10,841,176,000 will become available on October 1, 2011. The
funds that become available on July 1, 2011, and October 1,
2011, will remain available for obligation through September
30, 2012.
Early Learning Challenge Fund
The Committee recommendation includes $300,000,000 for a
new Early Learning Challenge Fund, as authorized in section 308
of this act. The budget request did not include funding for
this activity. These funds are available for obligation from
July 1, 2011 through September 30, 2012.
There is robust evidence that high-quality early learning
programs help children develop the cognitive, social,
emotional, and language skills needed to succeed in school and
later in life. Lasting effects are well documented and include
improved academic achievement, reduced need for special
education, increased employment and earnings, and reduced
instances of crime and delinquency. Yet quality varies greatly
across settings, within States, and across the Nation, and the
most disadvantaged children are often left behind.
The Early Learning Challenge Fund will provide competitive
grants to States to develop and implement integrated systems of
high-quality early learning programs. States should promote
high standards of quality and focus on outcomes across early
learning settings, including pre-kindergarten, child care, and
Head Start programs, with the goal of increasing the number of
disadvantaged children ages 0 to 5, including those who are
low-income, homeless, developmentally delayed, or have limited
English proficiency, in these programs.
The Secretary of Education shall jointly develop policy for
and administer these grants with the Secretary of Health and
Human Services. The Committee directs the Departments of
Education and HHS to provide a joint briefing to the Committees
on Appropriations of the Senate and House of Representatives
within 30 days of issuing the grant announcement for this
program.
William F. Goodling Even Start Family Literacy Program
The Committee recommends no funding for the Even Start
program, as did the budget request. The fiscal year 2010
appropriation is $66,454,000.
The Even Start program provides grants for family literacy
programs that serve disadvantaged families with children under
8 years of age and adults eligible for services under the Adult
Education and Family Literacy Act.
The Committee notes that three national evaluations have
found that this program did not effectively increase the
literacy skills of children and parents participating in the
program. The Committee strongly believes that investments in
early learning are critical and that's why the bill includes
$300,000,000 for the early learning challenge fund discussed
previously, as well an increase of $990,000,000 for Head Start
and $1,000,000,000 for the Child Care and Development block
grant program.
School Improvement Grants
The Committee recommendation includes $625,000,000 for the
School Improvement Grants program. The budget request is
$900,000,000 and the fiscal year 2010 appropriation is
$545,633,000.
The Committee continues language from the fiscal year 2010
act that addresses several issues. First, it continues the
expansion of the number of schools that may receive funds
through the program. This language allows schools to be
eligible if they are title I-eligible and have not made
adequate yearly progress for at least 2 years or are in the
State's lowest quintile of performance based on proficiency
rates. Second, language also allows States to make subgrants of
not more than $2,000,000 to each participating school.
The Committee bill also includes language that specifies
that each State that receives School Improvement Grants funds
must spend 40 percent of its allocations on school improvement
activities in middle and high schools, unless the State
educational agency determines that all targeted middle and high
schools can be served with a lesser amount. Preliminary
indications suggest that many of the lowest-performing high
schools will not be served under the current structure of the
program. That is a problem because over one-half of the
Nation's dropouts come from nearly 2,000 low-performing high
schools, and nearly one-third of them aren't eligible for
School Improvements under the current structure of the program.
The Committee requests that the Department assist States in
encouraging and supporting LEAs in their use of school
improvement funds, including those made available through the 4
percent set aside established in section 1003(a) of the ESEA,
on those activities with evidence bases rated strong or
moderate as defined in the regulations for the Investing in
Innovation program. While the Committee acknowledges that the
state of research on school improvement and school turnaround
is not as strong as it needs to be, every effort should be made
to utilize the knowledge base that does exist while additional
research is conducted that will inform future activities. The
Committee expects the Department to describe in the fiscal year
2012 congressional budget justification specific actions taken
or planned to address this request.
Striving Readers
The Committee recommends $250,000,000 to continue the
Striving Readers initiative. This amount is the same as the
fiscal year 2010 appropriation. The budget proposes to
consolidate this funding within a new Effective Teaching and
Learning program under its reauthorization proposal.
The Committee bill includes language that continues this
program as it was established in the fiscal year 2010
appropriations act. This comprehensive literacy program will
advance literacy skills, including language development,
reading and writing for all students, including English
language learners and students with disabilities, from birth
through grade 12.
Of the total amount, up to $21,000,000 may be used to
continue an adolescent literacy initiative and $10,000,000 will
be distributed by formula to States to support a State literacy
team. After funds are set aside for schools funded by the
Bureau of Indian Affairs and for the outlying areas, up to 5
percent of the remaining funds may be used for national
activities, and the rest would be used for competitive grants
to State educational agencies. States will be required to
distribute not less than 95 percent of their funds as subgrants
to LEAs or, in the case of early literacy, to LEAs or other
entities providing early childhood care and education. State
subgrants must first be prioritized to such agencies or other
entities serving greater percentages or numbers of
disadvantaged students and ensure that: at least 15 percent go
to serve children from birth through age 5, 40 percent to serve
students in kindergarten through grade 5, and 40 percent to
serve students in middle and high school, through grade 12.
States also must equitably distribute funds between middle and
high schools.
Improving Literacy Through School Libraries
The Committee recommends $19,145,000, the same amount as
the fiscal year 2010 appropriation, for the Improving Literacy
Through School Libraries program. The budget request
consolidates this activity within its proposed Effective
Teaching and Learning program under its reauthorization
proposal.
The Improving Literacy Through School Libraries program
provides competitive awards to LEAs to acquire school library
media resources, including books and advanced technology;
facilitate resource-sharing networks among schools and school
libraries; provide professional development for school library
media specialists; and provide students with access to school
libraries during nonschool hours.
Migrant Education Program
The Committee recommends $394,771,000 for the migrant
education program. This amount is the same as the budget
request and the fiscal year 2010 appropriation.
The title I migrant education program authorizes grants to
State educational agencies for programs to meet the special
educational needs of the children of migrant agricultural
workers and fishermen. This appropriation also supports
activities to improve interstate and intrastate coordination of
migrant education programs, as well as identifying and
improving services to the migrant student population.
Neglected and Delinquent
The Committee recommends $50,427,000 for the title I
neglected and delinquent program. This amount is the same as
the budget request and the fiscal year 2010 appropriation.
This program provides financial assistance to State
educational agencies for education services to neglected and
delinquent children and youth in State-run institutions and for
juveniles in adult correctional institutions. States are
authorized to set aside at least 15 percent, but not more than
30 percent, of their neglected and delinquent funds to help
students in State-operated institutions make the transition
into locally operated programs and to support the successful
re-entry of youth offenders who are age 20 or younger and have
received a secondary school diploma or its recognized
equivalent.
Evaluation
The Committee recommends $8,167,000 for evaluation of title
I programs. The budget request and fiscal year 2010
appropriation are $9,167,000.
Evaluation funds are used to support large-scale national
surveys that examine how the title I program is contributing to
student academic achievement. Funds also are used to evaluate
State assessment and accountability systems and analyze the
effectiveness of educational programs supported with title I
funds.
High School Graduation Initiative
The Committee recommends $100,000,000 for the High School
Graduation Initiative under title I, part H of the ESEA. The
fiscal year 2010 appropriation is $50,000,000. The budget
request funds related activities through a broader College
Pathways and Accelerated Learning program.
The High School Graduation Initiative provides competitive
grants to LEAs or State educational agencies to implement
effective high school graduation and reentry strategies in
schools and districts that serve students in grades 6 through
12 and have annual school dropout rates that are above their
State's average. Funds also are used for certain national
activities, including evaluation, technical assistance, and
dissemination of information on effective programs and best
practices.
The Committee recommends a doubling of this program for
several reasons. Despite the important role that high schools
play in providing students with the skills they need to be
successful in postsecondary education and employment, the
Committee notes that only 1 in 4 receive title I funds and the
total amount they receive is merely 10 percent of title I
funding. The Committee also recognizes that individuals who
drop out of high school have a higher likelihood of
unemployment and a shorter life expectancy. The economy suffers
as well, with fewer skilled workers to compete in the global
economy. The Committee expects that this investment will help
address the need to improve the performance of our Nation's
secondary schools and stem the tide of dropouts that could hold
back their individual lives, as well as our economic future.
Special Programs for Migrant Students
The Committee recommends $36,668,000 for Special Programs
for Migrant Students. This amount is the same as the fiscal
year 2010 appropriation and the budget request.
The Higher Education Opportunity Act of 2008 reauthorized
the High School Equivalency Program [HEP] and College
Assistance Migrant Program [CAMP] within the Special Programs
for Migrant Students, and added a new provision allowing the
Department to reserve up to one-half of 1 percent of the funds
appropriated between the two programs for outreach, technical
assistance, and professional development activities. In
addition, under the reauthorization, if the total amount
appropriated is below $40,000,000, the remaining funds are to
be distributed between the two programs in the same proportion
as the amounts available for each program the previous year.
HEP projects are 5-year grants to institutions of higher
education and other nonprofit organizations to recruit migrant
students ages 16 and over and provide the academic and support
services needed to help them obtain a high school equivalency
certificate and subsequently gain employment, win admission to
a post-secondary institution or a job-training program, or join
the military. Projects provide counseling, health services,
stipends, and placement assistance.
CAMP projects are 5-year grants to institutions of higher
education and nonprofit organizations to provide tutoring,
counseling, and financial assistance to migrant students during
their first year of post-secondary education.
Impact Aid
Appropriations, 2010.................................... $1,276,183,000
Budget estimate, 2011................................... 1,276,183,000
Committee recommendation................................ 1,296,183,000
The Committee recommends $1,296,183,000 for impact aid. The
budget request proposes $1,276,183,000, the same amount as the
fiscal year 2010 appropriation, for this program.
Impact aid provides financial assistance to school
districts for the costs of educating children when enrollments
and the availability of revenues from local sources have been
adversely affected by the presence of Federal activities.
Children who reside on Federal or Indian lands generally
constitute a financial burden on local school systems because
these lands do not generate property taxes--a major revenue
source for elementary and secondary education in most
communities. In addition, realignments of U.S. military forces
at bases across the country often lead to influxes of children
into school districts without producing the new revenues
required to maintain an appropriate level of education.
The Committee bill retains language that provides for
continued eligibility for students affected by the deployment
or death of their military parent, as long as these children
still attend schools in the same school district.
The Committee bill also includes language that would
continue heavily impacted payments in 2010 and 2011 for local
educational agencies that received such payments in 2009. The
bill also includes new language related to the Department's
policy on demolished housing that is scheduled to be replaced.
Basic Support Payments.--The Committee recommends
$1,153,000,000 for basic support payments. The fiscal year 2010
level and the budget request are $1,138,000,000. Under this
statutory formula, payments are made on behalf of all
categories of federally connected children, with a priority
placed on making payments first to heavily impacted school
districts and providing any remaining funds for regular basic
support payments.
Payments for Children With Disabilities.--The Committee
bill includes $50,602,000 for payments for children with
disabilities. The fiscal year 2010 funding level and the budget
request are $48,602,000 for this purpose. Under this program,
additional payments are made for certain federally connected
children eligible for services under the Individuals with
Disabilities Education Act.
Facilities Maintenance.--The Committee recommends
$4,864,000, the same amount as the fiscal year 2010
appropriation and the budget request, for facilities
maintenance. This activity provides funding for emergency
repairs and comprehensive capital improvements to certain
school facilities owned by the Department of Education and used
by local educational agencies to serve federally connected
military dependent students. Funds appropriated for this
purpose are available until expended.
Construction.--The Committee recommends $18,509,000 for the
construction program. The budget request and fiscal year 2010
appropriation are $17,509,000 for this program. Formula and
competitive grants are authorized to be awarded to eligible
LEAs for emergency repairs and modernization of school
facilities.
The fiscal year 2011 budget request proposes to make awards
entirely under the competitive grant formula and requests that
the funds be available for 2 years. The Committee
recommendation includes bill language allowing these funds to
be awarded entirely through a competitive process, as proposed
in the budget request. Funds also are available for obligation
through September 30, 2012. Last year's bill provided these
funds entirely through formula allocations.
Payments for Federal Property.--The Committee recommends
$69,208,000 for payments for Federal property. The budget
request and the fiscal year 2010 appropriation are $67,208,000
for this program. These payments compensate LEAs in part for
revenue lost due to the removal of Federal property from local
tax rolls.
School Improvement Programs
Appropriations, 2010.................................... $5,228,444,000
Budget estimate, 2011................................... 3,120,094,000
Committee recommendation................................ 5,388,173,000
The Committee recommendation includes $5,388,173,000 for
school improvement programs. The budget request is
$3,120,094,000. The fiscal year 2010 appropriation is
$5,228,444,000.
The President's budget for fiscal year 2011 was based on
the administration's proposal to reauthorize the Elementary and
Secondary Education Act [ESEA]. While the authorizing
committees have taken significant actions to reauthorize the
act, legislation has not yet passed the Senate. As a result,
programs in this account are based generally on current law, as
authorized under the ESEA.
State Grants for Improving Teacher Quality
The Committee recommends $2,954,673,000 for State grants
for improving teacher quality. The fiscal year 2010
appropriation is $2,947,749,000 for this program. The budget
request proposes $2,500,000,000 for a new effective teacher and
leaders State grants program within the Innovation and
Improvement account.
The appropriation for this program primarily supports
activities associated with the 2011-2012 academic year. Of the
funds provided, $7,000,000 will become available on October 1,
2010, and remain available through September 30, 2011. Of the
remainder, $1,266,232,000 will become available on July 1,
2011, and $1,681,441,000 will become available on October 1,
2011. These funds will remain available for obligation through
September 30, 2012.
States and LEAs may use funds for a range of activities
related to the certification, recruitment, professional
development, and support of teachers and administrators.
Activities may include reforming teacher certification and
licensure requirements, addressing alternative routes to State
certification of teachers, recruiting teachers and principals,
and implementing teacher mentoring systems, teacher testing,
merit pay, and merit-based performance systems. These funds may
also be used by districts to hire teachers to reduce class
sizes.
From the amount available on October 1, 2010, the
Department may use up to $7,000,000 to continue its TEACH
campaign. This initiative is designed to recruit the next
generation of American teachers. While the Committee strongly
supports this goal, it also notes that the National Research
Council [NRC] report ``Preparing Teachers: Building Evidence
for Sound Policy'' released earlier this year found there was
much we still don't know about teacher preparation and its
effectiveness. The report noted that improved understanding of
the relationships between characteristics of teacher
preparation and student learning, and the development of a
comprehensive, coherent system for collecting data about
teacher preparation are two overarching needs. The Committee
believes the Department should utilize available resources to
address both needs, while also continuing its efforts to
attract the new teachers needed for America's classrooms. The
Committee requests a report, not later than 30 days after
enactment of this act, which describes the actions the
Department is proposing, planning, and taking to address
relevant conclusions and recommendations from the NRC report.
The Committee also directs $5,000,000 to continue a
national initiative to recruit, train, and support results-
oriented, highly motivated individuals to lead high-need
schools with a focus on raising the achievement of all students
and closing the achievement gap in these schools. These funds
shall be awarded to the New Leaders for New Schools for the
organization's efforts to develop and deliver training for
aspiring principals and support for principals, and conduct
research to create a knowledge base to inform the recruitment,
selection, and training of principals for high-need schools.
Mathematics and Science Partnerships
The Committee recommends $180,478,000, the same amount as
the fiscal year 2010 level, for the mathematics and science
partnerships program. The budget proposes $300,000,000 for a
new Effective Teaching and Learning: Science, Technology,
Engineering, Mathematics program.
These funds will be used to improve the performance of
students in the areas of math and science by bringing math and
science teachers in elementary and secondary schools together
with scientists, mathematicians, and engineers to increase the
teachers' subject-matter knowledge and improve their teaching
skills. The Department awards grants to States by a formula
based on the number of children aged 5 to 17 who are from
families with incomes below the poverty line. States then are
required to make grants competitively to eligible partnerships,
which must include an engineering, math, or science department
of an institution of higher learning and a high-need LEA.
Educational Technology State Grants
The Committee recommends $100,000,000, the same amount as
the fiscal year 2010 appropriation, for educational technology
State grants. The budget requests no funds for this program.
Instead, the budget supports the integrated use of technology
through the Effective Teaching and Learning for a Complete
Education program.
The educational technology State grants program supports
efforts to integrate technology into curricula to improve
student learning. Funds flow by formula to States and may be
used for the purchase of hardware and software, teacher
training on integrating technology into the curriculum, and
efforts to use technology to improve communication with
parents, among other related purposes.
The Committee bill retains language allowing States to
award up to 100 percent of their funds competitively.
Supplemental Education Grants
The Committee recommendation includes $17,687,000, the same
amount as the budget request and the fiscal year 2010
appropriation, for supplemental education grants to the
Republic of Marshall Islands [RMI] and the Federated States of
Micronesia [FSM]. This grant program was authorized by the
Compact of Free Association Amendments Act of 2003. These funds
will be transferred from the Department of Education to the
Secretary of the Interior for grants to these entities. The
Committee bill includes language that allows up to 5 percent to
be used by the FSM and RMI to purchase oversight and technical
assistance, which may include reimbursement to the Departments
of Labor, Health and Human Services, and Education for such
services.
21st Century Community Learning Centers
The Committee recommends an appropriation of $1,266,166,000
for the 21st Century Community Learning Centers program. The
budget request and the fiscal year 2010 level are both
$1,166,166,000 for this program.
Funds are allocated to States by formula, which in turn,
award at least 95 percent of their allocations to LEAs,
community-based organizations and other public and private
entities. Grantees use these resources to establish or expand
community learning centers that provide activities offering
significant extended learning opportunities, such as before-
and after-school programs, recreational activities, drug and
violence prevention, and family literacy programs for students
and related services to their families. Centers must target
their services on students who attend schools that are eligible
to operate a schoolwide program under title I of the ESEA or
serve high percentages of students from low-income families.
The Committee recognizes the value that additional time in
school can offer to students, especially students in low-
performing schools who may need additional time to master
academics as well as benefit from the engagement and learning
of enrichment activities. In awarding grants to applicants that
propose to expand learning time, the Committee intends that
States consider applications proposing significant changes to
the school calendar such as extended school days, Saturday
classes and extended year approaches. It is the expectation of
the Committee that in offering expanded learning time programs
schools will ensure that students have more opportunity for
academic learning, but are also offered additional enrichment
activities. Enrichment activities, which are critical to a
well-rounded education, include the arts and physical
education.
Therefore, the Committee bill includes new language
authorizing the use of these funds for subgrants that
significantly increase the number of hours in a regular school
schedule and comprehensively redesign the school schedule for
all students in the school. The purpose of this extended
learning time shall be both for instruction in the core
academic and other subjects and for enrichment activities,
including the arts or physical activity. This use of funds is
in addition to those authorized under the ESEA.
State Assessments and Enhanced Assessment Instruments
The Committee recommends $450,000,000, the same amount as
the budget request, for State assessments and enhanced
assessment instruments. The fiscal year 2010 appropriation is
$410,732,000 for this program.
This program has two components. The first provides formula
grants to States to pay the cost of developing standards and
assessments required by the No Child Left Behind Act. The
Committee provides $400,000,000, the same as the fiscal year
2010 level and the budget request, for this purpose.
Under the second component--grants for enhanced assessment
instruments--appropriations in excess of the State assessment
program are used for a competitive grant program designed to
support efforts by States to improve the quality and fairness
of their assessment systems. The Committee recommendation for
the second component is $50,000,000, the same as the budget
request and the fiscal year 2010 appropriation.
The Committee urges the Department to continue to place a
high priority on grant applications that aim to improve the
quality of State assessments for students with disabilities and
students with limited English proficiency, and to ensure the
most accurate means of measuring their performance on these
assessments.
Javits Gifted and Talented Education
The Committee concurs with the budget request in
recommending no funds for the Javits Gifted and Talented
Students Education Program. The fiscal year 2010 appropriation
is $7,463,000 for this purpose. Funds are used for awards to
State and local educational agencies, institutions of higher
education, and other public and private agencies for research,
demonstration, and training activities designed to enhance the
capability of elementary and secondary schools to meet the
special educational needs of gifted and talented students.
The Committee has included funding within the Institute of
Education Sciences that may be used to support research and
development in this area. The Committee also urges the
Department to provide continued attention to the needs of
gifted and talented students through existing authorities
including the fund for the improvement of education.
Foreign Language Assistance
The Committee recommends $26,928,000, the same amount as
the fiscal year 2010 appropriation, for the foreign language
assistance program. The budget request includes no funds for
this program.
Funds from this program support competitive grants to
increase the quality and quantity of foreign language
instruction. At least 75 percent of the appropriation must be
used to expand foreign language education in the elementary
grades. The Committee has included bill language that prohibits
foreign language assistance program funds from being used for
the foreign language incentive program. The Committee also
includes bill language that allows up to $11,500,000 for 5-year
grants to LEAs, in partnership with institutions of higher
education, for the establishment or expansion of articulated
programs of study in critical-need languages. The amount set
aside for this purpose in fiscal year 2010 is $9,729,000.
The Committee is concerned that this program is unavailable
to the poorest schools because grant recipients must provide a
50 percent match from non-Federal sources. The Committee,
therefore, strongly urges the Secretary to use his ability to
waive the matching requirement for qualifying schools and to
increase awareness of this accommodation among the affected
school population.
Education for Homeless Children and Youth
For carrying out education activities authorized by title
VII, subtitle B of the Stewart B. McKinney Homeless Assistance
Act, the Committee recommends $75,427,000. The budget request
and fiscal year 2010 appropriation are $65,427,000 for this
program.
This program provides assistance to each State to support
an office of the coordinator of education for homeless children
and youth, to develop and implement State plans for educating
homeless children, and to make subgrants to LEAs to support the
education of those children. Grants are made to States based on
the total that each State receives in title I grants to LEAs.
Under the McKinney-Vento Homeless Children and Youths
Program, State educational agencies must ensure that homeless
children and youth have equal access to the same free public
education, including a public preschool education, as is
provided to other children and youth.
The Committee notes that the most recent data reported to
the Department show that a total of 956,914 homeless students
were reported enrolled in all LEAs in the 2008-2009 school
year, a 20 percent increase from the 2007-2008 school year. The
increases have occurred across the Nation, as 44 States
reported increases in the total homeless children and youth
enrolled in LEAs in the 2008-2009 school year. The Committee
recommendation will help provide effective educational services
to this population of students.
Training and Advisory Services
For training and advisory services authorized by title IV
of the Civil Rights Act, the Committee recommends $6,989,000,
the same amount as the budget request and the fiscal year 2010
appropriation.
The funds provided will support awards to operate the 10
regional equity assistance centers [EACs]. Each EAC provides
services to school districts upon request. Activities include
disseminating information on successful practices and legal
requirements related to nondiscrimination on the basis of race,
color, sex, or national origin in education programs.
Education for Native Hawaiians
For programs for the education of Native Hawaiians, the
Committee recommends $35,315,000. The budget request is
$34,315,000, the same amount as the fiscal year 2010
appropriation. The Committee bill includes language requiring
that at least $1,500,000 of the funds be used for a grant to
the Department of Education of the State of Hawaii for
construction and renovation of facilities at public schools
serving a predominantly Native Hawaiian student body.
The Committee bill also includes language stipulating that
$1,500,000 shall be used for a grant to the Center of
Excellence at the University of Hawaii School of Law, for the
Native Hawaiian Law School Center of Excellence. This
repository houses a compilation of historical and cultural
documents that facilitates preservation and examination of laws
of great significance to Native Hawaiians.
The Committee bill also includes language stipulating that
$500,000 shall be used under title VIII, part Z of the Higher
Education Act for the Henry K. Giugni Memorial Archives at the
University of Hawaii.
Alaska Native Educational Equity
The Committee recommends $33,315,000, the same amount as
the fiscal year 2010 level and the budget request, for the
Alaska Native educational equity assistance program.
These funds address the severe educational handicaps of
Alaska Native schoolchildren. Funds are used for the
development of supplemental educational programs to benefit
Alaska Natives. The Committee bill includes language that
allows funding provided by this program to be used for
construction. The Committee expects the Department to use some
of these funds to address the construction needs of rural
schools.
Rural Education
The Committee recommends $179,882,000 for rural education
programs. The budget request includes $174,882,000, the same as
the fiscal year 2010 appropriation, for this purpose.
The Committee expects that rural education funding will be
equally divided between the Small, Rural Schools Achievement
Program, which provides funds to LEAs that serve a small number
of students, and the Rural and Low-Income Schools Program,
which provides funds to LEAs that serve concentrations of poor
students, regardless of the number of students served.
Comprehensive Centers
The Committee recommends $61,313,000 for the comprehensive
centers program. The budget request and the fiscal year 2010
level are $56,313,000 for the comprehensive centers program.
These funds provide support to a network of 21
comprehensive centers that are operated by research
organizations, agencies, institutions of higher education or
partnerships thereof, and provide training and technical
assistance on various issues to States, LEAs, and schools as
identified through needs assessments undertaken in each region.
The system also currently includes 16 regional centers, which
are charged with providing intensive technical assistance to
State educational agencies to increase their capacity to assist
LEAs and schools with meeting the goals of No Child Left
Behind, and five content centers, which are organized by topic
area.
The centers are currently operating under the 6th year of
what was expected to be 5-year grants for operation. The fiscal
year 2011 appropriation is expected to support the awards for
the first year of funding under a competition expected early
next year. The centers can play an important role in supporting
State and local school improvement efforts that have been
enhanced through the significant amount of Federal funding that
has been made available by this Committee in recent years.
Therefore, the Committee expects to be notified promptly of the
Department's specific plans for a competition for the centers.
Indian Education
Appropriations, 2010.................................... $127,282,000
Budget estimate, 2011................................... 127,282,000
Committee recommendation................................ 129,282,000
The Committee recommends $129,282,000 for Indian Education
programs. The budget request and the fiscal year 2010
appropriation are $127,282,000 for these programs.
Grants to Local Education Agencies
For grants to local educational agencies, the Committee
recommends $104,331,000, the same amount as the fiscal year
2010 funding level and the budget request.
These funds provide financial support to elementary and
secondary school programs that serve Indian students, including
preschool children. Funds are awarded on a formula basis to
local educational agencies, schools supported and operated by
the Department of the Interior/Bureau of Indian Education, and
in some cases directly to Indian tribes.
Special Programs for Indian Children
The Committee recommends $19,060,000, the same amount as
the budget request and fiscal year 2010 appropriation, for
special programs for Indian children.
Funds are used for demonstration grants to improve Indian
student achievement through early childhood education and
college preparation programs, and for professional development
grants for training Indians who are preparing to begin careers
in teaching and school administration.
National Activities
The Committee recommends $5,891,000 for national
activities. The fiscal year 2010 funding level and the budget
request are $3,891,000 for these activities.
Funds will be used to expand efforts to improve research,
evaluation, and data collection on the status and effectiveness
of Indian education programs. Of the amount provided,
$2,000,000 shall be used for grants to tribes for education
administration and planning.
Innovation and Improvement
Appropriations, 2010.................................... $1,379,065,000
Budget estimate, 2011................................... 6,332,278,000
Committee recommendation................................ 2,224,843,000
The Committee recommendation includes $2,224,843,000 for
programs within the innovation and improvement account. The
budget request is $6,332,278,000 for related activities. The
fiscal year 2010 appropriation is $1,379,065,000 for programs
in this account.
The President's budget for fiscal year 2011 is based on the
administration's proposal to reauthorize the Elementary and
Secondary Education Act. While the authorizing committees have
taken significant actions to reauthorize the act, legislation
has not yet passed the Senate. As a result, programs in this
account are based generally on current law, as authorized under
the Elementary and Secondary Education Act.
Race to the Top
The Committee recommends $675,000,000 for the Race to the
Top program. The budget request includes $1,350,000,000 for
this purpose. No funds were included in the fiscal year 2010
bill for this activity. These funds are available for
obligation on July 1, 2011 and will remain available through
September 30, 2012.
Race to the Top was established in the American Recovery
and Reinvestment Act. It has incentivized reforms that are
designed to reduce achievement gaps, significantly improve
student achievement, graduation rates and college enrollments,
and encourage the broad replication of effective practices.
With funds provided in this appropriations bill, the Department
may make competitive awards to State and/or local education
agencies based on their commitment to and plan for innovation
and reform that will improve student achievement.
The Committee notes this competitive program has achieved
enormous success in spurring States to change their practices
for the purposes of closing the achievement gap and making
other needed improvements. Tennessee and Delaware have been
awarded funds already, and 36 States applied for phase 2 grants
that will be awarded over the next 2 months. Grants funded by
the fiscal year 2011 bill may be awarded to local school
districts as well as States. While the amount provided in this
bill is less than the administration's request of
$1,350,000,000, the Committee believes this funding level will
sustain the education reform momentum created by the Recovery
Act.
Investing in Innovation
The Committee recommends $250,000,000 for the Investing in
Innovation program. The budget request is $500,000,000 for this
purpose. No funds were included in the fiscal year 2010 bill
for this activity.
Investing in Innovation was established in the American
Recovery and Reinvestment Act. The program has provided a
source for replicating education programs that meet the highest
level of evidence; expanding those with significant levels of
evidence; and supporting promising practices for which there is
some level of research. The Committee supports this three-tier
evidentiary model and believes that this feature of the program
should continue to guide future funding opportunities and
decisions.
Effective Teachers and Leaders
The Committee recommends no funding for the effective
teachers and leaders State grant program. The budget request
includes $2,500,000,000 for this new program based on the
administration's reauthorization proposal.
The Committee has provided $2,954,673,000 for State grants
for improving teacher quality within the School Improvement
programs account. These funds may be used for similar purposes
as those proposed under this new program.
Effective Teachers and Leaders Innovation Fund
The Committee recommends no funding for the effective
teachers and leaders innovation fund. The budget request
includes $950,000,000 for this new program based on the
administration's reauthorization proposal.
The Committee has provided $400,000,000 for the Teacher
Incentive Fund and additional funds for other current law
programs that may be used for similar purposes as those
proposed under this new program.
Teacher and Leader Pathways
The Committee recommends no funding for the teacher and
leader pathways program. The budget request includes
$405,000,000 for this new program based on the administration's
reauthorization proposal.
The Committee has provided resources under current law
programs that may be used for similar purposes as those
proposed under this new program.
Expanding Educational Options
The Committee recommends no funding for the expanding
educational options program. The budget request includes
$490,000,000 for this new program based on the administration's
reauthorization proposal.
The Committee has provided resources under current law
programs that may be used for similar purposes as those
proposed under this new program.
Troops-to-Teachers
The Committee recommends no appropriation, as proposed in
the budget request, to support the Defense Department's Troops-
to-Teachers program. The fiscal year 2010 appropriation is
$14,389,000 for this purpose.
This program helps recruit and prepare retiring and former
military personnel to become highly qualified teachers serving
in high-poverty school districts. The Secretary of Education
transfers program funds to the Department of Defense for the
Defense Activity for Non-Traditional Education Support to
provide assistance, including stipends or bonuses, to eligible
members of the armed forces so that they can obtain teacher
certification or licensing. In addition, the program helps
these individuals find employment in a school.
Transition to Teaching
The Committee recommends $43,707,000, the same as the
fiscal year 2010 appropriation, for the Transition to Teaching
program. The budget request proposes excellent instructional
teams programs that could support activities carried out under
this program.
This program provides grants to help support efforts to
recruit, train, and place nontraditional teaching candidates
into teaching positions and to support them during their first
years in the classroom. In particular, this program is intended
to attract mid-career professionals and recent college
graduates. Program participants are placed in high-need schools
in high-need LEAs.
National Writing Project
The Committee recommends $25,646,000, the same amount as
the fiscal year 2010 bill, for the National Writing Project.
The budget request does not include any funds for this purpose.
These funds are awarded to the National Writing Project, a
nonprofit organization that supports and promotes K-16 teacher
training programs in the effective teaching of writing.
Teaching of Traditional American History
The Committee recommends $118,952,000 for the teaching of
traditional American history program. This is the same amount
as the fiscal year 2010 level. The budget request proposes an
effective teaching and learning for a well rounded education
program that could support activities carried out under this
program.
The teaching of traditional American history program
supports competitive grants to LEAs, and funds may be used only
to undertake activities that are related to American history,
and cannot be used for social studies coursework. Grant awards
are designed to augment the quality of American history
instruction and to provide professional development activities
and teacher education in the area of American history. Grants
are awarded for 3 years, with 2 additional years allowed for
grantees that are performing effectively.
The Committee bill retains language that allows the
Department to reserve up to 3 percent of funds appropriated for
this program for national activities. The Committee believes
that the Department should use these funds to help grantees
reach those teachers most in need of services supported by
these grant funds.
School Leadership
The Committee recommends $41,220,000 for the school
leadership program. The fiscal year 2010 level is $29,220,000
for this program. The budget request proposes a teacher and
leader pathways program that could support activities funded
through this program.
The program provides competitive grants to assist high-need
LEAs to recruit and train principals and assistant principals
through activities such as professional development and
training programs. The Committee continues to recognize the
critical role that principals and assistant principals play in
creating an environment that fosters effective teaching and
high academic achievement for students.
The Committee bill includes language directing the
Secretary to establish priorities for these funds for those
eligible entities that propose programs to prepare school
leaders to turn around low-performing schools and to those
entities that would prepare leaders for service in rural
schools. The Committee intends that the Secretary shall give
priority to applicants that propose to focus on providing
principals and other school leaders with the skills and
knowledge needed to turn around low-performing schools. The
Committee expects that those applicants will offer a process to
place such trained school leaders in low-performing schools and
that low-performing schools should include those schools
eligible for funds under section 1003(g) of ESEA that have been
identified by States and districts as being in the bottom 5
percent of schools statewide or have otherwise demonstrated
persistent low performance.
Advanced Credentialing
The Committee recommends $10,649,000 for the advanced
credentialing program. This is the same amount as the fiscal
year 2010 appropriation for this program. The budget request
includes no funds for this purpose.
The Committee includes bill language directing all of the
funding for this program to the National Board for Professional
Teaching Standards. Funds available assist the board's work in
providing financial support to States for teachers applying for
certification, increasing the number of minority teachers
seeking certification and developing outreach programs about
the advanced certification program.
Teach for America
The Committee recommends $22,000,000 for Teach for America
[TFA], a nonprofit organization that recruits outstanding
recent college graduates who commit to teach for 2 years in
underserved communities. The budget request includes no funds
for this program. Teach for America received $18,000,000
through the fiscal year 2010 bill.
In 2008, the Higher Education Opportunity Act amended the
Higher Education Act of 1965 to include authority for the Teach
for America program. The purpose of the program is to enable
TFA to implement and expand its program for recruiting,
selecting, training, and supporting new teachers. With these
funds, the grantee is required to: (1) provide highly qualified
teachers to serve in high-need local educational agencies in
urban and rural communities; (2) pay the costs of recruiting,
selecting, training, and supporting new teachers; and (3) serve
a substantial number and percentage of underserved students.
Charter Schools
The Committee recommends a total of $256,031,000 for the
support of charter schools. This amount is the same as the
fiscal year 2010 appropriation. The budget request proposes no
dedicated funding for the charter schools program, instead
providing support for such activities through a broader
expanding educational options program.
The Committee allocates the recommended funding as follows:
not less than $223,000,000 for charter school grants, up to
$23,031,000 for the State facilities, and credit enhancement
for charter schools facilities programs, and up to $10,000,000
for national activities designed to support local, State, and
national efforts to increase the number of high-quality charter
schools.
The Charter Schools grants program supports the planning,
development, and initial implementation of charter schools.
State educational agencies [SEA] that have the authority under
State law to approve charter schools are eligible to compete
for grants. If an eligible SEA does not participate, charter
schools from the State may apply directly to the Secretary.
Under the State facilities program, the Department awards
5-year competitive grants to States that operate per-pupil
facilities aid programs for charters schools. Federal funds are
used to match State-funded programs in order to provide charter
schools with additional resources for charter school facilities
financing.
The credit enhancement program provides assistance to help
charter schools meet their facility needs. Funds are provided
on a competitive basis to public and nonprofit entities, to
leverage non-Federal funds that help charter schools obtain
school facilities through purchase, lease, renovation, and
construction.
The Committee continues language from the fiscal year 2010
bill that allows the Secretary to reserve up to $55,000,000 of
the charter school grant funds to make multiple awards to
charter management organizations and other entities for the
replication and expansion of successful charter school models.
Voluntary Public School Choice
The Committee recommends $25,819,000, the same amount as
the fiscal year 2010 appropriation, for the voluntary public
school choice program. The budget request proposes no funds for
this program.
This program supports efforts by States and school
districts to establish or expand State- or district-wide public
school choice programs, especially for parents whose children
attend low-performing public schools.
Magnet Schools Assistance
The Committee recommends $100,000,000, the same amount as
the fiscal year 2010 appropriation, for the magnet schools
assistance program. The budget request includes $110,000,000
for this purpose.
This program supports grants to local educational agencies
to establish and operate magnet schools that are part of a
court-ordered or federally approved voluntary desegregation
plan. Magnet schools are designed to attract substantial
numbers of students from different social, economic, ethnic,
and racial backgrounds. Grantees may use funds for planning and
promotional materials, teacher salaries, and the purchase of
computers and other educational materials and equipment.
Fund for the Improvement of Education
The Committee recommends an appropriation of $178,987,000
for the Fund for the Improvement of Education [FIE]. The fiscal
year 2010 appropriation is $261,570,000, and the budget request
is $27,278,000 for this purpose.
Within programs of national significance, the Committee
includes $1,250,000 to continue the educational facilities
clearinghouse that provides information on planning, designing,
financing, building, maintaining, and operating safe, healthy,
high-performance educational facilities, including early
learning centers. The Committee also provides $6,000,000 for
Reach Out and Read, a literacy program; $4,000,000 for
Communities in Schools, a dropout prevention program; and
additional funding for data quality and evaluation initiatives
and peer review.
The Committee also includes $7,601,000 for other activities
that the Secretary may use at his discretion. The budget
request includes $19,750,000 for special studies, conferences,
and grant awards that the Secretary may use at his discretion.
The Committee encourages the Secretary to consider using these
funds for continued support of financial literacy activities.
Within the total amount for FIE, the Committee
recommendation also includes funding for several separately
authorized programs.
The Committee recommends $24,803,000, the same amount as
the fiscal year 2010 appropriation, for the contract to Reading
Is Fundamental Inc. [RIF] to provide reading-motivation
activities. RIF, a private nonprofit organization, helps
prepare young children and motivate older children to read,
through activities including the distribution of books. The
budget request proposes no funds for RIF.
The Committee concurs with the budget proposal in providing
no funds for the Ready to Teach program. Ready to Teach
encompasses funding for competitive awards to one or more
nonprofit entities, for the purpose of continuing to develop
telecommunications-based programs to improve teacher quality in
core areas. It also includes digital educational programming
grants, which encourage community partnerships among local
public television stations, State and local educational
agencies, and other institutions to develop and distribute
digital instructional content based on State and local
standards.
The Committee recommends $8,754,000, the same amount as the
fiscal year 2010 appropriation, for the Education through
Cultural and Historical Organizations [ECHO] Act of 2001. The
budget request proposes no funds for this program. Programs
authorized under ECHO provide a broad range of educational,
cultural, and job training opportunities for students from
communities in Alaska, Hawaii, Massachusetts, and Mississippi.
The Committee has included $42,000,000 for arts in
education. The budget request includes no funds for this
purpose. The fiscal year 2010 appropriation is $40,000,000 for
authorized activities. The recommendation includes $10,060,000
for VSA, an international nonprofit organization that supports
the involvement of persons with disabilities in arts programs,
and $7,000,000 for the John F. Kennedy Center for the
Performing Arts. Remaining funds are provided for professional
development, model arts programs and evaluation activities.
From such funds remaining for the arts in education
program, the Committee urges the Department to support the
evaluation and national public dissemination of information
regarding model programs and professional development projects
funded through the Arts in Education section, including
dissemination of information regarding the results of projects
which received awards in fiscal years 2001 and 2002, and
subsequent years. The Committee expects such information to be
available and disseminated not later than 30 days after
enactment of this act and to include, where available,
information regarding project outcomes, training methods, and
the self-evaluation results of funded model arts programs and
professional development programs. The Committee urges the
Department to focus first on dissemination activities related
to funded programs before using these resources for other
purposes.
The Committee recommends $39,254,000, the same amount as
the fiscal year 2010 appropriation, for parental information
and resource centers. The budget request includes no funds for
this purpose. Centers provide training, information, and
support to parents, State and local education agencies, and
other organizations that carry out parent education and family
involvement programs.
The Committee includes $2,278,000, the same amount as the
budget request, for the women's educational equity program. The
fiscal year 2010 appropriation is $2,423,000. This program
supports projects that assist in the local implementation of
gender equity policies and practices.
The Committee concurs with the budget request in
recommending no funds for activities authorized by the
Excellence in Economic Education Act. The fiscal year 2010
appropriation includes $1,447,000 for this purpose. Funds
support a grant to a nonprofit educational organization to
promote economic and financial literacy among kindergarten
through 12th grade students.
The Committee bill includes no funds to continue the mental
health integration in schools program. The fiscal year 2010
appropriation is $5,913,000 for this program. The budget
proposes no funds for this purpose. This program supports
grants to or contracts with State educational agencies, local
educational agencies or Indian tribes to increase student
access to mental healthcare by linking schools with their local
mental health systems. The Committee bill includes additional
resources within safe and drug free national activities to
address student mental health issues.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
3-D School, Petal, MS, for a model dyslexia $200,000
intervention program.................................
Appalachian State University, Boone, NC, for college 200,000
preparation and access programs for high school
students.............................................
Avant-Garde Learning Foundation, Anchorage, AK, to 100,000
improve educational outcomes for children in low-
performing school districts..........................
Baltimore City Public Schools, Baltimore City, MD, for 1,000,000
support of alternative education programs for
academically challenged students, which may include
equipment and technology.............................
Big Brothers Big Sisters, Anchorage, AK, for youth 100,000
mentoring programs for underserved, at-risk
populations in Alaska................................
Big Thought, Dallas, TX, for afterschool programs..... 110,000
Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, 300,000
for support of early literacy and related programming
Catamount Arts, St. Johnsbury, VT, for support of arts 200,000
education............................................
Chaddock, Quincy, IL, for support of special education 200,000
activities...........................................
Challenger Learning Center, Bangor, ME, for science 250,000
technology engineering and mathematics pro- grams...
Chicago Public Schools, Chicago, IL, for a youth 500,000
violence prevention initiative.......................
Chicago School of Professional Psychology, Chicago, 300,000
IL, for support of afterschool programming...........
Churchill County School District, Fallon, NV, for STEM 25,000
Curriculum and technology Improvements...............
City University of New York-York College, Jamaica, NY, 150,000
for support of science and aerospace-based education,
which may include acquisition of technology..........
Clark County School District, Las Vegas, NV, for 750,000
support of a school for highly gifted students.......
Clark County School District, Las Vegas, NV, for 300,000
support of the Family Leadership Initiative..........
Cleveland Metropolitan School District, Cleveland, OH, 150,000
for science education programs, including the
purchase of equipment................................
Cleveland Metropolitan School District, Cleveland, OH, 100,000
to improve math, science, technology, and language
skills through music education.......................
Communities In Schools of Spokane County, Spokane, WA, 150,000
for support of mentoring programs....................
Connect Arkansas, Little Rock, AR, to purchase and 200,000
equip mobile broadband labs..........................
Cook Inlet Tribal Council, Anchorage, AK, to increase 250,000
literacy and math skills of Alaskan students.........
Cristo Rey, Chicago, IL, for educational programming, 250,000
which may include evaluation activities..............
Cuyahoga County Office of Early Childhood/Invest in 100,000
Children, Cleveland, OH, for an early childhood
education initiative, including scholarships.........
Delta Arts Alliance, Inc., Drew, MS, for arts 150,000
education programs...................................
Delta State University, Cleveland, MS, for a training 300,000
program for early childhood educators................
Delta State University, Cleveland, MS, for science and 300,000
environmental education and outreach activities......
Des Moines Independent Community School District, Des 750,000
Moines, IA, to increase access to and quality of
early childhood education programs...................
Drueding Center, Philadelphia, PA, to support 100,000
educational programs, including staff, technology
upgrades, and the purchase of equipment..............
Eastern Maine Development Corporation, Bangor, ME, for 225,000
youth career pathway programs........................
Eden Housing, Hayward, CA, for support of an after 450,000
school program.......................................
Educare Central Maine, Waterville, ME, to support 250,000
early childhood education activities, including the
purchase of equipment................................
Educating Young Minds, Los Angeles, CA, for 175,000
educational programming, which may include the
acquisition of technology............................
Education Alliance of Washoe County, Reno, NV, for 150,000
support of an afterschool tutoring program...........
El Centro de la Raza, Seattle, WA, for support of 100,000
counseling, tutoring, and educational programming....
Elev8 New Mexico, New Mexico Community Foundation, 200,000
Albuquerque, NM, for support of extended day learning
programs in New Mexico...............................
ENLACE New Mexico, Albuquerque, NM, for support of 150,000
academic engagement and completion programs in New
Mexico...............................................
Everybody Wins! USA, Boston, MA, for child literacy 500,000
programs across the country..........................
Falcon School District 49, Falcon, CO, to support a 100,000
science, technology, engineering, and math education
program..............................................
Friends of E Prep Schools, Cleveland, OH, for 150,000
technology including the purchase of equipment.......
Give Every Child A Chance, Manteca, CA, for the 300,000
expansion of the Give Every Child A Chance program...
Glenwood School for Boys and Girls, St. Charles, IL, 200,000
for training and development costs associated with
the Life Stabilization project, which may include
software and technology..............................
Heartland Foundation, St. Joseph, MO, to support youth 450,000
empowerment programs, including the purchase of
equipment............................................
History Colorado, Denver, CO, for support of the 100,000
Student to Citizen Initiative........................
Humboldt County School District, Winnemucca, NV, for 150,000
support of technology-based instruction..............
Indiana State University, Terre Haute, IN, for 100,000
curriculum development and teacher training..........
Inner-City Arts, Los Angeles, CA, for the core arts 300,000
and language project for at-risk youth...............
Iowa Department of Education, Des Moines, IA, to 6,000,000
continue the Harkin Grant program....................
Iowa State Education Association, Des Moines, IA, for 300,000
professional development for teachers on 21st century
skills...............................................
Jazz at Lincoln Center, New York, NY, for music 400,000
education programs...................................
Jobs for Ohio's Graduates, Inc., Columbus, OH, for 150,000
dropout prevention programs for at-risk youth........
Junior Achievement of Delaware, Inc., Wilmington, DE, 50,000
for computer-based programming and related science,
technology, and engineering education activities.....
Kauai Economic Development Board, Lihue, HI, for 700,000
science, technology, engineering, and math educa-
tion.................................................
Lander County School District, Battle Mountain, NV, 150,000
for acquisition of technology and equipment..........
Lincoln County School District, Panaca, NV, for 50,000
support of afterschool programming...................
Lower Brule Sioux Tribe, Lower Brule, SD, for support 100,000
of afterschool programming, which may include the
acquisition of equipment.............................
Lyon County School District, Yerington, NV, for 150,000
support of early education services..................
Madison Metropolitan School District, Madison, WI, for 500,000
educational programming..............................
Marketplace of Ideas/Marketplace for Kids, Inc., 200,000
Bismarck, ND, for entrepreneurship education.........
Maryland Bio Foundation, Rockville, MD, for support of 800,000
science, technology, engineering, and mathematics
education through a mobile laboratory outreach
program, which may include purchase of equipment.....
Maui Economic Development Board, Kihei, HI, for 800,000
engaging girls and historically underrepresented
students in science, technology, engineering, and
math education.......................................
Mentoring Partnership of Southwestern PA, Pittsburgh, 100,000
PA, for support of mentoring programs, which may
include equipment and technology acquisitions........
Meskwaki Nation, The--Sac & Fox Tribe of the 400,000
Mississippi in Iowa, Tama, IA, for a culturally based
education curriculum.................................
Mid-Iowa Community Action, Inc., Marshalltown, IA, for 100,000
literacy activities for pre-school aged children.....
Mississippi Band of Choctaw Indians, Choctaw, MS, for 100,000
academic support, tutoring, mentoring, and
afterschool programs.................................
Mississippi Building Blocks, Ridgeland, MS, for a 500,000
state-wide early childhood education program.........
Mississippi Council on Economic Education, Jackson, 500,000
MS, for teacher training for economics, financial
literacy and entrepreneurial education...............
Mississippi Historical Society, Jackson, MS, to 100,000
develop educational materials for history instruction
Mississippi Museum of Natural Science Foundation, 200,000
Jackson, MS, for science education exhibits and
outreach programs....................................
Mississippi State University, Mississippi State, MS, 850,000
for a dropout prevention program, including the
purchase of equipment................................
Mississippi State University, Mississippi State, MS, 500,000
for an early childhood teacher education program,
including the purchase of equipment and materials....
Mississippi University for Women, Columbus, MS, for 250,000
development of at-risk youth programs................
Mississippi University for Women, Columbus, MS, for 200,000
science and math programs for K-12 students..........
Montana Digital Academy, Missoula, MT, for support of 100,000
online learning activities...........................
National Center for Parents as Teachers, St. Louis, 850,000
MO, to support home visitation programs, including
the purchase of equipment............................
NC STEM Community Collaborative, Ft. Bragg Region, 150,000
Research Triangle Park, NC, for science, technology,
engineering, and math programs, including the
purchase of equipment................................
Nevada Department of Education, Carson City, NV, for a 2,000,000
demonstration of public school facilities repair and
construction, which may include subgrants............
Nevada Parents Empowering Parents, Las Vegas, NV, to 125,000
provide educational workshops to parents of students
with disabilities....................................
Nye County School District, Pahrump, NV, to support 350,000
instructional/intervention specialists and the
purchase of instructional materials..................
Oakland Unified School District, Oakland, CA, for the 300,000
Oakland Truancy Intervention and Educational Support
Program..............................................
Operation Shoestring, Jackson, MS, for afterschool and 100,000
summer community outreach and education programs.....
Orchestra Iowa, Cedar Rapids, IA, to support a music 300,000
education program....................................
Pacific Islands Center for Educational Development, 400,000
Pago Pago, American Samoa, for program development...
Parents for Public Schools of Jackson, Inc., Jackson, 250,000
MS, for professional development, development of
materials, and programs to increase student
achievement and graduation rates in low performing
schools..............................................
Polynesian Voyaging Society, Honolulu, HI, for 300,000
educational programs.................................
Project HOME, Philadelphia, PA, for afterschool 100,000
programs.............................................
Providence Community Library, Providence, RI, for 250,000
support of the Out-of-School Learning Opportunities
program..............................................
Public Education Foundation, Las Vegas, NV, for 100,000
support of a clearinghouse for classroom supplies and
materials............................................
Saint Mary's College, Notre Dame, IN, for tutoring and 100,000
mentoring programs for at-risk youth.................
San Francisco Redevelopment Agency, San Francisco, CA, 250,000
for a college preparatory program, in partnership
with College Track...................................
Save the Children, Washington, DC, for a rural 100,000
literacy program in Mississippi......................
Save the Children, Westport, CT, for support of the 200,000
Louisiana Early Child Development program............
SEED Foundation, Washington, DC, for the SEED School 250,000
of Louisiana Exploratory project.....................
Seton Hall University, South Orange, NJ, for an urban 350,000
school improvement program...........................
Southeastern Louisiana University, Hammond, LA, to 100,000
increase the number of certified teachers and support
other activities designed to improve student
achievement..........................................
Southwest Washington Workforce Development Council, 100,000
Vancouver, WA, for support of professional
development in science and mathematics education.....
Syracuse University, Syracuse, NY, for support of 500,000
afterschool programming..............................
Technology Assessment for Basic Skills, Inc., Des 2,000,000
Moines, IA, for continuation and expansion of the
SKILLS Iowa program..................................
The Tibetan Community of New York and New Jersey, 100,000
Inc., New York, NY, for the Tibetan Community Center
Youth Education and Empowerment Program..............
Thrive By Five Washington, Seattle, WA, for support of 300,000
early childhood education programming................
Uintah School District, Vernal, UT, for academic 106,000
achievement and credit recovery programs, including
the purchase of equipment............................
University of Mississippi, University, MS, for teacher 300,000
training for elementary mathematics education........
University of Southern Mississippi, Hattiesburg, MS, 400,000
for teacher training in the science, technology,
engineering, math, language, and creative arts fields
Utah State Office of Education, Salt Lake City, UT, 300,000
for teacher development programs.....................
Utah Symphony, Salt Lake City, UT, for music education 106,000
programs.............................................
Washoe County School District, Reno, NV, for support 500,000
of educational activities............................
World Science Festival, New York, NY, for science and 200,000
environmental education and outreach activities......
Young Writers Project, Inc., Winooski, VT, for support 175,000
educational programming and teaching training........
------------------------------------------------------------------------
Teacher Incentive Fund
The Committee recommendation includes $400,000,000, the
same amount as the fiscal year 2010 appropriation, for the
Teacher Incentive Fund [TIF] program. The budget proposal
supports the program through a broader teacher and leader
innovation fund based on the administration's reauthorization
proposal.
The goals of TIF are to improve student achievement by
increasing teacher and principal effectiveness; reform
compensation systems to reward gains in student achievement;
increase the number of effective teachers teaching low-income,
minority, and disadvantaged students, and students in hard-to-
staff subjects; and create sustainable performance-based
compensation systems.
The Committee urges the Department to award grants for
short-term planning for the development of performance-based
compensation systems as well as for implementation. Recognizing
that such systems should be aligned with other educational
improvement efforts, in awarding grants the Committee urges the
Department to give priority to those applications that
demonstrate a link between proposed projects and the
instructional strategy or other key reforms undertaken by the
relevant schools or LEAs.
Ready-to-Learn Television
The Committee recommendation includes $29,050,000 for the
Ready-to-Learn Television program. The budget request includes
no funds for this program. The fiscal year 2010 appropriation
is $27,300,000.
The Ready to Learn program was created by Congress in 1992
to use the power and reach of public television to help prepare
children, especially disadvantaged children, to enter and
succeed in school. The Elementary and Secondary Education Act
requires that all programming and digital content created under
Ready to Learn be specifically designed for nationwide
distribution over public television stations' digital
broadcasting channels and the Internet. The act also requires
funds to be made available to public telecommunications
entities to ensure that these programs, and related educational
materials, are disseminated and distributed to the widest
possible audience and are made accessible to all Americans.
The Committee intends for funds to be used in accordance
with the Ready to Learn statute and believes recipients of
these funds should have a demonstrated track record in
educational television production for preschool and/or
elementary school students.
Close Up Fellowships
The Committee recommendation includes $1,942,000, the same
as the fiscal year 2010 appropriation, for Close Up
Fellowships. The budget request does not include any funds for
this purpose.
These funds are provided to the Close Up Foundation of
Washington, DC, which offers fellowships to students from low-
income families and their teachers to enable them to spend 1
week in Washington attending seminars and meeting with
representatives of the three branches of the Federal
Government.
Advanced Placement
The Committee recommends $45,840,000, the same amount as
the fiscal year 2010 appropriation, for AP programs. The budget
request does not include any funds for this purpose.
These funds support two programs, the Advanced Placement
Test Fee program and the Advanced Placement Incentive [API]
program, the purpose of both of which is to aid State and local
efforts to increase access to AP and International
Baccalaureate [IB] classes and tests for low-income students.
Under the test fee program, the Department makes awards to
State educational agencies to enable them to cover part or all
of the cost of test fees of low-income students who are
enrolled in an AP or IB class and plan to take an AP or IB
test. Under the API program, the Department makes 3-year
competitive awards to State educational agencies, LEAs, or
national nonprofit educational entities to expand access for
low-income individuals to AP programs through activities
including teacher training, development of pre-Advanced
Placement courses, coordination and articulation between grade
levels to prepare students for academic achievement in AP or IB
courses, books and supplies, and participation in online AP or
IB courses.
Under statute, the Department must give priority to funding
the test fee program. Approximately $20,000,000 will be needed
to fund that program; the remaining funds will support
continuations for API grants.
Safe Schools and Citizenship Education
Appropriations, 2010.................................... $403,053,000
Budget estimate, 2011................................... 620,000,000
Committee recommendation................................ 426,053,000
The Committee recommends a total of $426,053,000 for
activities to promote safe schools, healthy students, and
citizenship education. The fiscal year 2010 appropriation is
$403,053,000 for such activities. The budget request includes
$620,000,000 for similar purposes.
The President's budget for fiscal year 2011 is based on the
administration's proposal to reauthorize the Elementary and
Secondary Education Act. While the authorizing committees have
taken significant actions to reauthorize the act, legislation
has not yet passed the Senate. As a result, programs in this
account are based generally on current law, as authorized under
the Elementary and Secondary Education Act.
Promise Neighborhoods
The Committee recommends $20,000,000 for the Promise
Neighborhoods program. The budget request includes $210,000,000
for this purpose. The fiscal year 2010 appropriation is
$10,000,000 for Promise Neighborhoods.
Competitive grants will be awarded to nonprofit, community-
based organizations for the development of comprehensive
neighborhood programs designed to combat the effects of poverty
and improve educational and life outcomes for children and
youth, from birth through college. Each Promise Neighborhood
grantee will serve a high-poverty urban neighborhood or rural
community.
Two types of awards will be made under this program, 1-year
planning grants and implementation grants. Funds for planning
grants are used by communities to develop a plan for providing
a continuum of services and supports for the children and youth
in a particular neighborhood. Implementation grants are awarded
to organizations with feasible plans for achieving the goals of
the program. Awards from the fiscal year 2010 appropriation
have not yet been made and the Committee intends to re-examine
the need for additional funds upon reviewing the plans of the
winners of the current grant competition.
Successful, Safe, and Healthy Students
The Committee recommends no funds for this program, which
is based on the administration's reauthorization proposal. The
Committee has allocated funds for related current law programs,
as described under the individual headings in this account.
Under this proposed program, the Department would award
grants to State educational agencies, title I-eligible LEAs,
and their partners for programs designed to improve the school
culture and climate; improve students' physical health and
well-being; and improve students' mental health and well-being.
Safe and Drug-free National Activities
The Committee recommendation includes $196,341,000 for the
national activities portion of the Safe and Drug-Free Schools
and Communities program. The fiscal year 2010 appropriation is
$191,341,000 for this purpose. The budget request proposes to
fund related activities within the proposed successful, safe
and healthy students program.
The Committee has a particular interest in funding for the
coordination and integration of mental health services within
these comprehensive approaches. Therefore, the Committee
requests that the Department report to the Committees on
Appropriations of the Senate and House of Representatives, not
later than 30 days after enactment of this act, on how
resources available within this account will be used to address
this interest.
The Committee recommends no funds for Project SERV (School
Emergency Response to Violence), which provides education-
related services to LEAs and institutions of higher education
in which the learning environment has been disrupted due to a
violent or traumatic crisis. Project SERV funds are available
until expended. The budget request includes $5,000,000 for this
purpose. No funds were appropriated for Project SERV in fiscal
year 2010. The Committee believes that no additional funds are
required in fiscal year 2011, given the amount of unobligated
funds that have been carried over from previous years.
The Committee recommendation includes $830,000, the same
amount as the fiscal year 2010 appropriation, for a program to
identify, and provide recognition of, promising and model
alcohol and drug abuse prevention and education programs in
higher education. The budget request proposes to fund related
activities within its new successful, safe and healthy students
program.
The Committee recommendation also includes funds for school
emergency preparedness, Safe Schools/Healthy Students,
postsecondary education drug and violence prevention, and other
activities.
Alcohol Abuse Reduction
The Committee recommends $32,712,000, the same amount as
the fiscal year 2010 appropriation, for grants to LEAs to
develop and implement programs to reduce underage drinking in
secondary schools. Instead of requesting funds for this
program, the budget proposes a successful, safe and healthy
students program which could support related activities.
Elementary and Secondary School Counseling
The Committee recommends $57,000,000 to establish or expand
counseling programs in elementary and secondary schools. The
fiscal year 2010 funding level is $55,000,000. As currently
authorized, at least $40,000,000 must be used to support
elementary school counseling programs.
Carol M. White Physical Education for Progress Program
The Committee recommendation includes $80,000,000 to help
LEAs and community-based organizations initiate, expand and
improve physical education programs for students in grades K-
12. The fiscal year 2010 appropriation is $79,000,000 for this
purpose. The budget request proposes a successful, safe and
healthy students program that could support related activities.
This funding will help schools and communities improve their
structured physical education programs for students and help
children develop healthy lifestyles to combat the national
epidemic of obesity.
Civic Education
The Committee recommends $40,000,000 to improve the quality
of civics and government education, to foster civic competence
and responsibility, and to improve the quality of civic and
economic education through exchange programs with emerging
democracies. The fiscal year 2010 appropriation is $35,000,000
for this purpose. The budget request proposes to eliminate this
program and instead provide competitive awards for history,
civics, and government grants within the Fund for the
Improvement of Education.
The Committee recommends $20,617,000 for the We the People
programs, including $2,957,000 to continue the comprehensive
program to improve public knowledge, understanding, and support
of American democratic institutions, which is a cooperative
project among the Center for Civic Education, the Center on
Congress at Indiana University, and the Trust for
Representative Democracy at the National Conference of State
Legislatures. The bill also includes $13,383,000 for the
Cooperative Education Exchange program.
The Committee bill also recommends $6,000,000 and necessary
bill language for establishing a grant competition and related
activities for nonprofit organizations with demonstrated
effectiveness for the development and implementation of civic
learning programs. National, State, or local nonprofits and
educational institutions, individually or in partnership, shall
be eligible to receive awards under this competition. The
Committee intends for these funds to support programs that
address relevant State and national educational standards;
provide free or low-cost curriculum; and provide cost-effective
models for teacher professional development. The Secretary
shall establish a priority for applications that demonstrate
innovation, scaleability, program accountability, and a focus
on underserved populations, including those in urban and rural
areas. The Committee also intends for a portion of the funds to
be available for independent research and evaluation to help
assess the effects of civic education programs on students'
development of the knowledge, skills, and traits of character
essential for the preservation and improvement of
constitutional democracy. The Committee requests a briefing on
how the Department intends to implement this directive not
later than 30 days prior to the announcement of the
availability of funds for this initiative.
English Language Acquisition
Appropriations, 2010.................................... $750,000,000
Budget estimate, 2011................................... 800,000,000
Committee recommendation................................ 800,000,000
The Committee recommends an appropriation of $800,000,000,
the same amount as the budget request, for English language
acquisition. The fiscal year 2010 appropriation is $750,000,000
for this program.
The President's budget for fiscal year 2011 is based on the
administration's proposal to reauthorize the Elementary and
Secondary Education Act. While the authorizing committees have
taken significant actions to reauthorize the act, legislation
has not yet passed the Senate. As a result, programs in this
account are based generally on current law, as authorized under
the Elementary and Secondary Education Act.
The Department makes formula grants to States based on each
State's share of the Nation's limited-English-proficient and
recent immigrant student population. The program is designed to
increase the capacity of States and school districts to address
the needs of these students. The Committee includes bill
language requiring that 6.5 percent of the appropriation be
used to support national activities, which include professional
development activities designed to increase the number of
highly qualified teachers serving limited English proficient
students; a National Clearinghouse for English Language
Acquisition and Language Instructional Programs; and evaluation
activities. National activities funds shall be available for 2
years.
The Committee bill includes language that allows the
Secretary to use the annual 3-year estimates provided by the
Census Bureau in order to determine the State allocations. The
fiscal year 2010 appropriations language requires the Secretary
to use a 3-year average of the most recent data available from
the American Community Survey for calculating allocations to
all States under the English Language Acquisition State Grants
program. Under the authorizing statute, the Department would
use 1-year estimates, which are not as reliable and produce
more volatility in the allocations from year to year. The
Committee directs the Department to consult with the
authorizing and appropriations committees of the Senate and
House of Representatives prior to any announcement of
allocations made for this program from the 2011 appropriation.
Special Education
Appropriations, 2010.................................... $12,587,035,000
Budget estimate, 2011................................... 12,846,190,000
Committee recommendation................................ 13,035,490,000
The Committee recommends $13,035,490,000 for special
education programs authorized by the Individuals with
Disabilities Education Act [IDEA] and the Special Olympics
Sport and Empowerment Act of 2004. The fiscal year 2010 funding
level is $12,587,035,000. The budget request includes
$12,846,190,000 for such programs and proposed legislation.
Grants to States
The Committee recommends $11,925,211,000 for special
education grants to States, as authorized under section 611 of
part B of the IDEA. The budget request proposes $11,755,211,000
under this authority. The fiscal year 2010 level is
$11,505,211,000 for this program.
This program provides formula grants to assist States,
outlying areas, and other entities in meeting the costs of
providing special education and related services for children
with disabilities. States pass along most of these funds to
local educational agencies, but may reserve some for program
monitoring, enforcement, technical assistance, and other
activities.
The appropriation for this program primarily supports
activities associated with the 2011-2012 academic year. Of the
funds available for this program, $3,332,828,000 will become
available on July 1, 2011, and $8,592,383,000 will become
available on October 1, 2011. These funds will remain available
for obligation until September 30, 2012.
The budget request proposes language capping the Department
of the Interior set-aside at the prior year level, adjusted by
the lower of the increase in inflation or the change in the
appropriation for grants to States. This provision also would
prevent a decrease in the amount to be transferred in case the
funding for this program decreases or does not change. The
Committee bill includes the requested language.
Preschool Grants
The Committee recommends $374,099,000, the same amount as
the budget request and fiscal year 2010 level, for preschool
grants. The preschool grants program provides formula grants to
States to assist them in making available special education and
related services for children with disabilities aged 3 through
5. States distribute the bulk of the funds to local educational
agencies. States must serve all eligible children with
disabilities aged 3 through 5 and have an approved application
under the IDEA.
Grants for Infants and Families
The Committee recommends $459,427,000 for the grants for
infants and families program under part C of the IDEA. The
fiscal year 2010 funding level and the budget request are
$439,427,000 for this program. Part C of the IDEA authorizes
formula grants to States, outlying areas and other entities to
implement statewide systems of coordinated, comprehensive,
multidisciplinary interagency programs to make available early
intervention services to all children with disabilities, ages 2
and under, and their families.
State Personnel Development
The Committee recommends $49,223,000 for the State
personnel development program. The fiscal year 2010 funding
level and the budget request are $48,000,000 for this purpose.
This program focuses on the professional development needs in
States by requiring that 90 percent of funds be used for
professional development activities. The program supports
grants to State educational agencies to help them reform and
improve their personnel preparation and professional
development related to early intervention, educational and
transition services that improve outcomes for students with
disabilities.
Technical Assistance and Dissemination
The Committee recommends $49,549,000, the same amount as
the fiscal year 2010 funding level and the budget request, for
technical assistance and dissemination. This program supports
awards for technical assistance, model demonstration projects,
the dissemination of useful information and other activities.
Funding supports activities that are designed to improve the
services provided under IDEA.
The Committee continues to support activities that address
the need for high-quality, evidence-based technical assistance
activities that improve the services to and outcomes for
students with disabilities.
Personnel Preparation
The Committee recommends $90,653,000, the same amount as
the fiscal year 2010 funding level and the budget request, for
the personnel preparation program. Funds support competitive
awards to help address State-identified needs for personnel who
are qualified to work with children with disabilities,
including special education teachers and related services
personnel. The program has requirements to fund several other
broad areas including training for leadership personnel and
personnel who work with children with low incidence
disabilities, and providing enhanced support for beginning
special educators.
Parent Information Centers
The Committee recommends $30,028,000 for parent information
centers. The comparable fiscal year 2010 funding level and the
budget request are $28,028,000 for the centers. This program
makes awards to parent organizations to support parent training
and information centers, including community parent resource
centers. These centers provide training and information to meet
the needs of parents of children with disabilities living in
the areas served by the centers, particularly underserved
parents, and parents of children who may be inappropriately
identified.
The Committee believes that the additional funds should be
used to support the work of all centers, balanced by the
importance of targeting additional resources to centers that
are serving areas with growing populations. The Committee
further believes that there should be more transparency with
regard to the allocation formula being used to allocate these
funds and requests the annual congressional budget
justification include a description of the Department's
methodology for allocating funds available for this program.
Technology and Media Services
The Committee recommends $47,300,000 for technology and
media services. The comparable fiscal year 2010 funding level
is $43,973,000 for this purpose, while the budget request
proposes $41,223,000 for authorized activities. This program
makes competitive awards to support the development,
demonstration, and use of technology, and educational media
activities of value to children with disabilities.
The Committee recommendation includes $13,250,000 for
Recording for the Blind and Dyslexic, Inc. These funds support
the continued development, production, and circulation of
accessible educational materials.
The Committee recommendation also includes $737,000 for the
Reading Rockets program, administered by the Greater Washington
Education Television Association.
Mentoring for Individuals With Intellectual Disabilities
The Committee recommendation defers action on the request
for $10,000,000 to support this proposed program. The budget
proposes support for grants or contracts to expand the Best
Buddies organization, as well as support activities to increase
the participation of people with intellectual disabilities in
social relationships and other aspects of community life,
including education and employment. Legislation is pending in
Congress that would authorize similar activities.
Special Olympics
The Committee recommendation includes $10,000,000, the same
amount as the budget request, for Special Olympics education
activities. The fiscal year 2010 funding level is $8,095,000
for authorized activities. Under the Special Olympics Sport and
Empowerment Act of 2004, the Secretary is authorized to provide
financial assistance to Special Olympics for activities that
promote the expansion of Special Olympics and for the design
and implementation of education activities that can be
integrated into classroom instruction and are consistent with
academic content standards.
The Committee bill continues to allow funds to be used to
support Special Olympics National and World Games, authorized
in the fiscal year 2010 appropriations act and proposed in the
budget request.
Rehabilitation Services and Disability Research
Appropriations, 2010.................................... $3,506,861,000
Budget estimate, 2011................................... 3,565,326,000
Committee recommendation................................ 3,542,510,000
The Committee recommends $3,542,510,000 for rehabilitation
services and disability research. The fiscal year 2010 funding
level is $3,506,861,000. The budget request includes
$3,565,326,000 for programs in this account.
Vocational Rehabilitation State Grants
The Committee recommends $3,084,696,000, the same as the
comparable fiscal year 2010 level, for vocational
rehabilitation grants to States. The Committee recommends the
full amount authorized by the Rehabilitation Act of 1973 for
this mandatory funding stream. The fiscal year 2011 budget
request is $3,141,529,000 and assumes several program
consolidations and eliminations as part of a proposal to
reauthorize the Workforce Investment Act [WIA]. Since Congress
has not yet acted on a WIA reauthorization, the Committee
recommendation follows current law.
Basic State grant funds assist States in providing a range
of services to help persons with physical and mental
disabilities prepare for and engage in meaningful employment.
Authorizing legislation requires States to give priority to
persons with the most significant disabilities. Funds are
allotted to States based on a formula that takes into account
population and per capita income. States must provide a 21.3
percent match of Federal funds with the exception of
construction costs for the development of a facility for
community rehabilitation programs, for which States must
provide a 50 percent match.
The Rehabilitation Act requires that not less than 1
percent and not more than 1.5 percent of the appropriation in
fiscal year 2011 for vocational rehabilitation State grants be
set aside for grants for Indians. Service grants are awarded to
Indian tribes on a competitive basis to help tribes develop the
capacity to provide vocational rehabilitation services to
American Indians with disabilities living on or near
reservations.
Workforce Innovation Funds
The Committee provides $27,000,000 to create a workforce
innovation fund. The budget request provides $30,000,000 for
this initiative. This program will test innovative strategies
or replicate proven practices that support systemic reform of
the workforce investment system and substantially improve
employment and education outcomes for people with disabilities.
To support alignment at the Federal level, the Committee
expects the Secretary to make such awards in cooperation with
the Secretary of Labor. Priority should be given to applicants
that demonstrate significant alignment across education,
workforce development, and supportive services at the State,
regional, or local level, and that support economic development
goals and improved employment and education outcomes for
participants with disabilities, including those with the most
significant disabilities. Awards should prioritize applicants
that demonstrate comprehensive strategic planning and
coordination at the State, regional, or local level and
continuation of promising practices and infrastructure
developed through disability program navigator programs. The
Committee directs that the Department provide a briefing to the
Committee not less than 30 days prior to the release of a
solicitation of grant applications for this program.
Client Assistance State Grants
The Committee recommends $14,288,000 for the client
assistance State grants program. The comparable fiscal year
2010 funding amount and the budget request are $12,288,000.
The client assistance program funds State formula grants to
assist vocational rehabilitation clients or client applicants
in understanding the benefits available to them and in their
relationships with service providers. Funds are distributed to
States according to a population-based formula, except that
increases in minimum grants are guaranteed to each of the 50
States, the District of Columbia, and Puerto Rico, and
guaranteed to each of the outlying areas, by a percentage not
to exceed the percentage increase in the appropriation. States
must operate client assistance programs in order to receive
vocational rehabilitation State grant funds.
Training
The Committee recommends $37,766,000, the same as the
comparable fiscal year 2010 level, for training rehabilitation
personnel. The budget request provides $33,251,000.
The purpose of this program is to ensure that skilled
personnel are available to serve the rehabilitation needs of
individuals with disabilities. It supports training,
traineeships, and related activities designed to increase the
numbers of qualified personnel providing rehabilitation
services. The program awards grants and contracts to States and
public or nonprofit agencies and organizations, including
institutions of higher education, to pay all or part of the
cost of conducting training programs. Long-term, in-service,
short-term, experimental and innovative, and continuing
education programs are funded, as well as special training
programs and programs to train interpreters for persons who are
deaf, hard of hearing, and deaf-blind.
Demonstration and Training Programs
The Committee recommends $13,151,000 for this program. The
comparable fiscal year 2010 funding level is $11,601,000. The
budget request eliminates funding for this program as part of
the administration's proposed program consolidations.
This program awards grants to States and nonprofit agencies
and organizations to develop innovative methods and
comprehensive services to help individuals with disabilities
achieve satisfactory vocational outcomes. Demonstration
programs support projects for individuals with a wide array of
disabilities.
The Committee recommends continued support for parent
training and information centers. The Committee expects the
Rehabilitation Services Administration to coordinate with the
Office of Special Education Programs in carrying out this
activity.
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
American Academy of Orthotists and Prosthetists, $500,000
Washington, DC, to improve the quality of applied
orthotic and prosthetic research and to help meet the
demand for provider services...........................
ARC of Madison County, Huntsville, AL, for a disability 100,000
program initiative, which may include equipment........
Holy Angels Residential Facility, Caddo Parish, LA, for 100,000
vocational training for developmental disabled
individuals............................................
Spurwink Services, Portland, ME, for education programs 400,000
for students with autism...............................
Statewide Independent Living Council, Anchorage, AK, to 400,000
expand independent living programs for rural and remote
areas..................................................
Utah State Office of Rehabilitation, Salt Lake City, UT, 150,000
for assistive technology equipment.....................
------------------------------------------------------------------------
Migrant and Seasonal Farmworkers
The Committee recommends $2,239,000, the same as the
comparable fiscal year 2010 amount, for migrant and seasonal
farmworkers. The budget request proposes consolidation of this
program into the State Grants program.
This program provides grants for comprehensive
rehabilitation services to migrant and seasonal farm workers
with disabilities and their families. The size of the grants is
limited to 90 percent of the costs of the projects. Projects
also develop innovative methods for reaching and serving this
population. The program emphasizes outreach, specialized
bilingual rehabilitation counseling, and coordination of
vocational rehabilitation services with services from other
sources.
Recreational Programs
The Committee provides $2,474,000 for recreational
programs. This amount is the same as the comparable fiscal year
2010 funding level and the budget request.
Recreational programs help finance activities such as
sports, music, dancing, handicrafts, and art to aid in the
employment, mobility, and socialization of individuals with
disabilities. Grants are awarded to States, public agencies,
and nonprofit private organizations, including institutions of
higher education. Grants are awarded for a 3-year period, with
the Federal share at 100 percent for the first year, 75 percent
for the second year, and 50 percent for the third year.
Programs must maintain the same level of services over the 3-
year period.
Protection and Advocacy of Individual Rights
The Committee recommends $19,101,000 for protection and
advocacy of individual rights. The comparable fiscal year 2010
funding level and the budget request provide $18,101,000 for
this purpose.
This program provides grants to agencies to protect and
advocate for the legal and human rights of persons with
disabilities who are not eligible for protection and advocacy
services available through the Developmental Disabilities
Assistance and Bill of Rights Act or the Protection and
Advocacy for Individuals with Mental Illness Act.
Projects With Industry
The Committee recommends $19,197,000, the same as the
comparable fiscal year 2010 amount, for projects with industry.
The budget request does not include funding for this program.
The projects with industry [PWI] program promotes greater
participation of business and industry in the rehabilitation
process. It provides training and experience in realistic work
settings to prepare individuals with disabilities for
employment in the competitive job market. Post-employment
support services are also provided. The program supports grants
to a variety of agencies and organizations, including
corporations, community rehabilitation programs, labor and
trade associations, and foundations.
Supported Employment State Grants
The Committee recommends $29,181,000, the same as the
comparable fiscal year 2010 amount, for the supported
employment State grant program. The budget request does not
include funding for this program.
This program assists the most severely disabled individuals
by providing the ongoing support needed to obtain competitive
employment. Short-term vocational rehabilitation services are
augmented with extended services provided by State and local
organizations. Federal funds are distributed on the basis of
population.
Supported Employment Extended Services for Youth
The budget request includes $25,000,000 for this new
program as part of its proposed WIA reauthorization. The
Committee does not include any funds for this program which the
administration proposes as part of their plans for
reauthorizing the Rehabilitation Act.
Grants for Independent Living
The budget request includes $110,000,000 for this new
program as part of its proposed WIA reauthorization. The
Committee does not include any funds for this program which the
administration proposes as part of their plans for
reauthorizing the Rehabilitation Act.
Independent Living State Grants
The Committee recommends $23,450,000, the same as the
comparable fiscal year 2010 amount, for independent living
State grants. The budget request does not include funding for
this program.
The independent living State formula grants program
provides funding to improve independent living services,
support the operation of centers for independent living,
conduct studies and analysis, and provide training and
outreach.
Independent Living Centers
The Committee recommends $83,656,000 for independent living
centers. The comparable fiscal year 2010 amount is $80,266,000.
The budget request does not include funding for this program.
These funds support consumer-controlled, cross-disability,
nonresidential, community-based centers that are designed and
operated within local communities by individuals with
disabilities. These centers provide an array of independent
living services.
Independent Living Services for Older Blind Individuals
The Committee provides $34,151,000 for independent living
services to other blind individuals. This is the same level as
the comparable fiscal year 2010 amount and budget request.
Through this program, assistance is provided to persons
aged 55 or older to adjust to their blindness, continue living
independently and avoid societal costs associated with
dependent care. Services may include the provision of
eyeglasses and other visual aids, mobility training, Braille
instruction and other communication services, community
integration, and information and referral. These services help
older individuals age with dignity, continue to live
independently, and avoid significant societal costs associated
with dependent care. The services most commonly provided by
this program are daily living skills training, counseling, the
provision of low-vision devices, community integration,
information and referral, communication devices, and low-vision
screening.
Program Improvement Activities
The Committee concurs in the budget request to eliminate
funding for this program. The comparable fiscal year 2010
funding level is $852,000. These activities are designed to
improve the operation of the Vocational Rehabilitation State
Grants program and the provision of services to individuals
with disabilities. Funds are awarded through grants and
contracts to provide technical assistance and support
activities that increase program effectiveness and improve
accountability.
Evaluation
The Committee concurs in the budget request to eliminate
funding for this program. The comparable fiscal year 2010
funding level is $1,217,000. Funds for this program are used to
evaluate the impact and efficacy of programs authorized under
the Rehabilitation Act of 1973.
Helen Keller National Center
The Committee recommends $9,181,000 for the Helen Keller
National Center for Deaf-Blind Youth and Adults. This is the
same amount as the comparable fiscal year 2010 funding level
and the budget request.
The Helen Keller National Center consists of a national
headquarters in Sands Point, New York, with a residential
training and rehabilitation facility where deaf-blind persons
receive intensive specialized services; a network of 10
regional field offices that provide referral and counseling
assistance to deaf-blind persons; and an affiliate network of
agencies. The center serves approximately 120 persons with
deaf-blindness at its headquarters facility and provides field
services to approximately 2,000 individuals and families and
1,000 organizations.
National Institute on Disability and Rehabilitation Research
The Committee recommends $111,919,000, the same as the
budget request, for the National Institute on Disability and
Rehabilitation Research [NIDRR]. The comparable fiscal year
2010 funding level is $109,241,000.
NIDRR develops and implements a comprehensive and
coordinated approach to the conduct of research, demonstration
projects, and related activities that enable persons with
disabilities to better function at work and in the community,
including the training of persons who provide rehabilitation
services or conduct rehabilitation research. The Institute
awards competitive grants to support research in federally
designated priority areas, including rehabilitation research
and training centers, rehabilitation engineering research
centers, research and demonstration projects, and dissemination
and utilization projects. NIDRR also supports field-initiated
research projects, research training, and fellowships.
The Committee strongly supports the mission of NIDRR, which
includes research in the interrelated domains of health and
function, employment, and participation and community living.
NIDRR's resources should focus on each of these statutory
research priorities to ensure the advancement of economic and
social self-sufficiency and full community inclusion and
participation. Future Rehabilitation Research Training Centers'
priorities should advance knowledge of effective strategies to
reduce the impact of poverty, promote affordable housing and
independent living with improved access to long-term supports,
and facilitate greater individual choice and control of
individualized plans under the Rehabilitation and Social
Security Laws.
The Committee believes the Interagency Committee on
Disability Research, currently led by NIDRR, needs to more
effectively carry out its mission, including coordinating
research and assessing research gaps as well as meeting
required reporting requirements in a timely manner. Therefore,
the Committee urges the administration, through the Interagency
Committee on Disability Research [ICDR], to facilitate the
development and implementation of a comprehensive Government-
wide long-term strategic plan for disability and rehabilitation
research by the spring of 2011. The strategic plan should
reflect the active involvement of disability senior policy
advisors, program directors and other staff from NIDRR and the
Department of Health and Human Services, in partnership with
stakeholders conducting disability and rehabilitation research.
The plan should be submitted to the Committee by April 1, 2011.
The Committee further requests that the annual report prepared
by ICDR should include an accounting of the progress made in
implementing the long-term strategic plan.
The Committee notes that the Americans with Disabilities
Act Amendments Act of 2008 and related regulations will require
sustained training and technical resources from the disability
and business technical assistance center program. The Committee
believes the additional funds it provides will help meet the
information and training needs related to the legislation.
Assistive Technology
The Committee recommends $30,960,000 for assistive
technology. This amount is the same as the comparable fiscal
year 2010 funding level and the budget request.
The Assistive Technology program is designed to improve
occupational and educational opportunities and the quality of
life for people of all ages with disabilities through increased
access to assistive technology services and devices. The
program supports various activities that help States develop
comprehensive, consumer-responsive statewide programs that
increase access to, and the availability of, assistive
technology devices and services.
The Committee recommendation includes $25,660,000 for State
grant activities authorized under section 4 the Rehabilitation
Act of 1973, $4,300,000 for protection and advocacy systems
authorized by section 5, and $1,000,000 for technical
assistance activities authorized under section 6.
Special Institutions for Persons With Disabilities
AMERICAN PRINTING HOUSE FOR THE BLIND
Appropriations, 2010.................................... $24,600,000
Budget estimate, 2011................................... 24,600,000
Committee recommendation................................ 24,600,000
The Committee recommends $24,600,000 to help support the
American Printing House for the Blind [APH]. This amount is the
same as the comparable fiscal year 2010 funding level and the
budget request.
The APH provides educational materials to students who are
legally blind and enrolled in programs below the college level.
The Federal subsidy provides approximately 70 percent of APH's
total sales income. Materials are distributed free of charge to
schools and States through per capita allotments based on the
total number of students who are blind. Materials provided
include textbooks and other educational aids in braille, large
type, and recorded form and computer applications. Appropriated
funds may be used for staff salaries and expenses, as well as
equipment purchases and other acquisitions consistent with the
purpose of the Act to Promote the Education of the Blind.
In addition to its ongoing activities, the Individuals with
Disabilities Education Improvement Act assigned to the APH the
responsibility of establishing and maintaining a National
Instructional Materials Access Center.
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF
Appropriations, 2010.................................... $68,437,000
Budget estimate, 2011................................... 64,677,000
Committee recommendation................................ 64,677,000
The Committee recommends $64,677,000, the same as the
budget request, for the National Technical Institute for the
Deaf [NTID]. The comparable fiscal year 2010 funding level is
$68,437,000. Within the Committee recommendation, $1,640,000 is
available for improvements to the campus infrastructure of the
NTID.
The Institute, located on the campus of the Rochester
Institute of Technology in Rochester, New York, was created by
Congress in 1965 to provide a residential facility for
postsecondary technical training and education for persons who
are deaf. The NTID also provides support services for students
who are deaf, trains professionals in the field of deafness,
and conducts applied research. At the discretion of the
Institute, funds may be used for the Endowment Grant program.
GALLAUDET UNIVERSITY
Appropriations, 2010.................................... $123,000,000
Budget estimate, 2011................................... 118,000,000
Committee recommendation................................ 128,000,000
The Committee recommends $128,000,000 for Gallaudet
University. The comparable fiscal year 2010 funding level is
$123,000,000 and the budget request includes $118,000,000 for
the university.
Gallaudet University is a private, nonprofit institution
offering undergraduate and continuing education programs for
students who are deaf, as well as graduate programs in fields
related to deafness for students who are hearing and deaf. The
university conducts basic and applied research related to
hearing impairments and provides public service programs for
the deaf community.
The Model Secondary School for the Deaf serves as a
laboratory for educational experimentation and development,
disseminates curricula, materials, and models of instruction
for students who are deaf, and prepares adolescents who are
deaf for postsecondary academic or vocational education or the
workplace. The Kendall Demonstration Elementary School develops
and provides instruction for children from infancy through age
15.
The Committee bill includes $10,000,000 for construction-
related activities at Gallaudet University. The administration
did not request funds for this purpose.
Career, Technical, and Adult Education
Appropriations, 2010.................................... $2,016,447,000
Budget estimate, 2011................................... 1,942,707,000
Committee recommendation................................ 1,942,541,000
The Committee recommends a total of $1,942,541,000 for
career, technical, and adult education. The comparable funding
level in fiscal year 2010 is $2,016,447,000 and the budget
request provides $1,942,707,000 for this program. The
recommendation consists of $1,271,694,000 for career and
technical education, $653,661,000 for adult education and
$17,186,000 for other activities.
Career and Technical Education
The Committee recommends $1,271,694,000, the same as the
comparable fiscal year 2010 level, for career and technical
education. The fiscal year 2011 request provides
$1,271,860,000.
State Grants.--The Committee recommends $1,160,911,000, the
same as the comparable fiscal year 2010 level, for Career and
Technical Education [CTE] State grants. The fiscal year 2011
request level is $1,264,000,000 and includes a consolidation of
funding for the Tech Prep State Grants program into CTE State
Grants. The Committee recommendation is based on current law.
Funds provided under the State grant program assist States,
localities, and outlying areas expand and improve their
programs of career and technical education and provide equal
access to career and technical education for populations with
special needs. Persons assisted range from secondary students
in prevocational courses through adults who need retraining to
adapt to changing technological and labor market conditions.
Funds are distributed according to a formula based on State
population and State per capita income, with special provisions
for small States and a fiscal year 1998 base guarantee.
Under the Indian and Hawaiian Natives programs, competitive
grants are awarded to federally recognized Indian tribes or
tribal organizations and to organizations primarily serving and
representing Hawaiian Natives for services that are additional
to services received by these groups under other provisions of
the Perkins Act.
Of the funds available for this program, $369,911,000 will
become available on July 1, 2011, and $791,000,000 will become
available on October 1, 2011. These funds will remain available
for obligation until September 30, 2012.
Tech-prep Education State Grants.--The Committee recommends
$102,923,000, the same as the comparable fiscal year 2010
level, for this program. The fiscal year 2011 request
consolidates funding for this program into CTE State Grants.
This program is designed to link academic and career and
technical education and to provide a structural link between
secondary schools and postsecondary education institutions.
Funds are distributed to the States through the same formula as
the State grant program. States then make planning and
demonstration grants to consortia of local educational agencies
and postsecondary institutions to develop and operate model 4-
year programs that begin in high school and provide students
with the mathematical, science, communication, and
technological skills needed to earn a 2-year associate degree
or 2-year certificate in a given occupational field.
National Programs.--The Committee recommends $7,860,000 for
national research programs and other national activities. This
is the same amount as the comparable fiscal year 2010 funding
level and the budget request.
Funds will be used to support the national research center
on career and technical education, as well as activities
designed to improve the quality of performance data States
collect and report to the Department.
Adult Education
The Committee recommends $653,661,000, the same as the
request, for adult education. The comparable fiscal year 2010
funding level is $639,567,000.
Adult Education State Programs.--For adult education State
programs, the Committee recommends $612,315,000, the same as
the requested level. The comparable fiscal year 2010 funding
level is $628,221,000. These funds are used by States for
programs to enable adults to acquire basic literacy skills, to
enable those who so desire to complete a secondary education,
and to make available to adults the means to become more
employable, productive, and responsible citizens.
The fiscal year 2010 appropriation for this program
included $45,906,000 to distribute to States that did not
receive their full allocations in fiscal years 2003 through
2008 due to an administrative error. Not counting that amount,
the Committee recommendation is $30,000,000 above the base
fiscal year 2010 level.
The Committee recommendation continues the English literacy
and civics education State grants set-aside within the adult
education State grants appropriation. Within the total,
$75,000,000 is available to help States or localities affected
significantly by immigration and large limited-English
populations to implement programs that help immigrants acquire
English literacy skills, gain knowledge about the rights and
responsibilities of citizenship, and develop skills that will
enable them to navigate key institutions of American life. This
set-aside was proposed in the budget request.
National Leadership Activities.--The Committee recommends
$41,346,000, the same amount as the budget request, for
national leadership activities. The comparable funding level
for fiscal year 2010 is $11,346,000.
As requested by the administration, the Committee
recommends designating a portion of the appropriations for
adult education to create a workforce innovation fund to make
competitive awards for workforce innovation activities under
the program's national leadership activities authority. These
activities are intended to test innovative strategies or
replicate proven practices including strategies or practices
that support systemic reform of the workforce investment system
to substantially improve education and employment outcomes for
participants. The Committee recommendation includes bill
language designating $30,000,000, the same as the request
level, for this new fund.
To support alignment at the Federal level, the Committee
expects the Secretary to make such awards in cooperation with
the Secretary of Labor. Priority should be given to applicants
that demonstrate significant alignment across education,
workforce development, and supportive services at the State,
regional, or local level, and that support economic development
goals and improved education and employment outcomes for
participants. Awards should also prioritize applicants that
demonstrate comprehensive strategic planning and coordination
at the State, regional, or local level. The Committee directs
that the Department provide a briefing to the Committee not
less than 30 days prior to the release of a solicitation of
grant applications for this program.
Under national leadership activities, the Department
supports applied research, development, dissemination,
evaluation, and program improvement activities to assist States
in their efforts to improve the quality of adult education
programs. The Committee strongly encourages the Department to
identify and disseminate successful strategies and best
practices that will assist community-based organizations that
utilize adult literacy volunteers to support the Department's
career pathways initiatives. This further encourages the
Department to implement strategies to increase participation by
community-based organizations that utilize trained volunteers
in State and national training and technical assistance
programs. The Committee requests a report on the success of
those strategies by April 1, 2012.
Smaller Learning Communities
The Committee concurs in the budget request to eliminate
funding for this program. The administration proposed
consolidating Smaller Learning Communities and four other
programs into a new Expanding Educational Options program as
part of its plan to reauthorize the ESEA. The comparable fiscal
year 2010 level is $88,000,000.
This program supports planning and implementation grants
for redesigning large high schools into smaller learning
communities. The Committee recognizes the need to invest in and
reform secondary schools, particularly the lowest-performing
high schools in the Nation. That's why the Committee bill
includes a doubling, to $100,000,000, of the funding for the
high school graduation initiative and requires that 40 percent
of the $625,000,000 available for school improvement grants be
used to help turn around low-performing high schools and their
feeder middle schools.
State Grants for Workplace and Community Transition Training for
Incarcerated Individuals
The Committee recommends $17,186,000 for education and
training for incarcerated individuals. This amount is the same
as the comparable fiscal year 2010 amount and the budget
request. This program provides grants to State correctional
education agencies to assist and encourage incarcerated
individuals to acquire functional literacy, life and job skills
through the pursuit of a postsecondary education certificate or
an associate of arts or bachelor's degree. Grants also assist
State correctional education agencies in providing employment
counseling and other related services that start during
incarceration and continue through prerelease and while on
parole. Under current law, each student is eligible for a grant
of not more than $3,000 annually for tuition, books, and
essential materials, and not more than $300 annually for
related services such as career development, substance abuse
counseling, parenting skills training, and health education. In
order to participate in a program, an incarcerated individual
must be no more than 35 years of age and eligible to be
released or paroled from prison within 7 years. An individual
may receive support for a period not to exceed 7 years, of
which 2 years may be devoted to study in remedial or graduate
education.
Student Financial Assistance
Appropriations, 2010.................................... $19,296,809,000
Budget estimate, 2011................................... 19,389,957,000
Committee recommendation................................ 19,453,809,000
The Committee recommends an appropriation of
$19,453,809,000 for programs under the student financial
assistance account. The fiscal year 2010 comparable amount is
$19,296,809,000. The budget request provides $19,389,957,000
for this purpose, but most of these funds were part of the
administration's proposal to make Pell Grants a mandatory
program. Congress, through the Health Care and Education
Reconciliation Act of 2010, continued the mix of discretionary
and mandatory funding that existed prior to the enactment of
that legislation.
Federal Pell Grant Program
For Pell Grant awards in the 2011-2012 academic year, the
Committee recommends $17,652,000,000 to fund the maximum
discretionary Pell Grant award level of $4,860. This is the
same discretionary award level as fiscal year 2010. Additional
mandatory funding provided in the Health Care and Education
Reconciliation Act of 2010 would support a total maximum award
of $5,550, the same level as the current academic year. The
President's budget proposal for a mandatory Pell Grant program
supports a maximum award level of $5,710.
Pell Grants provide need-based financial assistance that
helps low- and middle-income undergraduate students and their
families defray a portion of the costs of postsecondary
education and vocational training. Awards are determined
according to a statutory need analysis formula that takes into
account a student's family income and assets, household size,
and the number of family members, excluding parents, attending
postsecondary institutions. Pell Grants are considered the
foundation of Federal postsecondary student aid.
This fiscal year 2011 appropriation for the Pell Grant
program, combined with resources in other legislation being
considered in Congress, will fully support the discretionary
base resources needed for this important program. Accordingly,
the bill includes language specifying that new budget authority
scored against this act will equal the $17,652,000,000
appropriation provided by the Committee.
Federal Supplemental Educational Opportunity Grants
The Committee recommends $757,465,000 for Federal
supplemental educational opportunity grants [SEOG]. This is the
same amount as the fiscal year 2010 level and the budget
request. This program provides funds to postsecondary
institutions for need-based grants to undergraduate students.
Institutions must contribute 25 percent toward SEOG awards,
which are subject to a maximum grant level of $4,000. School
financial aid officers have flexibility to determine student
awards, though they must give priority to Pell Grant recipients
with exceptional need.
Federal Work-study Programs
The Committee bill provides $980,492,000 for the Federal
work-study program. This is the same amount as the comparable
fiscal year 2010 level and the budget request.
This program provides grants to about 3,400 institutions to
help an estimated 770,000 undergraduate, graduate, and
professional students meet the costs of postsecondary education
through part-time employment. Work-study jobs must pay at least
the Federal minimum wage and institutions must provide at least
25 percent of student earnings. Institutions also must use at
least 7 percent of their grants for community service jobs.
The Committee expects the Department to provide the same
funding from the Federal Work-Study Program appropriation in
fiscal year 2011 as in the prior year for the Work Colleges
program authorized under section 448 of the Higher Education
Act.
Federal Perkins Loans
The Federal Perkins loan program supports student loan
revolving funds built up with capital contributions to nearly
1,700 participating institutions. Institutions use these
revolving funds, which also include Federal capital
contributions [FCC], institutional contributions equal to one-
third of the FCC, and student repayments, to provide low-
interest (5 percent) loans that help financially needy students
pay the costs of post-secondary education.
The Committee recommends no funds for the Perkins Loans
program, as is the case in fiscal year 2010. The administration
has proposed to restructure the Perkins Loan program as a
mandatory credit program, with nearly $6,000,000,000 a year in
new loan volum--six times the current Perkins volume. Congress
has not acted on that proposal.
Leveraging Educational Assistance Partnership Program [LEAP]
For the LEAP program, the Committee recommends $63,852,000,
the same amount as the comparable fiscal year 2010 level. The
administration proposes eliminating this program. The LEAP
program provides a Federal match to States as an incentive for
providing need-based grant and work-study assistance to
eligible postsecondary students.
Student Aid Administration
Appropriations, 2010.................................... $870,402,000
Budget estimate, 2011................................... 1,170,231,000
Committee recommendation................................ 1,048,078,000
The Committee recommends $1,048,078,000 for the Student Aid
Administration account. The comparable fiscal year 2010 level
is $870,402,000. The budget request includes $1,170,231,000.
These funds are available until expended.
Funds appropriated for the Student Aid Administration
account will support the Department's student aid management
expenses. The Office of Federal Student Aid and Office of
Postsecondary Education have primary responsibility for
administering Federal student financial assistance programs.
The Health Care and Education Reconciliation Act of 2010
terminates the authority under the Higher Education Act of 1965
to make loans under the Federal Family Education Loan Program
as of June 2010. Beginning July 1, 2010, 100 percent of student
loans will be made through the William D. Ford Direct Loan [DL]
Program. DL program loans will be serviced by private for-
profit and not-for-profit servicers under contract with the
Department.
The Committee recommendation includes $661,852,000 for
administrative costs and $386,226,000 for loan servicing
activities. The Committee recommendation for these two
activities represents a $177,676,000 increase over the fiscal
year 2010 level. The Committee recommendation reflects the
increased application, origination, and servicing costs
associated with the legislative changes. These increases are
necessary to manage the higher loan volume, ensure the
operational integrity of Federal Student Aid systems and
provide high-quality service to student and parent borrowers.
The budget request provides $673,404,000 for administrative
costs and $496,827,000 for servicing. The Committee is able to
recommend a lower level of funding than the request due in part
to funds made available through the Student Aid and Fiscal
Responsibility Act for administrative costs of servicing
contracts with not-for-profit loan servicers.
Higher Education
Appropriations, 2010.................................... $2,255,665,000
Budget estimate, 2011................................... 2,094,825,000
Committee recommendation................................ 2,243,895,000
The Committee recommends an appropriation of $2,243,895,000
for higher education programs. The fiscal year 2010 level is
$2,255,665,000 and the fiscal year 2011 requested level is
$2,094,825,000 for programs in this account.
Aid for Institutional Development
The Committee recommends $616,336,000 for Aid for
Institutional Development. The comparable fiscal year 2010
level is $603,194,000 and the fiscal year 2011 requested level
is $632,827,000.
Strengthening Institutions.--The Committee bill recommends
$88,200,000, the same as the budget request, for this program.
The comparable fiscal year 2010 funding level is $84,000,000.
The part A program supports competitive, 1-year planning and 5-
year development grants for institutions with a significant
percentage of financially needy students and low educational
and general expenditures per student in comparison with similar
institutions. Applicants may use part A funds to develop
faculty, strengthen academic programs, improve institutional
management, and expand student services. Institutions awarded
funding under this program are not eligible to receive grants
under other sections of parts A or B.
Hispanic-serving Institutions.--The Committee recommends
$123,300,000, the same as the request level, for competitive
grants to institutions at which Hispanic students make up at
least 25 percent of enrollment. The comparable fiscal year 2010
funding level is $117,429,000. Institutions applying for title
V funds must meet the regular part A requirements. Funds may be
used for acquisition, rental or lease of scientific or
laboratory equipment, renovation of instructional facilities,
development of faculty, support for academic programs,
institutional management, and purchase of educational
materials. Title V recipients are not eligible for other awards
provided under title III, parts A and B.
Strengthening Historically Black Colleges and Universities
[HBCUs].--The Committee recommends $266,586,000, the same as
the comparable fiscal year 2010 level, for the part B
strengthening HBCUs program. The budget request is $279,915,000
for part B grants. The program makes formula grants to HBCUs
that may be used to purchase equipment, construct and renovate
facilities, develop faculty, support academic programs,
strengthen institutional management, enhance fundraising
activities, provide tutoring and counseling services to
students, and conduct outreach to elementary and secondary
school students. The minimum allotment is $500,000 for each
eligible institution. Part B recipients are not eligible for
awards under part A. In addition to the Committee-recommended
level, this program received $85,000,000 of mandatory funding
in each fiscal year from 2010 to 2019 through the Student Aid
and Fiscal Responsibility Act [SAFRA].
Strengthening Historically Black Graduate Institutions
[HBGIs].--The Committee recommends $64,496,000, the same as the
requested level, for the part B, section 326 program. The
section 326 program provides 5-year grants to strengthen HBGIs.
Grants may be used for any part B purpose and to establish an
endowment. The comparable fiscal year 2010 funding level is
$61,425,000.
Strengthening Predominately Black Institutions [PBIs].--The
Committee recommends $10,801,000, the same as the comparable
fiscal year 2010 level, for this part A program. The fiscal
year 2011 budget request is $11,341,000. This section 318
program provides 5-year grants to PBIs to plan and implement
programs to enhance the institutions' capacity to serve more
low- and middle-income Black American students. Funding is
allocated among PBIs based on the number of Pell Grant
recipients enrolled, the number of graduates, and the
percentage of graduate who are attending a baccalaureate
degree-granting institution or a graduate or professional
school in degree programs in which Black American students are
underrepresented. In addition to the Committee-recommended
level, this program received $15,000,000 of mandatory funding
in each fiscal year from 2010 to 2019 through the SAFRA Act.
Strengthening Asian American and Native American Pacific
Islander-serving Institutions [AANAPISIs].--The Committee
recommends $3,600,000, the same as the comparable fiscal year
2010 level, for this part A program. The budget request level
is $3,780,000. This section 320 program provides competitive
grants to AANAPISIs that have an enrollment of undergraduate
students that is at least 10 percent Asian American or Native
American Pacific Islander students. Grants may be used to
improve their capacity to serve Asian American and Native
American Pacific Islander students and low-income individuals.
In addition to the Committee recommended level, this program
received $5,000,000 of mandatory funding in each fiscal year
from 2010 to 2019 through the SAFRA Act.
Strengthening Alaska Native and Native Hawaiian-serving
Institutions.--The Committee recommends $15,084,000, the same
as the comparable fiscal year 2010 level, for this program. The
budget request level is $15,838,000. In addition to the
Committee-recommended level, this program received $15,000,000
of mandatory funding in each fiscal year from 2010 to 2019
through SAFRA.
The purpose of this program is to improve and expand the
capacity of institutions serving Alaska Native and Native
Hawaiian students and low-income individuals. Funds may be used
to plan, develop, and implement activities that encourage:
faculty and curriculum development; better fund administrative
management; renovation and improvement of educational
facilities; enhanced student services; and the purchase of
library and other educational materials.
Strengthening Native American Nontribal-serving
Institutions.--The Committee recommends $3,600,000, the same as
the comparable fiscal year 2010 level, for this program. The
fiscal year 2011 budget request is $3,780,000. In addition to
the Committee-recommended level, this program received
$5,000,000 of mandatory funding in each fiscal year from 2010
to 2019 through SAFRA.
Strengthening Tribally Controlled Colleges and
Universities.--The Committee recommends $30,169,000, the same
as the comparable fiscal year 2010 level, for this program. The
fiscal year 2011 budget request is $31,677,000. Tribal colleges
and universities rely on a portion of the funds provided to
address developmental needs, including faculty development,
curriculum, and student services. In addition to the Committee-
recommended level, this program received $30,000,000 of
mandatory funding in each fiscal year from 2010 to 2019 through
SAFRA.
Funds provided for this program are to be used to support
the formula distribution of development grants. However, the
Committee expects that up to 30 percent of appropriated funds,
as authorized in section 316 of the Higher Education Act [HEA],
shall be available for competitive grants for renovation and
construction of facilities to continue to address urgently
needed facilities repair and expansion. The Committee requests
that a report on the competitive process be provided in the
fiscal year 2012 congressional budget justification.
International Education and Foreign Language Studies
The bill includes a total of $127,881,000 for international
education and foreign language programs. The comparable fiscal
year 2010 funding level and the budget request are $125,881,000
for this program.
The Committee bill includes language allowing funds to be
used to support visits and study in foreign countries by
individuals who plan to utilize their language skills in world
areas vital to the U.S. national security in the fields of
government, international development, and the professions.
Bill language also allows up to 1 percent of the funds provided
to be used for program evaluation, national outreach, and
information dissemination activities. This language is
continued from last year's bill and was proposed in the budget
request.
Domestic Programs.--The Committee recommends $110,360,000
for domestic program activities related to international
education and foreign language studies, including international
business education, under title VI of the HEA. This amount is
the same as the fiscal year 2010 level and the request.
Domestic programs include national resource centers,
undergraduate international studies and foreign language
programs, international research and studies projects,
international business education projects and centers, American
overseas research centers, language resource centers, foreign
language and area studies fellowships, and technological
innovation and cooperation for foreign information access.
The Committee funding level includes $2,000,000 to be made
available under section 604(b) of the HEA to expand access to
study abroad, with the goals of increasing study abroad
opportunities among underserved student populations and
expanding study abroad to nontraditional destinations,
particularly in developing countries. Awards under this new
program will be made available on a competitive basis to
institutions of higher education individually or as part of a
consortium and consistent with the recommendations of the
Commission on the Abraham Lincoln Study Abroad Fellowship
Program.
Overseas Programs.--The bill includes $15,576,000 for
overseas programs authorized under the Mutual Educational and
Cultural Exchange Act of 1961, popularly known as the
Fulbright-Hays Act. The comparable fiscal year 2010 funding
level and budget request are $15,576,000. Under these overseas
programs, grants are provided for group, faculty, or doctoral
dissertation research abroad as well as special bilateral
projects. Unlike other programs authorized by the Fulbright-
Hays Act and administered by the Department of State, these
Department of Education programs focus on training American
instructors and students in order to improve foreign language
and area studies education in the United States.
Institute for International Public Policy.--The Committee
provides $1,945,000 for the Institute for International Public
Policy. This amount is the same as the comparable fiscal year
2010 funding level and the budget request. This program is
designed to increase the number of minority individuals in
foreign service and related careers by providing a grant to a
consortium of institutions for undergraduate and graduate level
foreign language and international studies. An institutional
match of 50 percent is required.
Fund for the Improvement of Postsecondary Education
The Committee recommends $105,597,000 for the Fund for the
Improvement of Postsecondary Education [FIPSE]. The comparable
fiscal year 2010 funding level is $159,403,000 and the budget
request is $64,036,000. FIPSE stimulates improvements in
education beyond high school by supporting exemplary, locally
developed projects that have potential for addressing problems
and recommending improvements in postsecondary education.
Within the funds provided, the Committee has included
sufficient funds to create a consortium of institutions of
higher learning that offer interdisciplinary programs that
focus on poverty. This activity was authorized in the recent
reauthorization of the HEA.
Erma Byrd Scholarships.--The Committee recommendation does
not include fiscal year 2011 funds for this program, as
sufficient carryover funds exist to make continuation awards
and new grants in fiscal year 2011.
The Committee does not include funding for the College
Textbook Rental Pilot Initiative, funded at $10,000,000 in
fiscal year 2010, or for the Centers of Excellence for Veteran
Student Success, funded at $6,000,000 in fiscal year 2010.
Training for Realtime Writers.--Within the total for FIPSE,
the Committee recommendation includes $1,000,000 for the
Training for Realtime Writers program authorized by section 872
of the Higher Education Act. The budget request did not provide
funding for this program. This program provides grants to
institutions of higher education to establish programs to train
realtime writers. Eligible activities include curriculum
development, student recruitment, distance learning, mentoring,
and scholarships. The program places a priority on encouraging
individuals with disabilities to pursue careers in realtime
writing. More than 30 million Americans are considered deaf or
hard of hearing, and many require captioning services to
participate in mainstream activities and gain access to
emergency broadcasts. Federal law requires that all television
broadcasts be closed captioned, yet the Committee has been
informed that a shortage of trained captioners is creating a
barrier to full-quality captioning of realtime television
programming such as news, weather and emergency messaging.
Off-campus Community Service Program.--Within the total for
FIPSE, the Committee recommendation includes $750,000, the same
amount as the fiscal year 2010 level, for the off-campus
community service program authorized under section 447 of the
Higher Education Act. The budget request does not include funds
for this purpose.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Alcorn State University, Alcorn State, MS, for $250,000
curriculum development and the purchase of equipment
related to graduate technical programs.................
Arkansas Baptist College, Little Rock, AR, for the 150,000
Center for Entrepreneurship............................
Armstrong Atlantic State University Cyber Security 200,000
Research Foundation, Savannah, GA, for the Cyber
Intelligence and Counter Terrorism Program, including
the purchase of equipment..............................
Baylor University, Waco, TX, for technology upgrades at 200,000
the Baylor Research and Innovation Collaborative,
including the purchase of equipment....................
Black Hills State University, Spearfish, SD, for 450,000
equipment to enhance education programs................
California Community Colleges Chancellor's Office, 500,000
Sacramento, CA, to expand a program providing academic
support to veterans....................................
California State University, Bakersfield, Bakersfield, 150,000
CA, for support of the nursing program.................
California State University, Long Beach, CA, for staff 350,000
resources for the Metro Academies Initiative...........
California State University, Sacramento, Sacramento, CA, 150,000
for the Veterans Education Transitional Supports
program................................................
Castleton State College, Castleton, VT, to expand the 300,000
Principal Training and School Leadership Program.......
Cazenovia College, Cazenovia, NY, for curriculum 200,000
development and job training...........................
Central Maine Community College, Auburn, ME, for job 285,000
training programs for healthcare providers.............
Central Washington University, Ellensburg, WA, to launch 1,000,000
the state's first bachelor's degree program in clean
energy.................................................
Cincinnati State Technical and Community College, 150,000
Cincinnati, OH, for GED and transition to college
programs and job placement.............................
Coe College, Cedar Rapids, IA, for the Digital Media 300,000
Technology Project.....................................
College of Idaho, Caldwell, ID, for technology upgrades 100,000
and the purchase of equipment..........................
College of Southern Nevada, Las Vegas, NV, for the 400,000
expansion of online courses............................
College Success Foundation, Washington, DC, for 500,000
mentoring and scholarships.............................
Commonwealth Medical College, Scranton, PA, for the 250,000
Community Quality Initiative curriculum development
program................................................
Community College of Allegheny County, Pittsburgh, PA, 100,000
to support basic education and GED programs............
Community College of Rhode Island, Warwick, RI, for the 500,000
development of a biotech program, including equipment..
Connecticut State University System, Hartford, CT, to 500,000
expand Latin American and Caribbean studies............
Dakota Wesleyan University, Mitchell, SD, for health 150,000
care training programs.................................
Deaf West, North Hollywood, CA, for educational 250,000
programming............................................
Delaware Technical and Community College, Dover, DE, for 150,000
distance learning technology...........................
Delta College, University Center, MI, for chemical 250,000
process and lithium battery Lab Equipment..............
Dickinson State University, Dickinson, ND, for its 300,000
Theodore Roosevelt Center..............................
Drake University Law School, Des Moines, IA, to create 300,000
the Drake Institute for Legislation and Agriculture
Policy.................................................
Eastern Washington University, Spokane, WA, to educate, 300,000
conduct research, and disseminate vital information on
regional water issues..................................
Edward M. Kennedy Institute for the United States 500,000
Senate, Boston, MA, for educational program
development, including an endowment....................
Fort Lewis College, Durango, CO, to develop and 250,000
administer the Tribal Nation Building program to
provide internships and social service programs........
Francis Marion University, Florence, SC, for early 150,000
childhood education initiatives........................
Future Generations, Franklin, WV, to develop a higher 1,000,000
education degree in the field of substance abuse
prevention.............................................
Grambling State University, Grambling, LA, for the 100,000
Project Lifelines program for vocational or higher
education training.....................................
Grand Rapids Community College, Grand Rapids, MI, for 100,000
the purchase of equipment and development of education
programs in alternative/renewable energy...............
Hawaii Community College, Hilo, HI, to promote Native 400,000
Hawaiian and other secondary education pro- grams.....
Hazard Community and Technical College, Hazard, KY, for 100,000
science technology engineering and math education
programs...............................................
Huntingdon College, Montgomery, AL, for purchase of 100,000
equipment and technology upgrades to support distance
learning initiatives...................................
Illinois State University--Normal, Normal, IL, for 400,000
minority student recruitment and retention.............
Imperial Valley Community College District, Imperial, 200,000
CA, for an English Language Immersion program..........
Iowa Valley Community College District, Iowa Falls, IA, 300,000
for a training program in agricultural and renewable
energy technology, including the purchase of equipment.
Jackson Community College/Bay de Noc College/Lake 100,000
Michigan College, Jackson, MI, to develop and implement
assessment tools and curriculum to serve low skilled
adults.................................................
Jackson State University, Jackson, MS, for teacher 500,000
training to improve literacy and mathematics instruc-
tion...................................................
Johnson State College, Johnson, VT, to expand the 200,000
teacher preparation program............................
Junior College District of Newton and McDonald Counties, 500,000
Missouri, Neosho, MO, for the purchase of equipment to
support allied health education........................
Junior College District of Sedalia, Missouri, Sedalia, 500,000
MO, for curriculum development and the purchase of
equipment related to advanced energy systems...........
Kauai Community College, Lihue, HI, for planning and 200,000
implementation of a 4-year degree program..............
Keene State College, Keene, NH, for curriculum 150,000
development and educational equipment for the Monadnock
Biodiesel Collaborative................................
Lake Area Technical Institute, Watertown, SD, for 200,000
educational equipment related to first responder train-
ing...................................................
Lake Erie College of Osteopathic Medicine, Erie, PA, to 100,000
training dental students in patient centered care......
Leeward Community College, Pearl City, HI, to provide 400,000
college preparatory education for Filipino students....
Macomb Community College, Warren, MI, to develop 250,000
assessment and curriculum materials to make displaced
workers college ready..................................
Manhattan Area Technical College, Manhattan, KS, for 450,000
curriculum development and technology upgrades,
including the purchase of equipment....................
Maryland Association of Community Colleges, Annapolis, 1,250,000
MD, for the purchase of equipment to develop science
and engineering labs...................................
Medaille College, Buffalo, NY, for equipment related to 150,000
science education......................................
Methodist University, Fayetteville, NC, for curriculum 150,000
development and education equipment related to first
responder training.....................................
Middle Tennessee State University, Murfreesboro, TN, for 1,500,000
science technology engineering and math education,
including the purchase of equipment....................
Midway College, Inc., Midway, KY, for education 100,000
equipment related to nursing and health sciences.......
Minot State University, Minot, ND, for salaries and 450,000
operating expense for the Center for Community Research
and Service............................................
Mississippi State University, Mississippi State, MS, for 100,000
technology upgrades and the purchase of equipment to
support the Delta Council Papers Project...............
Mott Community College, Flint, MI, for the purchase of 250,000
renewable energy equipment and curriculum development
for the Institute for Renewable and Sustainable Energy.
Nevada State College, Henderson, NV, for curriculum 200,000
development and for the purchase of technology.........
New College Institute, Martinsville, VA, for curriculum 100,000
development for the development of bachelor's degree
programs in Renewable Energy, Advanced Manufacturing,
Technology Integration, and Entrepreneurship...........
New Hampshire Institute of Politics at Saint Anselm 2,650,000
College, Manchester, NH, for education programs,
technology upgrades and purchase of equipment..........
New School - Institute for Urban Education, New York, 725,000
NY, for an educational mentoring and outreach program
for low-income, at-risk students.......................
Niagara County Community College, Sanborn, NY, for 100,000
educational equipment..................................
North Arkansas College, Harrison, AR, for the purchase 100,000
of equipment and IT upgrades...........................
North Iowa Area Community College, Mason City, IA, to 200,000
make state-of-the-art training, technology, and
equipment available for health professionals...........
Northeast Community College, Norfolk, NE, for the 500,000
purchase of equipment for a renewable energy pro- gram
Northeast Iowa Community College, Calmar, IA, For Dairy 300,000
Science Technology program.............................
Northeastern State University, Tahlequah, OK, for 100,000
professional development, including the purchase of
equipment..............................................
Northern Illinois University, DeKalb, IL, to create a 200,000
pilot study abroad program.............................
Northern Kentucky University, Highland Heights, KY, for 2,000,000
the purchase of equipment and technology...............
Northern Maine Community College, Presque Isle, ME, for 200,000
equipment related to wind power technology programs....
Northwest Arkansas Community College, Bentonville, AR, 300,000
for the purchase of distance learning equip- ment.....
Northwest Indian College, Bellingham, WA, to expand 150,000
financial literacy education opportunities.............
Ohio Dominican University, Columbus, OH, for science 150,000
programs, including the purchase of equipment..........
Oklahoma State University, Stillwater, OK, to develop a 100,000
veteran entrepreneurial training program...............
Orange County Community College, Middletown, NY, for 500,000
support of the Science, Engineering & Technology
Center, which may include equipment and wiring.........
Pennsylvania Commission for Community Colleges, 100,000
Harrisburg, PA, to design, create, and implement open-
source educational materials...........................
Pittsburg State University, Pittsburg, KS, to expand 400,000
education programs.....................................
Providence College, Providence, RI, for technology 300,000
improvements related to education......................
Redlands Community College, El Reno, OK, for nursing 100,000
education and training including the purchase of
equipment..............................................
Richland Community College, Decatur, IL, for the 150,000
purchase of modern human patient simulators............
Roger Williams University, Bristol, RI, for college 400,000
access and school-to-work programs.....................
Saint Joseph College, West Hartford, CT, for personnel, 500,000
equipment and technology at the new Institute for
Autism and Behavioral Studies..........................
Saint Michael's College, Colchester, VT, for curriculum 250,000
development and academic programming at the Center for
Intercultural and Global Learning......................
San Juan College, Farmington, NM, for the creation of 150,000
online and certificate programs to expand the Renewable
Energy Program.........................................
Security on Campus, Inc., King of Prussia, PA, to 100,000
support peer education programs........................
Simpson College, Indianola, IA, for the John C. Culver 400,000
Public Policy Center...................................
South Arkansas Community College, El Dorado, AR, for the 200,000
purchase of equipment for the Process Technology
Operator Program.......................................
Southern Maine Community College, South Portland, ME, to 625,000
development a heavy equipment and transportation
program, including the purchase of equipment...........
SUNY Upstate Medical University, Syracuse, NY, for 200,000
curriculum development.................................
Texas State Technical College, Georgetown, TX, for the 110,000
purchase of equipment and technology...................
Texas Wesleyan University, Ft. Worth, TX, to develop a 110,000
distance education initiative, including the purchase
of equipment...........................................
Three Rivers Community College, Poplar Bluff, MO, for 250,000
the purchase of equipment..............................
Towson University, Towson, MD, for equipment and program 150,000
development for the Center for Adults with Autism......
Trident Technical College, North Charleston, SC, for 100,000
curriculum development and education equipment for an
aeronautical training program..........................
Truckee Meadows Community College, Reno, NV, to support 200,000
the Success First program..............................
Turtle Mountain Community College, Belcourt, ND, for 200,000
education technology equipment.........................
University of Arizona, Tucson, AZ, for the Integrative 600,000
Medicine in Residency program..........................
University of Cincinnati, Cincinnati, OH, for the 350,000
Diversity and Access Initiative........................
University of Colorado at Colorado Springs, Colorado 100,000
Springs, CO, for the Southern Colorado Higher Education
Consortium Veterans Educational Assistance Program.....
University of Connecticut School of Law, Hartford, CT, 250,000
for a Human Rights and International Law fellowship
program................................................
University of Hawaii School of Law, Honolulu, HI, for 350,000
the health policy center...............................
University of Iowa, Iowa City, IA, for the National 275,000
Institute for Twice-Exceptionality.....................
University of Maine at Fort Kent, Fort Kent, ME, for 600,000
curriculum development for nursing education programs..
University of Mississippi, University, MS, to support 250,000
interdisciplinary research and education related to
public policy and economic education...................
University of Northern Colorado, Greeley, CO, for The 100,000
Education Innovation Institute.........................
University of Northern Iowa, Cedar Falls, IA, to support 550,000
the Center for Disability Studies in Literacy, Language
and Learning...........................................
University of South Dakota, Vermillion, SD, to identify 400,000
and address the educational needs of veterans with
disabilities...........................................
University of Southern Maine, Portland, ME, for 500,000
curriculum development, including the purchase of
equipment..............................................
University of Southern Mississippi, Hattiesburg, MS, for 250,000
professional and curriculum development, and distance
learning at the Gulf Coast Campuses....................
University of Vermont, Burlington, VT, to modernize the 475,000
College of Nursing curriculum..........................
University of Wisconsin-Stevens Point, Stevens Point, 400,000
WI, to support non-traditional and veteran students
with disabilities in higher education and career
development............................................
Urban College of Boston, Boston, MA, to support higher 500,000
education program serving low-income and minority
students...............................................
Utah State University, Logan, UT, to develop a land- 106,000
grant education and research network...................
Valley City State University, Valley City, ND, for the 350,000
Great Plains STEM Education Center.....................
Western Nebraska Community College, Scottsbluff, NE, for 500,000
the Western Nebraska Wind Energy Training Center.......
Western Technical College, La Crosse, WI, to establish a 150,000
veteran's center on campus.............................
Westminster College, Salt Lake City, UT, to purchase 150,000
equipment to support nursing and health science
education..............................................
------------------------------------------------------------------------
Model Comprehensive Transition and Postsecondary Programs for Students
with Intellectual Disabilities
The Committee recommendation includes $13,000,000 for the
Comprehensive Transition and Postsecondary Education Model
Demonstration Grants as authorized by section 769 of the Higher
Education Act. The comparable funding level for fiscal year
2010 is $11,000,000, the same as the budget request.
These funds are used to award competitive grants to
postsecondary institutions to establish model programs to help
students with intellectual disabilities transition to and
complete college. The programs will focus on academic
enrichment; socialization; independent living; and integrated
work experiences and career skills that lead to gainful
employment for individuals with intellectual disabilities.
Legal Assistance Loan Repayment Program
The Committee recommends $5,000,000 for the Legal
Assistance Loan Repayment Program, as authorized by section
428L of the Higher Education Act, which authorizes student loan
repayment assistance for civil legal assistance lawyers. This
amount is the same as the comparable fiscal year 2010 funding
level. The budget request proposes to eliminate this program.
The Legal Assistance Loan Repayment Program addresses the
serious problem facing legal services across the country in
recruitment and retention of qualified attorneys who provide
invaluable legal assistance to our Nation's neediest citizens,
including the elderly, persons with disabilities, persons
impacted by natural disaster victims, and victims of domestic
violence.
Minority Science and Engineering Improvement
The Committee recommends $9,503,000 for the Minority
Science and Engineering Improvement program [MSEIP]. This
amount is the same as the comparable fiscal year 2010 funding
level and the budget request. Funds are used to provide
discretionary grants to institutions with minority enrollments
greater than 50 percent to purchase equipment, develop
curricula, and support advanced faculty training. Grants are
intended to improve science and engineering education programs
and increase the number of minority students in the fields of
science, mathematics, and engineering.
Tribally Controlled Postsecondary Career and Technical Institutions
The Committee recommends $8,162,000 for tribally controlled
postsecondary vocational institutions. This amount is the same
as the comparable fiscal year 2010 funding level and the budget
request. This program provides grants for the operation and
improvement of two tribally controlled postsecondary vocational
institutions to ensure continued and expanding opportunities
for Indian students.
Federal TRIO Programs
The Committee recommends $868,089,000 for Federal TRIO
Programs. The comparable fiscal year 2010 funding level and
budget request are $853,089,000.
TRIO programs provide a variety of services to improve
postsecondary education opportunities for low-income
individuals and first-generation college students: Upward Bound
offers disadvantaged high school students academic services to
develop the skills and motivation needed to pursue and complete
a postsecondary education; Student Support Services provides
remedial instruction, counseling, summer programs and grant aid
to disadvantaged college students to help them complete their
postsecondary education; Talent Search identifies and counsels
individuals between ages 11 and 27 regarding opportunities for
completing high school and enrolling in postsecondary
education; Educational Opportunity Centers provide information
and counseling on available financial and academic assistance
to low-income adults who are first-generation college students;
and the Ronald E. McNair Postbaccalaureate Achievement Program
supports research internships, seminars, tutoring, and other
activities to encourage disadvantaged college students to
enroll in doctoral programs.
The Committee recognizes that supportive services aimed at
increasing retention and graduation of low-income students in
college are an important complement to student financial aid,
particularly the Pell Grant program. Many such retention
services are supported by the Federal TRIO Program's Student
Support Services effort. The Committee intends that the funds
provided will maintain the number of Student Support Services
programs.
Gaining Early Awareness and Readiness for Undergraduate Programs [GEAR
UP]
The Committee recommends $323,212,000 for GEAR UP. This
amount is the same as the comparable fiscal year 2010 funding
level and the budget request. Under this program, funds are
used by States and partnerships of colleges, middle and high
schools, and community organizations to assist cohorts or
students in middle and high schools serving a high percentage
of low-income students. Services provided help students prepare
for and pursue a postsecondary education.
Byrd Honors Scholarships
The Committee recommends $42,000,000 for the Byrd Honors
scholarship program. This amount is the same as the comparable
fiscal year 2010 funding level. The budget did not request
funds for this program. The Byrd Honors scholarship program is
designed to promote student excellence and achievement and
recognize exceptionally able students who show promise of
continued excellence. Funds are allocated to State education
agencies based on each State's school-aged population. The
State education agencies select the recipients of the
scholarships in consultation with school administrators,
teachers, counselors, and parents. The funds provided will
support a new cohort of first-year students in 2011, and
continue support for the 2008, 2009, and 2010 cohorts of
students in their fourth, third and second years of study,
respectively.
Javits Fellowships
The Committee recommends $9,687,000 for the Javits
Fellowships program. This amount is the same as the comparable
fiscal year 2010 funding level and the budget request. The
Javits Fellowships program provides fellowships of up to 4
years to students of superior ability who are pursuing doctoral
degrees in the arts, humanities, and social sciences at any
institution of their choice. Each fellowship consists of a
student stipend to cover living costs and an institutional
payment to cover each fellow's tuition and other expenses. The
Committee bill includes language proposed in the budget request
that stipulates that funds provided in the fiscal year 2011
appropriation support fellowships for the 2012-2013 academic
year.
Graduate Assistance in Areas of National Need
The Committee recommends $31,030,000 for graduate
assistance in areas of national need. This amount is the same
as the comparable fiscal year 2010 funding level and the budget
request. This program awards competitive grants to graduate
academic departments and programs for fellowship support in
areas of national need as determined by the Secretary. The
Secretary designated the following areas of national need:
biology, chemistry, computer and information sciences,
engineering, mathematics, physics, and nursing. Recipients must
demonstrate financial need and academic excellence, and be
seeking the highest degree in their fields.
Teacher Quality Partnership Program
The Committee recommends $58,000,000 for the teacher
quality partnership program. The comparable fiscal year 2010
funding level is $43,000,000. The budget request would
eliminate this program and consolidate it into a proposed new
Teacher and Leader Pathways authority as part of the
administration's plan for reauthorizing the ESEA. This program
helps improve the quality of teachers working in high-need
schools and early childhood education programs by creating
model teacher preparation and residency programs.
Child Care Access Means Parents in Schools
The Committee recommends an appropriation of $16,034,000
for the Child Care Access Means Parents in School [CCAMPIS]
program. This amount is the same as the comparable fiscal year
2010 funding level and the budget request. CCAMPIS supports the
efforts of a growing number of nontraditional students who are
struggling to complete their college degrees at the same time
that they take care of their children. Discretionary grants of
up to 4 years are made to institutions of higher education to
support or establish a campus-based childcare program primarily
serving the needs of low-income students enrolled at the
institution.
Demonstration Projects To Ensure Quality Higher Education for Students
With Disabilities
The Committee recommends $6,755,000 for this program. This
amount is the same as the comparable fiscal year 2010 funding
level and the budget request. This program's purpose is to
ensure that students with disabilities receive a high-quality
postsecondary education. Grants are made to support model
demonstration projects that provide technical assistance and
professional development activities for faculty and
administrators in institutions of higher education.
Underground Railroad Program
The Committee concurs in the budget request to eliminate
funding for the Underground Railroad Program as Federal support
for this program was not meant to be permanent. Federal funding
was intended to seed private support by using a public private
partnership to create an endowment. The Federal Government has
been funding this program since fiscal year 1999. The
comparable fiscal year 2010 level is $1,945,000. Grants are
provided to research, display, interpret, and collect artifacts
related to the history of the underground railroad. Educational
organizations receiving funds must demonstrate substantial
private support through a public-private partnership, create an
endowment fund that provides for ongoing operation of the
facility, and establish a network of satellite centers
throughout the United States to share information and teach
people about the significance of the Underground Railroad in
American history.
GPRA/Higher Education Act Program Evaluation
The Committee recommends $609,000 to collect data
associated with the Government Performance and Results Act
[GPRA] and to evaluate programs authorized by the HEA. This
amount is the same as the comparable fiscal year 2010 funding
level and the budget request.
B.J. Stupak Olympic Scholarships
The Committee concurs in the budget request to eliminate
funding for this program as the program is duplicative of
efforts of other Federal, State and local initiatives that
increase college access. The comparable fiscal year 2010 level
is $977,000. The program provides financial assistance to
Olympic-aspiring student athletes.
Thurgood Marshall Legal Educational Opportunity Program
The Committee recommendation includes $3,000,000 for the
Thurgood Marshall Legal Educational Opportunity Program. This
amount is the same as the comparable fiscal year 2010 funding
level and the budget request. Under this program, funds help
low-income, minority, or disadvantaged college students with
the information, preparation, and financial assistance to enter
and complete law school study. The HEA stipulates that the
Secretary make an award to or contract with the Council on
Legal Education Opportunity to carry out authorized activities.
The bill includes language to authorize the competitive
awarding of these grants, as requested by the administration.
BA Degrees in STEM and Critical Foreign Languages
The Committee concurs in the budget request to eliminate
funding for this program. The comparable fiscal year 2010 level
is $1,092,000. Under this program, grants are awarded on a
competitive basis to eligible recipients to implement teacher
education programs that promote effective teaching skills and
lead to a baccalaureate degree in science, technology,
engineering, mathematics, or a critical foreign language with
concurrent teacher certification. This program duplicates the
efforts of other initiatives such as the Department of
Education's Teacher Quality Partnerships grants and the
National Science Foundation's Transforming Undergraduate
Education in STEM.
MA Degrees in STEM and Critical Foreign Languages
The Committee concurs in the budget request to eliminate
funding for this program. The comparable fiscal year 2010 level
is $1,092,000. Under this program grants are awarded, on a
competitive basis, to eligible recipients to develop and
implement part-time master's degree programs in science,
technology, engineering, mathematics, or critical foreign
language education for teachers in order to enhance the
teacher's content knowledge and teaching skill. This program
duplicates the efforts of other initiatives such as the
Department of Education's Teacher Quality Partnerships.
Howard University
Appropriations, 2010.................................... $234,977,000
Budget estimate, 2011................................... 234,977,000
Committee recommendation................................ 234,977,000
The Committee recommends an appropriation of $234,977,000
for Howard University. This is the same amount as the
comparable fiscal year 2010 funding level and the budget
request. Howard University is located in the District of
Columbia and offers undergraduate, graduate, and professional
degrees through 12 schools and colleges. The university also
administers the Howard University Hospital. Federal funds from
this account support approximately 48 percent of the
university's projected educational and general expenditures,
excluding the hospital. The Committee recommends, within the
funds provided, not less than $3,600,000 for the endowment
program.
Howard University Hospital.--Within the funds provided, the
Committee recommends $28,946,000 for the Howard University
Hospital. This is the same amount as the fiscal year 2010
funding level and the budget request. The hospital provides
inpatient and outpatient care, as well as training in the
health professions. It also serves as a major acute and
ambulatory care center for the District of Columbia and
functions as a major teaching facility attached to the
university. The Federal appropriation provides partial funding
for the hospital's operations.
College Housing and Academic Facilities Loans
Appropriations, 2010.................................... $461,000
Budget estimate, 2011................................... 461,000
Committee recommendation................................ 461,000
Federal Administration.--The Committee bill includes
$461,000 for Federal administration of the College Housing and
Academic Facilities Loans [CHAFL] program. This is the same
amount as the comparable fiscal year 2010 level and the budget
request. These funds will be used to reimburse the Department
for expenses incurred in managing the existing CHAFL loan
portfolio during fiscal year 2011. These expenses include
salaries and benefits, travel, printing, contracts (including
contracted loan servicing activities), and other expenses
directly related to the administration of the CHAFL program.
Historically Black College and University Capital Financing Program
Account
Appropriations, 2010.................................... $20,582,000
Budget estimate, 2011................................... 20,582,000
Committee recommendation................................ 20,582,000
The Committee recommends $20,582,000 for the Historically
Black College and University [HBCU] Capital Financing Program.
This is the same amount as the comparable fiscal year 2010
level and the budget request for this activity.
The budget proposes $20,228,000 to pay for the subsidy
costs of up to $279,393,000 in guaranteed loan authority under
this program. The HBCU Capital Financing Program makes capital
available to HBCUs for construction, renovation, and repair of
academic facilities by providing a Federal guarantee for
private sector construction bonds. Construction loans will be
made from the proceeds of the sale of the bonds.
Institute of Education Sciences
Appropriations, 2010.................................... $659,006,000
Budget estimate, 2011................................... 738,756,000
Committee recommendation................................ 722,756,000
The Committee recommends $722,756,000 for the Institute of
Education Sciences [IES]. The comparable fiscal year 2010
funding level is $659,006,000. The budget request includes
$738,756,000 for authorized activities. This account supports
education research, data collection and analysis activities,
and the assessment of student progress.
RESEARCH, DEVELOPMENT, AND DISSEMINATION
The Committee recommends $240,696,000 for education
research, development and national dissemination activities.
The comparable fiscal year 2010 amount is $200,196,000 and the
budget request includes $260,696,000 for these activities.
Funds are available for obligation for 2 fiscal years. These
funds support research, development, and dissemination
activities that are aimed at expanding fundamental knowledge of
education and promoting the use of research and development
findings in the design of efforts to improve education.
The Committee notes that the National Research Council
report ``Preparing Teachers: Building Evidence for Sound
Policy'' released earlier this year found there was much we
still don't know about teacher preparation and its
effectiveness. The report noted that improved understanding of
the relationships between characteristics of teacher
preparation and student learning, and the development of a
comprehensive, coherent system for collecting data about
teacher preparation are two overarching needs. The Committee
believes IES should utilize available resources to help address
the knowledge that the report identified. The Committee
requests a letter report, not later than 30 days after
enactment of this act, which describes the funding
opportunities IES is proposing, planning and taking to address
relevant conclusions and recommendations from the NRC report.
The Committee believes additional steps need to be taken to
promote information dissemination and provide assistance for
States, districts and schools to use in applying evidence for
what works in education. The What Works Clearinghouse was
designed to be such a source. However, the Committee has noted
concerns previously about the extent to which it was achieving
this mission. Most recently, in a report requested by the
Committee, the Government Accountability Office [GAO] noted
that only 34 percent of school districts have accessed the WWC
Web site and only 11 percent of school districts visited the
Web site at least seven times per year. The GAO report included
recommendations related to improving the timeliness of WWC
reports and gauging product usefulness and relevance for WWC
target audiences. The Committee looks forward to IES
implementing the recommended changes and requests an update on
planned and implemented actions.
In addition to the WWC, the Department and IES support
other technical assistance and research-related resources to
assist States, districts, and schools. These include the
regional educational laboratories discussed later in the IES
account as well as the Doing What Works resource administered
by the Office of Planning, Evaluation and Policy Development.
The Committee believes the Department and IES should expand
their efforts to provide the support that States and school
districts need to use funding in ways that are supported by
scientifically based research. The Committee requests that the
Department describe in its fiscal year 2012 budget
justification the specific actions that it has taken or will
take to address this issue.
The Committee encourages the IES to use available resources
to continue support for research and development activities
related to gifted and talented education. Previously, the
Department used funds available from other sources to support a
National Research Center on the Gifted and Talented.
STATISTICS
The Committee recommends $118,021,000 for data gathering
and statistical analysis activities of the National Center for
Education Statistics [NCES]. The comparable fiscal year 2010
funding level is $108,521,000 and the budget request includes
$117,021,000 for these activities.
The NCES collects, analyzes, and reports statistics on
education in the United States. Activities are carried out
directly and through grants and contracts. The Center collects
data on educational institutions at all levels, longitudinal
data on student progress, and data relevant to public policy.
The NCES also provides technical assistance to State and local
education agencies and postsecondary institutions.
The Committee recommendation includes sufficient resources
for NCES to update the report, Condition of America's Public
School Facilities: 1999.
REGIONAL EDUCATIONAL LABORATORIES
The Committee recommends $72,650,000 to continue support
for the regional educational laboratories. The comparable
fiscal year 2010 funding level is $70,650,000 for this
activity. The budget request includes $69,650,000 and necessary
bill language required to continue, for an additional year, the
contracts of the current laboratories. Program funds support a
network of 10 laboratories that are responsible for promoting
the use of broad-based systemic strategies to improve student
achievement. The Committee recommends additional funds for the
laboratories to increase their capacity to provide timely
responses to requests for assistance on issues of urgent
regional need.
The Committee is pleased that the research, development,
dissemination, and technical assistance activities carried out
by the regional educational laboratories will continue to be
consistent with the standards for scientifically based research
prescribed in the Education Sciences Reform Act of 2002. The
Committee notes that the current contracts of the laboratories
requires them to coordinate with other federally funded
education technical assistance providers to coordinate the
provision of services, including school improvement activities
that are responsive to State and local needs. The Committee
encourages the regional laboratories and comprehensive centers
to strengthen their relationship, particularly in providing
products and services that help States and school districts
utilize the school improvement funds available in the Education
for the Disadvantaged account to support school improvement
activities that are supported by scientifically based research.
RESEARCH AND INNOVATION IN SPECIAL EDUCATION
The Committee recommends $71,085,000, the same amount as
the fiscal year 2010 funding level and budget request, for
research and innovation in special education. The National
Center for Special Education Research addresses gaps in
scientific knowledge in order to improve special education and
early intervention services and outcomes for infants, toddlers,
and children with disabilities. Funds provided to the center
are available for obligation for 2 fiscal years.
SPECIAL EDUCATION STUDIES AND EVALUATIONS
The Committee recommends $11,460,000, the same amount as
the fiscal year 2010 funding level and the budget request, for
special education studies and evaluations.
This program supports competitive grants, contracts, and
cooperative agreements to assess the implementation of the
Individuals with Disabilities Education Act. Funds also will be
used to evaluate the effectiveness of State and local efforts
to deliver special education services and early intervention
programs. Funds are available for obligation for 2 fiscal
years.
STATEWIDE DATA SYSTEMS
The Committee recommendation includes $65,000,000, the same
amount as the budget request, for statewide data systems. The
fiscal year 2010 level is $58,250,000 for these systems.
This program supports competitive grants to State
educational agencies to enable such agencies to design,
develop, and implement statewide, longitudinal data systems to
manage, analyze, disaggregate, and use individual data for
students of all ages. These systems may incorporate workforce
and postsecondary education information. Funds are available
for obligation for 2 fiscal years.
The Committee bill allows $10,000,000 to be used for
statewide data coordinators, and other technical assistance
activities to improve States' capability to use, report and
maintain high-quality data in their systems. The bill also
allows the Department to use funds to coordinate data
collection and reporting with private sector initiatives, in
order to help reduce the reporting burden on States and
schools, while improving data accuracy and maintaining access
to the data for research purposes.
ASSESSMENT
The Committee recommends $143,844,000, the same as the
request, for assessment. The comparable fiscal year 2010
funding level is $138,844,000.
These funds provide support for the National Assessment of
Educational Progress [NAEP], a congressionally mandated
assessment created to measure the educational achievement of
American students. The primary goal of NAEP is to determine and
report the status and trends over time in educational
achievement, subject by subject. In 2002, the Department began
paying for State participation in biennial reading and
mathematics assessments in grades 4 and 8.
Within the funds appropriated, the Committee recommends
$8,723,000 for the National Assessment Governing Board [NAGB],
the same amount as the comparable fiscal year 2010 and request
levels. The NAGB is responsible for formulating policy for
NAEP.
Departmental Management
PROGRAM ADMINISTRATION
Appropriations, 2010.................................... $456,200,000
Budget estimate, 2011................................... 492,488,000
Committee recommendation................................ 492,488,000
The Committee recommends $492,488,000, the same amount as
the budget request, for program administration. The comparable
fiscal year 2010 funding level is $456,200,000 for this
purpose. This amount includes $2,696,100, the same amount as
the budget request, available under section 306 of this act to
increase the Department's acquisition workforce capacity and
capabilities.
Funds support personnel compensation and benefits, travel,
rent, communications, utilities, printing, equipment and
supplies, automated data processing, and other services
required to award, administer, and monitor approximately 180
Federal education programs. Support for program evaluation and
studies and advisory councils is also provided under this
activity.
The Committee recommendation includes $19,275,000, the same
amount as the budget request, for building modernization
activities for the Department of Education. These activities
include renovations of the Mary E. Switzer building and other
buildings, consolidation of staff from other locations, and
improvements to the Department's headquarters. These funds are
available until expended, as proposed in the budget request.
The Committee recommendation is $2,696,100 pursuant to
section 306 of this act. These funds will supplement the
Department's acquisition workforce activities.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2010.................................... $103,024,000
Budget estimate, 2011................................... 105,700,000
Committee recommendation................................ 105,700,000
The Committee recommends $105,700,000, the same amount as
the budget request, for the Office for Civil Rights [OCR]. The
comparable fiscal year 2010 amount is $103,024,000 for the OCR.
The Office for Civil Rights is responsible for the
enforcement of laws that prohibit discrimination on the basis
of race, color, national origin, sex, disability, and age in
all programs and institutions funded by the Department of
Education. To carry out this responsibility, OCR investigates
and resolves discrimination complaints, monitors desegregation
and equal educational opportunity plans, reviews possible
discriminatory practices by recipients of Federal education
funds, and provides technical assistance to recipients of funds
to help them meet civil rights requirements.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2010.................................... $60,053,000
Budget estimate, 2011................................... 65,238,000
Committee recommendation................................ 65,238,000
The Committee recommends $65,238,000, the same amount as
the budget request, for the Office of the Inspector General.
The fiscal year 2010 amount is $60,053,000 for the office.
The Office of the Inspector General has the authority to
investigate all departmental programs and administrative
activities, including those under contract or grant, to prevent
and detect fraud and abuse, and to ensure the quality and
integrity of those programs. The Office investigates alleged
misuse of Federal funds and conducts audits to determine
compliance with laws and regulations, efficiency of operations,
and effectiveness in achieving program goals.
General Provisions
The Committee bill contains language which has been
included in the bill since 1974, prohibiting the use of funds
for the transportation of students or teachers in order to
overcome racial imbalance (sec. 301).
The Committee bill contains language included in the bill
since 1977, prohibiting the involuntary transportation of
students other than to the school nearest to the student's home
(sec. 302).
The Committee bill contains language which has been
included in the bill since 1980, prohibiting the use of funds
to prevent the implementation of programs of voluntary prayer
and meditation in public schools (sec. 303).
The Committee bill includes a provision giving the
Secretary of Education authority to transfer up to 1 percent of
any discretionary funds between appropriations (sec. 304).
The Committee continues a provision that allows the
outlying areas to consolidate funds under title V of the
Elementary and Secondary Education Act (sec. 305).
The Committee bill includes a provision providing
$2,696,100 for acquisition workforce activities. These funds
may be transferred to any other account in the Department,
subject to notification of the Committees on Appropriations of
the Senate and House of Representatives (sec. 306).
The Committee bill contains a provision to transfer the
Health Education Assistance Loan [HEAL] program to the
Department of Education from the Department of Health and Human
Services. The Department of Education will assume
responsibility for the program and the authority to administer,
service, collect, and enforce the program as well as the
functions, assets, and liabilities of the Secretary of Health
and Human Services will be permanently transferred to the
Secretary of Education (sec. 307).
The Committee bill includes language establishing an Early
Learning Challenge Fund (sec. 308).
The Committee bill changes the name of the Office of
Vocational and Adult Education to the Office of Career,
Technical, and Adult Education (sec. 309).
TITLE IV
RELATED AGENCIES
Committee for Purchase From People Who Are Blind or Severely Disabled
SALARIES AND EXPENSES
Appropriations, 2010.................................... $5,396,000
Budget estimate, 2011................................... 5,771,000
Committee recommendation................................ 5,771,000
The Committee recommends $5,771,000 for fiscal year 2011
for the Committee for Purchase from People Who Are Blind or
Severely Disabled. This amount is the same as the fiscal year
2011 budget request. The fiscal year 2010 comparable level is
$5,396,000.
The Committee for Purchase from People Who Are Blind or
Severely Disabled was established by the Javits-Wagner-O'Day
Act of 1938 as amended. Its primary objective is to increase
the employment opportunities for people who are blind or have
other severe disabilities and, whenever possible, to prepare
them to engage in competitive employment.
Corporation for National and Community Service
Appropriations, 2010.................................... $1,149,721,000
Budget estimate, 2011................................... 1,415,586,000
Committee recommendation................................ 1,365,586,000
The Committee recommends $1,365,586,000 for the Corporation
for National and Community Service in fiscal year 2011. The
administration request for fiscal year 2011 was $1,415,586,000.
The fiscal year 2010 comparable level was $1,149,721,000.
The Committee recommendation is sufficient to increase the
number of AmeriCorps members from 87,000 in fiscal year 2010 to
more than 97,000 in fiscal year 2011.
The Corporation for National and Community Service, a
corporation owned by the Federal Government, was established by
the National and Community Service Trust Act of 1993 to enhance
opportunities for national and community service and provide
national service education awards. The Corporation makes grants
to States, institutions of higher education, public and private
nonprofit organizations, and others to create service
opportunities for students, out-of-school youth, and adults.
The Corporation administers programs authorized under the
Domestic Volunteer Service Act, the National and Community
Service Trust Act and the SERVE America Act.
VISTA
The Committee recommends $111,000,000 for the Volunteers in
Service to America [VISTA] Program. The comparable funding
level for fiscal year 2010 was $99,074,000. The budget request
for fiscal year 2011 was $98,000,000.
VISTA, created in 1964 under the Economic Opportunity Act,
provides capacity building for small, community-based
organizations. VISTA volunteers raise resources for local
projects, recruit and organize volunteers, and establish and
expand local community-based programs in housing, employment,
health, and economic development activities.
The Committee strongly supports VISTA's anti-poverty
mission, particularly in the midst of an economic recession. In
addition, the Committee views it as a great asset that VISTA
volunteers can serve in small, nonprofit organizations with
little to no capacity to manage a Federal grant. For that
reason, the Committee urges the Corporation to make VISTA part
of the growth plan for national service.
The Committee remains concerned that the current training
program for VISTA volunteers requires too much travel and does
not adequately correlate to the actual tasks that VISTA members
are required to complete in their service. The Committee urges
the Corporation to consider State-based training and devoting a
higher percentage of training time to core skill development.
NATIONAL SENIOR VOLUNTEER CORPS
The Committee recommends $229,100,000 for the National
Senior Volunteer Corps programs. The comparable level in fiscal
year 2010 was $220,900,000. The fiscal year 2011 budget request
was $221,100,000.
The Committee has included the following activities in the
following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year--
------------------------------------ Committee
Programs 2011 President's recommendation
2010 comparable request
----------------------------------------------------------------------------------------------------------------
Retired Senior Volunteer Program.......................... 63,000 63,000 64,000
Foster Grandparent........................................ 110,996 111,100 115,600
Senior Companion.......................................... 46,904 47,000 49,500
----------------------------------------------------------------------------------------------------------------
The Committee has included sufficient funding to increase
the stipend for Foster Grandparents and Senior Companion
members by 10 cents, for a total of $2.75 per hour. The
Committee is grateful for the service provided by these elderly
individuals.
The maximum total dollars that may be used in fiscal year
2011 for Grants.gov/eGrants support, Training and Technical
Assistance, and Recruitment and Retention activities shall not
exceed the amount enacted for these activities in fiscal year
2010.
AMERICORPS GRANTS
The Committee recommends $440,000,000 for AmeriCorps grants
in fiscal year 2011. The fiscal year 2010 level was
$372,547,000 and the budget request for fiscal year 2011 was
$488,033,000.
The Committee notes that, despite a 37 percent increase in
funding in fiscal year 2010, some States experienced a
reduction in their participation in the AmeriCorps grant
program. The Committee is concerned that small organizations
and organizations in rural areas of the country are less able
to compete with well-known national organizations. The
Committee has not reinstated the cap on national direct grants;
however, the Committee requests a report within 90 days of
enactment of this act on the steps the Corporation is taking to
ensure that small organizations and entities in rural America
have equal opportunities for funding.
The Committee directs the Corporation to include a 5-year
detail of member service in the annual congressional budget
justification. The detail should include the number of members,
grant cost, and Trust cost broken out both by program (e.g.,
VISTA, NCCC, State, and national) and by level of service
(e.g., full time, part time, quarter time). In addition, the
justification should include a 5-year detail on the number of
members serving in each State, excluding NCCC.
The Committee is pleased with the participation of the
Corporation in the Let's Move! campaign and encourages the
Corporation to expand its efforts around childhood nutrition
and hunger. In particular, the Committee urges the Corporation
to give priority to applications that support increasing
healthy food choices in anti-hunger programs, assisting local
farm-to-school initiatives, and increasing access to food
assistance programs. The Committee is aware that the recent
economic downturn has dramatically increased the number of
Americans seeking out food assistance programs, and hopes that
AmeriCorps members can increase the capacity of local
organizations to meet this pressing national need.
DISABILITY PLACEMENT FUNDS
The Committee recommendation includes $6,000,000 for
Disability Placement funds. The comparable fiscal year 2010
level was $5,000,000 and the budget request for fiscal year
2011 was $6,000,000.
Grant funds are for the placement of, reasonable
accommodation of, and auxiliary services for members and
potential members with disabilities serving in AmeriCorps
programs.
The Committee is deeply concerned by the high rate of
unemployment among people with disabilities and believes that
the programs of the Corporation are well-suited to help people
with disabilities gain important job skills without
jeopardizing their medical benefits. In addition, the service
of AmeriCorps members with disabilities helps to educate
potential employers about reasonable accommodation options,
which may lead to reduced stigma and discrimination. The
Committee encourages the Corporation to help grantees
incorporate people with disabilities in AmeriCorps projects
whenever possible.
In addition, the Committee is sensitive to the increased
costs involved in running an AmeriCorps program in which a
significant proportion of the members have disabilities. The
Committee urges the Corporation to consider ways to provide
additional support to programs in which 25 percent or more of
the members have disabilities, either through the disability
grants, the CEO's waiver authority or other cooperative
agreements.
INNOVATION, DEMONSTRATION, AND ASSISTANCE ACTIVITIES
The Committee has included $84,509,000 for Innovation,
Demonstration, and Assistance Activities. The comparable fiscal
year 2010 level was $60,500,000 and the budget request for
fiscal year 2011 was $77,000,000.
Within the funds provided for the Innovation account, the
Committee has included $60,000,000 for the Social Innovation
fund authorized under section 1807 of the SERVE America Act.
The Committee recommendation also includes $10,000,000 for the
nonprofit capacity-building program authorized under section
1809 of the SERVE America Act.
In addition, $10,000,000 is included for the Volunteer
Generation Fund authorized under section 198P of the SERVE
America Act. The Committee has not included bill language
requested by the administration to waive the statutorily
required allocation of these funds.
The Committee recommendation also includes $1,000,000 for
the highly successful MLK Day of Service and $1,000,000 for the
Serve America Fellowships.
EVALUATION
The Committee recommendation includes $8,000,000 for
evaluation activities. The comparable fiscal year 2010 level
was $6,000,000 and the budget request for fiscal year 2011 was
$8,000,000.
NATIONAL CIVILIAN COMMUNITY CORPS
The Committee recommendation includes $35,593,000 for the
National Civilian Community Corps. The comparable fiscal year
2010 level was $29,000,000 and the budget request for fiscal
year 2011 was $34,593,000.
The National Civilian Community Corps is a full-time, team-
based residential program for men and women ages 18 to 24.
Members are assigned to 1 of 5 campuses for a 10-month service
commitment.
LEARN AND SERVE AMERICA
The Committee has included $40,198,000 for Learn and Serve
America. The fiscal year 2010 comparable level was $39,500,000
and the budget request for fiscal year 2011 was $40,198,000.
Learn and Serve America provides direct and indirect
support to K-12 schools, community groups and higher education
institutions to facilitate service-learning projects.
The Committee has included sufficient funding to continue
the Summer of Service activities within the Learn and Serve
program.
STATE COMMISSION ADMINISTRATION GRANTS
The Committee has included $18,000,000 for State Commission
Administration grants. This is the same amount as the budget
request for fiscal year 2011. The comparable fiscal year 2010
level was $17,000,000.
TRAINING AND TECHNICAL ASSISTANCE
The Committee recommendation includes $11,000,000 for
Training and Technical Assistance. The budget request for
fiscal year 2011 was $13,000,000. The comparable fiscal year
2010 level was $7,500,000.
NATIONAL SERVICE TRUST
The Committee recommends an appropriation of $271,186,000
for the National Service Trust. The comparable level for fiscal
year 2010 was $197,000,000. The administration request for
fiscal year 2011 was $293,662,000.
The Committee notes that the funding level recommended is
sufficient to support more than 97,000 members in fiscal year
2011, an increase of more than 10,000 members from fiscal year
2010.
SALARIES AND EXPENSES
The Committee recommends an appropriation of $103,000,000
for the Corporation's salaries and expenses. The budget request
for fiscal year 2011 was $109,000,000. The comparable level for
fiscal year 2010 was $88,000,000. The Committee directs that
the Corporation must fund all staffing needs from the salaries
and expenses account.
The salaries and expenses appropriation provides funds for
staff salaries, benefits, travel, training, rent, advisory and
assistance services, communications and utilities expenses,
supplies, equipment, and other operating expenses necessary for
management of the Corporation's activities under the National
and Community Service Act of 1990 and the Domestic Volunteer
Service Act of 1973.
OFFICE OF INSPECTOR GENERAL
The Committee recommends an appropriation of $9,000,000 for
the Office of Inspector General [OIG]. The comparable level for
fiscal year 2010 was $7,700,000 and the administration request
for fiscal year 2011 was $9,000,000.
The goals of the OIG are to increase organizational
efficiency and effectiveness and to prevent fraud, waste, and
abuse.
ADMINISTRATIVE PROVISIONS
The Committee has included three administrative provisions:
language requiring the Corporation to make any significant
changes to program requirements or policy through rule-making
(sec. 401), language requiring that donations supplement and
not supplant operations (sec. 402) and language aligning
requirements regarding the use of Education Awards at GI Bill-
eligible institutions (sec. 403).
Corporation for Public Broadcasting
Appropriations, 2011.................................... $430,000,000
Appropriations, 2012.................................... 445,000,000
Budget estimate, 2013................................... 460,000,000
Committee recommendation................................ 460,000,000
The Committee recommends $460,000,000, the same as the
budget request, for the Corporation for Public Broadcasting
[CPB] as an advance appropriation for fiscal year 2013. The
comparable funding level provided as an advance appropriation
for fiscal year 2012 was $445,000,000.
The majority of these funds go directly to local public
television and radio stations. Funds also support the creation
of content for radio, television, and other platforms; system
support activities that benefit the entire public broadcasting
community; and the administration of the CPB. The CPB will have
$430,000,000 available for these activities in fiscal year
2011. The advance appropriation made available in fiscal year
2010 was $420,000,000.
In addition, the Committee recommends $36,000,000 be made
available in fiscal year 2011 for the conversion to digital
broadcasting. This is the same as the fiscal year 2010 funding
level and the fiscal year 2011 budget request.
The Committee recommendation does not include funding for
fiscal stabilization grants, as proposed by the administration.
The comparable fiscal year 2010 funding level is $25,000,000.
The Committee recommendation also does not include funding
for interconnection grants, as proposed by the administration.
The comparable fiscal year 2010 funding level is $25,000,000,
which represented the third and final installment of the radio
interconnection system replacement project.
Federal Mediation and Conciliation Service
SALARIES AND EXPENSES
Appropriations, 2010.................................... $46,652,000
Budget estimate, 2011................................... 48,025,000
Committee recommendation................................ 48,025,000
The Committee recommends $48,025,000, the same as the
fiscal year 2011 budget request, for the Federal Mediation and
Conciliation Service [FMCS]. The comparable fiscal year 2010
funding level is $46,652,000.
The FMCS was established by Congress in 1947 to provide
mediation, conciliation, and arbitration services to labor and
management. FMCS is authorized to provide dispute resolution
consultation and training to all Federal agencies.
Within the total, the Committee recommendation includes
$750,000 to remain available through September 30, 2012, for
labor-managements partnership grants, as requested by the
administration. These grants support innovative approaches to
collaborative labor-management relationships to resolve
potential problems, explore ways to improve productivity, and
avert serious work stoppages.
Federal Mine Safety and Health Review Commission
SALARIES AND EXPENSES
Appropriations, 2010.................................... $10,358,000
Budget estimate, 2011................................... 13,105,000
Committee recommendation................................ 15,755,000
The Committee recommends $15,755,000 for fiscal year 2011
for the Federal Mine Safety and Health Review Commission. The
comparable funding level for fiscal year 2010 is $10,358,000
and the budget request is $13,105,000.
The Commission provides administrative trial and appellate
review of legal disputes under the Federal Mine Safety and
Health Act of 1977. Most cases involve civil penalties proposes
by the Department of Labor's Mine Safety and Health
Administration. The Commission's Administrative Law Judges
[ALJs] decide cases at the trial level and the five-member
Commission provides review of the ALJ decisions.
The Committee provides additional funding for the
Commission to reduce the backlog of cases in the Office of
Administrative Law Judges. The rate of contested MSHA citations
has more than quadrupled since the passage of the MINER Act of
2006, resulting in a more than fourfold increase in the number
of new cases at the Commission from an average of 2,300 in
fiscal years 2000 to 2005 to over 9,200 in fiscal year 2009.
The corresponding backlog has increased from 1,300 at the
beginning of fiscal year 2005 to over 14,000 at the beginning
of fiscal year 2010. The Committee is concerned that mine
operators with poor safety and health records could avoid
heightened enforcement actions because of this backlog. It now
takes an average of over 400 days to dispose of a case, up from
120 days in fiscal year 2005. This could provide a dangerous
incentive for mine operators with a pattern of serious and
substantial safety violations to contest violations simply to
delay enforcement. The delayed review of these cases at the
Commission can hinder the establishment of a pattern of
violations, undermining mine safety efforts, and putting miners
at risk.
If the Commission were funded at the level of the budget
request, the number of backlogged cases would continue to grow
through fiscal year 2011. The Committee recommendation would
enable the Commission to begin reducing the backlog in fiscal
year 2011 by hiring additional judges and support staff and
continuing the transition to an electronic case management
system. The Committee directs the Commission to brief the
Committees on Appropriations of the House of Representatives
and the Senate within 90 days of enactment on a detailed plan
to eliminate the backlog, including an evaluation of ideal case
processing times and pending levels and the resources needed to
achieve these levels within a reasonable time period.
The Committee further expects the Department of Labor and
the Commission to continue to implement activities that will
reduce incentives for mine operators to challenge cases and
improve the efficiency by which challenges are heard. The
Committee requests that the Department of Labor and the
Commission submit such a plan not later than 30 days after
enactment of this act, and provide quarterly progress reports
thereafter on the status of activities identified in the plan,
including an explanation for any activity that is not completed
within the timeframe identified in the operating plan.
Institute of Museum and Library Services
OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION
Appropriations, 2010.................................... $282,251,000
Budget estimate, 2011................................... 265,869,000
Committee recommendation................................ 270,619,000
The Committee recommends $270,619,000 for fiscal year 2011
for the Institute of Museum and Library Services. The
comparable funding level for fiscal year 2010 is $282,251,000
and the budget request is $265,869,000.
Within the total for IMLS, the Committee recommendation
includes the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Fiscal year Fiscal year 2011 Committee
Budget activity 2010 2011 budget
comparable request recommendation
----------------------------------------------------------------------------------------------------------------
Library Services Technology Act:
Grants to States............................................ 172,561 172,561 172,561
Native American Library Services............................ 4,000 4,000 4,100
National Leadership: Libraries.............................. 12,437 14,000 13,900
Laura Bush 21st Century Librarian........................... 24,525 22,962 22,962
Museum Services Act:
Museums for America......................................... 19,176 19,176 19,176
Museum Assessment Program................................... 460 460 460
21st Century Museum Professionals........................... 1,280 2,280 2,230
Conservation Project Support................................ 3,052 3,052 3,052
Conservation Assessment Program............................. 803 803 803
Native American/Hawaiian Museum Services.................... 975 975 1,025
National Leadership: Museums................................ 7,981 6,981 6,981
African American History & Culture Act:
Museum Grants for African American History & Culture........ 1,485 1,485 1,485
Administration.................................................. 15,053 15,053 15,053
Policy, Research, Program Evaluation, and Statistics............ 2,081 2,081 2,081
----------------------------------------------------------------------------------------------------------------
The Committee recommendation includes bill language
providing funding for the following activities in the following
amounts:
------------------------------------------------------------------------
Amount
------------------------------------------------------------------------
Bishop Museum, Honolulu, HI, for conservation and $800,000
other projects, including arts education for youth
and the study and preservation of the history of
Kalaupapa............................................
City of Cedar Rapids, IA, Cedar Rapids, IA, for 300,000
automating the circulation system at the Cedar Rapids
Library..............................................
City of Hagerstown, Hagerstown, MD, for educational 100,000
programming and displaying the Doleman collection....
Delta State University, Cleveland, MS, for library 100,000
technology upgrades, including the purchase of
equipment............................................
Dubuque Historical Society, Dubuque, IA, for exhibits 400,000
relating to the Mississippi River....................
Greenville Public Library, Smithfield, RI, for library 300,000
technology and programs..............................
Mississippi Children's Museum, Jackson, MS, for 400,000
exhibits and educational programming.................
Mississippi Gulf Coast Community College, Perkinston, 100,000
MS, for collecting, cataloging, and archiving of
newspaper and digital media..........................
Ohr-O'Keefe Museum of Art, Biloxi, MS, for design and 250,000
exhibits.............................................
Oxford Lafayette County Heritage Foundation, Oxford, 100,000
MS, for exhibits and design..........................
Science Center of Iowa, Des Moines, IA, for 400,000
educational exhibits.................................
South Dakota School of Mines and Technology, Rapid 100,000
City, SD, for preservation activities and storage....
Southern Utah University, Cedar City, UT, for 400,000
exhibits, installations and equipment................
Tennessee-Tombigbee Waterway Transportation Museum, 100,000
Columbus, MS, for exhibit design and digitization of
documents............................................
University of Mississippi, University, MS, for 150,000
documentation, preservation, restoration, and
programming related to the American Music Archives...
University of Mississippi, University, MS, for museum 150,000
education and outreach programs......................
Walter Anderson Museum of Art, Ocean Springs, MS, for 150,000
archive and digitization of collections..............
World Food Prize, Des Moines, IA, for exhibits at the 450,000
Dr. Norman E. Borlaug Hall of Laureates Museum.......
------------------------------------------------------------------------
Medicare Payment Advisory Commission
SALARIES AND EXPENSES
Appropriations, 2010.................................... $11,800,000
Budget estimate, 2011................................... 13,100,000
Committee recommendation................................ 12,700,000
The Committee recommends $12,700,000 for fiscal year 2011
for the Medicare Payment Advisory Commission [MedPAC]. The
comparable funding level for fiscal year 2010 is $11,800,000
and the budget request is $13,100,000.
MedPAC was established by Congress as part of the Balanced
Budget Act of 1997 (Public Law 105-933) to provide independent
policy and technical advice on issues affecting the Medicare
program. The budget request included $400,000 for anticipated
provisions in the healthcare reform legislation that were not
included in the enacted Patient Protection and Affordable Care
Act and these funds are therefore not included in the Committee
recommendation.
National Council on Disability
SALARIES AND EXPENSES
Appropriations, 2010.................................... $3,271,000
Budget estimate, 2011................................... 3,337,000
Committee recommendation................................ 3,337,000
The Committee recommends $3,337,000, the same as the fiscal
year 2011 budget request, for the National Council on
Disability. The comparable fiscal year 2010 funding level is
$3,271,000.
The Council is mandated to make recommendations to the
President, the Congress, the Rehabilitation Services
Administration, and the National Institute on Disability and
Rehabilitation Research on the public issues of concern to
individuals with disabilities. The Council gathers information
on the implementation, effectiveness, and impact of the
Americans with Disabilities Act and looks at emerging policy
issues as they affect persons with disabilities and their
ability to enter or re-enter the Nation's workforce and to live
independently.
National Health Care Workforce Commission
SALARIES AND EXPENSES
Appropriations, 2010....................................................
Budget estimate, 2011...................................................
Committee recommendation................................ $3,000,000
The Committee recommendation includes $3,000,000 for a new
National Health Care Workforce Commission, as authorized by
section 5101 of the Patient Protection and Affordable Care Act.
The budget request did not include funding for this commission.
This commission will serve as a resource to Congress, the
President, and State and local entities in evaluating
healthcare workforce needs, including assessing education and
training activities to determine to what extent the demand for
health workers is being met and identifying barriers to
improved coordination at the Federal, State, and local levels
and recommending changes to address those barriers.
National Labor Relations Board
SALARIES AND EXPENSES
Appropriations, 2010.................................... $283,400,000
Budget estimate, 2011................................... 287,100,000
Committee recommendation................................ 287,100,000
The Committee recommends $287,100,000, the same as the
fiscal year 2011 budget request, for the National Labor
Relations Board [NLRB]. The comparable fiscal year 2010 funding
level is $283,400,000.
The NLRB is a law enforcement agency that adjudicates
disputes under the National Labor Relations Act. The mission of
the NLRB is to carry out the statutory responsibilities of the
National Labor Relations Act as efficiently as possible and in
a manner that gives full effect to the rights afforded to
employees, unions, and employers under the act.
National Mediation Board
SALARIES AND EXPENSES
Appropriations, 2010.................................... $13,463,000
Budget estimate, 2011................................... 13,772,000
Committee recommendation................................ 13,772,000
The Committee recommends $13,772,000, the same as the
fiscal year 2011 budget request, for the National Mediation
Board [NMB]. The comparable fiscal year 2010 funding level is
$13,463,000.
The NMB protects interstate commerce as it mediates labor-
management relations in the railroad and airline industries
under the Railway Labor Act. It mediates collective bargaining
disputes, determines the choice of employee bargaining
representatives through elections, and administers arbitration
of employee grievances.
Occupational Safety and Health Review Commission
SALARIES AND EXPENSES
Appropriations, 2010.................................... $11,712,000
Budget estimate, 2011................................... 12,051,000
Committee recommendation................................ 12,051,000
The Committee recommends $12,051,000, the same as the
fiscal year 2011 budget request, for the Occupational Safety
and Health Review Commission. The comparable fiscal year 2010
funding level is $11,712,000.
The Commission serves as a court to justly and
expeditiously resolve disputes between the Occupational Safety
and Health Administration [OSHA] and employers charged with
violations of health and safety standards enforced by OSHA.
Railroad Retirement Board
DUAL BENEFITS PAYMENTS ACCOUNT
Appropriations, 2010.................................... $64,000,000
Budget estimate, 2011................................... 57,000,000
Committee recommendation................................ 57,000,000
The Committee recommends $57,000,000, the same as the
fiscal year 2011 budget request, for the Dual Benefits Payments
Account. Of these funds, an estimated $3,000,000 is from income
taxes on vested dual benefits. The comparable fiscal year 2010
funding level is $64,000,000.
This appropriation provides for vested dual benefit
payments to beneficiaries covered under both the railroad
retirement and Social Security systems. This separate account,
established for the payment of dual benefits, is funded by
general fund appropriations and income tax receipts of vested
dual benefits.
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT
Appropriations, 2010.................................... $150,000
Budget estimate, 2011................................... 150,000
Committee recommendation................................ 150,000
The Committee recommends $150,000 for fiscal year 2011 for
interest earned on nonnegotiated checks. This is the same as
the comparable fiscal year 2010 funding level and the fiscal
year 2011 budget request.
LIMITATION ON ADMINISTRATION
Appropriations, 2010.................................... $109,073,000
Budget estimate, 2011................................... 110,573,000
Committee recommendation................................ 110,573,000
The Committee recommends $110,573,000, the same as the
fiscal year 2011 budget request, for the administration of
railroad retirement/survivor and unemployment/sickness benefit
programs. The comparable fiscal year 2010 funding level is
$109,073,000.
The Board administers comprehensive retirement-survivor and
unemployment-sickness insurance benefit programs for the
Nation's railroad workers and their families. This account
limits the amount of funds in the railroad retirement and
railroad unemployment insurance trust funds that may be used by
the Board for administrative expenses.
LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2010.................................... $8,186,000
Budget estimate, 2011................................... 8,936,000
Committee recommendation................................ 8,936,000
The Committee recommends $8,936,000, the same as the fiscal
year 2011 budget request, for the Office of the Inspector
General. The comparable fiscal year 2010 funding is $8,186,000.
Social Security Administration
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS
Appropriations, 2010.................................... $20,404,000
Budget estimate, 2011................................... 21,404,000
Committee recommendation................................ 21,404,000
The Committee recommends $21,404,000, the same as the
fiscal year 2011 budget request, in mandatory funds for
payments to Social Security trust funds. The comparable fiscal
year 2010 funding level is $20,404,000. This amount reimburses
the old age and survivors and disability insurance trust funds
for special payments to certain uninsured persons, costs
incurred administering pension reform activities, and the value
of the interest for benefit checks issued but not negotiated.
This appropriation restores the trust funds to the same
financial position they would have been in had they not borne
these costs and were properly charged to the general funds.
SUPPLEMENTAL SECURITY INCOME PROGRAM
Appropriations, 2010.................................... $34,742,000,000
Budget estimate, 2011................................... 40,513,000,000
Committee recommendation................................ 40,513,000,000
The Committee recommends an appropriation of
$40,513,000,000, the same as the fiscal year 2011 budget
request, for the supplemental security income [SSI] program.
This is in addition to the $16,000,000,000 appropriated last
year as an advance for the first quarter of fiscal year 2011.
The fiscal year 2010 funding level is $34,742,000,000. The
Committee also recommends an advance appropriation of
$13,400,000,000 for the first quarter of fiscal year 2012 to
ensure uninterrupted benefits payments. The program level
supported by the Committee recommendation is $56,513,000,000,
the same amount proposed in the budget request. The comparable
fiscal year 2010 program level is $50,142,000,000. The majority
of the increase is due to the timing of monthly benefit
payments that will result in 13 monthly benefit payments in
fiscal year 2011, compared to the normal 12 in fiscal year
2010. Except for resources needed for program administration,
this appropriation represents mandatory funding.
The SSI program guarantees a minimum level of income to
financially needy individuals who are aged, blind, or disabled.
In fiscal year 2011, the SSI program will provide an average
benefit payment of just over $500 to almost 8 million such
individuals allowing them to meet basic needs. In addition to
benefit payments, these funds support beneficiary services
including vocational rehabilitation and return-to-work
activities; research and demonstration projects; and costs to
administer the program.
Beneficiary Services
The Committee recommends $60,000,000, the same as the
budget request, in mandatory funds for beneficiary services.
The comparable fiscal year 2010 funding level is $49,000,000.
These funds reimburse Vocational Rehabilitation [VR] agencies
for successfully rehabilitating disabled SSI recipients by
helping them achieve and sustain productive, self-supporting,
work activity. Funds also support the Ticket to Work program
that provides SSI recipients with a ticket to offer employment
networks [EN], including VR agencies, in exchange for
employment and support services. Instead of reimbursing ENs for
specific services, the Ticket to Work program pays ENs based on
recipients achieving certain milestones and outcomes.
Research and Demonstration Projects
The Committee recommendation includes $43,000,000, the same
as the budget request, in mandatory funds for research and
demonstration projects conducted under sections 1110, 1115, and
1144 of the Social Security Act. The comparable fiscal year
2010 funding level is $49,000,000. Because of the availability
of unobligated balances, these funds will support a fiscal year
2011 program level of $71,900,000 compared to $54,300,000 in
fiscal year 2010.
These funds support a variety of research and demonstration
projects designed to improve the disability process; promote
self-sufficiency and assist individuals in returning to work;
encourage savings and retirement planning through financial
literacy; and generally provide analytical and data resources
for use in preparing and reviewing policy proposals.
Administration
The Committee recommendation includes $3,775,000,000, the
same as the budget request, for SSI administrative expenses.
The comparable fiscal year 2010 funding level is
$3,442,000,000. This appropriation funds the SSI program's
share of administrative expenses incurred through the
Limitation on Administrative Expenses account and includes
$545,000,000 in program integrity funding.
LIMITATION ON ADMINISTRATIVE EXPENSES
Appropriations, 2010.................................... $11,446,500,000
Budget estimate, 2011................................... 12,378,863,000
Committee recommendation................................ 12,378,863,280
The Committee recommends $12,378,863,280, the same as the
fiscal year 2011 budget request, for the Social Security
Administration's limitation on administrative expenses [LAE].
The comparable fiscal year 2010 funding level is
$11,446,500,000. The Recovery Act includes an additional
$500,000,000 for SSA's limitation on administrative expenses
available through fiscal year 2010.
This account provides resources for SSA to administer the
old age and survivors insurance [OASI], the disability
insurance [DI], and the supplemental security income programs
[SSI], and to support the Center for Medicare and Medicaid
Services in administering its programs. Funds also support
automation and information technology investments. The LAE
account is funded by the Social Security and Medicare trust
funds for their share of administrative expenses, the general
fund for the SSI program's share of administrative expenses,
and applicable user fees.
The increase in funding over fiscal year 2011 will allow
SSA to continue to work toward eliminating the hearings backlog
by the end of fiscal year 2013 while processing an
unprecedented level of disability claims resulting from the
economic downturn. With these funds, SSA will be able to
process over 3.3 million initial disability claims and almost
800,000 disability hearings in fiscal year 2011, up from 2.6
million and 560,000, respectively, in fiscal year 2008.
Additional funds also support increased program integrity
efforts.
The Committee recommendation also includes a rescission of
$250,000,000 from unobligated balances of prior-year LAE
appropriated funds. SSA has authority to carry over these
unobligated balances to invest in information technology
infrastructure and software. The Committee supports these
investments and the use of these funds for this purpose but
notes a significant buildup of unobligated balances that are
not expected to be used in fiscal year 2011.
Program Integrity
Within the total for LAE, the Committee recommendation
includes not less than $796,000,000, the same amount as the
budget request, for program integrity activities, including
conducting continuing disability reviews and redeterminations
of SSI eligibility. The comparable fiscal year 2010 funding
level is $758,000,000. Within this amount, up to $10,000,000
may be used to complete implementation of a financial asset
verification initiative.
Social Security Advisory Board
Within the total for LAE, the Committee recommendation
includes not less than $2,300,000 for the Social Security
Advisory Board for fiscal year 2011. This amount is the same as
the budget request and the comparable fiscal year 2010 funding
level.
User Fees
Within the total for LAE, the Committee recommendation
includes $186,000,000 for administrative activities funded from
user fees. Of this amount, $185,000,000 is derived from fees
paid to SSA by States that request SSA to administer State SSI
supplementary payments and $1,000,000 is generated from a fee
payment process for nonattorney representatives of claimants.
Acquisition Workforce
Within the total for LAE, the Committee recommendation also
includes $1,863,280, as requested by the administration, to
increase SSA's acquisition workforce capacity and capabilities.
This funding is provided in section 521 within title V, general
provisions.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2010.................................... $102,682,000
Budget estimate, 2011................................... 106,122,000
Committee recommendation................................ 106,122,000
The Committee recommends $106,122,000, the same as the
fiscal year 2011 budget request, for the Office of the
Inspector General. The comparable fiscal year 2010 funding
level is $102,682,000. The recommendation includes a general
fund appropriation of $30,000,000 together with an obligation
limitation of $76,122,000 from the Federal old-age and
survivors insurance trust fund and the Federal disability
insurance trust fund.
TITLE V--GENERAL PROVISIONS
The Committee recommendation includes provisions which:
authorize transfers of unexpended balances (sec. 501); limit
funding to 1 year availability unless otherwise specified (sec.
502); limit lobbying and related activities (sec. 503); limit
official representation expenses (sec. 504); prohibit funding
of any program to carry out distribution of sterile needles for
the hypodermic injection of any illegal drug without the
approval of appropriate local officials (sec. 505); clarify
Federal funding as a component of State and local grant funds
(sec. 506); limit use of funds for abortion (sec. 507 and sec.
508); restrict human embryo research (sec. 509); limit the use
of funds for promotion of legalization of controlled substances
(sec. 510); prohibit the use of funds to promulgate regulations
regarding the individual health identifier (sec. 511); limit
use of funds to enter into or review contracts with entities
subject to the requirement in section 4212(d) of title 38,
United States Code, if the report required by that section has
not been submitted (sec. 512); prohibit transfer of funds made
available in this act to any department, agency, or
instrumentality of the U.S. Government, except as otherwise
provided by this or any other act (sec. 513); prohibit Federal
funding in this act for libraries and elementary and secondary
schools unless they are in compliance with the Children's
Internet Protection Act (sec. 514 and sec. 515); maintain a
procedure for reprogramming of funds (sec. 516); prohibit
candidates for scientific advisory committees from having to
disclose their political activities (sec. 517); require the
Secretaries of Labor, Health and Human Services, and Education
to submit a report on the number and amounts of contracts,
grants, and cooperative agreements awarded by the Departments
on a noncompetitive basis (sec. 518); prohibit the use of funds
for first-class travel (sec. 519); prohibit the use of funds
for a grant or contract exceeding $5,000,000 unless the
prospective contractor or grantee makes certain certifications
regarding Federal tax liability (sec. 520); and provide
$1,863,280 to the Social Security Administration to increase
its acquisition workforce capacity and capabilities (sec. 521).
COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE STANDING RULES OF THE
SENATE
Paragraph 7 of rule XVI requires that Committee reports on
general appropriations bills identify each Committee amendment
to the House bill ``which proposes an item of appropriation
which is not made to carry out the provisions of an existing
law, a treaty stipulation, or an act or resolution previously
passed by the Senate during that session.''
The Committee recommends funding for the following programs
and activities which currently lack authorization: No Child
Left Behind Act; Special Olympics Sport and Empowerment Act of
2004; Early Learning Challenge Fund; Workforce Investment Act;
Homeless Veterans Reintegration Program; Universal Newborn
Hearing Screening; Organ Transplantation; Family Planning;
Rural Health programs; Nurse Reinvestment Act; Public Health
Improvement Act; Healthy Start; Telehealth; Health Professions
Education Partnership Act; Children's Health Act; Women's
Health Research and Prevention Amendments of 1998; Birth
Defects Prevention, Preventive Health Amendments of 1993;
Substance Abuse and Mental Health Services programs, except for
Depression Centers of Excellence and grants for Primary and
Behavioral Healthcare Integration; Low Income Home Energy
Assistance Program; Refugee and Entrant Assistance programs;
Child Abuse Prevention; Adoption Opportunities; Child Care and
Development Block Grant; Family violence programs;
Developmental Disabilities programs; Voting Access for
Individuals with Disabilities; Native American Programs;
Community Services Block Grant; Rural Facilities; Individual
Development Accounts; Community Economic Development;
Alzheimer's Disease Demonstration Grants; Adolescent Family
Life; Office of Disease Prevention and Health Promotion;
Rehabilitation Services and Disability Research, except
sections 4, 5, and 6 of the Assistive Technology Program;
Institute of Education Sciences; Corporation for Public
Broadcasting; Museum and Library Services Act programs; and
National Council on Disability.
COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE STANDING RULES OF THE
SENATE
Pursuant to paragraph 7(c) of rule XXVI, on July 29, 2010,
theCommittee ordered reported an original bill (S. 3686) making
appropriations for the Departments of Labor, Health and Human
Services, and Education, and related agencies for the fiscal
year ending September 30, 2011, and for other purposes, subject
to amendment and subject to the Committee spending guidance;
and authorized the chairman of the committee or the chairman of
the subcommittee to offer the text of the Senate-reported bill
as a committee amendment in the nature of a substitute to the
House companion measure, by a recorded vote of 18-12, a quorum
being present. The vote was as follows:
Yeas Nays
Chairman Inouye Mr. Cochran
Mr. Leahy Mr. Bond
Mr. Harkin Mr. McConnell
Ms. Mikulski Mr. Shelby
Mr. Kohl Mr. Gregg
Mrs. Murray Mr. Bennett
Mr. Dorgan Mrs. Hutchison
Mrs. Feinstein Mr. Brownback
Mr. Durbin Mr. Alexander
Mr. Johnson Ms. Collins
Ms. Landrieu Mr. Voinovich
Mr. Reed Ms. Murkowski
Mr. Lautenberg
Mr. Nelson
Mr. Pryor
Mr. Tester
Mr. Specter
Mr. Brown
COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE STANDING RULES OF THE
SENATE
Paragraph 12 of rule XXVI requires that Committee reports
on a bill or a joint resolution repealing or amending any
statute include ``(a) the text of the statute or part thereof
which is proposed to be repealed; and (b) a comparative print
of that part of the bill or joint resolution making the
amendment and of the statute or part thereof proposed to be
amended, showing by stricken through type and italics, parallel
columns, or other appropriate typographical devices the
omissions and insertions which would be made by the bill or
joint resolution if enacted in the form recommended by the
committee.''
TITLE 20--EDUCATION
Chapter 44--Career and TechnicalEducation
Subchapter I--Career and Technical Education Assistance to the States
PART A--ALLOTMENT AND ALLOCATION
Sec. 2324. National activities
(a) Program performance information
* * * * * * *
(b) Miscellaneous provisions
(1) Collection of information at reasonable cost
The Secretary shall take such action as may be
necessary to secure at reasonable cost the information
required by this subchapter. To ensure reasonable cost,
the Secretary, in consultation with the National Center
for Education Statistics, the [Office of Vocational and
Adult Education] Office of Career, Technical, and Adult
Education, and an entity assisted under section 2328 of
this title (if applicable), shall determine the
methodology to be used and the frequency with which
information is to be collected.
* * * * * * *
Chapter 48--Department of Education
Subchapter II--Establishment of the Department
Sec. 3412. Principal officers
(a) Deputy Secretary of Education
* * * * * * *
(b) Assistant Secretaries and General Counsel
(1) * * *
(A) * * *
(B) an [Assistant Secretary for
Postsecondary Education] Assistant Secretary
for Career, Technical, and Adult Education;
* * * * * * *
(h) Coordination of literacy related functions by [Assistant
Secretary for Vocational and Adult Education]
Assistant Secretary for Career, Technical, and
Adult Education
The [Assistant Secretary for Vocational and Adult
Education] Assistant Secretary for Career, Technical, and Adult
Education, in addition to performing such functions as the
Secretary may prescribe, shall have responsibility for
coordination of all literacy related programs and policy
initiatives in the Department. The [Assistant Secretary for
Vocational and Adult Education] Assistant Secretary for Career,
Technical, and Adult Education shall assist in coordinating the
related activities and programs of other Federal departments
and agencies.
* * * * * * *
Sec. 3416. [Office of Vocational and Adult Education] Office of Career,
Technical, and Adult Education
There shall be in the Department an [Office of Vocational
and Adult Education] Office of Career, Technical, and Adult
Education, to be administered by the [Assistant Secretary for
Vocational and Adult Education] Assistant Secretary for Career,
Technical, and Adult Education appointed under section 3412(b)
of this title. The Assistant Secretary shall administer such
functions affecting [vocational and adult education] career,
technical, and adult education as the Secretary shall delegate,
and shall serve as principal adviser to the Secretary on
matters affecting [vocational and adult education] career,
technical, and adult education. The Secretary, through the
Assistant Secretary, shall also provide a unified approach to
rural education and rural family education through the
coordination of programs within the Department and shall work
with the Federal Interagency Committee on Education to
coordinate related activities and programs of other Federal
departments and agencies.
------
TITLE 29--LABOR
Chapter 12--Department of Labor
Sec. 563. Working capital fund; establishment; availability;
capitalization; reimbursement
There is established a working capital fund, to be
available without fiscal year limitation, for expenses
necessary for the maintenance and operation of (1) a central
reproduction service; (2) a central visual exhibit service; (3)
a central supply service for supplies and equipment for which
adequate stocks may be maintained to meet in whole or in part
the requirements of the Department; (4) a central tabulating
service; (5) telephone, mail and messenger services; (6) a
central accounting and payroll service; and (7) a central
laborers' service: Provided, That any stocks of supplies and
equipment on hand or on order shall be used to capitalize such
fund: Provided further, That such fund shall be reimbursed in
advance from funds available to bureaus, offices,and agencies
for which such centralized services are performed at rates
which will return in full all expenses of operation,
includingreserves for accrued annual leave and depreciation of
equipment: [Provided further, That within the Working Capital
Fund, there is established an Investment in Reinvention Fund
(IRF), which shall be available to invest in projects of the
Department designed to produce measurable improvements in
agency efficiency and significant taxpayer savings.
Notwithstanding any other provision of law, the Secretary of
Labor may retain retain up to $3,900,000 of the unobligated
balances in the Department's annual Salaries and Expenses
accounts as of September 30, 1995, and transfer those amounts
to the IRF to provide the initial capital for the IRF, to
remain available until expended, to make loans to agencies of
the Department for projects designed to enhance productivity
and generate cost savings. Such loans shall be repaid to the
IRF no later than September 30 of the fiscal year following the
fiscal year in which the project is completed. Such repayments
shall be deposited in the IRF, to be available without further
appropriation action]: Provided further, That the Secretary of
Labor may transfer annually an amount not to exceed $3,000,000
from unobligated balances in the Department's salaries and
expenses accounts, to the unobligated balance of the Working
Capital Fund, to be merged withsuch Fund and used for the
acquisition of capital equipment and the improvement of
financial management, information technology andother support
systems, and to remain available until expended: Provided
further, That the unobligated balance of the Fund shall not
exceed $20,000,000..\1\
---------------------------------------------------------------------------
\1\So in original.
---------------------------------------------------------------------------
------
DEPARTMENT OF EDUCATION ORGANIZATION ACT, PUBLIC LAW 96-88
Section 1. This Act may be cited as the Department of
Education Organization Act.
TITLE II--ESTABLISHMENT OF THE DEPARTMENT
Sec. 201. Establishment.
[Sec. 206. Office of Vocational and Adult Education.]
Sec. 206. Office of Career, Technical, and Adult Education.
BUDGETARY IMPACT OF BILL
PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 308(a), PUBLIC LAW 93-344, AS
AMENDED
[In millions of dollars]
----------------------------------------------------------------------------------------------------------------
Budget authority Outlays
-----------------------------------------------------
Committee Amount of Committee Amount of
guidance\1\ bill guidance\1\ bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with Committee spending
guidance to its subcommittees for 2011: Subcommittee on
Labor, Health and Human Services, Education, and related
agencies:
Mandatory............................................. NA 563,862 NA \2\561,798
Discretionary......................................... 169,626 \3\169,626 NA \2\206,564
Projection of outlays associated with the recommendation:
2011.................................................. ............ ........... ............ \4\63,541
2012.................................................. ............ ........... ............ 74,052
2013.................................................. ............ ........... ............ 15,972
2014.................................................. ............ ........... ............ 3,670
2015 and future years................................. ............ ........... ............ 622
Financial assistance to State and local governments for NA 326,539 NA 294,233
2011.....................................................
----------------------------------------------------------------------------------------------------------------
\1\There to no section 302(a) allocation to the Committee for fiscal year 2011.
\2\Includes outlays from prior-year budget authority.
\3\This amount does not include $5.51 billion that is assumed by the Budget Committees, but is not provided in
the bill.
\4\Excludes outlays from prior-year budget authority.
NA: Not applicable.
DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING ITEMS
The Constitution vests in the Congress the power of the
purse. The Committee believes strongly that Congress should
make the decisions on how to allocate the people's money.
As defined in Rule XLIV of the Standing Rules of the
Senate, the term ``congressional directed spending item'' means
a provision or report language included primarily at the
request of a Senator, providing, authorizing, or recommending a
specific amount of discretionary budget authority, credit
authority, or other spending authority for a contract, loan,
loan guarantee, grant, loan authority, or other expenditure
with or to an entity, or targeted to a specific State, locality
or congressional district, other than through a statutory or
administrative, formula-driven, or competitive award process.
For each item, a Member is required to provide a
certification that neither the Member nor the Senator's
immediate family has a pecuniary interest in such
congressionally directed spending item. Such certifications are
available to the public on the Web site of the Senate Committee
on Appropriations (www.appropriations.senate.gov/senators.cfm).
Following is a list of congressionally directed spending
items included in the Senate recommendation discussed in this
report, along with the name of each Senator who submitted a
request to the Committee of jurisdiction for each item so
identified. Neither the Committee recommendation nor this
report contains any limited tax benefits or limited tariff
benefits as defined in rule XLIV.
CONGRESSIONALLY DIRECTED SPENDING ITEMS
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Agency Account Project Funding Requesting member
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education.......... Elementary & Secondary Education 3-D School, Petal, MS, for a model dyslexia intervention program... $200,000 Cochran, Wicker
(includes FIE).
Department of Education.......... Elementary & Secondary Education Appalachian State University, Boone, NC, for college preparation $200,000 Burr, Hagan
(includes FIE). and access programs for high school students.
Department of Education.......... Elementary & Secondary Education Avant-Garde Learning Foundation, Anchorage, AK, to improve $100,000 Murkowski
(includes FIE). educational outcomes for children in low-performing school
districts.
Department of Education.......... Elementary & Secondary Education Baltimore City Public Schools, Baltimore City, MD, for support of $1,000,000 Mikulski, Cardin
(includes FIE). alternative education programs for academically challenged
students, which may include equipment and technology.
Department of Education.......... Elementary & Secondary Education Big Brothers Big Sisters, Anchorage, AK, for youth mentoring $100,000 Murkowski
(includes FIE). programs for underserved, at-risk populations in Alaska.
Department of Education.......... Elementary & Secondary Education Big Thought, Dallas, TX, for afterschool programs.................. $110,000 Cornyn
(includes FIE).
Department of Education.......... Elementary & Secondary Education Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, for support $300,000 Kohl
(includes FIE). of early literacy and related programming.
Department of Education.......... Elementary & Secondary Education Catamount Arts, St. Johnsbury, VT, for support of arts education... $200,000 Leahy
(includes FIE).
Department of Education.......... Elementary & Secondary Education Chaddock, Quincy, IL, for support of special education activities.. $200,000 Durbin
(includes FIE).
Department of Education.......... Elementary & Secondary Education Challenger Learning Center, Bangor, ME, for science, technology, $250,000 Collins, Snowe
(includes FIE). engineering, and mathematics programs.
Department of Education.......... Elementary & Secondary Education Chicago Public Schools, Chicago, IL, for a youth violence $500,000 Durbin
(includes FIE). prevention initiative.
Department of Education.......... Elementary & Secondary Education Chicago School of Professional Psychology, Chicago, IL, for support $300,000 Durbin
(includes FIE). of afterschool programming.
Department of Education.......... Elementary & Secondary Education Churchill County School District, Fallon, NV, for STEM Curriculum $25,000 Reid
(includes FIE). and technology Improvements.
Department of Education.......... Elementary & Secondary Education City University of New York-York College, Jamaica, NY, for support $150,000 Gillibrand
(includes FIE). of science and aerospace-based education, which may include
acquisition of technology.
Department of Education.......... Elementary & Secondary Education Clark County School District, Las Vegas, NV, for support of a $750,000 Reid
(includes FIE). school for highly gifted students.
Department of Education.......... Elementary & Secondary Education Clark County School District, Las Vegas, NV, for support of the $300,000 Reid
(includes FIE). Family Leadership Initiative.
Department of Education.......... Elementary & Secondary Education Cleveland Metropolitan School District, Cleveland, OH, for science $150,000 Voinovich, Sherrod Brown
(includes FIE). education programs, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education Cleveland Metropolitan School District, Cleveland, OH, to improve $100,000 Voinovich, Sherrod Brown
(includes FIE). math, science, technology, and language skills through music
education.
Department of Education.......... Elementary & Secondary Education Communities In Schools of Spokane County, Spokane, WA, for support $150,000 Murray
(includes FIE). of mentoring programs.
Department of Education.......... Elementary & Secondary Education Connect Arkansas, Little Rock, AR, to purchase and equip mobile $200,000 Lincoln, Pryor
(includes FIE). broadband labs.
Department of Education.......... Elementary & Secondary Education Cook Inlet Tribal Council, Anchorage, AK, to increase literacy and $250,000 Murkowski
(includes FIE). math skills of Alaskan students.
Department of Education.......... Elementary & Secondary Education Cristo Rey, Chicago, IL, for educational programming, which may $250,000 Durbin, Burris
(includes FIE). include evaluation activities.
Department of Education.......... Elementary & Secondary Education Cuyahoga County Office of Early Childhood/Invest in Children, $100,000 Voinovich, Sherrod Brown
(includes FIE). Cleveland, OH, for an early childhood education initiative,
including scholarships.
Department of Education.......... Elementary & Secondary Education Delta Arts Alliance, Inc., Drew, MS, for arts education programs... $150,000 Cochran, Wicker
(includes FIE).
Department of Education.......... Elementary & Secondary Education Delta State University, Cleveland, MS, for a training program for $300,000 Cochran, Wicker
(includes FIE). early childhood educators.
Department of Education.......... Elementary & Secondary Education Delta State University, Cleveland, MS, for science and $300,000 Cochran, Wicker
(includes FIE). environmental education and outreach activities.
Department of Education.......... Elementary & Secondary Education Des Moines Independent Community School District, Des Moines, IA, $750,000 Harkin
(includes FIE). to increase access to and quality of early childhood education
programs.
Department of Education.......... Elementary & Secondary Education Drueding Center, Philadelphia, PA, to support educational programs, $100,000 Specter
(includes FIE). including staff, technology upgrades, and the purchase of
equipment.
Department of Education.......... Elementary & Secondary Education Eastern Maine Development Corporation, Bangor, ME, for youth career $225,000 Collins, Snowe
(includes FIE). pathway programs.
Department of Education.......... Elementary & Secondary Education Eden Housing, Hayward, CA, for support of an after school program.. $450,000 Boxer
(includes FIE).
Department of Education.......... Elementary & Secondary Education Educare Central Maine, Waterville, ME, to support early childhood $250,000 Collins
(includes FIE). education activities, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education Educating Young Minds, Los Angeles, CA, for educational $175,000 Feinstein
(includes FIE). programming, which may include the acquisition of technology.
Department of Education.......... Elementary & Secondary Education Education Alliance of Washoe County, Reno, NV, for support of an $150,000 Reid
(includes FIE). afterschool tutoring program.
Department of Education.......... Elementary & Secondary Education El Centro de la Raza, Seattle, WA, for support of counseling, $100,000 Murray
(includes FIE). tutoring, and educational programming.
Department of Education.......... Elementary & Secondary Education Elev8 New Mexico, New Mexico Community Foundation, Albuquerque, NM, $200,000 Bingaman, Tom Udall
(includes FIE). for support of extended day learning programs in New Mexico.
Department of Education.......... Elementary & Secondary Education ENLACE New Mexico, Albuquerque, NM, for support of academic $150,000 Bingaman, Tom Udall
(includes FIE). engagement and completion programs in New Mexico.
Department of Education.......... Elementary & Secondary Education Everybody Wins! USA, Boston, MA, for child literacy programs across $500,000 Harkin
(includes FIE). the country.
Department of Education.......... Elementary & Secondary Education Falcon School District 49, Falcon, CO, to support a science, $100,000 Bennet, Mark Udall
(includes FIE). technology, engineering, and math education program.
Department of Education.......... Elementary & Secondary Education Friends of E Prep Schools, Cleveland, OH, for technology including $150,000 Voinovich
(includes FIE). the purchase of equipment.
Department of Education.......... Elementary & Secondary Education Give Every Child A Chance, Manteca, CA, for the expansion of the $300,000 Boxer
(includes FIE). Give Every Child A Chance program.
Department of Education.......... Elementary & Secondary Education Glenwood School for Boys and Girls, St. Charles, IL, for training $200,000 Durbin
(includes FIE). and development costs associated with the Life Stabilization
project, which may include software and technology.
Department of Education.......... Elementary & Secondary Education Heartland Foundation, St. Joseph, MO, to support youth empowerment $450,000 Bond
(includes FIE). programs, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education History Colorado, Denver, CO, for support of the Student to Citizen $100,000 Bennet
(includes FIE). Initiative.
Department of Education.......... Elementary & Secondary Education Humboldt County School District, Winnemucca, NV, for support of $150,000 Reid
(includes FIE). technology-based instruction.
Department of Education.......... Elementary & Secondary Education Indiana State University, Terre Haute, IN, for curriculum $100,000 Lugar
(includes FIE). development and teacher training.
Department of Education.......... Elementary & Secondary Education Inner-City Arts, Los Angeles, CA, for the core arts and language $300,000 Boxer
(includes FIE). project for at-risk youth.
Department of Education.......... Elementary & Secondary Education Iowa Department of Education, Des Moines, IA, to continue the $6,000,000 Harkin
(includes FIE). Harkin Grant program.
Department of Education.......... Elementary & Secondary Education Iowa State Education Association, Des Moines, IA, for professional $300,000 Harkin
(includes FIE). development for teachers on 21st century skills.
Department of Education.......... Elementary & Secondary Education Jazz at Lincoln Center, New York, NY, for music education programs. $400,000 Harkin, Schumer
(includes FIE).
Department of Education.......... Elementary & Secondary Education Jobs for Ohio's Graduates, Inc., Columbus, OH, for dropout $150,000 Voinovich
(includes FIE). prevention programs for at-risk youth.
Department of Education.......... Elementary & Secondary Education Junior Achievement of Delaware, Inc., Wilmington, DE, for computer- $50,000 Kaufman, Carper
(includes FIE). based programming and related science, technology, and engineering
education activities.
Department of Education.......... Elementary & Secondary Education Kauai Economic Development Board, Lihue, HI, for science, $700,000 Inouye, Akaka
(includes FIE). technology, engineering, and math education.
Department of Education.......... Elementary & Secondary Education Lander County School District, Battle Mountain, NV, for acquisition $150,000 Reid
(includes FIE). of technology and equipment.
Department of Education.......... Elementary & Secondary Education Lincoln County School District, Panaca, NV, for support of $50,000 Reid
(includes FIE). afterschool programming.
Department of Education.......... Elementary & Secondary Education Lower Brule Sioux Tribe, Lower Brule, SD, for support of $100,000 Johnson
(includes FIE). afterschool programming, which may include the acquisition of
equipment.
Department of Education.......... Elementary & Secondary Education Lyon County School District, Yerington, NV, for support of early $150,000 Reid
(includes FIE). education services.
Department of Education.......... Elementary & Secondary Education Madison Metropolitan School District, Madison, WI, for educational $500,000 Kohl
(includes FIE). programming.
Department of Education.......... Elementary & Secondary Education Marketplace of Ideas/Marketplace for Kids, Inc., Bismarck, ND, for $200,000 Dorgan, Conrad
(includes FIE). entrepreneurship education.
Department of Education.......... Elementary & Secondary Education Maryland Bio Foundation, Rockville, MD, for support of science, $800,000 Mikulski
(includes FIE). technology, engineering, and mathematics education through a
mobile laboratory outreach program, which may include purchase of
equipment.
Department of Education.......... Elementary & Secondary Education Maui Economic Development Board, Kihei, HI, for engaging girls and $800,000 Inouye, Akaka
(includes FIE). historically underrepresented students in science, technology,
engineering, and math education.
Department of Education.......... Elementary & Secondary Education Mentoring Partnership of Southwestern PA, Pittsburgh, PA, for $100,000 Specter
(includes FIE). support of mentoring programs, which may include equipment and
technology acquisitions.
Department of Education.......... Elementary & Secondary Education Meskwaki Nation, The Sac & Fox Tribe of the Mississippi in Iowa, $400,000 Harkin
(includes FIE). Tama, IA, for a culturally based education curriculum.
Department of Education.......... Elementary & Secondary Education Mid-Iowa Community Action, Inc., Marshalltown, IA, for literacy $100,000 Harkin
(includes FIE). activities for pre-school aged children.
Department of Education.......... Elementary & Secondary Education Mississippi Band of Choctaw Indians, Choctaw, MS, for academic $100,000 Cochran, Wicker
(includes FIE). support, tutoring, mentoring, and afterschool programs.
Department of Education.......... Elementary & Secondary Education Mississippi Building Blocks, Ridgeland, MS, for a state-wide early $500,000 Cochran, Wicker
(includes FIE). childhood education program.
Department of Education.......... Elementary & Secondary Education Mississippi Council on Economic Education, Jackson, MS, for teacher $500,000 Cochran, Wicker
(includes FIE). training for economics, financial literacy and entrepreneurial
education.
Department of Education.......... Elementary & Secondary Education Mississippi Historical Society, Jackson, MS, to develop educational $100,000 Cochran, Wicker
(includes FIE). materials for history instruction.
Department of Education.......... Elementary & Secondary Education Mississippi Museum of Natural Science Foundation, Jackson, MS, for $200,000 Cochran, Wicker
(includes FIE). science education exhibits and outreach programs.
Department of Education.......... Elementary & Secondary Education Mississippi State University, Mississippi State, MS, for a dropout $850,000 Wicker
(includes FIE). prevention program, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education Mississippi State University, Mississippi State, MS, for an early $500,000 Cochran, Wicker
(includes FIE). childhood teacher education program, including the purchase of
equipment and materials.
Department of Education.......... Elementary & Secondary Education Mississippi University for Women, Columbus, MS, for development of $250,000 Cochran, Wicker
(includes FIE). at-risk youth programs.
Department of Education.......... Elementary & Secondary Education Mississippi University for Women, Columbus, MS, for science and $200,000 Cochran, Wicker
(includes FIE). math programs for K-12 students.
Department of Education.......... Elementary & Secondary Education Montana Digital Academy, Missoula, MT, for support of online $100,000 Baucus, Tester
(includes FIE). learning activities.
Department of Education.......... Elementary & Secondary Education National Center for Parents as Teachers, St. Louis, MO, to support $850,000 Bond
(includes FIE). home visitation programs, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education NC STEM Community Collaborative, Fort Bragg Region, Research $150,000 Burr, Hagan
(includes FIE). Triangle Park, NC, for science, technology, engineering, and math
programs, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education Nevada Department of Education, Carson City, NV, for a $2,000,000 Reid
(includes FIE). demonstration of public school facilities repair and construction,
which may include subgrants.
Department of Education.......... Elementary & Secondary Education Nevada Parents Empowering Parents, Las Vegas, NV, to provide $125,000 Reid
(includes FIE). educational workshops to parents of students with disabilities.
Department of Education.......... Elementary & Secondary Education Nye County School District, Pahrump, NV, to support instructional/ $350,000 Reid
(includes FIE). intervention specialists and the purchase of instructional
materials.
Department of Education.......... Elementary & Secondary Education Oakland Unified School District, Oakland, CA, for the Oakland $300,000 Boxer
(includes FIE). Truancy Intervention and Educational Support Program.
Department of Education.......... Elementary & Secondary Education Operation Shoestring, Jackson, MS, for afterschool and summer $100,000 Cochran, Wicker
(includes FIE). community outreach and education programs.
Department of Education.......... Elementary & Secondary Education Orchestra Iowa, Cedar Rapids, IA, to support a music education $300,000 Harkin
(includes FIE). program.
Department of Education.......... Elementary & Secondary Education Pacific Islands Center for Educational Development, Pago Pago, $400,000 Inouye, Akaka
(includes FIE). American Samoa, for program development.
Department of Education.......... Elementary & Secondary Education Parents for Public Schools of Jackson, Inc., Jackson, MS, for $250,000 Cochran, Wicker
(includes FIE). professional development, development of materials, and programs
to increase student achievement and graduation rates in low
performing schools.
Department of Education.......... Elementary & Secondary Education Polynesian Voyaging Society, Honolulu, HI, for educational programs $300,000 Inouye, Akaka
(includes FIE).
Department of Education.......... Elementary & Secondary Education Project HOME, Philadelphia, PA, for afterschool programs........... $100,000 Specter
(includes FIE).
Department of Education.......... Elementary & Secondary Education Providence Community Library, Providence, RI, for support of the $250,000 Reed, Whitehouse
(includes FIE). Out-of-School Learning Opportunities program.
Department of Education.......... Elementary & Secondary Education Public Education Foundation, Las Vegas, NV, for support of a $100,000 Reid
(includes FIE). clearinghouse for classroom supplies and materials.
Department of Education.......... Elementary & Secondary Education Saint Mary's College, Notre Dame, IN, for tutoring and mentoring $100,000 Lugar
(includes FIE). programs for at-risk youth.
Department of Education.......... Elementary & Secondary Education San Francisco Redevelopment Agency, San Francisco, CA, for a $250,000 Feinstein
(includes FIE). college preparatory program, in partnership with College Track.
Department of Education.......... Elementary & Secondary Education Save the Children, Washington, DC, for a rural literacy program in $100,000 Cochran, Wicker
(includes FIE). Mississippi.
Department of Education.......... Elementary & Secondary Education Save the Children, Westport, CT, for support of the Louisiana Early $200,000 Landrieu
(includes FIE). Child Development program.
Department of Education.......... Elementary & Secondary Education SEED Foundation, Washington, DC, for the SEED School of Louisiana $250,000 Landrieu
(includes FIE). Exploratory project.
Department of Education.......... Elementary & Secondary Education Seton Hall University, South Orange, NJ, for an urban school $350,000 Lautenberg, Menendez
(includes FIE). improvement program.
Department of Education.......... Elementary & Secondary Education Southeastern Louisiana University, Hammond, LA, to increase the $100,000 Landrieu
(includes FIE). number of certified teachers and support other activities designed
to improve student achievement.
Department of Education.......... Elementary & Secondary Education Southwest Washington Workforce Development Council, Vancouver, WA, $100,000 Murray
(includes FIE). for support of professional development in science and mathematics
education.
Department of Education.......... Elementary & Secondary Education Syracuse University, Syracuse, NY, for support of afterschool $500,000 Gillibrand, Schumer
(includes FIE). programming.
Department of Education.......... Elementary & Secondary Education Technology Assessment for Basic Skills, Inc., Des Moines, IA, for $2,000,000 Harkin
(includes FIE). continuation and expansion of the SKILLS Iowa program.
Department of Education.......... Elementary & Secondary Education The Tibetan Community of New York and New Jersey, Inc., New York, $100,000 Schumer
(includes FIE). NY, for the Tibetan Community Center Youth Education and
Empowerment Program.
Department of Education.......... Elementary & Secondary Education Thrive By Five Washington, Seattle, WA, for support of early $300,000 Murray
(includes FIE). childhood education programming.
Department of Education.......... Elementary & Secondary Education Uintah School District, Vernal, UT, for academic achievement and $106,000 Hatch
(includes FIE). credit recovery programs, including the purchase of equipment.
Department of Education.......... Elementary & Secondary Education University of Mississippi, University, MS, for teacher training for $300,000 Cochran, Wicker
(includes FIE). elementary mathematics education.
Department of Education.......... Elementary & Secondary Education University of Southern Mississippi, Hattiesburg, MS, for teacher $400,000 Cochran, Wicker
(includes FIE). training in the science, technology, engineering, math, language,
and creative arts fields.
Department of Education.......... Elementary & Secondary Education Utah State Office of Education, Salt Lake City, UT, for teacher $300,000 Bennett
(includes FIE). development programs.
Department of Education.......... Elementary & Secondary Education Utah Symphony, Salt Lake City, UT, for music education programs.... $106,000 Hatch
(includes FIE).
Department of Education.......... Elementary & Secondary Education Washoe County School District, Reno, NV, for support of educational $500,000 Reid
(includes FIE). activities.
Institute of Museum & Library Museums & Libraries...................... World Science Festival, New York, NY, for science and environmental $200,000 Cochran
Services. education and outreach activities.
Department of Education.......... Elementary & Secondary Education Young Writers Project, Inc., Winooski, VT, for support educational $175,000 Leahy
(includes FIE). programming and teaching training.
Department of Education.......... Higher Education (includes FIPSE)........ Alcorn State University, Alcorn State, MS, for curriculum $250,000 Cochran, Wicker
development and the purchase of equipment related to graduate
technical programs.
Department of Education.......... Higher Education (includes FIPSE)........ Arkansas Baptist College, Little Rock, AR, for the Center for $150,000 Lincoln, Pryor
Entrepreneurship.
Department of Education.......... Higher Education (includes FIPSE)........ Armstrong Atlantic State University Cyber Security Research $200,000 Isakson, Chambliss
Foundation, Savannah, GA, for the Cyber Intelligence and Counter
Terrorism Program, including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Baylor University, Waco, TX, for technology upgrades at the Baylor $200,000 Hutchison
Research and Innovation Collaborative, including the purchase of
equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Black Hills State University, Spearfish, SD, for equipment to $450,000 Johnson
enhance education programs.
Department of Education.......... Higher Education (includes FIPSE)........ California Community Colleges Chancellor's Office, Sacramento, CA, $500,000 Feinstein
to expand a program providing academic support to veterans.
Department of Education.......... Higher Education (includes FIPSE)........ California State University, Bakersfield, CA, for support of the $150,000 Boxer
nursing program.
Department of Education.......... Higher Education (includes FIPSE)........ California State University, Long Beach, CA, for staff resources $350,000 Boxer
for the Metro Academies Initiative.
Department of Education.......... Higher Education (includes FIPSE)........ California State University, Sacramento, CA, for the Veterans $150,000 Boxer
Education Transitional Supports program.
Department of Education.......... Higher Education (includes FIPSE)........ Castleton State College, Castleton, VT, to expand the Principal $300,000 Leahy
Training and School Leadership Program.
Department of Education.......... Higher Education (includes FIPSE)........ Cazenovia College, Cazenovia, NY, for curriculum development and $200,000 Schumer
job training.
Department of Education.......... Higher Education (includes FIPSE)........ Central Maine Community College, Auburn, ME, for job training $285,000 Collins, Snowe
programs for healthcare providers.
Department of Education.......... Higher Education (includes FIPSE)........ Central Washington University, Ellensburg, WA, to launch the $1,000,000 Murray, Cantwell
state's first bachelor's degree program in clean energy.
Department of Education.......... Higher Education (includes FIPSE)........ Cincinnati State Technical and Community College, Cincinnati, OH, $150,000 Voinovich
for GED and transition to college programs and job placement.
Department of Education.......... Higher Education (includes FIPSE)........ Coe College, Cedar Rapids, IA, for the Digital Media Technology $300,000 Harkin, Grassley
Project.
Department of Education.......... Higher Education (includes FIPSE)........ College of Idaho, Caldwell, ID, for technology upgrades and the $100,000 Crapo, Risch
purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ College of Southern Nevada, Las Vegas, NV, for the expansion of $400,000 Reid
online courses.
Department of Education.......... Higher Education (includes FIPSE)........ College Success Foundation, Washington, DC, for mentoring and $500,000 Harkin
scholarships.
Department of Education.......... Higher Education (includes FIPSE)........ Commonwealth Medical College, Scranton, PA, for the Community $250,000 Casey, Specter
Quality Initiative curriculum development program.
Department of Education.......... Higher Education (includes FIPSE)........ Community College of Allegheny County, Pittsburgh, PA, to support $100,000 Specter
basic education and GED programs.
Department of Education.......... Higher Education (includes FIPSE)........ Community College of Rhode Island, Warwick, RI, for the development $500,000 Reed
of a biotech program, including equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Connecticut State University System, Hartford, CT, to expand Latin $500,000 Dodd
American and Caribbean studies.
Department of Education.......... Higher Education (includes FIPSE)........ Dakota Wesleyan University, Mitchell, SD, for healthcare training $150,000 Johnson
programs.
Department of Education.......... Higher Education (includes FIPSE)........ Deaf West, North Hollywood, CA, for educational programming........ $250,000 Harkin
Department of Education.......... Higher Education (includes FIPSE)........ Delaware Technical and Community College, Dover, DE, for distance $150,000 Carper, Kaufman
learning technology.
Department of Education.......... Higher Education (includes FIPSE)........ Delta College, University Center, MI, for chemical process and $250,000 Levin, Stabenow
lithium battery Lab Equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Dickinson State University, Dickinson, ND, for its Theodore $300,000 Dorgan, Conrad
Roosevelt Center.
Department of Education.......... Higher Education (includes FIPSE)........ Drake University Law School, Des Moines, IA, to create the Drake $300,000 Harkin
Institute for Legislation and Agriculture Policy.
Department of Education.......... Higher Education (includes FIPSE)........ Eastern Washington University, Spokane, WA, to educate, conduct $300,000 Murray, Cantwell
research, and disseminate vital information on regional water
issues.
Department of Education.......... Higher Education (includes FIPSE)........ Edward M. Kennedy Institute for the United States Senate, Boston, $500,000 Kerry
MA, for educational program development, including an endowment.
Department of Education.......... Higher Education (includes FIPSE)........ Fort Lewis College, Durango, CO, to develop and administer the $250,000 Mark Udall, Bennet
Tribal Nation Building program to provide internships and social
service programs.
Department of Education.......... Higher Education (includes FIPSE)........ Francis Marion University, Florence, SC, for early childhood $150,000 Graham
education initiatives.
Department of Education.......... Higher Education (includes FIPSE)........ Future Generations, Franklin, WV, to develop a higher education $1,000,000 Rockefeller
degree in the field of substance abuse prevention.
Department of Education.......... Higher Education (includes FIPSE)........ Grambling State University, Grambling, LA, for the Project $100,000 Landrieu
Lifelines program for vocational or higher education training.
Department of Education.......... Higher Education (includes FIPSE)........ Grand Rapids Community College, Grand Rapids, MI, for the purchase $100,000 Stabenow, Levin
of equipment and development of education programs in alternative/
renewable energy.
Department of Education.......... Higher Education (includes FIPSE)........ Hawaii Community College, Hilo, HI, to promote Native Hawaiian and $400,000 Inouye, Akaka
other secondary education programs.
Department of Education.......... Higher Education (includes FIPSE)........ Hazard Community and Technical College, Hazard, KY, for science, $100,000 Bunning
technology, engineering, and math education programs.
Department of Education.......... Higher Education (includes FIPSE)........ Huntingdon College, Montgomery, AL, for purchase of equipment and $100,000 Sessions
technology upgrades to support distance learning initiatives.
Department of Education.......... Higher Education (includes FIPSE)........ Illinois State University--Normal, Normal, IL, for minority student $400,000 Durbin
recruitment and retention.
Department of Education.......... Higher Education (includes FIPSE)........ Imperial Valley Community College District, Imperial, CA, for an $200,000 Boxer
English Language Immersion program.
Department of Education.......... Higher Education (includes FIPSE)........ Iowa Valley Community College District, Iowa Falls, IA, for a $300,000 Harkin
training program in agricultural and renewable energy technology,
including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Jackson Community College/Bay de Noc College/Lake Michigan College, $100,000 Levin, Stabenow
Jackson, MI, to develop and implement assessment tools and
curriculum to serve low-skilled adults.
Department of Education.......... Higher Education (includes FIPSE)........ Jackson State University, Jackson, MS, for teacher training to $500,000 Cochran, Wicker
improve literacy and mathematics instruction.
Department of Education.......... Higher Education (includes FIPSE)........ Johnson State College, Johnson, VT, to expand the teacher $200,000 Leahy
preparation program.
Department of Education.......... Higher Education (includes FIPSE)........ Junior College District of Newton and McDonald Counties, Missouri, $500,000 Bond
Neosho, MO, for the purchase of equipment to support allied health
education.
Department of Education.......... Higher Education (includes FIPSE)........ Junior College District of Sedalia, Missouri, Sedalia, MO, for $500,000 Bond
curriculum development and the purchase of equipment related to
advanced energy systems.
Department of Education.......... Higher Education (includes FIPSE)........ Kauai Community College, Lihue, HI, for planning and implementation $200,000 Inouye, Akaka
of a 4-year degree program.
Department of Education.......... Higher Education (includes FIPSE)........ Keene State College, Keene, NH, for curriculum development and $150,000 Shaheen
educational equipment for the Monadnock Biodiesel Collaborative.
Department of Education.......... Higher Education (includes FIPSE)........ Lake Area Technical Institute, Watertown, SD, for educational $200,000 Johnson, Thune
equipment related to first responder training.
Department of Education.......... Higher Education (includes FIPSE)........ Lake Erie College of Osteopathic Medicine, Erie, PA, to training $100,000 Specter, Casey
dental students in patient centered care.
Department of Education.......... Higher Education (includes FIPSE)........ Leeward Community College, Pearl City, HI, to provide college $400,000 Inouye, Akaka
preparatory education for Filipino students.
Department of Education.......... Higher Education (includes FIPSE)........ Macomb Community College, Warren, MI, to develop assessment and $250,000 Stabenow, Levin
curriculum materials to make displaced workers college ready.
Department of Education.......... Higher Education (includes FIPSE)........ Manhattan Area Technical College, Manhattan, KS, for curriculum $450,000 Brownback
development and technology upgrades, including the purchase of
equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Maryland Association of Community Colleges, Annapolis, MD, for the $1,250,000 Mikulski
purchase of equipment to develop science and engineering labs.
Department of Education.......... Higher Education (includes FIPSE)........ Medaille College, Buffalo, NY, for equipment related to science $150,000 Schumer
educa- tion.
Department of Education.......... Higher Education (includes FIPSE)........ Methodist University, Fayetteville, NC, for curriculum development $150,000 Burr
and education equipment related to first responder training.
Department of Education.......... Higher Education (includes FIPSE)........ Middle Tennessee State University, Murfreesboro, TN, for science, $1,500,000 Alexander
technology, engineering, and math education, including the
purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Midway College, Inc., Midway, KY, for education equipment related $100,000 Bunning
to nursing and health sciences.
Department of Education.......... Higher Education (includes FIPSE)........ Minot State University, Minot, ND, for salaries and operating $450,000 Dorgan, Conrad
expense for the Center for Community Research and Service.
Department of Education.......... Higher Education (includes FIPSE)........ Mississippi State University, Mississippi State, MS, for technology $100,000 Cochran, Wicker
upgrades and the purchase of equipment to support the Delta
Council Papers Project.
Department of Education.......... Higher Education (includes FIPSE)........ Mott Community College, Flint, MI, for the purchase of renewable $250,000 Levin, Stabenow
energy equipment and curriculum development for the Institute for
Renewable and Sustainable Energy.
Department of Education.......... Higher Education (includes FIPSE)........ Nevada State College, Henderson, NV, for curriculum development and $200,000 Reid
for the purchase of technology.
Department of Education.......... Higher Education (includes FIPSE)........ New College Institute, Martinsville, VA, for curriculum development $100,000 Webb, Warner
for the development of bachelor's degree programs in Renewable
Energy, Advanced Manufacturing, Technology Integration, and
Entrepreneurship.
Department of Education.......... Higher Education (includes FIPSE)........ New Hampshire Institute of Politics at Saint Anselm College, $2,650,000 Gregg
Manchester, NH, for education programs, technology upgrades and
purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ New School--Institute for Urban Education, New York, NY, for an $725,000 Gillibrand
educational mentoring and outreach program for low-income, at-risk
students.
Department of Education.......... Higher Education (includes FIPSE)........ Niagara County Community College, Sanborn, NY, for educational $100,000 Schumer
equipment.
Department of Education.......... Higher Education (includes FIPSE)........ North Arkansas College, Harrison, AR, for the purchase of equipment $100,000 Lincoln, Pryor
and IT upgrades.
Department of Education.......... Higher Education (includes FIPSE)........ North Iowa Area Community College, Mason City, IA, to make state-of- $200,000 Grassley, Harkin
the-art training, technology, and equipment available for health
professionals.
Department of Education.......... Higher Education (includes FIPSE)........ Northeast Community College, Norfolk, NE, for the purchase of $500,000 Ben Nelson
equipment for a renewable energy program.
Department of Education.......... Higher Education (includes FIPSE)........ Northeast Iowa Community College, Calmar, IA, For Dairy Science $300,000 Harkin, Grassley
Technology program.
Department of Education.......... Higher Education (includes FIPSE)........ Northeastern State University, Tahlequah, OK, for professional $100,000 Inhofe
development, including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Northern Illinois University, DeKalb, IL, to create a pilot study $200,000 Durbin
abroad program.
Department of Education.......... Higher Education (includes FIPSE)........ Northern Kentucky University, Highland Heights, KY, for the $2,000,000 McConnell
purchase of equipment and technology.
Department of Education.......... Higher Education (includes FIPSE)........ Northern Maine Community College, Presque Isle, ME, for equipment $200,000 Snowe
related to wind power technology programs.
Department of Education.......... Higher Education (includes FIPSE)........ Northwest Arkansas Community College, Bentonville, AR, for the $300,000 Lincoln, Pryor
purchase of distance learning equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Northwest Indian College, Bellingham, WA, to expand financial $150,000 Murray, Cantwell
literacy education opportunities.
Department of Education.......... Higher Education (includes FIPSE)........ Ohio Dominican University, Columbus, OH, for science programs, $150,000 Voinovich
including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Oklahoma State University, Stillwater, OK, to develop a veteran $100,000 Inhofe
entrepreneurial training program.
Department of Education.......... Higher Education (includes FIPSE)........ Orange County Community College, Middletown, NY, for support of the $500,000 Gillibrand
Science, Engineering & Technology Center, which may include
equipment and wiring.
Department of Education.......... Higher Education (includes FIPSE)........ Pennsylvania Commission for Community Colleges, Harrisburg, PA, to $100,000 Specter
design, create, and implement open source educational materials.
Department of Education.......... Higher Education (includes FIPSE)........ Pittsburg State University, Pittsburg, KS, to expand education $400,000 Brownback
programs.
Department of Education.......... Higher Education (includes FIPSE)........ Providence College, Providence, RI, for technology improvements $300,000 Reed, Whitehouse
related to education.
Department of Education.......... Higher Education (includes FIPSE)........ Redlands Community College, El Reno, OK, for nursing education and $100,000 Inhofe
training including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Richland Community College, Decatur, IL, for the purchase of modern $150,000 Durbin
human patient simulators.
Department of Education.......... Higher Education (includes FIPSE)........ Roger Williams University, Bristol, RI, for college access and $400,000 Reed
school-to-work programs.
Department of Education.......... Higher Education (includes FIPSE)........ Saint Joseph College, West Hartford, CT, for personnel, equipment $500,000 Dodd, Lieberman
and technology at the new Institute for Autism and Behavioral
Studies.
Department of Education.......... Higher Education (includes FIPSE)........ Saint Michael's College, Colchester, VT, for curriculum development $250,000 Leahy
and academic programming at the Center for Intercultural and
Global Learning.
Department of Education.......... Higher Education (includes FIPSE)........ San Juan College, Farmington, NM, for the creation of online and $150,000 Tom Udall, Bingaman
certificate programs to expand the Renewable Energy Program.
Department of Education.......... Higher Education (includes FIPSE)........ Security on Campus, Inc., King of Prussia, PA, to support peer $100,000 Specter
education programs.
Department of Education.......... Higher Education (includes FIPSE)........ Simpson College, Indianola, IA, for the John C. Culver Public $400,000 Harkin
Policy Cen- ter.
Department of Education.......... Higher Education (includes FIPSE)........ South Arkansas Community College, El Dorado, AR, for the purchase $200,000 Lincoln, Pryor
of equipment for the Process Technology Operator Program.
Department of Education.......... Higher Education (includes FIPSE)........ Southern Maine Community College, South Portland, ME, to $625,000 Collins, Snowe
development a heavy equipment and transportation program,
including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ SUNY Upstate Medical University, Syracuse, NY, for curriculum $200,000 Schumer
development.
Department of Education.......... Higher Education (includes FIPSE)........ Texas State Technical College, Georgetown, TX, for the purchase of $110,000 Cornyn
equipment and technology.
Department of Education.......... Higher Education (includes FIPSE)........ Texas Wesleyan University, Fort Worth, TX, to develop a distance $110,000 Cornyn
education initiative, including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Three Rivers Community College, Poplar Bluff, MO, for the purchase $250,000 Bond
of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ Towson University, Towson, MD, for equipment and program $150,000 Cardin
development for the Center for Adults with Autism.
Department of Education.......... Higher Education (includes FIPSE)........ Trident Technical College, North Charleston, SC, for curriculum $100,000 Graham
development and education equipment for an aeronautical training
program.
Department of Education.......... Higher Education (includes FIPSE)........ Truckee Meadows Community College, Reno, NV, to support the Success $200,000 Reid
First program.
Department of Education.......... Higher Education (includes FIPSE)........ Turtle Mountain Community College, Belcourt, ND, for education $200,000 Dorgan, Conrad
technology equipment.
Department of Education.......... Higher Education (includes FIPSE)........ University of Arizona, Tucson, AZ, for the Integrative Medicine in $600,000 Harkin
Residency program.
Department of Education.......... Higher Education (includes FIPSE)........ University of Cincinnati, Cincinnati, OH, for the Diversity and $350,000 Sherrod Brown
Access Initiative.
Department of Education.......... Higher Education (includes FIPSE)........ University of Colorado at Colorado Springs, Colorado Springs, CO, $100,000 Mark Udall, Bennet
for the Southern Colorado Higher Education Consortium Veterans
Educational Assistance Program.
Department of Education.......... Higher Education (includes FIPSE)........ University of Connecticut School of Law, Hartford, CT, for a Human $250,000 Dodd
Rights and International Law fellowship program.
Department of Education.......... Higher Education (includes FIPSE)........ University of Hawaii School of Law, Honolulu, HI, for the health $350,000 Inouye, Akaka
policy center.
Department of Education.......... Higher Education (includes FIPSE)........ University of Iowa, Iowa City, IA, for the National Institute for $275,000 Grassley, Harkin
Twice-Exceptionality.
Department of Education.......... Higher Education (includes FIPSE)........ University of Maine at Fort Kent, Fort Kent, ME, for curriculum $600,000 Collins
development for nursing education programs.
Department of Education.......... Higher Education (includes FIPSE)........ University of Mississippi, University, MS, to support $250,000 Cochran, Wicker
interdisciplinary research and education related to public policy
and economic education.
Department of Education.......... Higher Education (includes FIPSE)........ University of Northern Colorado, Greeley, CO, for The Education $100,000 Bennet
Innovation Institute.
Department of Education.......... Higher Education (includes FIPSE)........ University of Northern Iowa, Cedar Falls, IA, to support the Center $550,000 Harkin, Grassley
for Disability Studies in Literacy, Language and Learning.
Department of Education.......... Higher Education (includes FIPSE)........ University of South Dakota, Vermillion, SD, to identify and address $400,000 Johnson, Thune
the educational needs of veterans with disabilities.
Department of Education.......... Higher Education (includes FIPSE)........ University of Southern Maine, Portland, ME, for curriculum $500,000 Collins, Snowe
development, including the purchase of equipment.
Department of Education.......... Higher Education (includes FIPSE)........ University of Southern Mississippi, Hattiesburg, MS, for $250,000 Cochran, Wicker
professional and curriculum development, and distance learning at
the Gulf Coast Campuses.
Department of Education.......... Higher Education (includes FIPSE)........ University of Vermont, Burlington, VT, to modernize the College of $475,000 Leahy
Nursing curriculum.
Department of Education.......... Higher Education (includes FIPSE)........ University of Wisconsin-Stevens Point, Stevens Point, WI, to $400,000 Kohl
support non-traditional and veteran students with disabilities in
higher education and career development.
Department of Education.......... Higher Education (includes FIPSE)........ Urban College of Boston, Boston, MA, to support higher education $500,000 Kerry
program serving low-income and minority students.
Department of Education.......... Higher Education (includes FIPSE)........ Utah State University, Logan, UT, to develop a land-grant education $106,000 Hatch, Bennett
and research network.
Department of Education.......... Higher Education (includes FIPSE)........ Valley City State University, Valley City, ND, for the Great Plains $350,000 Dorgan, Conrad
STEM Education Center.
Department of Education.......... Higher Education (includes FIPSE)........ Western Nebraska Community College, Scottsbluff, NE, for the $500,000 Ben Nelson
Western Nebraska Wind Energy Training Center.
Department of Education.......... Higher Education (includes FIPSE)........ Western Technical College, La Crosse, WI, to establish a veteran's $150,000 Kohl
center on campus.
Department of Education.......... Higher Education (includes FIPSE)........ Westminster College, Salt Lake City, UT, to purchase equipment to $150,000 Bennett
support nursing and health science education.
Department of Education.......... Rehabilitation Services & Disability American Academy of Orthotists and Prosthetists, Washington, DC, to $500,000 Harkin
Research. improve the quality of applied orthotic and prosthetic research
and to help meet the demand for provider services.
Department of Education.......... Rehabilitation Services & Disability ARC of Madison County, Huntsville, AL, for a disability program $100,000 Sessions
Research. initiative, which may include equipment.
Department of Education.......... Rehabilitation Services & Disability Holy Angels Residential Facility, Caddo Parish, LA, for vocational $100,000 Landrieu
Research. training for developmental disabled individuals.
Department of Education.......... Rehabilitation Services & Disability Spurwink Services, Portland, ME, for education programs for $400,000 Collins, Snowe
Research. students with autism.
Department of Education.......... Rehabilitation Services & Disability Statewide Independent Living Council, Anchorage, AK, to expand $400,000 Murkowski
Research. independent living programs for rural and remote areas.
Department of Education.......... Rehabilitation Services & Disability Utah State Office of Rehabilitation, Salt Lake City, UT, for $150,000 Bennett
Research. assistive technology equipment.
Department of Health & Human Administration for Children and Families Addison County Parent Child Center, Middlebury, VT, for childcare $100,000 Sanders
Services. (ACF)--Child Abuse Prevention. and parental education programs.
Department of Health & Human Administration for Children and Families County of Contra Costa, Martinez, CA, for an initiative for $350,000 Boxer
Services. (ACF)--Child Abuse Prevention. children and adolescents exposed to domestic violence.
Department of Health & Human Administration for Children and Families Dakota County, Hastings, MN, for a home visitation program for at- $300,000 Franken, Klobuchar
Services. (ACF)--Child Abuse Prevention. risk infants and toddlers and their families.
Department of Health & Human Administration for Children and Families Georgia State University, Atlanta, GA, for child abuse prevention $100,000 Chambliss
Services. (ACF)--Child Abuse Prevention. education services.
Department of Health & Human Administration for Children and Families Nez Perce Tribe, Lapwai, ID, for child abuse prevention............ $100,000 Crapo, Risch
Services. (ACF)--Child Abuse Prevention.
Department of Health & Human Administration for Children and Families South Carolina Department of Education, Columbia, SC, for child $100,000 Graham
Services. (ACF)--Child Abuse Prevention. abuse prevention education services.
Department of Health & Human Administration for Children and Families Southern Nevada Health District, Las Vegas, NV, for a home $400,000 Reid
Services. (ACF)--Child Abuse Prevention. visitation program for low-income first-time mothers.
Department of Health & Human Administration for Children and Families Access to Healthcare Network, Reno, NV, for a helpline to assist $330,000 Reid
Services. (ACF)--Social Services. residents with healthcare and social services.
Department of Health & Human Administration for Children and Families Campus Kitchen, Washington, DC, for services to the homeless $100,000 Lautenberg, Menendez
Services. (ACF)--Social Services. community in Atlantic City, NJ.
Department of Health & Human Administration for Children and Families City of Mount Vernon, NY, for the Youth Development Action Plan.... $150,000 Gillibrand
Services. (ACF)--Social Services.
Department of Health & Human Administration for Children and Families City of Tracy, CA, for gang-outreach, intervention, prevention, and $300,000 Boxer
Services. (ACF)--Social Services. educational assistance programs.
Department of Health & Human Administration for Children and Families Creative Visions, Des Moines, IA, for family reunification and $200,000 Harkin
Services. (ACF)--Social Services. support services.
Department of Health & Human Administration for Children and Families FAMILY, Inc., Council Bluffs, IA, for a home visitation program for $400,000 Harkin, Grassley
Services. (ACF)--Social Services. young children and their families.
Department of Health & Human Administration for Children and Families Jewish Social Service Agency, Rockville, MD, for autism outreach, $450,000 Mikulski, Cardin
Services. (ACF)--Social Services. education, and case management services.
Department of Health & Human Administration for Children and Families Lake County Community Foundation, Waukegan, IL, for expanding $250,000 Durbin
Services. (ACF)--Social Services. access to services.
Department of Health & Human Administration for Children and Families North Ward Center, Inc., Newark, NJ, for comprehensive services for $500,000 Menendez
Services. (ACF)--Social Services. people with autism spectrum disorders.
Department of Health & Human Administration for Children and Families Northern Kentucky Community Action Commission, Covington, KY, for $100,000 Bunning
Services. (ACF)--Social Services. child care program activities.
Department of Health & Human Administration for Children and Families Olive Crest Pacific Northwest, Bellevue, WA, for services for $250,000 Murray
Services. (ACF)--Social Services. foster children and children in unstable home situations.
Department of Health & Human Administration for Children and Families Refuge Network, Cambridge, MN, for family violence and sexual $150,000 Franken
Services. (ACF)--Social Services. assault prevention and intervention services.
Department of Health & Human Administration for Children and Families Springfield Area Parent Child Center, North Springfield, VT, for $500,000 Leahy
Services. (ACF)--Social Services. services for teenage and expectant mothers.
Department of Health & Human Administration for Children and Families TLC for Children and Families, Olathe, KS, for youth transitional $500,000 Brownback
Services. (ACF)--Social Services. living programs.
Department of Health & Human Administration for Children and Families United Way of Capital Area, Jackson, MS, for 2-1-1 Mississippi..... $408,000 Cochran, Wicker
Services. (ACF)--Social Services.
Department of Health & Human Administration for Children and Families United Way of California, South Pasadena, CA, for expanding 2-1-1 $750,000 Feinstein, Boxer
Services. (ACF)--Social Services. services.
Department of Health & Human Administration for Children and Families University of Medicine and Dentistry of New Jersey--The Autism $300,000 Lautenberg, Menendez
Services. (ACF)--Social Services. Center at NJ Medical School, Newark, NJ, for identifying and
treating children with autism spectrum disorders.
Department of Health & Human Administration for Children and Families University of Nevada--Las Vegas, Las Vegas, NV, for expanding $500,000 Reid
Services. (ACF)--Social Services. access to services for people with autism spectrum disorders.
Department of Health & Human Administration for Children and Families YWCA of Greater Portland, Portland, OR, for services for victims of $600,000 Wyden, Merkley
Services. (ACF)--Social Services. human trafficking.
Department of Health & Human Administration on Aging (AOA)............ Cathedral Square Corporation, South Burlington, VT, for the Seniors $750,000 Leahy, Sanders
Services. Aging Safely at Home pilot program.
Department of Health & Human Administration on Aging (AOA)............ Jewish Family Services of Delaware, Wilmington, DE, for an aging-in- $150,000 Kaufman, Carper
Services. place initiative.
Department of Health & Human Administration on Aging (AOA)............ Jewish Federation of Las Vegas, Las Vegas, NV, for the Las Vegas $100,000 Reid
Services. Senior Lifeline Program.
Department of Health & Human Administration on Aging (AOA)............ PACE Greater New Orleans, New Orleans, LA, for the expansion of $150,000 Vitter, Landrieu
Services. senior services.
Department of Health & Human Administration on Aging (AOA)............ The Associated: Jewish Community Federation of Baltimore, $200,000 Mikulski
Services. Baltimore, MD, to address safety and community engagement issues
among seniors.
Department of Health & Human Administration on Aging (AOA)............ Vermont Association of Area Agencies on Aging, Barre, VT, to expand $200,000 Sanders
Services. nutrition assistance and related programs.
Department of Health & Human Administration on Aging (AOA)............ Washoe County Senior Services, Carson City, NV, for the RSVP Home $100,000 Reid
Services. Companion Senior Respite Care Program.
Department of Health & Human Centers for Disease Control and Chicago Public Schools, Chicago, IL, for nutrition and health $150,000 Durbin
Services. Prevention (CDC). education programs, including equipment.
Department of Health & Human Centers for Disease Control and City of Fort Wayne, IN, for outreach, screening and education for $100,000 Lugar
Services. Prevention (CDC). Burmese refugees.
Department of Health & Human Centers for Disease Control and East Carolina University, Greenville, NC, for a health disparities $300,000 Burr
Services. Prevention (CDC). behavioral and chronic disease management initiative.
Department of Health & Human Centers for Disease Control and Fibrous Dysplasia Foundation, Washington, DC, for the development $200,000 Kerry
Services. Prevention (CDC). of a patient network.
Department of Health & Human Centers for Disease Control and Fletcher Allen Health Care, Burlington, VT, to expand the Center $100,000 Leahy
Services. Prevention (CDC). for Nutrition and Healthy Food Systems.
Department of Health & Human Centers for Disease Control and Hawaii Primary Care Association, Honolulu, HI, to continue a $200,000 Inouye, Akaka
Services. Prevention (CDC). program on childhood asthma.
Department of Health & Human Centers for Disease Control and John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ, to $750,000 Lautenberg, Menendez
Services. Prevention (CDC). establish an outreach and education program to combat childhood
obesity.
Department of Health & Human Centers for Disease Control and Lower Brule Sioux Tribe, Lower Brule, SD, for health education and $100,000 Johnson
Services. Prevention (CDC). promotion programs.
Department of Health & Human Centers for Disease Control and Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, for cancer $200,000 Vitter
Services. Prevention (CDC). outreach initiatives.
Department of Health & Human Centers for Disease Control and National Council of La Raza, Washington, DC, for the Institute of $1,000,000 Bingaman
Services. Prevention (CDC). Hispanic Health.
Department of Health & Human Centers for Disease Control and PE4life Foundation, Kansas City, MO, for expansion and assessment $300,000 Harkin
Services. Prevention (CDC). of PE4life programs across Iowa.
Department of Health & Human Centers for Disease Control and Shelburne Farms, Shelburne, VT, to expand Farm-to-School activities $250,000 Leahy
Services. Prevention (CDC).
Department of Health & Human Centers for Disease Control and Silent Spring Institute, Newton, MA, for studies of the impact of $200,000 Kerry
Services. Prevention (CDC). environmental pollutants on breast cancer and women's health.
Department of Health & Human Centers for Disease Control and South Dakota State University, Brookings, SD, for research on $200,000 Johnson
Services. Prevention (CDC). health promotion.
Department of Health & Human Centers for Disease Control and University of Georgia, Athens, GA, for obesity intervention and $100,000 Chambliss
Services. Prevention (CDC). prevention.
Department of Health & Human Centers for Disease Control and University of Hawaii at Hilo, Hilo, HI, for occupational safety and $100,000 Inouye, Akaka
Services. Prevention (CDC). health research.
Department of Health & Human Centers for Disease Control and University of Northern Iowa, Cedar Falls, IA, for a health literacy $300,000 Grassley, Harkin
Services. Prevention (CDC). pro- gram.
Department of Health & Human Centers for Disease Control and Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school-based $150,000 Harkin
Services. Prevention (CDC). injury prevention program.
Department of Health & Human Centers for Medicare and Medicaid Iowa Prescription Drug Corporation, Urbandale, IA, for programs to $500,000 Harkin
Services. Services (CMS)--Research & Demonstration. reduce the cost of prescription drugs.
Department of Health & Human Centers for Medicare and Medicaid University of Mississippi, University, MS, for the Medication Use $800,000 Cochran, Wicker
Services. Services (CMS)--Research & Demonstration. and Outcomes Research Group.
Department of Health & Human Health Resources and Services Aberdeen Area Tribal Chairmen's Health Board, Rapid City, SD, for $450,000 Thune, Johnson
Services. Administration (HRSA)--Health Facilities facilities and equipment to improve prenatal care.
and Services.
Department of Health & Human Health Resources and Services Alameda County Medical Center, Oakland, CA, for facilities and $775,000 Feinstein
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Alaska Medicare Clinic, Anchorage, AK, for facilities and equipment $500,000 Murkowski
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Alaska Native Tribal Health Consortium, Anchorage, AK, for $1,000,000 Murkowski, Begich
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Alaska Native Tribal Health Consortium, Anchorage, AK, for the oral $250,000 Murkowski, Begich
Services. Administration (HRSA)--Health Facilities health disparities project.
and Services.
Department of Health & Human Health Resources and Services Alexian Brothers Hospital Network, Arlington Heights, IL, for $375,000 Durbin
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Anchorage Neighborhood Health Center, Anchorage, AK, for facilities $500,000 Murkowski
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Anchorage Project Access, Anchorage, AK, for outreach, care $200,000 Begich
Services. Administration (HRSA)--Health Facilities coordination, and support of oral healthcare.
and Services.
Department of Health & Human Health Resources and Services Apple Tree Dental, Minneapolis, MN, for facilities and equipment $150,000 Franken, Klobuchar
Services. Administration (HRSA)--Health Facilities related to oral healthcare.
and Services.
Department of Health & Human Health Resources and Services Archbold Medical Center, Thomasville, GA, for facilities and $150,000 Chambliss
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Arkansas Methodist Hospital Corporation, Paragould, AR, for $500,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Assiniboine and Sioux Tribes of the Fort Peck Reservation, Poplar, $200,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities MT, for facilities and equipment related to dialysis.
and Services.
Department of Health & Human Health Resources and Services Association for Utah Community Health, Salt Lake City, UT, to $106,000 Hatch, Bennett
Services. Administration (HRSA)--Health Facilities implement an electronic medical record system.
and Services.
Department of Health & Human Health Resources and Services Barbara Ann Karmanos Cancer Institute, Detroit, MI, for facilities $250,000 Levin, Stabenow
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Barnabas Uplift, Waverly, IA, for a healthcare job training program $300,000 Harkin
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Baton Rouge Children's Health Project, Baton Rouge, Louisiana, for $200,000 Vitter
Services. Administration (HRSA)--Health Facilities the purchase of mobile mental health units.
and Services.
Department of Health & Human Health Resources and Services Baxter Regional Medical Center, Mountain Home, AR, for facilities $450,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Baylor Health Care System and City of Dallas, TX, for facilities $110,000 Cornyn
Services. Administration (HRSA)--Health Facilities and equip- ment.
and Services.
Department of Health & Human Health Resources and Services Bear Lake Memorial Hospital, Montpelier, ID, for facilities and $150,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Beebe Medical Center, Lewes, DE, for facilities and equipment $150,000 Carper, Kaufman
Services. Administration (HRSA)--Health Facilities related to nurse training.
and Services.
Department of Health & Human Health Resources and Services BioOhio, Columbus, OH, for a national vaccine manufacturing and $100,000 Voinovich, Sherrod Brown
Services. Administration (HRSA)--Health Facilities logistics center study.
and Services.
Department of Health & Human Health Resources and Services Bi-State Primary Care Association, Montpelier, VT, for education $40,000 Sanders
Services. Administration (HRSA)--Health Facilities and outreach.
and Services.
Department of Health & Human Health Resources and Services Bi-State Primary Care Association, Montpelier, VT, for equipment $110,000 Sanders
Services. Administration (HRSA)--Health Facilities and support of a dental clinic.
and Services.
Department of Health & Human Health Resources and Services Bozeman Deaconess Hospital, Bozeman, MT, for facilities and $250,000 Baucus, Tester
Services. Administration (HRSA)--Health Facilities equipment, including electronic health records.
and Services.
Department of Health & Human Health Resources and Services Briar Cliff University, Sioux City, IA, for health training $100,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities equipment and online instruction.
and Services.
Department of Health & Human Health Resources and Services Broadlawns Medical Center, Des Moines, IA, for facilities and $500,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Brookhaven Memorial Hospital Medical Center, Patchogue, NY, to $100,000 Schumer
Services. Administration (HRSA)--Health Facilities establish the Brookhaven Breast Cancer Coalition.
and Services.
Department of Health & Human Health Resources and Services Cassia Regional Medical Center, Burley, ID, for facilities and $150,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Center for Asbestos Related Disease, Libby, MT, for facilities and $300,000 Baucus, Tester
Services. Administration (HRSA)--Health Facilities equipment, including information technology.
and Services.
Department of Health & Human Health Resources and Services Center for Enhanced Diabetic Eye Care, Pikesville, MD, for programs $100,000 Wyden, Merkley
Services. Administration (HRSA)--Health Facilities related to diabetic retinopathy, including equipment.
and Services.
Department of Health & Human Health Resources and Services Central Arkansas Radiation Therapy Institute, Little Rock, AR, for $500,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Central Maine Medical Center College of Nursing and Health $200,000 Snowe, Collins
Services. Administration (HRSA)--Health Facilities Professions, Lewiston, ME, for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Central Maine Medical Center, Lewiston, ME, for health professions $225,000 Collins, Snowe
Services. Administration (HRSA)--Health Facilities training, including equipment.
and Services.
Department of Health & Human Health Resources and Services Chestnut Health Systems, Bloomington, IL, for facilities and $350,000 Durbin
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Children's Medical Center--Dallas, TX, for facilities and equipment $300,000 Hutchison, Cornyn
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Children's Memorial Hermann Hospital, Houston, TX, for facilities $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Children's Aid and Family Services, Paramus, NJ, for facilities and $200,000 Lautenberg, Menendez
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Children's Hospital of Wisconsin and Health System, Milwaukee, WI, $700,000 Kohl
Services. Administration (HRSA)--Health Facilities for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Children's Hospital, Aurora, CO, for information technology $150,000 Bennet
Services. Administration (HRSA)--Health Facilities upgrades.
and Services.
Department of Health & Human Health Resources and Services Children's Mercy Hospital, Kansas City, MO, for facilities and $500,000 Bond
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Chippewa Valley Free Clinic, Eau Claire, WI, for facilities and $500,000 Kohl
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services CHRISTUS St. Frances Cabrini, Alexandria, LA, for electronic health $200,000 Landrieu, Vitter
Services. Administration (HRSA)--Health Facilities record implementation.
and Services.
Department of Health & Human Health Resources and Services Chronic Disease Fund, Plano, TX, to expand chronic disease program. $500,000 Brownback
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Clarian Health, Indianapolis, IN, for outreach and education $100,000 Lugar
Services. Administration (HRSA)--Health Facilities services for diabetes.
and Services.
Department of Health & Human Health Resources and Services Cleveland State University, Cleveland, OH, for facilities and $100,000 Voinovich, Sherrod Brown
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Coastal Carolina University, Conway, SC, for facilities and $200,000 Graham
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Coastal Family Health Center, Astoria, OR, for facilities and $100,000 Merkley, Wyden
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Columbus Regional Hospital, Columbus, IN, for facilities and $100,000 Lugar
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Community Dental, Portland, ME, for dental health services, $450,000 Collins, Snowe
Services. Administration (HRSA)--Health Facilities including equipment.
and Services.
Department of Health & Human Health Resources and Services Community Foundation of Southwest Kansas, Dodge City, KS, for $150,000 Brownback, Roberts
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health Access Project, Inc., Mansfield, OH, for $250,000 Sherrod Brown
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health Center of Fort Dodge, IA, for facilities and $100,000 Harkin
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health Center, Inc., Middletown, CT, for a residency $150,000 Dodd, Lieberman
Services. Administration (HRSA)--Health Facilities training program for nurse practitioners.
and Services.
Department of Health & Human Health Resources and Services Community Health Centers of Arkansas, North Little Rock, AR, for $250,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health Centers of Southeastern Iowa, Burlington, IA, for $100,000 Harkin
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health Centers of Southern Iowa, Leon, IA, for facilities $250,000 Harkin
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Community Health, Chicago, IL, for facilities and equipment........ $150,000 Durbin
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Comprehensive Community Action Inc., Cranston, RI, for health $500,000 Reed, Whitehouse
Services. Administration (HRSA)--Health Facilities center facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Concordia University School of Pharmacy, Mequon, WI, for facilities $500,000 Kohl
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Connecticut Children's Medical Center, Hartford, CT, for facilities $500,000 Dodd, Lieberman
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Coos County Family Health Services, Berlin, NH, for facilities and $150,000 Shaheen
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Copper River Native Association, Copper Center, AK, for facilities $500,000 Murkowski
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Council Bluffs Community Health Center, Council Bluffs, IA, for $350,000 Harkin
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services County of Riverside, Moreno Valley, CA, for facilities and $1,000,000 Feinstein, Boxer
Services. Administration (HRSA)--Health Facilities equipment related to trauma care.
and Services.
Department of Health & Human Health Resources and Services Crouse Hospital, Syracuse, NY, for facilities and equipment........ $150,000 Schumer
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Cure for the Kids Foundation, Las Vegas, NV, for facilities and $500,000 Reid
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Dakota Wesleyan University, Mitchell, SD, for health training $200,000 Johnson
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Dallas County Community College District, Dallas, TX, for a health $250,000 Hutchison
Services. Administration (HRSA)--Health Facilities careers resource center.
and Services.
Department of Health & Human Health Resources and Services Dartmouth Hitchcock Medical Center, Lebanon, NH, for facilities and $400,000 Gregg
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Dean McGee Eye Institute, Oklahoma City, OK, for facilities and $150,000 Inhofe
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Delta State University, Cleveland, MS, for facilities and equipment $1,300,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Denver Hospice, Denver, CO, for facilities and equipment........... $150,000 Bennet
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Dillard University, New Orleans, LA, for facilities and equipment $250,000 Landrieu, Vitter
Services. Administration (HRSA)--Health Facilities at the Gentille Center for Health Disparities and Disease
and Services. Prevention.
Department of Health & Human Health Resources and Services Drew Memorial Hospital, Monticello, AR, for facilities and $500,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services East Carolina University, Greenville, NC, for facilities and $500,000 Burr
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services East Carroll Parish Hospital, Lake Providence, LA, for facilities $600,000 Landrieu
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services East Orange General Hospital, East Orange, NJ, for facilities and $200,000 Lautenberg, Menendez
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Easter Seals Joliet Region, Inc., Joliet, IL, for facilities and $200,000 Durbin, Burris
Services. Administration (HRSA)--Health Facilities equipment related to autism.
and Services.
Department of Health & Human Health Resources and Services Eastern Maine Healthcare System, Brewer, ME, for a hospice and $385,000 Collins, Snowe
Services. Administration (HRSA)--Health Facilities palliative care initiative.
and Services.
Department of Health & Human Health Resources and Services Eastern Shore Rural Health System, Inc., Nassawadox, VA, for $150,000 Webb, Warner
Services. Administration (HRSA)--Health Facilities equipment related to oral healthcare.
and Services.
Department of Health & Human Health Resources and Services Egyptian Public & Mental Health Department, Eldorado, IL, for $275,000 Durbin
Services. Administration (HRSA)--Health Facilities facilities and equipment at a rural health clinic.
and Services.
Department of Health & Human Health Resources and Services Flathead Valley Community College, Kalispell, MT, for health $100,000 Baucus, Tester
Services. Administration (HRSA)--Health Facilities professions training, including equipment.
and Services.
Department of Health & Human Health Resources and Services Floyd Medical Center, Rome, GA, for facilities and equipment....... $100,000 Chambliss
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Free Clinics of Iowa, Des Moines, IA, for coordination of care..... $350,000 Harkin
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Garfield Memorial Hospital, Panguitch, UT, for facilities and $106,000 Hatch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Gillette Children's Specialty Healthcare, St. Paul, MN, for $100,000 Klobuchar, Franken
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Global to Local Health Initiative, Seattle, WA, for a health $400,000 Murray, Cantwell
Services. Administration (HRSA)--Health Facilities disparities program, including equipment.
and Services.
Department of Health & Human Health Resources and Services Good Samaritan Health Clinic of Cullman, Inc., Cullman, AL, to $100,000 Sessions
Services. Administration (HRSA)--Health Facilities implement an electronic medical records system.
and Services.
Department of Health & Human Health Resources and Services Goodall Hospital, Sanford, ME, for facilities and equipment........ $300,000 Collins
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Grays Harbor Community Hospital, Aberdeen, WA, for facilities and $750,000 Murray, Cantwell
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Greater Sioux Community Health Center, Sioux Center, IA, for $600,000 Harkin
Services. Administration (HRSA)--Health Facilities facilities, equipment, supplies, and outreach.
and Services.
Department of Health & Human Health Resources and Services Habersham Medical Center, Demorest, GA, for facilities and $100,000 Chambliss
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Harms Memorial Hospital District, American Falls, ID, for $100,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Harris County Hospital District, Houston, TX, for facilities and $250,000 Hutchison
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Hawkeye Community College, Waterloo, IA, for health education $400,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Health Work Force Institute, Seattle, WA, for programs to identify $300,000 Murray
Services. Administration (HRSA)--Health Facilities and address workforce needs.
and Services.
Department of Health & Human Health Resources and Services Healthy Howard Health Plan, Inc., Columbia, MD, for outreach, $500,000 Mikulski, Cardin
Services. Administration (HRSA)--Health Facilities support and care coordination.
and Services.
Department of Health & Human Health Resources and Services Hidalgo Medical Services, Lordsburg, NM, for facilities and $250,000 Tom Udall, Bingaman
Services. Administration (HRSA)--Health Facilities equipment in Silver City.
and Services.
Department of Health & Human Health Resources and Services Hospice of the Panhandle, Martinsburg, WV, for facilities and $3,000,000 Rockefeller
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Houston Community College, Houston, TX, for recruitment and nurse $250,000 Hutchison
Services. Administration (HRSA)--Health Facilities training.
and Services.
Department of Health & Human Health Resources and Services Howard Community College, Columbia, MD, for health education $250,000 Cardin
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Hudson Perinatal Consortium, Jersey City, NJ, for a program to $200,000 Lautenberg, Menendez
Services. Administration (HRSA)--Health Facilities improve birth outcomes.
and Services.
Department of Health & Human Health Resources and Services Idaho State University, Pocatello, ID, for facilities and equipment $150,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Innovis Health, Fargo, ND, for facilities and equipment............ $175,000 Dorgan, Conrad
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Integrated Service Solutions, Caribou, ME, to implement an $255,000 Collins
Services. Administration (HRSA)--Health Facilities electronic health record system.
and Services.
Department of Health & Human Health Resources and Services Iowa CareGivers Association, West Des Moines, IA, for the Direct $300,000 Harkin
Services. Administration (HRSA)--Health Facilities Care Worker Resource and Outreach Center.
and Services.
Department of Health & Human Health Resources and Services Iowa Healthcare Collaborative, Des Moines, IA, to improve $650,000 Harkin
Services. Administration (HRSA)--Health Facilities healthcare provider efficiency and effectiveness.
and Services.
Department of Health & Human Health Resources and Services Iowa Nebraska Primary Care Association, Des Moines, IA, for $600,000 Harkin
Services. Administration (HRSA)--Health Facilities planning grants.
and Services.
Department of Health & Human Health Resources and Services Iowa State University, Ames, IA, for facilities and equipment for $1,000,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities the Institute for Novel Vaccines and Anti-Microbial Design.
and Services.
Department of Health & Human Health Resources and Services Iowa Valley Community College District, Marshalltown, IA, to assist $100,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities underserved individuals in pursuing a healthcare career.
and Services.
Department of Health & Human Health Resources and Services Iowa Western Community College, Council Bluffs, IA, for facilities $250,000 Grassley, Harkin
Services. Administration (HRSA)--Health Facilities and equipment for the nursing center.
and Services.
Department of Health & Human Health Resources and Services J.C. Blair Memorial Hospital, Huntingdon, PA, for facilities and $100,000 Specter, Casey
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Jackson Laboratory, Bar Harbor, ME, for facilities and equipment... $100,000 Snowe, Collins
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Jackson Park Hospital, Chicago, IL, for facilities and equipment... $250,000 Durbin
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Jackson State University, Jackson, MS, for facilities and equipment $1,000,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Jacksonville State University, Jacksonville, AL, for a nursing $100,000 Sessions
Services. Administration (HRSA)--Health Facilities education program including equipment.
and Services.
Department of Health & Human Health Resources and Services Jameson Health System, New Castle, PA, for facilities and equipment $100,000 Specter
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Kalihi-Palama Health Center, Honolulu, HI, for a program on renal $250,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities dis- ease.
and Services.
Department of Health & Human Health Resources and Services Kanawha-Charleston Health Department, Charleston, WV, for a chronic $350,000 Rockefeller
Services. Administration (HRSA)--Health Facilities disease management program.
and Services.
Department of Health & Human Health Resources and Services Kauai Community Health Center, Lihue, HI, for facilities and $200,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Kennesaw State University, Kennesaw, GA, for facilities and $200,000 Isakson
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services King County Project Access, Seattle, WA, for facilities and $40,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services La Clinica del Valle Family Health Care Center, Inc., Medford, OR, $200,000 Merkley, Wyden
Services. Administration (HRSA)--Health Facilities for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Lake Area Technical Institute, Watertown, SD, for health training $100,000 Johnson
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Lanai'i Community Health Center, Lanai'i City, HI, for facilities $100,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Leflore County Health Center, Inc, Greenwood, MS, for a patient $250,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities navigator initiative, including equipment.
and Services.
Department of Health & Human Health Resources and Services Legacy Health System, Vancouver, WA, for telemedicine programs, $125,000 Murray, Cantwell
Services. Administration (HRSA)--Health Facilities including equipment.
and Services.
Department of Health & Human Health Resources and Services Lewis-Clark State College, Lewiston, ID, for facilities and $150,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Linn Community Care, Cedar Rapids, IA, for facilities and equipment $250,000 Harkin
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Little Company of Mary Hospital, Evergreen Park, IL, for facilities $400,000 Durbin
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Livingston Health Care, Livingston, MT, for facilities and $150,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Los Angeles Community College District, Los Angeles, CA, for health $150,000 Boxer
Services. Administration (HRSA)--Health Facilities professions training, including equipment.
and Services.
Department of Health & Human Health Resources and Services Loyola University, Chicago, IL, for facilities and equipment $400,000 Durbin
Services. Administration (HRSA)--Health Facilities related to nurse training.
and Services.
Department of Health & Human Health Resources and Services Maine Medical Center, Portland, ME, for physician recruitment, $355,000 Collins, Snowe
Services. Administration (HRSA)--Health Facilities including scholarships.
and Services.
Department of Health & Human Health Resources and Services Manchester College, Fort Wayne, IN, for facilities and equipment... $150,000 Lugar
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Maniilaq Association, Kotzebue, AK, for facilities and equipment... $1,500,000 Murkowski
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Marcus Autism Center, Atlanta, GA, for rural health outreach....... $200,000 Isakson, Chambliss
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Marquette University, Milwaukee, WI, for a comprehensive dental $850,000 Kohl
Services. Administration (HRSA)--Health Facilities outreach program.
and Services.
Department of Health & Human Health Resources and Services Marshall University, Huntington, WV, for facilities and equipment $2,300,000 Rockefeller
Services. Administration (HRSA)--Health Facilities related to genetic research.
and Services.
Department of Health & Human Health Resources and Services Massachusetts League of Community Health Centers, Boston, MA, for $100,000 Kerry
Services. Administration (HRSA)--Health Facilities workforce training and development.
and Services.
Department of Health & Human Health Resources and Services Maui Medical Center, Wailuku, HI, for health professions training, $100,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities including equipment.
and Services.
Department of Health & Human Health Resources and Services Mental Crisis Services, Denver, CO, for electronic health record $150,000 Bennet
Services. Administration (HRSA)--Health Facilities implementation.
and Services.
Department of Health & Human Health Resources and Services Mercy Medical Center, Inc., Canton, OH, to implement an electronic $250,000 Voinovich
Services. Administration (HRSA)--Health Facilities medical records system.
and Services.
Department of Health & Human Health Resources and Services Mercy Medical Foundation, Des Moines, IA, for pediatric care $500,000 Harkin
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Minidoka Memorial Hospital, Rupert, ID, for facilities and $150,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Minot State University, Minot, ND, for its Great Plains Autism $200,000 Dorgan, Conrad
Services. Administration (HRSA)--Health Facilities Treatment Program to serve transition-age youth with autism
and Services. spectrum disorders.
Department of Health & Human Health Resources and Services Mission Health System, Asheville, NC, for facilities and equipment. $150,000 Hagan
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Mississippi Blood Services, Inc., Jackson, MS, for facilities and $485,000 Cochran
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services Mississippi County Hospital System d.b.a. Great River Medical $200,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities Center, Blytheville, AR, for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Mississippi Primary Health Care Association, Jackson, MS, for $350,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Mississippi State University, Mississippi State, MS, for biomedical $1,000,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities engineering facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Mississippi State University, Mississippi State, MS, for facilities $500,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Mississippi University for Women, Columbus, MS, for facilities and $190,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Missouri River Medical Center, Fort Benton, MT, for facilities and $300,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Moses Cone Health System, Greensboro, NC, for facilities and $200,000 Hagan
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Murray State University, Murray, KY, to purchase a mobile health $500,000 McConnell
Services. Administration (HRSA)--Health Facilities unit.
and Services.
Department of Health & Human Health Resources and Services Nathan Adelson Hospice Foundation, Las Vegas, NV, for facilities $590,000 Reid
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services National Jewish Health, Denver, CO, for facilities and equipment... $250,000 Bennet
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Native Women's Health Care Center, Rapid City, SD, for facilities $100,000 Johnson
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Navos, Seattle, WA, for facilities and equipment................... $100,000 Cantwell, Murray
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Nevada Cancer Institute, Las Vegas, NV, for equipment.............. $750,000 Reid
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services New Mexico Foundation for Dental Health, Research and Education, $100,000 Bingaman, Tom Udall
Services. Administration (HRSA)--Health Facilities Albuquerque, NM, for outreach, care coordination, and support of
and Services. oral health care.
Department of Health & Human Health Resources and Services New York Presbyterian Hospital, New York, NY, for facilities and $150,000 Gillibrand, Schumer
Services. Administration (HRSA)--Health Facilities equip- ment.
and Services.
Department of Health & Human Health Resources and Services New York University Langone Medical Center, New York, NY, for $750,000 Schumer
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services North Colorado Medical Center, Greeley, CO, for facilities and $250,000 Bennet
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services North Dakota Medical Association, Bismarck, ND, to set up a $250,000 Dorgan, Conrad
Services. Administration (HRSA)--Health Facilities statewide quality improvement network.
and Services.
Department of Health & Human Health Resources and Services North Idaho College, Coeur d'Alene, ID, to expand the physical $100,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities therapy program.
and Services.
Department of Health & Human Health Resources and Services North Shore Long Island Jewish Health System, Great Neck, NY, to $500,000 Gillibrand, Schumer
Services. Administration (HRSA)--Health Facilities implement electronic medical records.
and Services.
Department of Health & Human Health Resources and Services Northeast Missouri Health Council, Inc., Kirksville, MO, for $750,000 Bond
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Nye County, Pahrump, NV, for facilities and equipment.............. $400,000 Reid
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Oakwood Healthcare, Inc., Dearborn, MI, for facilities and $150,000 Stabenow, Levin
Services. Administration (HRSA)--Health Facilities equipment related to orthopedics.
and Services.
Department of Health & Human Health Resources and Services Oglala Sioux Tribe, Pine Ridge, SD, for facilities and equipment $250,000 Johnson
Services. Administration (HRSA)--Health Facilities related to emergency care.
and Services.
Department of Health & Human Health Resources and Services Ohio State University Comprehensive Cancer Center--James Cancer $200,000 Voinovich, Sherrod Brown
Services. Administration (HRSA)--Health Facilities Hospital and Solove Research Institute, Columbus, OH, for
and Services. facilities and equipment.
Department of Health & Human Health Resources and Services Ohio University, Athens, OH, for health outreach and services in $200,000 Voinovich, Sherrod Brown
Services. Administration (HRSA)--Health Facilities Appalachia Ohio.
and Services.
Department of Health & Human Health Resources and Services Oklahoma Medical Research Foundation, Oklahoma City, OK, for $100,000 Inhofe
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Olympic College, Bremerton, WA, for facilities and equipment $350,000 Murray, Cantwell
Services. Administration (HRSA)--Health Facilities related to nurse training.
and Services.
Department of Health & Human Health Resources and Services Our Lady of the Lake University, San Antonio, TX, for nursing $110,000 Cornyn
Services. Administration (HRSA)--Health Facilities curriculum development, including equipment.
and Services.
Department of Health & Human Health Resources and Services Palmer College of Chiropractic and Myrna Brind Center of $400,000 Harkin
Services. Administration (HRSA)--Health Facilities Integrative Medicine, Davenport, IA, to develop a model
and Services. integrative healthcare program for the treatment of pain.
Department of Health & Human Health Resources and Services Parkland Health and Hospital System, Dallas, TX, for facilities and $400,000 Hutchison
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Parkview Medical Center, Pueblo, CO, for facilities and equipment.. $250,000 Bennet
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Peace Health Whatcom Region, Bellingham, WA, for facilities and $200,000 Cantwell, Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Pennsylvania Breast Cancer Coalition, Ephrata, PA, for screening $100,000 Casey, Specter
Services. Administration (HRSA)--Health Facilities programs and outreach.
and Services.
Department of Health & Human Health Resources and Services Penobscot Community Health Care, Bangor, ME, for a rural dental $150,000 Snowe
Services. Administration (HRSA)--Health Facilities health initiative.
and Services.
Department of Health & Human Health Resources and Services Penobscot Valley Hospital, Lincoln, ME, for facilities and $395,000 Collins, Snowe
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Peoples Community Health Clinic, Waterloo, IA, for facilities and $250,000 Harkin
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Pierce College Puyallup, Puyallup, WA, for health training $130,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Pioneer Valley Life Sciences Institute, Springfield, MA, for $100,000 Kerry
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Pratt Regional Medical Center, Pratt, KS, for facilities and $500,000 Brownback
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Primary Care Association of Hawaii, Honolulu, HI, to support $1,850,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities community health centers, including equipment.
and Services.
Department of Health & Human Health Resources and Services Providence Alaska Family Medicine Residency, Anchorage, AK, for $500,000 Murkowski
Services. Administration (HRSA)--Health Facilities physician recruitment and retention initiative in rural Alaska.
and Services.
Department of Health & Human Health Resources and Services Providence ElderPlace Seattle, Seattle, WA, for facilities and $300,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Providence St. Peter Hospital, Olympia, WA, for facilities and $135,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Regis College, Weston, MA, for facilities and equipment related to $100,000 Kerry
Services. Administration (HRSA)--Health Facilities nurse training.
and Services.
Department of Health & Human Health Resources and Services Renown Health, Reno, NV, to expand nurse training.................. $500,000 Reid
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Rhode Island Free Clinic, Providence, RI, for coordination of care, $250,000 Reed, Whitehouse
Services. Administration (HRSA)--Health Facilities data collection and analysis.
and Services.
Department of Health & Human Health Resources and Services Rice Lake Area Free Clinic, Rice Lake, WI, for facilities and $100,000 Kohl
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Rice University, Houston, TX, for facilities and equipment......... $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Richmond Medical Center dba Richmond University Medical Center, $350,000 Schumer
Services. Administration (HRSA)--Health Facilities Staten Island, NY, for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment..... $450,000 Thune, Johnson
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment, $50,000 Johnson
Services. Administration (HRSA)--Health Facilities including purchase of a vehicle related to elderly care.
and Services.
Department of Health & Human Health Resources and Services Saint Elizabeth's Medical Center, Wabasha, MN, for facilities and $100,000 Klobuchar, Franken
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Saint Patrick Hospital and Health Sciences Center, Missoula, MT, $150,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Salish Kootenai College, Pablo, MT, for facilities and equipment $100,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities related to health professions training.
and Services.
Department of Health & Human Health Resources and Services Salve Regina University, Newport, RI, for facilities, equipment, $500,000 Reed, Whitehouse
Services. Administration (HRSA)--Health Facilities and training for an expanded nursing program.
and Services.
Department of Health & Human Health Resources and Services San Luis Valley Regional Medical Center, Alamosa, CO, to implement $250,000 Bennet
Services. Administration (HRSA)--Health Facilities electronic medical record system.
and Services.
Department of Health & Human Health Resources and Services Sanders County Community Development Corporation, Thompson Falls, $300,000 Tester, Baucus
Services. Administration (HRSA)--Health Facilities MT, for facilities and equipment at the Hot Springs Medical Clinic.
and Services.
Department of Health & Human Health Resources and Services Seton Medical Center--Austin, Austin, TX, for facilities and $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Sherman County Health District dba Moro Medical Clinic, Moro, OR, $150,000 Wyden, Merkley
Services. Administration (HRSA)--Health Facilities for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Snow College, Ephraim, UT, for facilities and equipment............ $150,000 Bennett, Hatch
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Solaris Health System--JFK Medical Center, Edison, NJ, for $400,000 Lautenberg, Menendez
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Somerset Hospital, Somerset, PA, for facilities and equipment...... $100,000 Specter, Casey
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Southeast Missouri State University, Cape Girardeau, MO, for the $200,000 Bond
Services. Administration (HRSA)--Health Facilities S.H.O.W. mobile initiative, including equipment.
and Services.
Department of Health & Human Health Resources and Services Southeastern Community College, West Burlington, IA, for facilities $200,000 Grassley, Harkin
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Southeastern Ohio Regional Medical Center, Cambridge, OH, for $250,000 Sherrod Brown
Services. Administration (HRSA)--Health Facilities information technology upgrades.
and Services.
Department of Health & Human Health Resources and Services Southern Nevada Immunization Coalition, Las Vegas, NV, for a $200,000 Reid
Services. Administration (HRSA)--Health Facilities community immunization project.
and Services.
Department of Health & Human Health Resources and Services Southwest Colorado Mental Health Center, Inc., Durango, CO, for $250,000 Bennet
Services. Administration (HRSA)--Health Facilities facilities and equipment at the Cortez Clinic.
and Services.
Department of Health & Human Health Resources and Services Sparrow Ionia County Memorial Hospital, Lansing, MI, for facilities $500,000 Stabenow, Levin
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Spokane County Medical Society Foundation, Spokane, WA, for $100,000 Cantwell
Services. Administration (HRSA)--Health Facilities outreach and care coordination.
and Services.
Department of Health & Human Health Resources and Services St. Alexius Medical Center Foundation, Bismarck, ND, for facilities $300,000 Dorgan, Conrad
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services St. Charles Health Council, Inc., Pennington Gap, VA, for a mobile $150,000 Webb, Warner
Services. Administration (HRSA)--Health Facilities respiratory care clinic, including equipment.
and Services.
Department of Health & Human Health Resources and Services St. John Medical Center Foundation, Longview, WA, for health $100,000 Murray
Services. Administration (HRSA)--Health Facilities professions training equipment.
and Services.
Department of Health & Human Health Resources and Services St. Joseph Hospital, Nashua, NH, to implement an electronic medical $250,000 Gregg, Shaheen
Services. Administration (HRSA)--Health Facilities record system.
and Services.
Department of Health & Human Health Resources and Services St. Joseph's Mercy Health Foundation, Hot Springs, AR, for $200,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services St. Jude Children's Research Hospital, Memphis, TN, for facilities $1,600,000 Alexander
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services St. Louis Children's Hospital, St. Louis, MO, for facilities and $500,000 Bond
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services St. Mary's Foundation for St. Mary's Regional Medical Center, Reno, $300,000 Reid
Services. Administration (HRSA)--Health Facilities NV, for planning and support of oral health care.
and Services.
Department of Health & Human Health Resources and Services St. Mary's Hospital, Cottonwood, ID, for facilities and equipment.. $100,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services St. Mary's Janesville Hospital, Janesville, WI, for facilities and $700,000 Kohl
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services St. Mary's Medical Center, Huntington, WV, for facilities and $250,000 Rockefeller
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services St. Vincent Hospital, Billings, MT, for facilities and equipment... $250,000 Baucus, Tester
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services State of Maryland, Baltimore, MD, for facilities and equipment $1,250,000 Mikulski
Services. Administration (HRSA)--Health Facilities related to emergency care.
and Services.
Department of Health & Human Health Resources and Services Straub Hospital Burn Center, Honolulu, HI, for facilities and $150,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Temple University Health System, Philadelphia, PA, for facilities $100,000 Specter, Casey
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Teton Valley Hospital, Driggs, ID, for facilities and equipment.... $100,000 Crapo, Risch
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Texas Children's Hospital, McAllen, TX, for education and outreach $250,000 Hutchison, Cornyn
Services. Administration (HRSA)--Health Facilities programs at the Vannie E. Cook Jr. Children's Cancer and
and Services. Hematology Clinic.
Department of Health & Human Health Resources and Services Texas Health Institute, Austin, TX, for emergency response $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities initiative, including purchase of equipment.
and Services.
Department of Health & Human Health Resources and Services Texas Medical Center, Houston, TX, for facilities and equipment.... $650,000 Hutchison
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Texas Tech University Health Sciences Center, Austin, TX, for $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Texas Women's University, Denton, TX, for facilities and equipment. $300,000 Hutchison
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Thomas Jefferson University Hospital, Philadelphia, PA, for $100,000 Specter, Casey
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Thompson Health, Canandaigua, NY, for facilities and equipment..... $150,000 Gillibrand, Schumer
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Touro University Nevada, Henderson, NV, for facilities and $750,000 Reid
Services. Administration (HRSA)--Health Facilities equipment at the College of Optometry.
and Services.
Department of Health & Human Health Resources and Services Tulane University School of Medicine, New Orleans, LA, for 300,000 Landrieu
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Tulare Regional Medical Center, Tulare, CA, for facilities and $550,000 Feinstein
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Tyrone Hospital, Tyrone, PA, for facilities and equipment.......... $100,000 Specter
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Union Hospital, Terre Haute, IN, for facilities and equipment...... $100,000 Lugar
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services United General Hospital, Sedro Woolley, WA, for facilities and $150,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services University at Albany SUNY, Albany, NY, for facilities and equipment $200,000 Gillibrand
Services. Administration (HRSA)--Health Facilities related to orphan disease research.
and Services.
Department of Health & Human Health Resources and Services University Hospitals, Cleveland, OH, for facilities and equipment.. $200,000 Voinovich
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services University Medical Center of Southern Nevada, Las Vegas, NV, for a $300,000 Reid
Services. Administration (HRSA)--Health Facilities diabetes management program.
and Services.
Department of Health & Human Health Resources and Services University of Alabama, Tuscaloosa, AL, for facilities and equipment $15,000,000 Shelby
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, Little Rock, AR, for $500,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, Little Rock, AR, for $200,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of California Davis Medical Center, Davis, CA, for $500,000 Feinstein
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of California, Riverside, Riverside, CA, for facilities $750,000 Feinstein, Boxer
Services. Administration (HRSA)--Health Facilities and equipment at the School of Medicine.
and Services.
Department of Health & Human Health Resources and Services University of Central Arkansas, Conway, AR, for facilities and $250,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities equipment related to training mental health professionals.
and Services.
Department of Health & Human Health Resources and Services University of Colorado--Denver School of Medicine, Aurora, CO, for $400,000 Bennet
Services. Administration (HRSA)--Health Facilities facilities and equipment for the Linda Crnic Institute for Down
and Services. Syndrome.
Department of Health & Human Health Resources and Services University of Colorado--Denver, Aurora, CO, for a health $150,000 Mark Udall, Bennet
Services. Administration (HRSA)--Health Facilities professions training program.
and Services.
Department of Health & Human Health Resources and Services University of Hawaii at Hilo School of Nursing, Hilo, HI, to $350,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities develop advanced degrees and expand rural nurse training.
and Services.
Department of Health & Human Health Resources and Services University of Hawaii at Hilo, Hilo, HI, for a clinical pharmacy $1,600,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities training program.
and Services.
Department of Health & Human Health Resources and Services University of Hawaii School of Medicine, Honolulu, HI, for $200,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities curriculum development.
and Services.
Department of Health & Human Health Resources and Services University of Hawaii School of Nursing--Manoa, Honolulu, HI, for $350,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities rural nurse training programs.
and Services.
Department of Health & Human Health Resources and Services University of Iowa, Carver College of Medicine, Iowa City, IA, for $2,000,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities facilities and equipment for the Institute for Biomedical
and Services. Discovery.
Department of Health & Human Health Resources and Services University of Iowa, Iowa City, IA, for facilities and equipment at $1,000,000 Harkin, Grassley
Services. Administration (HRSA)--Health Facilities the College of Public Health.
and Services.
Department of Health & Human Health Resources and Services University of Kansas Hospital, Kansas City, KS, for facilities and $500,000 Brownback
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services University of Kansas, Lawrence, KS, for facilities and equipment... $550,000 Roberts
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services University of Kentucky Research Foundation, Lexington, KY, for a $1,900,000 McConnell
Services. Administration (HRSA)--Health Facilities colorectal cancer research program, including equipment.
and Services.
Department of Health & Human Health Resources and Services University of Kentucky Research Foundation, Lexington, KY, to $2,000,000 McConnell
Services. Administration (HRSA)--Health Facilities establish a program to reduce heart disease in rural areas.
and Services.
Department of Health & Human Health Resources and Services University of Louisville Research Foundation, Louisville, KY, for $4,000,000 McConnell
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Louisville Research Foundation, Louisville, KY, for $900,000 McConnell
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Louisville Research Foundation, Louisville, KY, for $700,000 McConnell
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Maryland Medical System, Baltimore, MD, for equipment $200,000 Mikulski
Services. Administration (HRSA)--Health Facilities and information technology upgrades.
and Services.
Department of Health & Human Health Resources and Services University of Maryland, Baltimore, Annapolis, MD, for facilities $1,000,000 Mikulski, Cardin
Services. Administration (HRSA)--Health Facilities and equipment related to stem cell research.
and Services.
Department of Health & Human Health Resources and Services University of Massachusetts Memorial Health Care, Worcester, MA, $250,000 Kerry
Services. Administration (HRSA)--Health Facilities for implementation of an electronic medical record.
and Services.
Department of Health & Human Health Resources and Services University of Mississippi Medical Center, Jackson, MS, for $4,384,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Mississippi, University, MS, for facilities and $5,000,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services University of Nevada--Reno, Reno, NV, for health professions $300,000 Reid
Services. Administration (HRSA)--Health Facilities training and public education efforts related to pediatric chron's
and Services. disease.
Department of Health & Human Health Resources and Services University of New Mexico, Albuquerque, NM, for outreach, training $100,000 Tom Udall, Bingaman
Services. Administration (HRSA)--Health Facilities and technical assistance related to cerebral cavernous
and Services. malformations.
Department of Health & Human Health Resources and Services University of North Carolina--Greensboro, Greensboro, NC, for a $300,000 Burr, Hagan
Services. Administration (HRSA)--Health Facilities telespeech initiative, including equipment.
and Services.
Department of Health & Human Health Resources and Services University of North Dakota School of Medicine and Health Sciences, $175,000 Dorgan, Conrad
Services. Administration (HRSA)--Health Facilities Grand Forks, ND, for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Pittsburgh Cancer Institute, Pittsburgh, PA, for $100,000 Specter
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services University of Rhode Island, Kingston, RI, for equipment related to $500,000 Reed, Whitehouse
Services. Administration (HRSA)--Health Facilities nursing education.
and Services.
Department of Health & Human Health Resources and Services University of Southern Mississippi, Hattiesburg, MS, for facilities $6,000,000 Cochran, Wicker
Services. Administration (HRSA)--Health Facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Texas Health Center at Tyler, Tyler, TX, for $500,000 Hutchison
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Texas Health Science Center at San Antonio, San $500,000 Hutchison
Services. Administration (HRSA)--Health Facilities Antonio, TX, for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Texas Health Science Center-Houston, Houston, TX, for $200,000 Hutchison
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Texas MD Anderson Cancer Center, Houston, TX, for $250,000 Hutchison
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services University of Utah, Salt Lake City, UT, for facilities and $1,000,000 Bennett, Hatch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services University of Vermont, Burlington, VT, for equipment related to DNA $500,000 Leahy
Services. Administration (HRSA)--Health Facilities sequencing.
and Services.
Department of Health & Human Health Resources and Services University of Washington, Seattle, WA, for facilities and equipment $570,000 Murray, Cantwell
Services. Administration (HRSA)--Health Facilities related to dental care.
and Services.
Department of Health & Human Health Resources and Services University of Wisconsin-Rock County, Janesville, WI, for a higher $250,000 Kohl
Services. Administration (HRSA)--Health Facilities education collaboration to promote degrees in nursing.
and Services.
Department of Health & Human Health Resources and Services Utah Department of Health, Salt Lake City, UT, for facilities and $100,000 Bennett, Hatch
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Utah Department of Health, Salt Lake City, UT, to expand Monticello $106,000 Hatch
Services. Administration (HRSA)--Health Facilities health education and screening initiative.
and Services.
Department of Health & Human Health Resources and Services Utah Medical Education Council, Salt Lake City, UT, for the $500,000 Bennett
Services. Administration (HRSA)--Health Facilities purchase of a mobile dental unit.
and Services.
Department of Health & Human Health Resources and Services Utah Valley University, Orem, UT, for facilities and equipment..... $400,000 Bennett, Hatch
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Vanderbilt University, Nashville, TN, for facilities and equipment. $2,400,000 Alexander
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Virginia Community College System, Richmond, VA, for expansion of $100,000 Warner, Webb
Services. Administration (HRSA)--Health Facilities the Emergency Medical Technician program.
and Services.
Department of Health & Human Health Resources and Services Virginia Mason Medical Center, Seattle, WA, for facilities and $500,000 Murray
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Virginia State University, Petersburg, VA, for facilities and $100,000 Webb, Warner
Services. Administration (HRSA)--Health Facilities equipment related to nurse training.
and Services.
Department of Health & Human Health Resources and Services Washington County, NC, Plymouth, NC, for facilities and equipment.. $400,000 Burr
Services. Administration (HRSA)--Health Facilities
and Services.
Department of Health & Human Health Resources and Services Weber State University, Ogden, UT, for expansion of nursing $350,000 Bennett, Hatch
Services. Administration (HRSA)--Health Facilities programs, including equipment.
and Services.
Department of Health & Human Health Resources and Services Wesley College, Dover, DE, for facilities and equipment related to $200,000 Carper, Kaufman
Services. Administration (HRSA)--Health Facilities nurse training.
and Services.
Department of Health & Human Health Resources and Services West Hawaii Community Health Center, Kailua-Kona, HI, for $250,000 Inouye, Akaka
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services West Virginia Northern Community College, Weirton, WV, for $3,000,000 Rockefeller
Services. Administration (HRSA)--Health Facilities facilities and equipment related to health professions training.
and Services.
Department of Health & Human Health Resources and Services West Virginia University Health Sciences, Morgantown, WV, for $1,000,000 Rockefeller
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services West Virginia University, Morgantown, WV, for the construction of a $2,300,000 Rockefeller
Services. Administration (HRSA)--Health Facilities Multiple Sclerosis Center.
and Services.
Department of Health & Human Health Resources and Services Western Kentucky University, Bowling Green, KY, for facilities and $2,500,000 McConnell
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Whatley Health Services, Greensboro, AL, for facilities and $150,000 Sessions
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Wheeling Jesuit University, Wheeling, WV, for the HealtheWV $2,500,000 Rockefeller
Services. Administration (HRSA)--Health Facilities program, including equipment.
and Services.
Department of Health & Human Health Resources and Services White River Medical Center, Batesville, AR, for facilities and $500,000 Lincoln, Pryor
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Whittemore-Peterson Institute for Neuro-Immune Disease, Sparks, NV, $1,000,000 Reid, Ensign
Services. Administration (HRSA)--Health Facilities for facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Williamsport Hospital, Williamsport, PA, for facilities and $100,000 Specter
Services. Administration (HRSA)--Health Facilities equipment.
and Services.
Department of Health & Human Health Resources and Services Woman's Christian Association Hospital, Jamestown, NY, for $150,000 Schumer
Services. Administration (HRSA)--Health Facilities facilities and equipment.
and Services.
Department of Health & Human Health Resources and Services Yankton Sioux Tribe, Marty, SD, for facilities and equipment $100,000 Johnson
Services. Administration (HRSA)--Health Facilities related to dialysis care.
and Services.
Department of Health & Human HHS Office of the Secretary (OS)-- Community Transportation Association of America, Washington, DC, $950,000 Harkin
Services. Research & Demonstration (including for technical assistance to human services transportation
Minority & Women's Health). providers on ADA requirements.
Department of Health & Human HHS Office of the Secretary (OS)-- St. Francis Hospital Foundation, Wilmington, DE, for outreach and $200,000 Kaufman, Carper
Services. Research & Demonstration (including preventive services to underserved populations.
Minority & Women's Health).
Department of Health & Human Substance Abuse and Mental Health Children's Hospital Boston, Boston, MA, for Expansion of Mental $200,000 Kerry
Services. Services Administration (SAMHSA)--Mental Health Capacity in Massachusetts Schools.
Health.
Department of Health & Human Substance Abuse and Mental Health Clifford W. Beers Guidance Clinic, Inc., New Haven, CT, to expand $100,000 Dodd, Lieberman
Services. Services Administration (SAMHSA)--Mental child and family trauma services.
Health.
Department of Health & Human Substance Abuse and Mental Health Family Service Agency of Marin County, San Rafael, CA, for suicide $250,000 Boxer
Services. Services Administration (SAMHSA)--Mental prevention and mental health services.
Health.
Department of Health & Human Substance Abuse and Mental Health Help Center--211, Bozeman, MT, for suicide intervention and $100,000 Tester, Baucus
Services. Services Administration (SAMHSA)--Mental outreach services.
Health.
Department of Health & Human Substance Abuse and Mental Health Lindsey Wilson College, Columbia, KY, for professional development $100,000 Bunning
Services. Services Administration (SAMHSA)--Mental and mental health services for the Appalachia region.
Health.
Department of Health & Human Substance Abuse and Mental Health Maniilaq Association, Kotzebue, AK, for suicide prevention $200,000 Murkowski, Begich
Services. Services Administration (SAMHSA)--Mental activities in Northwest Alaska.
Health.
Department of Health & Human Substance Abuse and Mental Health Oregon Partnership, Portland, OR, to provide suicide prevention $200,000 Merkley, Wyden
Services. Services Administration (SAMHSA)--Mental services to soldiers and military families.
Health.
Department of Health & Human Substance Abuse and Mental Health Pen Bay Healthcare, Rockport, ME, for mental health services....... $100,000 Snowe, Collins
Services. Services Administration (SAMHSA)--Mental
Health.
Department of Health & Human Substance Abuse and Mental Health Hamakua Health Center, Honoka'a, HI, for a youth anti-drug program. $200,000 Inouye, Akaka
Services. Services Administration (SAMHSA)--
Substance Abuse Prevention.
Department of Health & Human Substance Abuse and Mental Health Waimanalo Community Health Center, Waimanalo, HI, for drug abuse $200,000 Inouye, Akaka
Services. Services Administration (SAMHSA)-- prevention.
Substance Abuse Prevention.
Department of Health & Human Substance Abuse and Mental Health West Virginia Prevention Resource Center, Charleston, WV, for drug $1,000,000 Rockefeller
Services. Services Administration (SAMHSA)-- abuse prevention.
Substance Abuse Prevention.
Department of Health & Human Substance Abuse and Mental Health City/County Alcohol Drug Programs, Rapid City, SD, for substance $200,000 Johnson
Services. Services Administration (SAMHSA)-- abuse and recovery programs.
Substance Abuse Treatment.
Department of Health & Human Substance Abuse and Mental Health Luna County Healthy Start, Deming, NM, for drug abuse treatment $400,000 Bingaman, Tom Udall
Services. Services Administration (SAMHSA)-- services for women.
Substance Abuse Treatment.
Department of Health & Human Substance Abuse and Mental Health Rosebud Sioux Tribe, Rosebud, SD, for a drug and alcohol treatment $150,000 Johnson
Services. Services Administration (SAMHSA)-- program.
Substance Abuse Treatment.
Department of Labor.............. Employment and Training Administration AFL-CIO Working for America Institute, Washington, DC, for $1,000,000 Harkin
(ETA)--Training & Employment Services employment and training programs.
(TES).
Department of Labor.............. Employment and Training Administration Apprentice Training for Electrical Industry, Philadelphia, PA, for $100,000 Specter
(ETA)--Training & Employment Services a job training program.
(TES).
Department of Labor.............. Employment and Training Administration Arrowhead Economic Opportunity Agency, Virginia, MN, for an $100,000 Klobuchar, Franken
(ETA)--Training & Employment Services educational and transportation assistance program for job seekers.
(TES).
Department of Labor.............. Employment and Training Administration Association of Village Council Presidents, Bethel, AK, for $500,000 Murkowski
(ETA)--Training & Employment Services workforce development and training.
(TES).
Department of Labor.............. Employment and Training Administration Baltimore City Mayor's Office of Employment Development, Baltimore, $150,000 Cardin
(ETA)--Training & Employment Services MD, for a summer jobs program.
(TES).
Department of Labor.............. Employment and Training Administration Brevard Workforce Development Board, Rockledge, FL, for a job $600,000 Bill Nelson
(ETA)--Training & Employment Services training initiative.
(TES).
Department of Labor.............. Employment and Training Administration Capps Workforce Training Center, Stoneville, MS, for workforce $500,000 Cochran
(ETA)--Training & Employment Services training.
(TES).
Department of Labor.............. Employment and Training Administration Catholic Charities, Baltimore, MD, for a job training and job $250,000 Mikulski
(ETA)--Training & Employment Services placement program.
(TES).
Department of Labor.............. Employment and Training Administration Center for Education, Business and the Arts, Interlocal Agency, St. $108,000 Hatch
(ETA)--Training & Employment Services George, UT, for workforce development program in green jobs.
(TES).
Department of Labor.............. Employment and Training Administration Chesapeake Bay Trust, Annapolis, MD, for a job training program and $200,000 Cardin
(ETA)--Training & Employment Services development of a training curriculum.
(TES).
Department of Labor.............. Employment and Training Administration City of Buffalo, NY, for youth employment readiness programs....... $500,000 Gillibrand
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration City of Jackson, MS, for workforce training........................ $100,000 Cochran, Wicker
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration College of Southern Idaho, Twin Falls, ID, for job training in $150,000 Crapo, Risch
(ETA)--Training & Employment Services green construction.
(TES).
Department of Labor.............. Employment and Training Administration Community Transportation Association of America, Washington, DC, to $450,000 Harkin
(ETA)--Training & Employment Services continue the Joblinks program.
(TES).
Department of Labor.............. Employment and Training Administration Des Moines Area Community College, Ankeny, IA, for the development $400,000 Harkin, Grassley
(ETA)--Training & Employment Services of the Perry Career Technical Academy.
(TES).
Department of Labor.............. Employment and Training Administration Easter Seals of Southern Nevada, Las Vegas, NV, for a job training $200,000 Reid
(ETA)--Training & Employment Services program for dislocated workers.
(TES).
Department of Labor.............. Employment and Training Administration Envirolution, Reno, NV, for a green jobs resources center.......... $200,000 Reid
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration Expertise, Inc, Las Vegas, NV, for job readiness and employment $100,000 Reid
(ETA)--Training & Employment Services training.
(TES).
Department of Labor.............. Employment and Training Administration Finishing Trades Institute, Kenner, Louisiana, for job training and $150,000 Vitter
(ETA)--Training & Employment Services workforce development.
(TES).
Department of Labor.............. Employment and Training Administration First African Community Development Corporation, Philadelphia, PA, $100,000 Specter
(ETA)--Training & Employment Services for training in green and technology-related jobs.
(TES).
Department of Labor.............. Employment and Training Administration Fletcher Community College, Houma, Louisiana, for job training and $200,000 Vitter
(ETA)--Training & Employment Services workforce development.
(TES).
Department of Labor.............. Employment and Training Administration Florida Institute of Technology, Melbourne, FL, for training in $250,000 Bill Nelson
(ETA)--Training & Employment Services cyber se- curity.
(TES).
Department of Labor.............. Employment and Training Administration Foundation for an Independent Tomorrow, Las Vegas, NV, for job $125,000 Reid
(ETA)--Training & Employment Services search support program.
(TES).
Department of Labor.............. Employment and Training Administration Fox Valley Technical College, Appleton, WI, to expand truck driver $250,000 Kohl
(ETA)--Training & Employment Services training program.
(TES).
Department of Labor.............. Employment and Training Administration Fund for the City of New York, NY, for an academic success and $200,000 Gillibrand
(ETA)--Training & Employment Services workforce development program.
(TES).
Department of Labor.............. Employment and Training Administration Goodwill Industries of Southeastern WI, Inc., Milwaukee, WI, for $750,000 Kohl
(ETA)--Training & Employment Services community job center.
(TES).
Department of Labor.............. Employment and Training Administration Goodwill of Southern Nevada, Las Vegas, NV, for the career $100,000 Reid
(ETA)--Training & Employment Services connections job training program.
(TES).
Department of Labor.............. Employment and Training Administration Great Basin College, Elko, NV, for job training program............ $200,000 Reid
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration Haven for Hope, San Antonio, TX, for job training and education for $200,000 Hutchison, Cornyn
(ETA)--Training & Employment Services the homeless.
(TES).
Department of Labor.............. Employment and Training Administration Hispanic Federation, New York, NY, for a Latino Workforce Training $100,000 Schumer
(ETA)--Training & Employment Services Initiative.
(TES).
Department of Labor.............. Employment and Training Administration Holmes Community College, Goodman, MS, for workforce training...... $225,000 Cochran, Wicker
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration Hopkins House, Alexandria, VA, for workforce development and $150,000 Warner, Webb
(ETA)--Training & Employment Services training in early childhood education.
(TES).
Department of Labor.............. Employment and Training Administration Iowa Workforce Development, Des Moines, IA, for the IowaWORKS $1,000,000 Harkin, Grassley
(ETA)--Training & Employment Services Integration Project.
(TES).
Department of Labor.............. Employment and Training Administration Jobs for Mississippi Graduates, Inc., Jackson, MS, for career $125,000 Cochran, Wicker
(ETA)--Training & Employment Services development for at-risk youth.
(TES).
Department of Labor.............. Employment and Training Administration Lakeshore Technical College, Cleveland, WI, to support the training $750,000 Kohl
(ETA)--Training & Employment Services of workers for manufacturing jobs.
(TES).
Department of Labor.............. Employment and Training Administration Las Vegas-Clark County Urban League, Las Vegas, NV, to provide job $145,000 Reid
(ETA)--Training & Employment Services development and workforce readiness skills for unemployed or
(TES). underemployed individuals.
Department of Labor.............. Employment and Training Administration Lawrence Technological University, Dearborn, MI, to train displaced $150,000 Levin, Stabenow
(ETA)--Training & Employment Services workers in green jobs.
(TES).
Department of Labor.............. Employment and Training Administration Maine Centers for Women, Work, & Community/University of Maine at $100,000 Snowe
(ETA)--Training & Employment Services Augusta/University of Maine System, Augusta, ME, for job training
(TES). and workforce development.
Department of Labor.............. Employment and Training Administration Maui Community College, Kahului, HI, for remote rural Hawaii job $2,300,000 Inouye, Akaka
(ETA)--Training & Employment Services train- ing.
(TES).
Department of Labor.............. Employment and Training Administration Maui Community College, Kahului, HI, for the Samoan/Asian Pacific $2,000,000 Inouye, Akaka
(ETA)--Training & Employment Services Job Training program.
(TES).
Department of Labor.............. Employment and Training Administration Maui Economic Development Board, Kihei, HI, Rural Computer $300,000 Inouye, Akaka
(ETA)--Training & Employment Services Utilization Training.
(TES).
Department of Labor.............. Employment and Training Administration Maui Economic Development Board, Kihei, HI, to recruit, train, and $450,000 Inouye, Akaka
(ETA)--Training & Employment Services retain women and minorities in STEM careers.
(TES).
Department of Labor.............. Employment and Training Administration MedTech Association, Inc., Syracuse, NY, to identify career $150,000 Schumer
(ETA)--Training & Employment Services pathways that connect to bioscience jobs.
(TES).
Department of Labor.............. Employment and Training Administration Metropolitan State College of Denver, Denver, CO, for the purchase $100,000 Bennet, Mark Udall
(ETA)--Training & Employment Services of equipment for aviation training program.
(TES).
Department of Labor.............. Employment and Training Administration Milwaukee Area Technical College, Milwaukee, WI, for Solar Jobs $300,000 Kohl
(ETA)--Training & Employment Services Training Center.
(TES).
Department of Labor.............. Employment and Training Administration Mississippi Gulf Coast Community College, Perkinston, MS, for $250,000 Cochran
(ETA)--Training & Employment Services workforce training.
(TES).
Department of Labor.............. Employment and Training Administration Mississippi State University, Mississippi State, MS, for the $375,000 Cochran, Wicker
(ETA)--Training & Employment Services Mississippi Integrated Workforce Performance System.
(TES).
Department of Labor.............. Employment and Training Administration Mississippi Technology Alliance, Ridgeland, MS, for the Mississippi $250,000 Cochran, Wicker
(ETA)--Training & Employment Services ILED training program.
(TES).
Department of Labor.............. Employment and Training Administration Montana State University-Northern, Havre, MT, for Energy Training $200,000 Tester, Baucus
(ETA)--Training & Employment Services Cen- ter.
(TES).
Department of Labor.............. Employment and Training Administration Moore Community House, Biloxi, MS, for workforce training.......... $100,000 Cochran, Wicker
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration New Hampshire Manufacturing Extension Partnership, Concord, NH, for $200,000 Shaheen
(ETA)--Training & Employment Services incumbent worker retraining initiative.
(TES).
Department of Labor.............. Employment and Training Administration Nine Star Education & Employment Services, Anchorage, AK, for job $100,000 Murkowski
(ETA)--Training & Employment Services training for prisoner re-entry programs.
(TES).
Department of Labor.............. Employment and Training Administration Nine Star Education and Employment, Anchorage, AK, to expand Math $200,000 Begich
(ETA)--Training & Employment Services for the Trades course.
(TES).
Department of Labor.............. Employment and Training Administration North Carolina Rural Economic Development Center, Raleigh, NC, for $150,000 Hagan
(ETA)--Training & Employment Services Community Mobilization Project for Dislocated Workers.
(TES).
Department of Labor.............. Employment and Training Administration North Dakota State College of Science, Fargo, ND, for biosciences $400,000 Dorgan, Conrad
(ETA)--Training & Employment Services workforce training and equipment.
(TES).
Department of Labor.............. Employment and Training Administration Parnassa Fund, Inc., New York, NY, for EPI Emergency Employment and $150,000 Schumer
(ETA)--Training & Employment Services Job Creation Network.
(TES).
Department of Labor.............. Employment and Training Administration Partners in Careers, Vancouver, WA, for workforce development for $100,000 Murray
(ETA)--Training & Employment Services female veterans.
(TES).
Department of Labor.............. Employment and Training Administration Peralta Community College District, Oakland, CA, for the East Bay $500,000 Boxer
(ETA)--Training & Employment Services Green Jobs Project.
(TES).
Department of Labor.............. Employment and Training Administration Philadelphia Opportunities Industrialization Center, Philadelphia, $100,000 Specter
(ETA)--Training & Employment Services PA, for salaries and equipment.
(TES).
Department of Labor.............. Employment and Training Administration Plattsburgh-North Country Chamber of Commerce, Plattsburgh, NY, for $100,000 Schumer
(ETA)--Training & Employment Services an on the job training program.
(TES).
Department of Labor.............. Employment and Training Administration Rapides Parish Police Jury Office of Economic & Workforce $200,000 Landrieu
(ETA)--Training & Employment Services Development, Alexandria, LA, to train displaced workers in demand
(TES). occupations including green jobs.
Department of Labor.............. Employment and Training Administration Regional Education & Training Center at Satsop, Elma, WA, for $900,000 Murray
(ETA)--Training & Employment Services programs focused on rapid certifications, entry-level degrees and
(TES). advanced certifications.
Department of Labor.............. Employment and Training Administration River Valley Resources, Inc., Madison, IN, for workforce training.. $100,000 Lugar
(ETA)--Training & Employment Services
(TES).
Department of Labor.............. Employment and Training Administration San Mateo County Community College District, San Mateo, CA, for $150,000 Boxer
(ETA)--Training & Employment Services curriculum development, job placement and job retention services
(TES). at the Allied Health Career Advancement Academy.
Department of Labor.............. Employment and Training Administration Scranton Electricians JATC, Scranton, PA, for training in green $100,000 Specter
(ETA)--Training & Employment Services technolo- gies.
(TES).
Department of Labor.............. Employment and Training Administration SEIU Healthcare NW Training Partnership, Federal Way, WA, for $300,000 Murray, Cantwell
(ETA)--Training & Employment Services training of home care aides, including equipment.
(TES).
Department of Labor.............. Employment and Training Administration South Delta Planning and Development District, Greenville, MS, for $400,000 Cochran, Wicker
(ETA)--Training & Employment Services workforce training.
(TES).
Department of Labor.............. Employment and Training Administration Southwest Alaska Vocational & Education Center, King Salmon, AK, $100,000 Murkowski, Begich
(ETA)--Training & Employment Services for workforce development programs in rural Alaska.
(TES).
Department of Labor.............. Employment and Training Administration Southwest Mississippi Community College, Summit, MS, for workforce $350,000 Cochran, Wicker
(ETA)--Training & Employment Services training.
(TES).
Department of Labor.............. Employment and Training Administration Spectrum Resources, Des Moines, IA, to expand the Project Phoenix $200,000 Harkin
(ETA)--Training & Employment Services job training program.
(TES).
Department of Labor.............. Employment and Training Administration St. Bernard Project, Chalmette, LA, for operational and equipment $200,000 Landrieu
(ETA)--Training & Employment Services expenses.
(TES).
Department of Labor.............. Employment and Training Administration State of Vermont Department of Public Safety, Waterbury, VT, for $100,000 Sanders
(ETA)--Training & Employment Services firefighting and emergency services training support.
(TES).
Department of Labor.............. Employment and Training Administration Steamfitters Local 449 and Plumbers Local 27, Pittsburgh, PA, for $100,000 Specter
(ETA)--Training & Employment Services training program for those entering the pipe trades industry.
(TES).
Department of Labor.............. Employment and Training Administration Total Action Against Poverty, Roanoke, VA, to provide job training $250,000 Warner, Webb
(ETA)--Training & Employment Services to help individuals obtain and retain employment.
(TES).
Department of Labor.............. Employment and Training Administration Twin Cities RISE!, Minneapolis, MN, to expand job training program, $100,000 Klobuchar, Franken
(ETA)--Training & Employment Services and support program replication in other cities.
(TES).
Department of Labor.............. Employment and Training Administration United 4 Economic Development, Salt Lake City, UT, for workforce $250,000 Bennett
(ETA)--Training & Employment Services development and training.
(TES).
Department of Labor.............. Employment and Training Administration Utah Capital Investment Corporation, Salt Lake City, UT, for $250,000 Bennett
(ETA)--Training & Employment Services workforce development, education and training.
(TES).
Department of Labor.............. Employment and Training Administration Vermont HITEC, Williston, VT, for the Vermont HITEC Job Training $500,000 Leahy
(ETA)--Training & Employment Services Initia- tive.
(TES).
Department of Labor.............. Employment and Training Administration Vermont Technical College, Randolph Center, VT, for development of $300,000 Leahy
(ETA)--Training & Employment Services a paramedicine program.
(TES).
Department of Labor.............. Employment and Training Administration Vermont Technical College, Randolph Center, VT, for Green Jobs $500,000 Leahy
(ETA)--Training & Employment Services Workforce Development.
(TES).
Department of Labor.............. Employment and Training Administration Veterans Leadership Program of Western Pennsylvania, Pittsburgh, $150,000 Casey
(ETA)--Training & Employment Services PA, for a jobs program for veterans.
(TES).
Department of Labor.............. Employment and Training Administration Washington State Workforce Board, Olympia, WA, to better engage $1,000,000 Murray
(ETA)--Training & Employment Services employers with regional workforce development systems.
(TES).
Department of Labor.............. Employment and Training Administration Women's Initiative for Self Employment, San Francisco, CA, for an $100,000 Boxer
(ETA)--Training & Employment Services economic self sufficiency program for low-income women.
(TES).
Department of Labor.............. Employment and Training Administration Workforce Development Council of Seattle-King County, Seattle, WA, $400,000 Murray
(ETA)--Training & Employment Services to align K-12 and post-secondary education to better meet the
(TES). workforce skill needs in King County.
Department of Labor.............. Employment and Training Administration Year Up Boston, Boston, MA, to support the expansion of curriculum $100,000 Kerry
(ETA)--Training & Employment Services development and career placement services for urban youth.
(TES).
Department of Labor.............. Employment and Training Administration Youthcare, Seattle, WA, to provide youth with education and $100,000 Murray
(ETA)--Training & Employment Services training in the telecommunications industry.
(TES).
Department of Labor.............. Employment and Training Administration YWCA Middle Rio Grande, Albuquerque, NM, for a transitional living $150,000 Bingaman, Tom Udall
(ETA)--Training & Employment Services program for at-risk women veterans and their children to prepare
(TES). them for entry into the workforce.
Institute of Museum & Library Museums & Libraries...................... Bishop Museum, Honolulu, HI, for conservation and other projects, $800,000 Inouye, Akaka
Services. including arts education for youth and the study and preservation
of the history of Kalaupapa.
Institute of Museum & Library Museums & Libraries...................... City of Cedar Rapids, IA, for automating the circulation system at $300,000 Harkin
Services. the Cedar Rapids Library.
Institute of Museum & Library Museums & Libraries...................... City of Hagerstown, MD, for educational programming and displaying $100,000 Mikulski, Cardin
Services. the Doleman collection.
Institute of Museum & Library Museums & Libraries...................... Delta State University, Cleveland, MS, for library technology $100,000 Cochran, Wicker
Services. upgrades, including the purchase of equipment.
Institute of Museum & Library Museums & Libraries...................... Dubuque Historical Society, Dubuque, IA, for exhibits relating to $400,000 Harkin, Grassley
Services. the Mississippi River.
Institute of Museum & Library Museums & Libraries...................... Greenville Public Library, Smithfield, RI, for library technology $300,000 Reed, Whitehouse
Services. and programs.
Institute of Museum & Library Museums & Libraries...................... Mississippi Children's Museum, Jackson, MS, for exhibits and $400,000 Cochran, Wicker
Services. educational programming.
Institute of Museum & Library Museums & Libraries...................... Mississippi Gulf Coast Community College, Perkinston, MS, for $100,000 Cochran, Wicker
Services. collecting, cataloging, and archiving of newspaper and digital
media.
Institute of Museum & Library Museums & Libraries...................... Ohr-O'Keefe Museum of Art, Biloxi, MS, for design and exhibits..... $250,000 Cochran
Services.
Institute of Museum & Library Museums & Libraries...................... Oxford Lafayette County Heritage Foundation, Oxford, MS, for $100,000 Cochran, Wicker
Services. exhibits and design.
Institute of Museum & Library Museums & Libraries...................... Science Center of Iowa, Des Moines, IA, for educational exhibits... $400,000 Harkin, Grassley
Services.
Institute of Museum & Library Museums & Libraries...................... South Dakota School of Mines and Technology, Rapid City, SD, for $100,000 Johnson
Services. preservation activities and storage.
Institute of Museum & Library Museums & Libraries...................... Southern Utah University, Cedar City, UT, for exhibits, $400,000 Bennett, Hatch
Services. installations, and equipment.
Institute of Museum & Library Museums & Libraries...................... Tennessee-Tombigbee Waterway Transportation Museum, Columbus, MS, $100,000 Cochran
Services. for exhibit design and digitization of documents.
Institute of Museum & Library Museums & Libraries...................... University of Mississippi, University, MS, for documentation, $150,000 Cochran, Wicker
Services. preservation, restoration, and programming related to the American
Music Archives.
Institute of Museum & Library Museums & Libraries...................... University of Mississippi, University, MS, for museum education and $150,000 Cochran, Wicker
Services. outreach programs.
Institute of Museum & Library Museums & Libraries...................... Walter Anderson Museum of Art, Ocean Springs, MS, for archive and $150,000 Cochran, Wicker
Services. digitization of collections.
Institute of Museum & Library Museums & Libraries...................... World Food Prize, Des Moines, IA, for exhibits at the Dr. Norman E. $450,000 Harkin, Grassley
Services. Borlaug Hall of Laureates Museum.
Department of Education National Higher Education......................... Strengthening Alaska Native and Native Hawaiian Serving $15,084,000 Inouye, Murkowski
Projects. Institutions Programs for activities authorized under the Higher
Education Act.
Department of Education National Innovation and Improvement............... Close Up Fellowships Program for activities authorized under the $1,942,000 Harkin
Projects. Elementary and Secondary Education Act.
Department of Education National Innovation and Improvement............... Communities in Schools for dropout prevention programs............. $4,000,000 Burris, Cantwell,
Projects. Gillibrand, Klobuchar,
Levin, Menendez, Reid,
Rockefeller, Warner
Department of Education National Innovation and Improvement............... Exchanges with Historic Whaling and Trading Partners for activities $8,754,000 Akaka, Begich, Scott Brown,
Projects. authorized under the Elementary and Secondary Education Act. Inouye, Kerry, Murkowski
Department of Education National Innovation and Improvement............... John F. Kennedy Center for the Performing Arts and its affiliate $17,438,000 Bennett, Harkin
Projects. VSA (formerly VSA arts), as authorized by the Elementary and
Secondary Education Act.
Department of Education National Innovation and Improvement............... National Board for Professional Teaching Standards for activities $10,649,000 Bennett, Harkin
Projects. authorized under the Elementary and Secondary Education Act.
Department of Education National Innovation and Improvement............... National Writing Project for activities authorized under the $25,646,000 Akaka, Bennett, Bingaman,
Projects. Elementary and Secondary Education Act. Sherrod Brown, Bunning,
Burris, Casey, Collins,
Conrad, Crapo, Dodd,
Gillibrand, Grassley,
Johnson, Kaufman,
Lautenberg, Leahy, Levin,
Lieberman, Lincoln,
Menendez, Pryor, Reed,
Risch, Rockefeller,
Sanders, Schumer,
Sessions, Shaheen,
Stabenow, Tom Udall,
Whitehouse, Wicker, Wyden
Department of Education National Innovation and Improvement............... Reach out and Read authorized under the Elementary and Secondary $6,000,000 Akaka, Bayh, Begich,
Projects. Education Act. Bennett, Bingaman, Sherrod
Brown, Bunning, Burris,
Cantwell, Casey,
Chambliss, Cornyn, Dodd,
Franken, Gillibrand,
Grassley, Hatch, Hagan,
Kaufman, Kerry, Klobuchar,
Lautenberg, Leahy, Levin,
Lieberman, Lincoln, Lugar,
Menendez, Merkley, Pryor,
Reed, Rockefeller,
Sanders, Schumer,
Sessions, Shaheen, Snowe,
Stabenow, Tom Udall,
Voinovich, Warner,
Whitehouse, Wyden
Department of Education National Innovation and Improvement............... Reading is Fundamental authorized under the Elementary and $24,803,000 Akaka, Bennett, Sherrod
Projects. Secondary Education Act. Brown, Burris, Casey,
Dodd, Franken, Gillibrand,
Hagan, Harkin, Johnson,
Kerry, Lautenberg, Levin,
Lieberman, Lincoln, Lugar,
Menendez, Pryor, Roberts,
Rockefeller, Sanders,
Schumer, Sessions,
Shaheen, Snowe, Stabenow,
Whitehouse, Wicker, Wyden
Department of Education National Innovation and Improvement............... Teach for America as authorized under the Higher Education Act..... $22,000,000 Akaka, Alexander, Bennet,
Projects. Bingaman, Boxer, Sherrod
Brown, Burris, Cardin,
Casey, Dodd, Durbin,
Gillibrand, Hagan,
Hutchison, Johnson, Kohl,
Landrieu, Lautenberg,
Lieberman, Lincoln,
Menendez, Mikulski, Bill
Nelson, Pryor, Reed, Reid,
Schumer, Specter,
Stabenow, Whitehouse,
Wicker, Wyden
Department of Education National Safe Schools and Citizenship Education... Center for Civic Education for two programs (We the People and $25,636,000 Grassley, Hatch, Leahy
Projects. Cooperative Education Exchange) that are authorized in the
Elementary and Secondary Education Act as part of the Civic
Education program.
Department of Education National Safe Schools and Citizenship Education... National Council on Economic Education for the Cooperative $5,019,000 Akaka, Burris, Dodd, Hagan,
Projects. Education Exchange program, which is authorized in the Elementary Lincoln
and Secondary Education Act as part of the Civic Education program.
Department of Education National School Improvement....................... Alaska Native Educational Equity for activities authorized under $6,000,000 Murkowski
Projects. section 7304(d)(2) of the Elementary and Secondary Education Act.
Department of Education National School Improvement....................... Hawaii Department of Education for school renovation activities.... $1,500,000 Akaka, Inouye
Projects.
Department of Education National School Improvement....................... New Leaders for New Schools for activities authorized under the $5,000,000 Harkin
Projects. Elementary and Secondary Education Act.
Department of Education National School Improvement....................... University of Hawaii for the Henry K Giugni Memorial Archives...... $500,000 Akaka, Inouye
Projects.
Department of Education National School Improvement....................... University of Hawaii School of Law for a Center of Excellence in $1,500,000 Akaka, Inouye
Projects. Native Hawaiian Law.
Department of Education National Special Education........................ Recording for the Blind and Dyslexic, Inc. for development, $13,250,000 Harkin
Projects. production, and circulation of accessible educational materials.
Department of Health and Human Health Resources and Services............ Delta Health Alliance, Inc to improve the delivery of public health $34,927,000 Cochran
Services National Projects. services in the Mississippi Delta region under title III of the
Publc Health Service Act.
Department of Labor National Departmental Management.................. International Program for the Elimination of Child Labor for the $40,000,000 Harkin
Projects. U.S. contribution to a multinational effort to combat child labor
consistent with Executive Order 12216 and the William Wilberforce
Trafficking Victims Protection Reauthorization Act of 2008.
Department of Labor National Mine Safety and Health Administration.... United Mine Workers of America for mine rescue team training $1,500,000 Rockefeller
Projects. activities authorized under the Mine Safety and Health Act.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL FOR FISCAL
YEAR 2011
[In thousands of dollars]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Senate Committee recommendation
compared with (+ or -)
Item 2010 Budget estimate Committee -----------------------------------
appropriation recommendation 2010
appropriation Budget estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
TITLE I--DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
TRAINING AND EMPLOYMENT SERVICES
Grants to States:
Adult Training, current year.............................. 149,540 194,884 184,884 +35,344 -10,000
Advance from prior year............................... (712,000) (712,000) (712,000) ................ ................
Fiscal year 2012...................................... 712,000 712,000 712,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal............................................ 861,540 906,884 896,884 +35,344 -10,000
Youth Training................................................ 924,069 1,025,000 995,000 +70,931 -30,000
Dislocated Worker Assistance, current year.................... 323,840 386,147 381,147 +57,307 -5,000
Advance from prior year................................... (848,000) (860,000) (860,000) (+12,000) ................
Fiscal year 2012.......................................... 860,000 860,000 860,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 1,183,840 1,246,147 1,241,147 +57,307 -5,000
=========================================================================================
Subtotal, Grants to States.............................. 2,969,449 3,178,031 3,133,031 +163,582 -45,000
Current Year........................................ (1,397,449) (1,606,031) (1,561,031) (+163,582) (-45,000)
Fiscal year 2012.................................... (1,572,000) (1,572,000) (1,572,000) ................ ................
Federally Administered Programs:
Dislocated Worker Assistance National Reserve:
Current year.......................................... 29,160 29,160 29,160 ................ ................
Advance from prior year............................... (212,000) (200,000) (200,000) (-12,000) ................
Fiscal year 2012...................................... 200,000 200,000 200,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal............................................ 229,160 229,160 229,160 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Dislocated Worker Assistance.............. 1,413,000 1,475,307 1,470,307 +57,307 -5,000
Native Americans.............................................. 52,758 55,000 55,000 +2,242 ................
Migrant and Seasonal Farmworkers.............................. 84,620 87,378 87,378 +2,758 ................
Women in apprenticeship....................................... 1,000 1,000 1,000 ................ ................
YouthBuild.................................................... 102,500 120,000 110,000 +7,500 -10,000
=========================================================================================
Subtotal, Federally Administered Programs [FAP]......... 470,038 492,538 482,538 +12,500 -10,000
Current Year........................................ (270,038) (292,538) (282,538) (+12,500) (-10,000)
Fiscal year 2012.................................... (200,000) (200,000) (200,000) ................ ................
National Activities:
Pilots, Demonstrations, and Research...................... 93,450 46,556 73,559 -19,891 +27,003
Green Jobs Innovation Fund............................ 40,000 85,000 65,000 +25,000 -20,000
Reintegration of Ex-Offenders......................... 108,493 98,000 98,000 -10,493 ................
Evaluation............................................ 9,600 11,600 11,600 +2,000 ................
Career Pathways Innovation Fund\1\.................... 125,000 ................ ................ -125,000 ................
Workforce Data Quality Initiative..................... 12,500 13,750 13,750 +1,250 ................
-----------------------------------------------------------------------------------------
Subtotal............................................ 389,043 254,906 261,909 -127,134 +7,003
=========================================================================================
Total, Training and Employment Services [TES]....... 3,828,530 3,925,475 3,877,478 +48,948 -47,997
Current Year.................................... (2,056,530) (2,153,475) (2,105,478) (+48,948) (-47,997)
Fiscal year 2012................................ (1,772,000) (1,772,000) (1,772,000) ................ ................
OFFICE OF JOB CORPS
Administration................................................ 29,190 30,110 30,110 +920 ................
Operations.................................................... 983,015 981,253 986,095 +3,080 +4,842
Advance from prior year................................... (591,000) (591,000) (591,000) ................ ................
Fiscal year 2012.......................................... 591,000 591,000 591,000 ................ ................
Construction and Renovation................................... 5,000 5,000 5,000 ................ ................
Advance from prior year................................... (100,000) (100,000) (100,000) ................ ................
Fiscal year 2012.......................................... 100,000 100,000 100,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Office of Job Corps.............................. 1,708,205 1,707,363 1,712,205 +4,000 +4,842
Current Year........................................ (1,017,205) (1,016,363) (1,021,205) (+4,000) (+4,842)
Fiscal year 2012.................................... (691,000) (691,000) (691,000) ................ ................
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS.............. 825,425 600,425 600,425 -225,000 ................
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES.................. 1,818,400 1,938,200 1,938,200 +119,800 ................
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS
Unemployment Compensation [UI]:
State Operations.......................................... 3,195,645 3,515,079 3,570,079 +374,434 +55,000
Additional UI program integrity............................... 50,000 55,000 ................ -50,000 -55,000
National Activities........................................... 11,310 11,310 11,310 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Unemployment Compensation..................... 3,256,955 3,581,389 3,581,389 +324,434 ................
Employment Service [ES]:
Allotments to States:
Federal Funds......................................... 22,683 22,683 22,683 ................ ................
Trust Funds........................................... 680,893 680,893 680,893 ................ ................
-----------------------------------------------------------------------------------------
Subtotal............................................ 703,576 703,576 703,576 ................ ................
ES National Activities.................................... 20,994 20,994 20,994 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Employment Service............................ 724,570 724,570 724,570 ................ ................
Federal Funds....................................... (22,683) (22,683) (22,683) ................ ................
Trust Funds......................................... (701,887) (701,887) (701,887) ................ ................
Foreign Labor Certification:
Federal Administration.................................... 53,307 50,519 50,519 -2,788 ................
Grants to States.......................................... 15,129 15,129 15,129 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Foreign Labor Certification................... 68,436 65,648 65,648 -2,788 ................
One-Stop Career Centers/Labor Market Information.............. 63,720 63,720 68,720 +5,000 +5,000
=========================================================================================
Total, State UI and ES.................................. 4,113,681 4,435,327 4,440,327 +326,646 +5,000
Federal Funds....................................... (86,403) (86,403) (91,403) (+5,000) (+5,000)
Trust Funds......................................... (4,027,278) (4,348,924) (4,348,924) (+321,646) ................
STATE PAID LEAVE FUND......................................... ................ 50,000 10,000 +10,000 -40,000
ADVANCES TO THE UI AND OTHER TRUST FUNDS\2\................... 120,000 200,000 200,000 +80,000 ................
PROGRAM ADMINISTRATION
Adult Employment and Training................................. 46,859 50,564 50,564 +3,705 ................
Trust Funds............................................... 8,553 11,225 11,225 +2,672 ................
Youth Employment and Training................................. 12,308 14,803 14,803 +2,495 ................
Employment Security........................................... 3,490 3,450 3,450 -40 ................
Trust Funds............................................... 39,496 43,801 43,801 +4,305 ................
Apprenticeship Services....................................... 27,784 28,965 28,965 +1,181 ................
Executive Direction........................................... 7,075 7,122 7,122 +47 ................
Trust Funds............................................... 2,091 2,112 2,112 +21 ................
-----------------------------------------------------------------------------------------
Total, Program Administration........................... 147,656 162,042 162,042 +14,386 ................
Federal Funds....................................... (97,516) (104,904) (104,904) (+7,388) ................
Trust Funds......................................... (50,140) (57,138) (57,138) (+6,998) ................
=========================================================================================
Total, Employment and Training Administration [ETA]..... 12,561,897 13,018,832 12,940,677 +378,780 -78,155
Federal Funds....................................... 8,484,479 8,612,770 8,534,615 +50,136 -78,155
Current Year.................................... (6,021,479) (6,149,770) (6,071,615) (+50,136) (-78,155)
Fiscal year 2012................................ (2,463,000) (2,463,000) (2,463,000) ................ ................
Trust Funds......................................... 4,077,418 4,406,062 4,406,062 +328,644 ................
EMPLOYEE BENEFITS SECURITY ADMINISTRATION [EBSA]
SALARIES AND EXPENSES
Enforcement and Participant Assistance........................ 129,199 133,241 133,241 +4,042 ................
Policy and Compliance Assistance.............................. 18,994 22,232 22,232 +3,238 ................
Executive Leadership, Program Oversight, and Administration... 6,668 6,522 6,522 -146 ................
-----------------------------------------------------------------------------------------
Total, EBSA............................................. 154,861 161,995 161,995 +7,134 ................
PENSION BENEFIT GUARANTY CORPORATION [PBGC]
Pension insurance activities.................................. (86,412) (71,896) (71,896) (-14,516) ................
Pension plan termination...................................... (234,005) (249,408) (249,408) (+15,403) ................
Operational support........................................... (143,650) (144,997) (144,997) (+1,347) ................
-----------------------------------------------------------------------------------------
Total, PBGC (program level)............................. (464,067) (466,301) (466,301) (+2,234) ................
Wage and Hour Division........................................ 227,606 244,240 244,240 +16,634 ................
Office of Labor-Management Standards.......................... 41,367 45,181 45,181 +3,814 ................
Office of Federal Contract Compliance programs................ 105,386 113,433 112,433 +7,047 -1,000
Division of Energy Employees Occupational Illness compensation 51,900 53,778 53,778 +1,878 ................
OFFICE OF WORKERS COMPENSATION PROGRAM
Federal Programs for Workers' Compensation.................... 116,171 125,165 124,165 +7,994 -1,000
Trust Funds............................................... 2,124 2,181 2,181 +57 ................
SPECIAL BENEFITS
Federal employees' compensation benefits...................... 184,000 180,000 180,000 -4,000 ................
Longshore and harbor workers' benefits........................ 3,000 3,000 3,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Special Benefits................................. 187,000 183,000 183,000 -4,000 ................
SPECIAL BENEFITS FOR DISABLED COAL MINERS
Benefit payments.............................................. 220,000 198,000 198,000 -22,000 ................
Administration................................................ 5,180 5,220 5,220 +40 ................
-----------------------------------------------------------------------------------------
Subtotal, program level................................. 225,180 203,220 203,220 -21,960 ................
Less funds advanced in prior year................... -56,000 -45,000 -45,000 +11,000 ................
-----------------------------------------------------------------------------------------
Total, Current Year................................. 169,180 158,220 158,220 -10,960 ................
New advances, 1st quarter fiscal year 2012.......... 45,000 41,000 41,000 -4,000 ................
-----------------------------------------------------------------------------------------
Total, Special Benefits for Disabled Coal Miners.. 214,180 199,220 199,220 -14,960 ................
BLACK LUNG DISABILITY TRUST FUND
Benefit payments and interest on advances..................... 604,736 650,371 650,371 +45,635 ................
Employment Standards Administration Salaries and expenses..... 32,720 33,075 33,075 +355 ................
Departmental Management, Salaries and expenses................ 25,091 25,394 25,394 +303 ................
Departmental Management, Inspector General.................... 327 327 327 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Black Lung Disability Trust Fund.............. 662,874 709,167 709,167 +46,293 ................
Treasury Department Administrative Costs...................... 356 356 356 ................ ................
-----------------------------------------------------------------------------------------
Total, Black Lung Disability Trust Fund................. 663,230 709,523 709,523 +46,293 ................
=========================================================================================
Total, Office of Workers Compensation Programs.......... 1,182,705 1,219,089 1,218,089 +35,384 -1,000
Federal Funds....................................... 1,180,581 1,216,908 1,215,908 +35,327 -1,000
Current year.................................... (1,135,581) (1,175,908) (1,174,908) (+39,327) (-1,000)
Fiscal year 2012................................ (45,000) (41,000) (41,000) (-4,000) ................
Trust Funds......................................... 2,124 2,181 2,181 +57 ................
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION [OSHA]
SALARIES AND EXPENSES
Safety and Health Standards................................... 19,569 23,756 23,756 +4,187 ................
Federal Enforcement........................................... 223,399 233,445 233,445 +10,046 ................
State Programs................................................ 104,393 105,893 105,893 +1,500 ................
Technical Support............................................. 25,920 26,186 26,186 +266 ................
Compliance Assistance:
Federal Assistance........................................ 73,380 70,255 71,255 -2,125 +1,000
State Consultation Grants..................................... 54,798 55,798 55,798 +1,000 ................
Training Grants............................................... 10,750 11,000 11,000 +250 ................
-----------------------------------------------------------------------------------------
Subtotal, Compliance Assistance......................... 138,928 137,053 138,053 -875 +1,000
Safety and Health Statistics.................................. 34,875 34,981 34,981 +106 ................
Executive Direction and Administration........................ 11,536 11,782 11,782 +246 ................
=========================================================================================
Total, OSHA............................................. 558,620 573,096 574,096 +15,476 +1,000
MINE SAFETY AND HEALTH ADMINISTRATION [MSHA]
SALARIES AND EXPENSES
Coal Enforcement.............................................. 158,662 159,059 165,199 +6,537 +6,140
Metal/Non-metal Enforcement................................... 85,422 88,966 88,966 +3,544 ................
Standards Development......................................... 3,481 4,322 4,822 +1,341 +500
Assessments................................................... 6,233 6,327 6,827 +594 +500
Educational Policy and Development............................ 38,605 36,646 37,646 -959 +1,000
Technical Support............................................. 30,642 31,637 35,592 +4,950 +3,955
Program evaluation and information resources [PEIR]........... 16,857 19,447 22,072 +5,215 +2,625
Program Administration........................................ 17,391 14,376 15,876 -1,515 +1,500
=========================================================================================
Total, MSHA............................................. 357,293 360,780 377,000 +19,707 +16,220
BUREAU OF LABOR STATISTICS [BLS]
SALARIES AND EXPENSES
Employment and Unemployment Statistics........................ 197,852 217,234 217,234 +19,382 ................
Labor Market Information...................................... 78,264 67,438 67,438 -10,826 ................
Prices and Cost of Living..................................... 201,081 234,521 224,021 +22,940 -10,500
Compensation and Working Conditions........................... 88,553 81,202 81,202 -7,351 ................
Productivity and Technology................................... 11,904 10,242 10,242 -1,662 ................
Executive Direction and Staff Services........................ 33,793 34,714 34,714 +921 ................
=========================================================================================
Total, BLS.............................................. 611,447 645,351 634,851 +23,404 -10,500
Federal Funds....................................... 533,183 577,913 567,413 +34,230 -10,500
Trust Funds......................................... 78,264 67,438 67,438 -10,826 ................
OFFICE OF DISABILITY EMPLOYMENT POLICY
SALARIES AND EXPENSES......................................... 39,031 39,138 44,138 +5,107 +5,000
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
Executive Direction........................................... 33,350 34,225 34,225 +875 ................
Departmental IT Crosscut...................................... 19,892 20,642 20,642 +750 ................
Departmental Program Evaluation............................... 8,500 50,300 36,300 +27,800 -14,000
Legal Services................................................ 117,121 122,234 138,234 +21,113 +16,000
Trust Funds............................................... 327 327 327 ................ ................
International Labor Affairs................................... 92,669 115,000 117,000 +24,331 +2,000
Administration and Management................................. 30,676 30,501 30,501 -175 ................
Adjudication.................................................. 29,286 30,367 30,367 +1,081 ................
Women's Bureau................................................ 11,604 12,255 12,255 +651 ................
Civil Rights Activities....................................... 7,220 7,335 7,335 +115 ................
Chief Financial Officer....................................... 5,361 5,438 5,438 +77 ................
-----------------------------------------------------------------------------------------
Total, Salaries and expenses............................ 356,006 428,624 432,624 +76,618 +4,000
Federal Funds....................................... (355,679) (428,297) (432,297) (+76,618) (+4,000)
Trust Funds......................................... (327) (327) (327) ................ ................
VETERANS EMPLOYMENT AND TRAINING [VETS]
State administration, Grants.................................. 165,394 165,394 165,394 ................ ................
Transition assistance program................................. 7,000 8,000 8,000 +1,000 ................
Federal Administration........................................ 35,313 35,680 35,680 +367 ................
National Veterans Training Institute.......................... 2,449 2,449 2,449 ................ ................
Homeless Veterans Program..................................... 36,330 41,330 41,330 +5,000 ................
Veterans Workforce Investment Programs........................ 9,641 9,641 9,641 ................ ................
-----------------------------------------------------------------------------------------
Total, VETS............................................. 256,127 262,494 262,494 +6,367 ................
Federal Funds....................................... 45,971 50,971 50,971 +5,000 ................
Trust Funds......................................... 210,156 211,523 211,523 +1,367 ................
OFFICE OF INSPECTOR GENERAL [IG]
Program Activities............................................ 78,093 79,090 79,090 +997 ................
Trust Funds............................................... 5,921 5,992 5,992 +71 ................
-----------------------------------------------------------------------------------------
Total, IG............................................... 84,014 85,082 85,082 +1,068 ................
=========================================================================================
Total, Departmental Management.......................... 696,147 776,200 780,200 +84,053 +4,000
Federal Funds....................................... 479,743 558,358 562,358 +82,615 +4,000
Current Year.................................... (479,743) (558,358) (562,358) (+82,615) (+4,000)
Trust Funds......................................... 216,404 217,842 217,842 +1,438 ................
Working capital fund.......................................... ................ 4,537 4,537 +4,537 ................
=========================================================================================
Total, Title I, Department of Labor..................... 16,588,260 17,255,650 17,191,215 +602,955 -64,435
Federal Funds....................................... 12,214,050 12,562,127 12,497,692 +283,642 -64,435
Current Year.................................... (9,706,050) (10,058,127) (9,993,692) (+287,642) (-64,435)
Fiscal year 2012................................ (2,508,000) (2,504,000) (2,504,000) (-4,000) ................
Trust Funds......................................... 4,374,210 4,693,523 4,693,523 +319,313 ................
TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION [HRSA]
HEALTH RESOURCES AND SERVICES
Bureau of Primary Health Care
Community health centers...................................... 2,185,146 2,479,993 2,185,146 ................ -294,847
State health access grants.................................... 74,480 75,000 ................ -74,480 -75,000
Free Clinics Medical Malpractice.............................. 40 40 40 ................ ................
National Hansen's Disease Program............................. 16,075 16,109 16,109 +34 ................
Buildings and Facilities.................................. 128 129 129 +1 ................
Payment to Hawaii, treatment of Hansen's Disease.............. 1,976 1,976 1,976 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Bureau of Primary Health Care................. 2,277,845 2,573,247 2,203,400 -74,445 -369,847
Bureau of Health Professions [BHP]
National Health Service Corps................................. 141,420 168,589 141,420 ................ -27,169
Health Professions
Health Professions, Training for Diversity:
Centers of excellence..................................... 24,550 24,602 24,602 +52 ................
Health careers opportunity program........................ 22,086 22,133 22,133 +47 ................
Faculty loan repayment.................................... 1,266 1,266 6,266 +5,000 +5,000
Scholarships for disadvantaged students................... 49,236 49,342 49,342 +106 ................
-----------------------------------------------------------------------------------------
Subtotal, Health Professions, Training for Diversity.... 97,138 97,343 102,343 +5,205 +5,000
Primary Care Training and Enhancement......................... 38,923 39,275 90,000 +51,077 +50,725
Training in Oral Health Care.................................. 32,919 32,982 47,982 +15,063 +15,000
Rural Physician Training...................................... ................ ................ 5,100 +5,100 +5,100
Interdisciplinary Community-based Linkages:
Area health education centers............................. 33,274 33,345 33,345 +71 ................
Allied health and other disciplines....................... 4,880 4,890 10,617 +5,737 +5,727
Geriatric programs........................................ 33,675 33,747 33,747 +72 ................
-----------------------------------------------------------------------------------------
Subtotal, Interdisciplinary Community Linkages.......... 71,829 71,982 77,709 +5,880 +5,727
Workforce information and analysis............................ 2,826 8,781 13,781 +10,955 +5,000
Public health and preventive medicine training................ 9,647 9,668 19,668 +10,021 +10,000
Nursing Programs:
Advanced Education Nursing................................ 64,301 64,438 74,438 +10,137 +10,000
Nurse education, practice, and retention.................. 39,811 39,896 50,000 +10,189 +10,104
Nursing workforce diversity............................... 16,073 16,107 16,107 +34 ................
Loan repayment and scholarship program.................... 93,864 93,864 93,864 ................ ................
Comprehensive geriatric education......................... 4,557 4,567 4,567 +10 ................
Nursing faculty loan program.............................. 24,947 25,000 53,309 +28,362 +28,309
-----------------------------------------------------------------------------------------
Subtotal, Nursing programs.............................. 243,553 243,872 292,285 +48,732 +48,413
=========================================================================================
Subtotal, Health Professions............................ 496,835 503,903 648,868 +152,033 +144,965
Children's Hospitals Graduate Medical Education............... 316,824 317,500 317,500 +676 ................
Patient Navigator............................................. 4,965 5,000 5,000 +35 ................
National Practitioner Data Bank............................... 19,750 21,000 21,000 +1,250 ................
User Fees................................................. -19,750 -21,000 -21,000 -1,250 ................
Health Care Integrity and Protection Data Bank................ 3,758 4,000 4,000 +242 ................
User Fees................................................. -3,758 -4,000 -4,000 -242 ................
-----------------------------------------------------------------------------------------
Subtotal, BHP........................................... 960,044 994,992 1,112,788 +152,744 +117,796
Maternal and Child Health Bureau
Maternal and Child Health Block Grant......................... 660,710 673,187 673,187 +12,477 ................
Sickle cell anemia demonstration program...................... 4,740 4,750 4,750 +10 ................
Traumatic Brain Injury........................................ 9,918 9,939 9,939 +21 ................
Autism and other developmental disorders...................... 47,898 55,000 55,000 +7,102 ................
Heritable disorders........................................... 9,992 10,013 10,013 +21 ................
Congenital disabilities....................................... 499 500 ................ -499 -500
Healthy Start................................................. 104,776 110,186 103,200 -1,576 -6,986
Universal Newborn Hearing..................................... 18,960 19,000 19,000 +40 ................
Emergency medical services for children....................... 21,454 21,500 22,500 +1,046 +1,000
-----------------------------------------------------------------------------------------
Subtotal, Maternal and Child Health Bureau.............. 878,947 904,075 897,589 +18,642 -6,486
HIV/AIDS Bureau
Ryan White AIDS Programs:
Emergency Assistance...................................... 679,074 679,074 679,074 ................ ................
Comprehensive Care Programs............................... 1,275,791 1,283,791 1,303,791 +28,000 +20,000
Reprogramming of fiscal year 2009 funds [NA].......... (3,000) ................ ................ (-3,000) ................
-----------------------------------------------------------------------------------------
Comprehensive Care Program level [NA]................. (1,278,791) (1,283,781) (1,303,791) (+25,000) (+20,010)
AIDS Drug Assistance Program [ADAP] [NA].............. (857,000) (855,000) (885,000) (+28,000) (+30,000)
Reprogramming of fiscal year 2009 funds........... (3,000) ................ ................ (-3,000) ................
-----------------------------------------------------------------------------------------
ADAP Program level [NA]......................... (860,000) (855,000) (885,000) (+25,000) (+30,000)
Early Intervention Program.................................... 206,383 211,877 206,383 ................ -5,494
Children, Youth, Women, and Families.......................... 77,621 77,787 77,787 +166 ................
AIDS Dental Services.......................................... 13,565 15,429 13,565 ................ -1,864
Education and Training Centers................................ 34,745 37,443 34,745 ................ -2,698
-----------------------------------------------------------------------------------------
Subtotal, Ryan White AIDS programs appropriation........ 2,287,179 2,305,401 2,315,345 +28,166 +9,944
Evaluation Tap Funding [NA]............................... (25,000) (25,000) (25,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Ryan White AIDS program level................. (2,312,179) (2,330,401) (2,340,345) (+28,166) (+9,944)
-----------------------------------------------------------------------------------------
Subtotal, HIV/AIDS Bureau............................... 2,287,179 2,305,401 2,315,345 +28,166 +9,944
Healthcare Systems Bureau
Organ Transplantation......................................... 25,991 26,049 27,991 +2,000 +1,942
National Cord Blood Inventory................................. 11,957 13,883 13,883 +1,926 ................
Bone Marrow Program........................................... 23,467 26,544 26,544 +3,077 ................
Office of Pharmacy Affairs.................................... 2,220 5,220 5,220 +3,000 ................
Poison control................................................ 29,250 29,314 29,314 +64 ................
Medical Home Demonstration.................................... ................ ................ 40,000 +40,000 +40,000
-----------------------------------------------------------------------------------------
Subtotal, Healthcare systems bureau..................... 92,885 101,010 142,952 +50,067 +41,942
Rural Health Programs
Rural outreach grants......................................... 55,905 57,266 57,266 +1,361 ................
Rural Health Research......................................... 9,929 9,950 9,950 +21 ................
Rural Hospital Flexibility Grants............................. 40,915 41,200 41,200 +285 ................
Delta Health Initiative....................................... 34,927 ................ 34,927 ................ +34,927
Rural and community access to emergency devices............... 2,521 2,526 2,526 +5 ................
State Offices of Rural Health................................. 10,005 10,075 10,075 +70 ................
Black lung clinics............................................ 7,185 7,200 7,200 +15 ................
Radiation Exposure Screening and Education Program............ 1,948 1,952 1,952 +4 ................
-----------------------------------------------------------------------------------------
Subtotal, Rural health programs......................... 163,335 130,169 165,096 +1,761 +34,927
Denali Commission............................................. 10,000 ................ ................ -10,000 ................
Family Planning............................................... 316,832 327,356 327,356 +10,524 ................
Health care-related facilities and activities................. 337,300 100,000 156,329 -180,971 +56,329
Telehealth.................................................... 11,575 11,600 15,000 +3,425 +3,400
Program management............................................ 147,052 153,808 154,808 +7,756 +1,000
=========================================================================================
Total, Health Resources and Services Administration 7,482,994 7,601,658 7,490,663 +7,669 -110,995
[HRSA].................................................
Total, Health resources and services program level...... (7,507,994) (7,626,658) (7,515,663) (+7,669) (-110,995)
Total, Evaluation Tap Funding....................... (25,000) (25,000) (25,000) ................ ................
HEALTH EDUCATION ASSISTANCE LOANS [HEAL] PROGRAM ACCOUNT
HEAL Liquidating account...................................... (1,000) ................ ................ (-1,000) ................
HEAL Program management....................................... 2,847 ................ ................ -2,847 ................
-----------------------------------------------------------------------------------------
Total, HEAL............................................. 2,847 ................ ................ -2,847 ................
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
Post fiscal year 1988 claims.................................. 115,908 115,908 115,908 ................ ................
HRSA administration........................................... 6,502 6,502 6,502 ................ ................
-----------------------------------------------------------------------------------------
Total, Vaccine Injury Compensation Trust Fund........... 122,410 122,410 122,410 ................ ................
Covered Countermeasure Process Fund........................... ................ 2,500 2,500 +2,500 ................
=========================================================================================
Total, HRSA............................................. 7,608,251 7,726,568 7,615,573 +7,322 -110,995
Total, HRSA program level............................... (7,633,251) (7,751,568) (7,640,573) (+7,322) (-110,995)
CENTERS FOR DISEASE CONTROL AND PREVENTION [CDC]
DISEASE CONTROL, RESEARCH, AND TRAINING
Infectious Diseases........................................... 1,996,018 1,899,987 1,927,780 -68,238 +27,793
Balances from Public Law 111-32 Pan Flu [NA].............. ................ (156,344) (116,344) (+116,344) (-40,000)
Evaluation Tap Funding........................................ (12,864) (12,864) (12,864) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Infectious Diseases program level............. (2,008,882) (2,069,195) (2,056,988) (+48,106) (-12,207)
Health Promotion
Chronic disease prevention, health promotion, and genomics.... 931,154 937,307 931,154 ................ -6,153
Birth defects, developmental disabilities, disability, and 143,347 143,539 145,289 +1,942 +1,750
health.......................................................
-----------------------------------------------------------------------------------------
Subtotal, Health promotion.............................. 1,074,501 1,080,846 1,076,443 +1,942 -4,403
Health Information and Service................................ 72,044 97,033 228,748 +156,704 +131,715
Evaluation Tap Funding........................................ (216,599) (209,914) (72,600) (-143,999) (-137,314)
-----------------------------------------------------------------------------------------
Subtotal, Health information and service program........ (288,643) (306,947) (301,348) (+12,705) (-5,599)
Environmental Health and Injury
Environmental health.......................................... 187,090 182,350 190,710 +3,620 +8,360
Injury prevention and control................................. 148,593 147,570 147,729 -864 +159
-----------------------------------------------------------------------------------------
Subtotal, Environmental health and injury............... 335,683 329,920 338,439 +2,756 +8,519
National Institute for Occupational Safety and Health\3\...... 281,405 364,318 431,569 +150,164 +67,251
Evaluation Tap Funding.................................... (91,724) (91,724) (21,724) (-70,000) (-70,000)
-----------------------------------------------------------------------------------------
Subtotal, Occupational Safety and health program\3\..... (373,129) (456,042) (453,293) (+80,164) (-2,749)
Energy employees occupational illness compensation program.... 55,358 55,358 55,358 ................ ................
Global health................................................. 336,075 351,944 353,294 +17,219 +1,350
Public health preparedness and response....................... 1,549,128 1,464,656 1,464,668 -84,460 +12
Balances from Public Law 111-32 Pan Flu [NA].................. ................ (68,515) (68,515) (+68,515) ................
-----------------------------------------------------------------------------------------
Subtotal, Public Health Preparedness.................... 1,549,128 1,533,171 1,533,183 -15,945 +12
Public health research........................................ ................ ................ ................ ................ ................
Evaluation Tap Funding.................................... (31,170) (31,170) (31,170) ................ ................
Public health improvement and leadership...................... 211,404 192,916 210,108 -1,296 +17,192
Preventive health and health services block grant............. 102,019 102,034 102,034 +15 ................
Buildings and facilities...................................... 69,140 ................ 12,000 -57,140 +12,000
Business services............................................. 369,814 382,152 382,152 +12,338 ................
=========================================================================================
Total, CDC.............................................. 6,452,589 6,321,164 6,582,593 +130,004 +261,429
Discretionary....................................... 6,397,231 6,265,806 6,527,235 +130,004 +261,429
Evaluation Tap Funding [NA]......................... (352,357) (345,672) (138,358) (-213,999) (-207,314)
Total, CDC.............................................. 6,452,589 6,321,164 6,582,593 +130,004 +261,429
=========================================================================================
Total, Centers for Disease Control and Prevention (6,804,946) (6,891,695) (6,905,810) (+100,864) (+14,115)
program level..........................................
NATIONAL INSTITUTES OF HEALTH [NIH]
National Cancer Institute..................................... 5,100,906 5,264,643 5,256,409 +155,503 -8,234
National Heart, Lung, and Blood Institute..................... 3,095,349 3,187,516 3,182,524 +87,175 -4,992
National Institute of Dental and Craniofacial Research........ 413,014 423,511 422,845 +9,831 -666
National Institute of Diabetes and Digestive and Kidney 1,807,094 1,857,589 1,854,674 +47,580 -2,915
Diseases [NIDDK].............................................
Juvenile diabetes (mandatory)............................. (150,000) (150,000) (150,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, NIDDK program level........................... 1,957,094 2,007,589 2,004,674 +47,580 -2,915
National Institute of Neurological Disorders and Stroke....... 1,635,477 1,681,333 1,678,696 +43,219 -2,637
National Institute of Allergy and Infectious Diseases......... 4,516,051 4,677,070 4,669,301 +153,250 -7,769
Global HIV/AIDS Fund Transfer................................. 300,000 300,000 300,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, NIAID program level........................... 4,816,051 4,977,070 4,969,301 +153,250 -7,769
National Institute of General Medical Sciences................ 2,050,665 2,125,090 2,121,783 +71,118 -3,307
National Institute of Child Health and Human Development...... 1,328,828 1,368,894 1,366,750 +37,922 -2,144
National Eye Institute........................................ 706,659 724,360 723,220 +16,561 -1,140
National Institute of Environmental Health Sciences........... 689,462 707,339 706,227 +16,765 -1,112
National Institute on Aging................................... 1,109,634 1,142,337 1,140,547 +30,913 -1,790
National Institute of Arthritis and Musculoskeletal and Skin 538,773 555,715 554,846 +16,073 -869
Diseases.....................................................
National Institute on Deafness and Other Communication 418,594 429,007 428,331 +9,737 -676
Disorders....................................................
National Institute of Nursing Research........................ 145,578 150,198 149,963 +4,385 -235
National Institute on Alcohol Abuse and Alcoholism............ 462,098 474,649 473,904 +11,806 -745
National Institute on Drug Abuse.............................. 1,059,288 1,094,078 1,092,369 +33,081 -1,709
National Institute of Mental Health........................... 1,489,569 1,540,345 1,537,942 +48,373 -2,403
National Human Genome Research Institute...................... 515,799 533,959 533,127 +17,328 -832
National Institute of Biomedical Imaging and Bioengineering... 316,405 325,925 325,415 +9,010 -510
National Center for Research Resources........................ 1,268,329 1,308,741 1,306,695 +38,366 -2,046
National Center for Complementary and Alternative Medicine.... 128,772 132,004 131,796 +3,024 -208
National Institute on Minority Health and Health Disparities.. 211,474 219,046 218,705 +7,231 -341
John E. Fogarty International Center.......................... 69,997 73,027 72,914 +2,917 -113
National Library of Medicine [NLM]............................ 350,557 364,802 364,254 +13,697 -548
Evaluation Tap Funding.................................... (8,200) (8,200) (8,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 358,757 373,002 372,454 +13,697 -548
Office of the Director........................................ 1,176,844 1,220,478 1,268,580 +91,736 +48,102
Common fund............................................... (544,109) (561,629) (561,629) (+17,520) ................
Buildings and Facilities...................................... 99,985 125,581 125,420 +25,435 -161
=========================================================================================
Total, National Institutes of Health [NIH].............. 31,005,201 32,007,237 32,007,237 +1,002,036 ................
Global HIV/AIDS Fund Transfer....................... -300,000 -300,000 -300,000 ................ ................
Evaluation Tap Funding.............................. (8,200) (8,200) (8,200) ................ ................
-----------------------------------------------------------------------------------------
Total, NIH Program Level................................ (30,713,401) (31,715,437) (31,715,437) (+1,002,036) ................
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
[SAMHSA]
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
Mental Health:
Programs of Regional and National Significance............ 361,352 374,184 386,309 +24,957 +12,125
Mental Health block grant..................................... 399,735 399,735 399,735 ................ ................
Evaluation Tap Funding.................................... (21,039) (21,039) (21,039) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. (420,774) (420,774) (420,774) ................ ................
Children's Mental Health...................................... 121,316 126,214 126,214 +4,898 ................
Grants to States for the Homeless [PATH]...................... 65,047 70,000 70,000 +4,953 ................
Protection and Advocacy....................................... 36,380 36,380 38,380 +2,000 +2,000
-----------------------------------------------------------------------------------------
Subtotal, Mental Health................................. 983,830 1,006,513 1,020,638 +36,808 +14,125
-----------------------------------------------------------------------------------------
Subtotal, Mental health program level................... (1,004,869) (1,027,552) (1,041,677) (+36,808) (+14,125)
Substance Abuse Treatment:
Programs of Regional and National Significance............ 445,864 480,086 464,936 +19,072 -15,150
Evaluation Tap Funding................................ (8,596) (8,596) (8,596) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (454,460) (488,682) (473,532) (+19,072) (-15,150)
Substance Abuse block grant............................... 1,719,391 1,719,391 1,719,391 ................ ................
Evaluation Tap Funding................................ (79,200) (79,200) (79,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (1,798,591) (1,798,591) (1,798,591) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Substance Abuse Treatment................. 2,165,255 2,199,477 2,184,327 +19,072 -15,150
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (2,253,051) (2,287,273) (2,272,123) (+19,072) (-15,150)
Substance Abuse Prevention:
Programs of Regional and National Significance............ 202,039 223,075 222,492 +20,453 -583
Program Management............................................ 79,197 112,297 108,727 +29,530 -3,570
Evaluation Tap Funding [NA]............................... (22,750) (23,399) (23,399) (+649) ................
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. 101,947 135,696 132,126 +30,179 -3,570
St. Elizabeth's Hospital--Environmental remediation........... 795 ................ ................ -795 ................
=========================================================================================
Total, SAMHSA........................................... 3,431,116 3,541,362 3,536,184 +105,068 -5,178
Evaluation Tap Funding.............................. (131,585) (132,234) (132,234) (+649) ................
-----------------------------------------------------------------------------------------
Total, SAMHSA program level............................. (3,562,701) (3,673,596) (3,668,418) (+105,717) (-5,178)
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [AHRQ]
HEALTHCARE RESEARCH AND QUALITY
Research on Health Costs, Quality, and Outcomes:
Federal Funds............................................. ................ ................ ................ ................ ................
Evaluation Tap Funding [NA]............................... (270,653) (478,899) (267,290) (-3,363) (-211,609)
Patient-centered Health Research [NA]................. (21,000) (272,750) (35,000) (+14,000) (-237,750)
Quality Measure Development [NA]...................... ................ ................ (10,000) (+10,000) (+10,000)
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (270,653) (478,899) (267,290) (-3,363) (-211,609)
Medical Expenditures Panel Surveys:
Federal Funds............................................. ................ ................ ................ ................ ................
Evaluation Tap Funding [NA]............................... (58,800) (59,300) (59,300) (+500) ................
-----------------------------------------------------------------------------------------
Subtotal, Medical Expenditures Panel Surveys............ (58,800) (59,300) (59,300) (+500) ................
Program Support:
Evaluation Tap Funding [NA]............................... (67,600) (72,713) (70,463) (+2,863) (-2,250)
=========================================================================================
Total, AHRQ............................................. ................ ................ ................ ................ ................
Evaluation Tap Funding [NA]......................... (397,053) (610,912) (397,053) ................ (-213,859)
-----------------------------------------------------------------------------------------
Total, AHRQ program level............................... (397,053) (610,912) (397,053) ................ (-213,859)
=========================================================================================
Total, Public Health Service [PHS] appropriation........ 48,497,157 49,596,331 49,741,587 +1,244,430 +145,256
Total, Public Health Service program level.............. (51,251,143) (52,781,989) (52,516,082) (+1,264,939) (-265,907)
CENTERS FOR MEDICARE AND MEDICAID SERVICES
GRANTS TO STATES FOR MEDICAID
Medicaid current law benefits................................. 276,957,508 242,714,348 242,714,348 -34,243,160 ................
State and local administration................................ 12,381,233 13,567,479 13,567,479 +1,186,246 ................
Vaccines for Children......................................... 3,323,770 3,651,354 3,651,354 +327,584 ................
-----------------------------------------------------------------------------------------
Subtotal, Medicaid program level........................ 292,662,511 259,933,181 259,933,181 -32,729,330 ................
Less funds advanced in prior year................... -71,700,038 -86,789,382 -86,789,382 -15,089,344 ................
-----------------------------------------------------------------------------------------
Total, Grants to States for Medicaid.................... 220,962,473 173,143,799 173,143,799 -47,818,674 ................
New advance, 1st quarter............................ 86,789,382 86,445,289 86,445,289 -344,093 ................
PAYMENTS TO HEALTH CARE TRUST FUNDS
Supplemental medical insurance................................ 160,364,000 173,873,000 173,873,000 +13,509,000 ................
Hospital insurance for the uninsured.......................... -414,000 ................ ................ +414,000 ................
Federal uninsured payment..................................... 272,000 275,000 275,000 +3,000 ................
Program management............................................ 393,070 180,000 180,000 -213,070 ................
General revenue for Part D benefit............................ 53,180,000 54,393,000 54,393,000 +1,213,000 ................
General revenue for Part D administration..................... 484,000 382,000 382,000 -102,000 ................
HCFAC reimbursement........................................... 311,000 561,000 561,000 +250,000 ................
-----------------------------------------------------------------------------------------
Total, Payments to Trust Funds, program level........... 214,590,070 229,664,000 229,664,000 +15,073,930 ................
PROGRAM MANAGEMENT
Research, Demonstration, Evaluation........................... 35,600 47,178 41,300 +5,700 -5,878
Data initiative............................................... ................ 110,000 110,000 +110,000 ................
Medicare Operations........................................... 2,335,862 2,356,604 2,335,862 ................ -20,742
State Survey and Certification................................ 346,900 362,000 362,000 +15,100 ................
High-risk insurance pools..................................... 55,000 ................ ................ -55,000 ................
Federal Administration........................................ 696,880 725,365 725,365 +28,485 ................
=========================================================================================
Total, Program management, Limitation on new BA......... 3,470,242 3,601,147 3,574,527 +104,285 -26,620
HEALTH CARE FRAUD AND ABUSE CONTROL
Part D drug benefit/medicare advantage [MIP].................. 220,320 328,423 328,423 +108,103 ................
HHS Office of Inspector General............................... 29,790 94,830 94,830 +65,040 ................
Department of Justice......................................... 29,790 90,003 90,003 +60,213 ................
Medicaid/SCHIP................................................ 31,100 47,744 47,744 +16,644 ................
-----------------------------------------------------------------------------------------
Total, Health Care Fraud and Abuse Control.............. 311,000 561,000 561,000 +250,000 ................
=========================================================================================
Total, Centers for Medicare and Medicaid Services....... 526,123,167 493,415,235 493,388,615 -32,734,552 -26,620
Federal funds....................................... 522,341,925 489,253,088 489,253,088 -33,088,837 ................
Current year.................................... (435,552,543) (402,807,799) (402,807,799) (-32,744,744) ................
New advance, fiscal year 2012................... (86,789,382) (86,445,289) (86,445,289) (-344,093) ................
Trust Funds......................................... 3,781,242 4,162,147 4,135,527 +354,285 -26,620
ADMINISTRATION FOR CHILDREN AND FAMILIES
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY
SUPPORT PROGRAMS
Payments to territories....................................... 33,000 33,000 33,000 ................ ................
Repatriation.................................................. 1,000 1,000 1,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Welfare payments.............................. 34,000 34,000 34,000 ................ ................
Child Support Enforcement:
State and local administration............................ 4,240,449 3,024,814 3,024,814 -1,215,635 ................
Federal incentive payments................................ 504,000 514,000 514,000 +10,000 ................
Access and visitation..................................... 10,000 10,000 10,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Child Support Enforcement..................... 4,754,449 3,548,814 3,548,814 -1,205,635 ................
=========================================================================================
Total, Family support payments program level............ 4,788,449 3,582,814 3,582,814 -1,205,635 ................
Less funds advanced in previous years............... -1,000,000 -1,100,000 -1,100,000 -100,000 ................
-----------------------------------------------------------------------------------------
Total, Family support payments, current year............ 3,788,449 2,482,814 2,482,814 -1,305,635 ................
New advance, 1st quarter, fiscal year 2012.......... 1,100,000 1,200,000 1,200,000 +100,000 ................
LOW-INCOME HOME ENERGY ASSISTANCE [LIHEAP]
Formula grants................................................ 4,509,672 2,510,000 2,709,672 -1,800,000 +199,672
-----------------------------------------------------------------------------------------
Subtotal, Formula grants................................ 4,509,672 2,510,000 2,709,672 -1,800,000 +199,672
Contingency fund.............................................. 589,551 790,000 590,328 +777 -199,672
-----------------------------------------------------------------------------------------
Subtotal, Contingency fund.............................. 589,551 790,000 590,328 +777 -199,672
-----------------------------------------------------------------------------------------
Total, LIHEAP........................................... 5,099,223 3,300,000 3,300,000 -1,799,223 ................
-----------------------------------------------------------------------------------------
Total, LIHEAP, program level............................ 5,099,223 3,300,000 3,300,000 -1,799,223 ................
REFUGEE AND ENTRANT ASSISTANCE
Transitional and Medical Services............................. 353,281 417,000 392,000 +38,719 -25,000
Victims of Trafficking........................................ 9,814 9,814 10,814 +1,000 +1,000
Social Services............................................... 154,005 179,005 187,005 +33,000 +8,000
Preventive Health............................................. 4,748 4,748 4,748 ................ ................
Targeted Assistance........................................... 48,590 48,590 48,590 ................ ................
Unaccompanied minors.......................................... 149,291 207,357 179,357 +30,066 -28,000
Victims of Torture............................................ 11,088 11,088 12,088 +1,000 +1,000
-----------------------------------------------------------------------------------------
Total, Refugee and entrant assistance................... 730,817 877,602 834,602 +103,785 -43,000
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK
GRANT
Child Care and Development Block Grant........................ 2,126,757 2,927,081 3,127,081 +1,000,324 +200,000
-----------------------------------------------------------------------------------------
Total, Child Care and Development Block Grant........... 2,126,757 2,927,081 3,127,081 +1,000,324 +200,000
SOCIAL SERVICES BLOCK GRANT (TITLE XX)........................ 1,700,000 1,700,000 1,700,000 ................ ................
CHILDREN AND FAMILIES SERVICES PROGRAMS
Programs for Children, Youth, and Families:
Head Start, current funded................................ 7,233,680 8,223,958 8,223,958 +990,278 ................
Consolidated Runaway, Homeless Youth Program.............. 97,734 97,734 104,734 +7,000 +7,000
Prevention grants to reduce abuse of runaway youth........ 17,971 17,971 18,971 +1,000 +1,000
Child Abuse State Grants.................................. 26,535 26,535 26,535 ................ ................
Child Abuse Discretionary Activities...................... 29,020 39,020 37,295 +8,275 -1,725
Community based child abuse prevention.................... 41,689 41,689 41,689 ................ ................
Abandoned Infants Assistance.............................. 11,628 11,628 11,628 ................ ................
Child Welfare Services.................................... 281,691 281,744 281,744 +53 ................
Child Welfare Training.................................... 27,207 27,207 27,207 ................ ................
Adoption Opportunities.................................... 26,379 39,332 39,332 +12,953 ................
Adoption Incentive........................................ 39,500 42,000 42,000 +2,500 ................
Adoption Awareness........................................ 12,953 ................ ................ -12,953 ................
Social Services and Income Maintenance Research........... 19,610 3,000 9,738 -9,872 +6,738
Evaluation Tap Funding................................ (5,762) (5,762) (5,762) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (25,372) (8,762) (15,500) (-9,872) (+6,738)
Developmental Disabilities Programs:
State Councils............................................ 75,066 75,066 76,066 +1,000 +1,000
Protection and Advocacy................................... 41,024 41,024 42,024 +1,000 +1,000
Voting access for individuals with disabilities........... 17,410 17,410 17,410 ................ ................
Developmental Disabilities Projects of National 14,136 14,162 14,162 +26 ................
Significance.............................................
University Centers for Excellence in Developmental 38,943 38,943 39,943 +1,000 +1,000
Disabilities.............................................
-----------------------------------------------------------------------------------------
Subtotal, Developmental disabilities programs........... 186,579 186,605 189,605 +3,026 +3,000
Native American Programs...................................... 48,773 48,773 48,773 ................ ................
Community Services:
Community Services Block Grant Act programs:
Grants to States for Community Services............... 700,000 700,000 700,000 ................ ................
Economic Development.................................. 36,000 36,000 55,000 +19,000 +19,000
Rural Community Facilities............................ 10,000 ................ 10,000 ................ +10,000
-----------------------------------------------------------------------------------------
Subtotal............................................ 746,000 736,000 765,000 +19,000 +29,000
Job Opportunities for Low-income Individuals.............. 2,644 ................ 2,644 ................ +2,644
Individual Development Account Initiative................. 23,907 24,025 24,025 +118 ................
-----------------------------------------------------------------------------------------
Subtotal, Community Services............................ 772,551 760,025 791,669 +19,118 +31,644
Domestic Violence Hotline..................................... 3,209 4,500 4,500 +1,291 ................
Family Violence/Battered Women's Shelters..................... 130,032 140,000 140,000 +9,968 ................
Mentoring Children of Prisoners............................... 49,314 49,314 49,314 ................ ................
Independent Living Training Vouchers.......................... 45,351 45,351 45,351 ................ ................
Faith-based Center............................................ 1,376 1,376 1,376 ................ ................
Disaster human services case management....................... 2,000 2,000 2,000 ................ ................
Program Direction............................................. 208,398 222,308 222,308 +13,910 ................
=========================================================================================
Total, Children and Families Services Programs.......... 9,313,180 10,312,070 10,359,727 +1,046,547 +47,657
Current Year........................................ (9,313,180) (10,312,070) (10,359,727) (+1,046,547) (+47,657)
Evaluation Tap Funding.............................. (5,762) (5,762) (5,762) ................ ................
-----------------------------------------------------------------------------------------
Total, Program level.................................... (9,318,942) (10,317,832) (10,365,489) (+1,046,547) (+47,657)
PROMOTING SAFE AND STABLE FAMILIES............................ 345,000 345,000 345,000 ................ ................
Discretionary Funds....................................... 63,311 63,311 63,311 ................ ................
PAYMENTS FOR FOSTER CARE AND PERMANENCY
Foster Care................................................... 4,681,000 4,539,000 4,539,000 -142,000 ................
Adoption Assistance........................................... 2,501,000 2,459,000 2,459,000 -42,000 ................
Kinship Guardianship.......................................... 56,000 78,000 78,000 +22,000 ................
Independent living............................................ 140,000 140,000 140,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Payments to States............................... 7,378,000 7,216,000 7,216,000 -162,000 ................
Less Advances from Prior Year....................... -1,800,000 -1,850,000 -1,850,000 -50,000 ................
-----------------------------------------------------------------------------------------
Total, payments, current year..................... 5,578,000 5,366,000 5,366,000 -212,000 ................
New Advance, 1st quarter.......................... 1,850,000 1,850,000 1,850,000 ................ ................
=========================================================================================
Total, Administration for Children and Families......... 31,694,737 30,423,878 30,628,535 -1,066,202 +204,657
Current year........................................ (28,744,737) (27,373,878) (27,578,535) (-1,166,202) (+204,657)
Fiscal year 2012.................................... (2,950,000) (3,050,000) (3,050,000) (+100,000) ................
Evaluation Tap Funding.............................. (5,762) (5,762) (5,762) ................ ................
-----------------------------------------------------------------------------------------
Total, Administration for Children and Families program 31,700,499 30,429,640 30,634,297 -1,066,202 +204,657
level..................................................
ADMINISTRATION ON AGING
AGING SERVICES PROGRAMS
Grants to States:
Home and Community-based Supportive Services.............. 368,294 416,348 416,348 +48,054 ................
Preventive Health......................................... 21,023 21,026 21,026 +3 ................
Protection of Vulnerable Older Americans--Title VII....... 21,880 23,290 24,290 +2,410 +1,000
Family Caregivers......................................... 154,197 202,220 202,220 +48,023 ................
Native American Caregivers Support........................ 6,388 8,389 8,389 +2,001 ................
-----------------------------------------------------------------------------------------
Subtotal, Caregivers.................................... 160,585 210,609 210,609 +50,024 ................
Nutrition:
Congregate Meals.......................................... 440,718 445,644 463,644 +22,926 +18,000
Home-delivered Meals...................................... 217,644 220,893 232,893 +15,249 +12,000
Nutrition Services Incentive Program...................... 160,991 161,015 161,015 +24 ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 819,353 827,552 857,552 +38,199 +30,000
Grants for Native Americans................................... 27,704 29,708 29,708 +2,004 ................
Program Innovations........................................... 19,020 13,049 14,699 -4,321 +1,650
Aging Network Support Activities.............................. 44,276 44,179 44,179 -97 ................
Alzheimer's Disease Demonstrations............................ 11,462 11,464 11,464 +2 ................
Lifespan Respite Care......................................... 2,500 5,000 7,000 +4,500 +2,000
Program Administration........................................ 19,976 22,508 22,508 +2,532 ................
-----------------------------------------------------------------------------------------
Total, Administration on Aging.......................... 1,516,073 1,624,733 1,659,383 +143,310 +34,650
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
General Departmental Management:
Federal Funds............................................. 195,249 227,943 228,693 +33,444 +750
Trust Funds............................................... 5,851 ................ ................ -5,851 ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 201,100 227,943 228,693 +27,593 +750
Teen Pregnancy Prevention Community Grants.................... 109,979 129,218 110,000 +21 -19,218
Evaluation Tap Funding.................................... (4,455) (4,455) (8,455) (+4,000) (+4,000)
-----------------------------------------------------------------------------------------
Subtotal, Teen Pregnancy Prevention Community Grants.... (114,434) (133,673) (118,455) (+4,021) (-15,218)
Adolescent Family Life (Title XX)............................. 16,658 16,658 12,474 -4,184 -4,184
Minority health............................................... 55,989 57,980 58,180 +2,191 +200
Office of Women's Health...................................... 33,746 33,746 33,746 ................ ................
Transformation of the Commissioned Corps...................... 14,813 13,513 13,513 -1,300 ................
Minority HIV/AIDS............................................. 53,880 53,891 53,891 +11 ................
Embryo adoption awareness campaign............................ 4,200 4,200 4,200 ................ ................
Acquisition reform............................................ ................ 7,000 7,000 +7,000 ................
Planning and evaluation, Evaluation Tap Funding............... (60,756) (60,756) (60,756) ................ ................
-----------------------------------------------------------------------------------------
Total, General Departmental Management.................. 490,365 544,149 521,697 +31,332 -22,452
Federal Funds....................................... (484,514) (544,149) (521,697) (+37,183) (-22,452)
Trust Funds......................................... 5,851 ................ ................ -5,851 ................
Evaluation Tap Funding [NA]......................... (65,211) (65,211) (69,211) (+4,000) (+4,000)
Total, General Departmental Management program.......... 555,576 609,360 590,908 +35,332 -18,452
OFFICE OF MEDICARE HEARINGS AND APPEALS....................... 71,147 77,798 77,798 +6,651 ................
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION 42,325 78,334 59,323 +16,998 -19,011
TECHNOLOGY...................................................
Evaluation Tap Funding.................................... (19,011) ................ (19,011) ................ (+19,011)
-----------------------------------------------------------------------------------------
Total, program level.................................... (61,336) (78,334) (78,334) (+16,998) ................
OFFICE OF INSPECTOR GENERAL [IG]
Inspector General Federal Funds............................... 50,279 51,754 54,754 +4,475 +3,000
HIPAA/HCFAC funding [NA].................................. (177,205) (177,205) (177,205) ................ ................
Medicaid integrity program:
Deficit Reduction Act (Public Law 109-171) [NA]............... (25,000) ................ ................ (-25,000) ................
-----------------------------------------------------------------------------------------
Total, Inspector General program level.................. (252,484) (228,959) (231,959) (-20,525) (+3,000)
Total, IG program level................................. (252,484) (228,959) (231,959) (-20,525) (+3,000)
OFFICE FOR CIVIL RIGHTS:
Federal Funds............................................. 37,779 44,382 44,382 +6,603 ................
Trust Funds............................................... 3,314 ................ ................ -3,314 ................
-----------------------------------------------------------------------------------------
Total, Office for Civil Rights.......................... 41,093 44,382 44,382 +3,289 ................
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS
Retirement payments........................................... 356,455 386,040 386,040 +29,585 ................
Survivors benefits............................................ 24,593 27,888 27,888 +3,295 ................
Dependents' medical care...................................... 93,509 103,608 103,608 +10,099 ................
-----------------------------------------------------------------------------------------
Total, Medical benefits for Commissioned Officers....... 474,557 517,536 517,536 +42,979 ................
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND
Assistant Secretary for Preparedness and Response
Operations.................................................... 12,845 12,847 12,847 +2 ................
Preparedness and emergency operations......................... 33,059 44,153 38,059 +5,000 -6,094
National disaster medical system.............................. 56,028 56,540 56,540 +512 ................
Hospital Preparedness......................................... 425,928 426,000 426,000 +72 ................
Bioterrorism advanced research and development................ 340,066 476,194 476,194 +136,128 ................
Medical Countermeasure Dispensing............................. 9,998 10,000 10,000 +2 ................
Global Medicine, Science, and Public Health................... 8,747 10,000 10,000 +1,253 ................
Policy, strategic planning, and communications................ 4,366 8,000 6,166 +1,800 -1,834
ASPR co-located office facility............................... ................ 10,000 10,000 +10,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Assistant Secretary for Preparedness and 891,037 1,053,734 1,045,806 +154,769 -7,928
Response...............................................
Assistant Secretary for Administration, Cyber security........ 27,040 37,040 32,040 +5,000 -5,000
Office of Public Health and Science
Medical Reserve Corps......................................... 12,581 12,694 12,694 +113 ................
Office of the Secretary
Parklawn lease expiration..................................... 69,585 35,000 35,000 -34,585 ................
Office of security and strategic information.................. 4,893 6,460 5,677 +784 -783
Pandemic influenza preparedness:
Available until expended.................................. 276,000 ................ ................ -276,000 ................
Balances from Public Law 111-32 Pan Flu [NA].................. ................ (330,000) (330,000) (+330,000) ................
Fiscal year 2011.............................................. 65,000 65,578 65,578 +578 ................
-----------------------------------------------------------------------------------------
Pandemic Flu, program level [NA]........................ (341,000) (395,578) (395,578) (+54,578) ................
-----------------------------------------------------------------------------------------
Subtotal, OS appropriation............................ 415,478 107,038 106,255 -309,223 -783
Subtotal, OS Program level [NA]....................... 415,478 437,038 436,255 +20,777 -783
=========================================================================================
Total, PHSSEF appropriation........................... 1,346,136 1,210,506 1,196,795 -149,341 -13,711
Total, PHSSEF program level........................... 1,346,136 1,540,506 1,526,795 +180,659 -13,711
=========================================================================================
Total, Office of the Secretary........................ 2,515,902 2,524,459 2,472,285 -43,617 -52,174
Federal Funds..................................... 2,435,590 2,446,661 2,394,487 -41,103 -52,174
Trust Funds....................................... 80,312 77,798 77,798 -2,514 ................
Evaluation Tap Funding [NA]....................... (84,222) (65,211) (88,222) (+4,000) (+23,011)
=========================================================================================
Total, Title II, Dept of Health and Human Services.... 610,347,036 577,584,636 577,890,405 -32,456,631 +305,769
Federal Funds..................................... 606,485,482 573,344,691 573,677,080 -32,808,402 +332,389
Current year.................................. (516,746,100) (483,849,402) (484,181,791) (-32,564,309) (+332,389)
Current Year (emergency)...................... ................ ................ ................ ................ ................
Fiscal year 2012.............................. (89,739,382) (89,495,289) (89,495,289) (-244,093) ................
Trust Funds....................................... 3,861,554 4,239,945 4,213,325 +351,771 -26,620
Total, Title II (excluding emergencies)......... 610,347,036 577,584,636 577,890,405 -32,456,631 +305,769
TITLE III--DEPARTMENT OF EDUCATION
EDUCATION FOR THE DISADVANTAGED
Grants to Local Educational Agencies [LEAs]:
Basic Grants:
Advance from prior year............................... (2,946,721) (3,448,145) (3,448,145) (+501,424) ................
Forward funded........................................ 3,145,801 2,305,080 3,145,801 ................ +840,721
Current funded........................................ 4,000 4,000 4,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Basic grants current year appropriations.. 3,149,801 2,309,080 3,149,801 ................ +840,721
Subtotal, Basic grants total funds available........ (6,096,522) (5,757,225) (6,597,946) (+501,424) (+840,721)
Basic Grants fiscal year 2012 Advance......................... 3,448,145 4,288,866 3,448,145 ................ -840,721
-----------------------------------------------------------------------------------------
Subtotal, Basic grants, program level................... 6,597,946 6,597,946 6,597,946 ................ ................
Concentration Grants:
Advance from prior year................................... (1,365,031) (1,365,031) (1,365,031) ................ ................
Fiscal year 2012 Advance.................................. 1,365,031 1,365,031 1,365,031 ................ ................
Targeted Grants:
Forward funded............................................ 250,712 250,712 475,712 +225,000 +225,000
Advance from prior year................................... (3,264,712) (3,014,000) (3,014,000) (-250,712) ................
Fiscal year 2012 Advance.................................. 3,014,000 3,014,000 3,014,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 3,264,712 3,264,712 3,489,712 +225,000 +225,000
Education Finance Incentive Grants:
Forward Funded............................................ 250,712 250,712 475,712 +225,000 +225,000
Advance from prior year................................... (3,264,712) (3,014,000) (3,014,000) (-250,712) ................
Fiscal year 2012 Advance.................................. 3,014,000 3,014,000 3,014,000 ................ ................
=========================================================================================
Subtotal, Grants to LEAs, program level................. 14,492,401 14,492,401 14,942,401 +450,000 +450,000
Early Learning Challenge fund................................. ................ ................ 300,000 +300,000 +300,000
Even Start.................................................... 66,454 ................ ................ -66,454 ................
School improvement grants..................................... 545,633 900,000 625,000 +79,367 -275,000
Striving readers.............................................. 250,000 ................ 250,000 ................ +250,000
Literacy through School Libraries............................. 19,145 ................ 19,145 ................ +19,145
State Agency Programs:
Migrant................................................... 394,771 394,771 394,771 ................ ................
Neglected and Delinquent/High-risk Youth.................. 50,427 50,427 50,427 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, State Agency programs......................... 445,198 445,198 445,198 ................ ................
Evaluation.................................................... 9,167 9,167 8,167 -1,000 -1,000
High School Graduation Initiative............................. 50,000 ................ 100,000 +50,000 +100,000
Special Programs for Migrant Students......................... 36,668 36,668 36,668 ................ ................
=========================================================================================
Total, Education for the disadvantaged.................. 15,914,666 15,883,434 16,726,579 +811,913 +843,145
Current Year........................................ (5,073,490) (4,201,537) (5,885,403) (+811,913) (+1,683,866)
Fiscal year 2012.................................... (10,841,176) (11,681,897) (10,841,176) ................ (-840,721)
Subtotal, Forward Funded................................ (4,954,510) (4,151,702) (5,717,423) (+762,913) (+1,565,721)
Total, Education for the disadvantaged.................. 15,914,666 15,883,434 16,726,579 +811,913 +843,145
IMPACT AID
Basic Support Payments........................................ 1,138,000 1,138,000 1,153,000 +15,000 +15,000
Payments for Children with Disabilities....................... 48,602 48,602 50,602 +2,000 +2,000
Facilities Maintenance (Sec. 8008)............................ 4,864 4,864 4,864 ................ ................
Construction (Sec. 8007)...................................... 17,509 17,509 18,509 +1,000 +1,000
Payments for Federal Property (Sec. 8002)..................... 67,208 67,208 69,208 +2,000 +2,000
-----------------------------------------------------------------------------------------
Total, Impact aid....................................... 1,276,183 1,276,183 1,296,183 +20,000 +20,000
SCHOOL IMPROVEMENT PROGRAMS
Effective teaching and learning: literacy..................... ................ 450,000 ................ ................ -450,000
Effective teaching and learning: STEM......................... ................ 300,000 ................ ................ -300,000
Effective teaching and learning for well-rounded education.... ................ 265,000 ................ ................ -265,000
College pathways.............................................. ................ 100,000 ................ ................ -100,000
State Grants for Improving Teacher Quality.................... 1,266,308 ................ 1,266,232 -76 +1,266,232
Current funded................................................ ................ ................ 7,000 +7,000 +7,000
Advance from prior year................................... (1,681,441) (1,681,441) (1,681,441) ................ ................
Fiscal year 2012.......................................... 1,681,441 ................ 1,681,441 ................ +1,681,441
-----------------------------------------------------------------------------------------
Subtotal, State Grants for Improving Teacher Quality, 2,947,749 ................ 2,954,673 +6,924 +2,954,673
program level..........................................
Mathematics and Science Partnerships.......................... 180,478 ................ 180,478 ................ +180,478
Educational Technology State Grants........................... 100,000 ................ 100,000 ................ +100,000
Supplemental Education Grants................................. 17,687 17,687 17,687 ................ ................
21st Century Community Learning Centers....................... 1,166,166 1,166,166 1,266,166 +100,000 +100,000
State Assessments/Enhanced Assessment Instruments............. 410,732 450,000 450,000 +39,268 ................
Javits gifted and talented education.......................... 7,463 ................ ................ -7,463 ................
Foreign language assistance................................... 26,928 ................ 26,928 ................ +26,928
Education for Homeless Children and Youth..................... 65,427 65,427 75,427 +10,000 +10,000
Training and Advisory Services (Civil Rights)................. 6,989 6,989 6,989 ................ ................
Education for Native Hawaiians................................ 34,315 34,315 35,315 +1,000 +1,000
Alaska Native Education Equity................................ 33,315 33,315 33,315 ................ ................
Rural Education............................................... 174,882 174,882 179,882 +5,000 +5,000
Comprehensive Centers......................................... 56,313 56,313 61,313 +5,000 +5,000
=========================================================================================
Total, School improvement programs...................... 5,228,444 3,120,094 5,388,173 +159,729 +2,268,079
Current Year........................................ (3,547,003) (3,120,094) (3,706,732) (+159,729) (+586,638)
Fiscal year 2012.................................... (1,681,441) ................ (1,681,441) ................ (+1,681,441)
Subtotal, Forward Funded................................ (3,363,993) (1,856,475) (3,518,185) (+154,192) (+1,661,710)
Total, School improvement............................... 5,228,444 3,120,094 5,388,173 +159,729 +2,268,079
INDIAN EDUCATION
Grants to Local Educational Agencies.......................... 104,331 104,331 104,331 ................ ................
Federal Programs:
Special Programs for Indian Children...................... 19,060 19,060 19,060 ................ ................
National Activities........................................... 3,891 3,891 5,891 +2,000 +2,000
-----------------------------------------------------------------------------------------
Subtotal, Federal Programs.............................. 22,951 22,951 24,951 +2,000 +2,000
=========================================================================================
Total, Indian Education................................. 127,282 127,282 129,282 +2,000 +2,000
INNOVATION AND IMPROVEMENT
Race to the Top............................................... ................ 1,350,000 675,000 +675,000 -675,000
Investing in Innovation Fund.................................. ................ 500,000 250,000 +250,000 -250,000
Effective Teachers and Leaders State Grants................... ................ 2,500,000 ................ ................ -2,500,000
Teacher and Leader Innovation Fund............................ ................ 950,000 ................ ................ -950,000
Teacher and Leader Pathways................................... ................ 405,000 ................ ................ -405,000
Expanding educational options................................. ................ 490,000 ................ ................ -490,000
Troops-to-Teachers............................................ 14,389 ................ ................ -14,389 ................
Transition to Teaching........................................ 43,707 ................ 43,707 ................ +43,707
National Writing Project...................................... 25,646 ................ 25,646 ................ +25,646
Teaching of Traditional American History...................... 118,952 ................ 118,952 ................ +118,952
School Leadership............................................. 29,220 ................ 41,220 +12,000 +41,220
Advanced Credentialing........................................ 10,649 ................ 10,649 ................ +10,649
Teach for America............................................. 18,000 ................ 22,000 +4,000 +22,000
Charter Schools Grants........................................ 256,031 ................ 256,031 ................ +256,031
Voluntary Public School Choice................................ 25,819 ................ 25,819 ................ +25,819
Magnet Schools Assistance..................................... 100,000 110,000 100,000 ................ -10,000
Fund for the Improvement of Education [FIE]................... 261,570 27,278 178,987 -82,583 +151,709
Teacher Incentive Fund........................................ 400,000 ................ 400,000 ................ +400,000
Ready-to-Learn television..................................... 27,300 ................ 29,050 +1,750 +29,050
Close Up Fellowships.......................................... 1,942 ................ 1,942 ................ +1,942
Advanced Placement............................................ 45,840 ................ 45,840 ................ +45,840
=========================================================================================
Total, Innovation and Improvement....................... 1,379,065 6,332,278 2,224,843 +845,778 -4,107,435
=========================================================================================
Subtotal, Forward funded................................ ................ 1,350,000 675,000 +675,000 -675,000
SAFE SCHOOLS AND CITIZENSHIP EDUCATION
Safe and healthy students..................................... ................ 410,000 ................ ................ -410,000
Promise neighborhoods......................................... 10,000 210,000 20,000 +10,000 -190,000
National Programs............................................. 191,341 ................ 196,341 +5,000 +196,341
Alcohol Abuse Reduction....................................... 32,712 ................ 32,712 ................ +32,712
Elementary and Secondary School Counseling.................... 55,000 ................ 57,000 +2,000 +57,000
Carol M. White Physical Education Program..................... 79,000 ................ 80,000 +1,000 +80,000
Civic Education............................................... 35,000 ................ 40,000 +5,000 +40,000
=========================================================================================
Total, Safe Schools and Citizenship Education........... 403,053 620,000 426,053 +23,000 -193,947
ENGLISH LANGUAGE ACQUISITION
Current funded................................................ 48,750 48,750 52,000 +3,250 +3,250
Forward funded................................................ 701,250 751,250 748,000 +46,750 -3,250
=========================================================================================
Total, English Language Acquisition..................... 750,000 800,000 800,000 +50,000 ................
SPECIAL EDUCATION
State Grants:
Grants to States Part B current year...................... 2,912,828 2,322,108 3,332,828 +420,000 +1,010,720
Part B advance from prior year........................ (8,592,383) (8,592,383) (8,592,383) ................ ................
Grants to States Part B (fiscal year 2012)................ 8,592,383 9,433,103 8,592,383 ................ -840,720
-----------------------------------------------------------------------------------------
Subtotal, program level................................. 11,505,211 11,755,211 11,925,211 +420,000 +170,000
Preschool Grants.............................................. 374,099 374,099 374,099 ................ ................
Grants for Infants and Families............................... 439,427 439,427 459,427 +20,000 +20,000
-----------------------------------------------------------------------------------------
Subtotal, program level................................. 12,318,737 12,568,737 12,758,737 +440,000 +190,000
IDEA National Activities (current funded):
State personnel development............................... 48,000 48,000 49,223 +1,223 +1,223
Technical Assistance and Dissemination.................... 49,549 49,549 49,549 ................ ................
Personnel Preparation..................................... 90,653 90,653 90,653 ................ ................
Parent Information Centers................................ 28,028 28,028 30,028 +2,000 +2,000
Technology and Media Services............................. 43,973 41,223 47,300 +3,327 +6,077
-----------------------------------------------------------------------------------------
Subtotal, IDEA special programs......................... 260,203 257,453 266,753 +6,550 +9,300
Mentoring for individuals with disabilities................... ................ 10,000 ................ ................ -10,000
Special Olympics Education programs........................... 8,095 10,000 10,000 +1,905 ................
=========================================================================================
Total, Special education................................ 12,587,035 12,846,190 13,035,490 +448,455 +189,300
Current Year........................................ (3,994,652) (3,413,087) (4,443,107) (+448,455) (+1,030,020)
Fiscal year 2012.................................... (8,592,383) (9,433,103) (8,592,383) ................ (-840,720)
Subtotal, Forward Funded................................ (3,726,354) (3,135,634) (4,166,354) (+440,000) (+1,030,720)
REHABILITATION SERVICES AND DISABILITY RESEARCH
Vocational Rehabilitation State Grants........................ 3,084,696 3,084,696 3,084,696 ................ ................
VR State grants CPIU...................................... ................ 56,833 ................ ................ -56,833
-----------------------------------------------------------------------------------------
Subtotal, VR State grants program level................. 3,084,696 3,141,529 3,084,696 ................ -56,833
Client Assistance State grants................................ 12,288 12,288 14,288 +2,000 +2,000
Training...................................................... 37,766 33,251 37,766 ................ +4,515
Demonstration and training programs........................... 11,601 ................ 13,251 +1,650 +13,251
Migrant and seasonal farmworkers.............................. 2,239 ................ 2,239 ................ +2,239
Recreational programs......................................... 2,474 2,474 2,474 ................ ................
Protection and advocacy of individual rights [PAIR]........... 18,101 18,101 19,101 +1,000 +1,000
Projects with industry........................................ 19,197 ................ 19,197 ................ +19,197
Supported employment State grants............................. 29,181 ................ 29,181 ................ +29,181
Independent living:
Independent living grants................................. ................ 110,000 ................ ................ -110,000
State grants.............................................. 23,450 ................ 23,450 ................ +23,450
Centers................................................... 80,266 ................ 83,656 +3,390 +83,656
Services for older blind individuals...................... 34,151 34,151 34,151 ................ ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 137,867 144,151 141,257 +3,390 -2,894
Vocational Rehabilitation [VR]:
VR-supported employment extended services................. ................ 25,000 ................ ................ -25,000
VR Innovation and Technical Assistance Program............ ................ 6,472 ................ ................ -6,472
Workforce innovation and partnership.......................... ................ 30,000 27,000 +27,000 -3,000
Program Improvement........................................... 852 ................ ................ -852 ................
Evaluation.................................................... 1,217 ................ ................ -1,217 ................
Helen Keller National Center for Deaf/Blind Youth and Adults.. 9,181 9,181 9,181 ................ ................
National Institute on Disability and Rehabilitation Research 109,241 111,919 111,919 +2,678 ................
[NIDRR]......................................................
Assistive Technology.......................................... 30,960 30,960 30,960 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Discretionary programs........................ 422,165 480,630 457,814 +35,649 -22,816
=========================================================================================
Total, Rehabilitation services.......................... 3,506,861 3,565,326 3,542,510 +35,649 -22,816
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES
AMERICAN PRINTING HOUSE FOR THE BLIND......................... 24,600 24,600 24,600 ................ ................
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [NTID]:
Operations................................................ 63,037 63,037 63,037 ................ ................
Construction.............................................. 5,400 1,640 1,640 -3,760 ................
-----------------------------------------------------------------------------------------
Total, NTID............................................. 68,437 64,677 64,677 -3,760 ................
GALLAUDET UNIVERSITY:
Operations................................................ 118,000 118,000 118,000 ................ ................
Construction.............................................. 5,000 ................ 10,000 +5,000 +10,000
-----------------------------------------------------------------------------------------
Total, Galludet University.............................. 123,000 118,000 128,000 +5,000 +10,000
=========================================================================================
Total, Special Institutions for Persons with 216,037 207,277 217,277 +1,240 +10,000
Disabilities...........................................
CAREER AND ADULT EDUCATION
Career Education:
Basic State Grants/Secondary and Technical Education:
State Grants, current funded.......................... 369,911 473,000 369,911 ................ -103,089
Advance from prior year............................... (791,000) (791,000) (791,000) ................ ................
Fiscal year 2012...................................... 791,000 791,000 791,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Basic State Grants, program level......... 1,160,911 1,264,000 1,160,911 ................ -103,089
Tech-Prep Education State Grants.............................. 102,923 ................ 102,923 ................ +102,923
National Programs............................................. 7,860 7,860 7,860 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Vocational Education.......................... 1,271,694 1,271,860 1,271,694 ................ -166
Adult Education:
State Grants/Adult basic and literacy education:
State Grants, current funded.......................... 628,221 612,315 612,315 -15,906 ................
National Programs:
National Leadership Activities........................ 11,346 41,346 41,346 +30,000 ................
-----------------------------------------------------------------------------------------
Subtotal, National programs......................... 11,346 41,346 41,346 +30,000 ................
=========================================================================================
Subtotal, Adult education........................... 639,567 653,661 653,661 +14,094 ................
Smaller Learning Communities, current funded.................. 4,400 ................ ................ -4,400 ................
Smaller Learning Communities, forward funded.................. 83,600 ................ ................ -83,600 ................
State Grants for Incarcerated Individuals..................... 17,186 17,186 17,186 ................ ................
=========================================================================================
Total, Career and adult education....................... 2,016,447 1,942,707 1,942,541 -73,906 -166
Current Year........................................ (1,225,447) (1,151,707) (1,151,541) (-73,906) (-166)
Fiscal year 2012.................................... (791,000) (791,000) (791,000) ................ ................
Subtotal, Forward Funded................................ (1,221,047) (1,151,707) (1,151,541) (-69,506) (-166)
STUDENT FINANCIAL ASSISTANCE [SFA]
Pell Grants--maximum grant [NA]............................... (4,860) (4,860) (4,860) ................ ................
Pell Grants\4\................................................ 17,495,000 17,652,000 17,652,000 +157,000 ................
Federal Supplemental Educational Opportunity Grants........... 757,465 757,465 757,465 ................ ................
Federal Work Study............................................ 980,492 980,492 980,492 ................ ................
LEAP program.................................................. 63,852 ................ 63,852 ................ +63,852
=========================================================================================
Total, SFA.............................................. 19,296,809 19,389,957 19,453,809 +157,000 +63,852
Total, SFA (excluding emergencies)...................... 19,296,809 19,389,957 19,453,809 +157,000 +63,852
STUDENT AID ADMINISTRATION
Salaries and expenses......................................... 870,402 673,404 661,852 -208,550 -11,552
Servicing activities.......................................... ................ 496,827 386,226 +386,226 -110,601
=========================================================================================
Total, Student Aid Administration....................... 870,402 1,170,231 1,048,078 +177,676 -122,153
HIGHER EDUCATION
Aid for Institutional Development:
Strengthening Institutions................................ 84,000 88,200 88,200 +4,200 ................
Hispanic-serving Institutions............................. 117,429 123,300 123,300 +5,871 ................
Promoting Post-baccalaureate Opportunities for Hispanic 10,500 10,500 10,500 ................ ................
Americans................................................
Strengthening Historically Black Colleges [HBCUs]......... 266,586 279,915 266,586 ................ -13,329
Strengthening Historically Black Graduate Institutions.... 61,425 64,496 64,496 +3,071 ................
Strengthening Predominantly Black Institutions............ 10,801 11,341 10,801 ................ -540
Asian-American Pacific Islander........................... 3,600 3,780 3,600 ................ -180
Strengthening Alaska Native and Native Hawaiian-serving 15,084 15,838 15,084 ................ -754
Institutions.............................................
Strengthening Native American-serving Nontribal 3,600 3,780 3,600 ................ -180
Institutions.............................................
Strengthening Tribal Colleges............................. 30,169 31,677 30,169 ................ -1,508
-----------------------------------------------------------------------------------------
Subtotal, Aid for Institutional development............. 603,194 632,827 616,336 +13,142 -16,491
International Education and Foreign Language:
Domestic Programs......................................... 108,360 108,360 108,360 ................ ................
Overseas Programs......................................... 15,576 15,576 17,576 +2,000 +2,000
Institute for International Public Policy................. 1,945 1,945 1,945 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, International Education and Foreign Language.. 125,881 125,881 127,881 +2,000 +2,000
Fund for the Improvement of Postsecondary Education [FIPSE]... 159,403 64,036 105,597 -53,806 +41,561
Postsecondary program for Students with Intellectual 11,000 11,000 13,000 +2,000 +2,000
Disabilities.................................................
Legal assistance loan repayment............................... 5,000 ................ 5,000 ................ +5,000
Minority Science and Engineering Improvement.................. 9,503 9,503 9,503 ................ ................
Tribally Controlled Postsecondary Vocational/Technical 8,162 8,162 8,162 ................ ................
Institutions.................................................
Federal TRIO Programs......................................... 853,089 853,089 868,089 +15,000 +15,000
GEAR UP....................................................... 323,212 323,212 323,212 ................ ................
Byrd Honors Scholarships...................................... 42,000 ................ 42,000 ................ +42,000
Javits Fellowships............................................ 9,687 9,687 9,687 ................ ................
Graduate Assistance in Areas of National Need................. 31,030 31,030 31,030 ................ ................
Teacher Quality Partnerships.................................. 43,000 ................ 58,000 +15,000 +58,000
BA Degrees in STEM and Critical Foreign Languages............. 1,092 ................ ................ -1,092 ................
MA Degrees in STEM and Critical Foreign Languages............. 1,092 ................ ................ -1,092 ................
Child Care Access Means Parents in School..................... 16,034 16,034 16,034 ................ ................
Demonstration in Disabilities/Higher Education................ 6,755 6,755 6,755 ................ ................
Underground Railroad Program.................................. 1,945 ................ ................ -1,945 ................
GPRA data/HEA program evaluation.............................. 609 609 609 ................ ................
B.J. Stupak Olympic Scholarships.............................. 977 ................ ................ -977 ................
Thurgood Marshall Legal education opportunities............... 3,000 3,000 3,000 ................ ................
=========================================================================================
Total, Higher education................................. 2,255,665 2,094,825 2,243,895 -11,770 +149,070
HOWARD UNIVERSITY
Academic Program.............................................. 202,431 202,431 202,431 ................ ................
Endowment Program............................................. 3,600 3,600 3,600 ................ ................
Howard University Hospital.................................... 28,946 28,946 28,946 ................ ................
-----------------------------------------------------------------------------------------
Total, Howard University................................ 234,977 234,977 234,977 ................ ................
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS [CHAFL]......... 461 461 461 ................ ................
HBCU CAPITAL FINANCING PROGRAM
HBCU Federal Administration................................... 354 354 354 ................ ................
HBCU Loan Subsidies........................................... 20,228 20,228 20,228 ................ ................
-----------------------------------------------------------------------------------------
Total, HBCU Capital Financing Program................... 20,582 20,582 20,582 ................ ................
INSTITUTE OF EDUCATION SCIENCES [IES]
Research, development, and dissemination...................... 200,196 260,696 240,696 +40,500 -20,000
Statistics.................................................... 108,521 117,021 118,021 +9,500 +1,000
Regional Educational Laboratories............................. 70,650 69,650 72,650 +2,000 +3,000
Research in special education................................. 71,085 71,085 71,085 ................ ................
Special education studies and evaluations..................... 11,460 11,460 11,460 ................ ................
Statewide data systems........................................ 58,250 65,000 65,000 +6,750 ................
Assessment:
National Assessment....................................... 130,121 135,121 135,121 +5,000 ................
National Assessment Governing Board....................... 8,723 8,723 8,723 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Assessment.................................... 138,844 143,844 143,844 +5,000 ................
=========================================================================================
Total, IES.............................................. 659,006 738,756 722,756 +63,750 -16,000
DEPARTMENTAL MANAGEMENT
PROGRAM ADMINISTRATION:
Salaries and Expenses..................................... 448,000 473,213 473,213 +25,213 ................
Building Modernization.................................... 8,200 19,275 19,275 +11,075 ................
-----------------------------------------------------------------------------------------
Total, Program administration........................... 456,200 492,488 492,488 +36,288 ................
OFFICE FOR CIVIL RIGHTS....................................... 103,024 105,700 105,700 +2,676 ................
OFFICE OF THE INSPECTOR GENERAL............................... 60,053 65,238 65,238 +5,185 ................
-----------------------------------------------------------------------------------------
Total, Departmental management.......................... 619,277 663,426 663,426 +44,149 ................
=========================================================================================
Total, Title III, Department of Education............... 67,362,252 71,033,986 70,116,915 +2,754,663 -917,071
Current Year........................................ (45,456,252) (49,127,986) (48,210,915) (+2,754,663) (-917,071)
Fiscal year 2012.................................... (21,906,000) (21,906,000) (21,906,000) ................ ................
TITLE IV--RELATED AGENCIES
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY 5,396 5,771 5,771 +375 ................
DISABLED.....................................................
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE
OPERATING EXPENSES
Domestic Volunteer Service Programs:
Volunteers in Service to America [VISTA].................. 99,074 98,000 111,000 +11,926 +13,000
National Senior Volunteer Corps:
Foster Grandparents Program........................... 110,996 111,100 115,600 +4,604 +4,500
Senior Companion Program.............................. 46,904 47,000 49,500 +2,596 +2,500
Retired Senior Volunteer Program...................... 63,000 63,000 64,000 +1,000 +1,000
-----------------------------------------------------------------------------------------
Subtotal, Senior Volunteers......................... 220,900 221,100 229,100 +8,200 +8,000
=========================================================================================
Subtotal, Domestic Volunteer Service Programs....... 319,974 319,100 340,100 +20,126 +21,000
National and Community Service Programs:
AmeriCorps State and National Grants...................... 372,547 488,033 440,000 +67,453 -48,033
Disability Placement Funds................................ 5,000 6,000 6,000 +1,000 ................
Innovation, assistance, and other activities.............. 60,500 77,000 84,509 +24,009 +7,509
Evaluation................................................ 6,000 8,000 8,000 +2,000 ................
National Civilian Community Corps......................... 29,000 34,593 34,593 +5,593 ................
Learn and Serve America................................... 39,500 40,198 40,198 +698 ................
State Commission Administrative Grants.................... 17,000 18,000 18,000 +1,000 ................
Training and Technical Assistance......................... 7,500 13,000 11,000 +3,500 -2,000
-----------------------------------------------------------------------------------------
Subtotal, National and Community Service Programs....... 537,047 684,824 642,300 +105,253 -42,524
-----------------------------------------------------------------------------------------
Total, Operating expenses............................... 857,021 1,003,924 982,400 +125,379 -21,524
National service trust........................................ 197,000 293,662 271,186 +74,186 -22,476
Salaries and expenses......................................... 88,000 109,000 103,000 +15,000 -6,000
Office of the Inspector General............................... 7,700 9,000 9,000 +1,300 ................
=========================================================================================
Total, Corporation for National and Community Service... 1,149,721 1,415,586 1,365,586 +215,865 -50,000
CORPORATION FOR PUBLIC BROADCASTING:
Fiscal year 2013 (current) with fiscal year 2012 445,000 460,000 460,000 +15,000 ................
comparable...............................................
Fiscal year 2012 advance with fiscal year 2011 comparable (430,000) (445,000) (445,000) (+15,000) ................
[NA].....................................................
Fiscal year 2011 advance with fiscal year 2010 comparable (420,000) (430,000) (430,000) (+10,000) ................
[NA].....................................................
Fiscal Stabilization Grants, current funded............... 25,000 ................ ................ -25,000 ................
Digitalization program, current funded.................... 36,000 36,000 36,000 ................ ................
Interconnection, current funded........................... 25,000 ................ ................ -25,000 ................
-----------------------------------------------------------------------------------------
Subtotal, fiscal year 2010 appropriation................ 86,000 36,000 36,000 -50,000 ................
FEDERAL MEDIATION AND CONCILIATION SERVICE.................... 46,652 48,025 48,025 +1,373 ................
FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION.............. 10,358 13,105 15,755 +5,397 +2,650
INSTITUTE OF MUSEUM AND LIBRARY SERVICES...................... 282,251 265,869 270,619 -11,632 +4,750
MEDICARE PAYMENT ADVISORY COMMISSION.......................... 11,800 13,100 12,700 +900 -400
NATIONAL COUNCIL ON DISABILITY................................ 3,271 3,337 3,337 +66 ................
NATIONAL HEALTH CARE WORKFORCE COMMISSION..................... ................ ................ 3,000 +3,000 +3,000
NATIONAL LABOR RELATIONS BOARD................................ 283,400 287,100 287,100 +3,700 ................
NATIONAL MEDIATION BOARD...................................... 13,463 13,772 13,772 +309 ................
OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION.............. 11,712 12,051 12,051 +339 ................
RAILROAD RETIREMENT BOARD
Dual Benefits Payments Account................................ 64,000 57,000 57,000 -7,000 ................
Less Income Tax Receipts on Dual Benefits..................... -3,000 -3,000 -3,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Dual Benefits................................. 61,000 54,000 54,000 -7,000 ................
Federal Payment to the RR Retirement Account.................. 150 150 150 ................ ................
Limitation on Administration.................................. 109,073 110,573 110,573 +1,500 ................
Inspector General............................................. 8,186 8,936 8,936 +750 ................
SOCIAL SECURITY ADMINISTRATION [SSA]
Payments to Social Security Trust Funds....................... 20,404 21,404 21,404 +1,000 ................
SUPPLEMENTAL SECURITY INCOME [SSI]
Federal benefit payments...................................... 46,602,000 52,635,000 52,635,000 +6,033,000 ................
Beneficiary services.......................................... 49,000 60,000 60,000 +11,000 ................
Research and demonstration.................................... 49,000 43,000 43,000 -6,000 ................
Administration................................................ 3,442,000 3,775,000 3,775,000 +333,000 ................
-----------------------------------------------------------------------------------------
Subtotal, SSI program level............................. 50,142,000 56,513,000 56,513,000 +6,371,000 ................
Less funds advanced in prior year................... -15,400,000 -16,000,000 -16,000,000 -600,000 ................
-----------------------------------------------------------------------------------------
Subtotal, regular SSI current year...................... 34,742,000 40,513,000 40,513,000 +5,771,000 ................
New advance, 1st quarter, fiscal year 2011.......... 16,000,000 13,400,000 13,400,000 -2,600,000 ................
-----------------------------------------------------------------------------------------
Total, SSI program...................................... 50,742,000 53,913,000 53,913,000 +3,171,000 ................
LIMITATION ON ADMINISTRATIVE EXPENSES [LAE]
OASDI Trust Funds............................................. 5,592,200 5,964,840 6,185,840 +593,640 +221,000
HI/SMI Trust Funds............................................ 2,106,000 2,227,860 2,227,860 +121,860 ................
Social Security Advisory Board................................ 2,300 2,300 2,300 ................ ................
Acquisition workforce capacity and capabilities............... ................ 1,863 1,863 +1,863 ................
SSI........................................................... 3,100,000 3,483,000 3,775,000 +675,000 +292,000
-----------------------------------------------------------------------------------------
Subtotal, regular LAE................................... 10,800,500 11,679,863 12,192,863 +1,392,363 +513,000
Additional Program Integrity Funding:
OASDI Trust Funds......................................... 143,000 221,000 ................ -143,000 -221,000
SSI....................................................... 342,000 292,000 ................ -342,000 -292,000
-----------------------------------------------------------------------------------------
Subtotal, additional CDR funding........................ 485,000 513,000 ................ -485,000 -513,000
User Fees:
SSI User Fee activities................................... 160,000 185,000 185,000 +25,000 ................
SSPA User Fee Activities.................................. 1,000 1,000 1,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, User fees..................................... 161,000 186,000 186,000 +25,000 ................
=========================================================================================
Total, LAE.............................................. 11,446,500 12,378,863 12,378,863 +932,363 ................
OFFICE OF THE INSPECTOR GENERAL [IG]
Federal Funds................................................. 29,000 30,000 30,000 +1,000 ................
Trust Funds................................................... 73,682 76,122 76,122 +2,440 ................
-----------------------------------------------------------------------------------------
Total, IG............................................... 102,682 106,122 106,122 +3,440 ................
Adjustment: Trust fund transfers from general revenues........ -3,442,000 -3,775,000 -3,775,000 -333,000 ................
=========================================================================================
Total, SSA.............................................. 58,869,586 62,644,389 62,644,389 +3,774,803 ................
Federal funds....................................... 50,952,404 54,152,267 54,152,267 +3,199,863 ................
Current year.................................... (34,952,404) (40,752,267) (40,752,267) (+5,799,863) ................
New advances, 1st quarter....................... (16,000,000) (13,400,000) (13,400,000) (-2,600,000) ................
Trust funds......................................... 7,917,182 8,492,122 8,492,122 +574,940 ................
=========================================================================================
Total, Title IV, Related Agencies....................... 61,397,019 65,391,764 65,351,764 +3,954,745 -40,000
Federal Funds....................................... 53,350,778 56,767,033 56,727,433 +3,376,655 -39,600
Current Year.................................... (36,905,778) (42,907,033) (42,867,433) (+5,961,655) (-39,600)
Fiscal year 2012 Advance........................ (16,000,000) (13,400,000) (13,400,000) (-2,600,000) ................
Fiscal year 2013 Advance........................ (445,000) (460,000) (460,000) (+15,000) ................
Trust Funds......................................... 8,046,241 8,624,731 8,624,331 +578,090 -400
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\Formerly community-based Job training grants.
\2\Two-year availability.
\3\Includes Mine Safety and Health.
\4\Budget request reflects current law per the CBO. The proposal budget request is to change the Pell grant program to mandatory and includes a request
of $1,738,197,000.