WPC < 47j< #:"&϶UX.5 d개w3ѡ? #ȮFTP$vvG0%\DCps>PCKX[aWǚVjĐ3_0K[)\ęF;#>{%υD! r\g16 C_؊2f^"J/?u@. /e!\vJ/`O b95F#<+Ir8 *rQȽćUYs[oA$ 2T[Z  Ӄޒp>h%, {?@^Q/2/-NS+x @B&QCK"p#c!;OZ B ˍ*^fhAʖ:"w^MmR~7e]b= æ䈥V9a4p}r(wOXM,_#!2U NS % 0(^ w@4 / > m@ MW ;[ UN 0D 1( 1u 0c$ 0.w 0 0 0( 0 0 0~ 1mU > 06UF 12N; 1  0;YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY 0(LHP LaserJet IIID,,,,,,0(9 Z6Times New Roman RegularX($1i*b 0 U1 +2 D3 4 D5 6 E7 8 V9 +`*:i+003|x9 U 1 '  _ (v# Z6Times New Roman Regular(3$ !  (5hCEKQW]cioAutoList1a:a:a:a:a:a:a:a:3#37=CIQYag1.a.i.(1)(a)(i)1)a)(;3$2#  0  .3  0  (O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#xilCcgkosw{TrianglesTriangle Bullet\  `&Times New Roman<==@:QuickFormat2      4  .Times New RomanBoldx"Icgkosw{Large BulletLarge Bullet 1 '  _    xAGaeimquy}Bullet ListBullets List   <77@n4:QuickFormat1XXX  XXX   1 '  _ >c$"Small Circle"0 !  _   #Oa@  FY2001ConsolidatedAppropriationsAct  @InformationRelatedtotheDepartmentofHealthandHumanServices(HHS)   OnFriday,December15,boththeHouse,byavoteof292-60,andtheSenate,byunanimousconsent,passedtheH.R.4577,theFY2001ConsolidatedAppropriationsAct.TheConsolidatedAppropriationsActcombinesseveralpiecesoflegislationincludingtheLabor,HealthandHumanServices,Education,andRelatedAgenciesAppropriationsAct,aMiscellaneousAppropriationsAct,andthe XXXXMedicare,Medicaid,andStateChildrensHealthInsuranceProgramBenefits $ t ImprovementandProtectionAct(_BIPA_).#XXX X#ԀThePresidentsignedthebillintolaw(PublicLaw  ` Number106554)onThursday,December21,therebybringingtheFY2001budgetprocesstoabelatedbutsuccessfulconclusion.TogetherwiththeappropriationslegislationpreviouslysignedbythePresident,thefinalbudgetagreementfundsHHSatatotaldiscretionaryprogramlevelof$53.5billion.Thisrepresentsanincreaseof+$6.8billion(+14.6percent)overtheFY2000enactedleveland+$3.7billion(+7.5percent)overthebudgetrequest.EveryHHSOperatingDivision(OPDIV)receivedanincreaseovertheFY2000enactedlevel,andeveryOPDIVexceptone(FDA)receivedanincreasethatexceededthePresidentsrequest.ManyoftheDepartmentshighprioritydiscretionaryprogramsalsofaredwellduringtheFY2001budgetprocess.CommunityHealthCenters,ChildrensHospitalGraduateMedicalEducation,RyanWhiteHIV/AIDS,HealthCareAccessfortheUninsured,HIV/AIDSPrevention,ChronicandEnvironmentalDiseasePrevention,StateSurveyandCertification,and_Bioterrorism_ԀwereamongtheprogramsthatreceivedincreasesoverboththerequestedandtheFY2000enactedlevels.AnumberofotherprogramsincludingChildCare,HIV/AIDSinMinorityCommunities,andanewFamily_Caregiver_ԀprogramwerefundedatthelevelsrequestedbythePresident.WhilethefinalappropriationspackageprovidessignificantincreasesfortheDepartmentsdiscretionaryactivities,italsoincludestwofinancingoffsetsthatwillimpactHHSprograms.TheLabor,HealthandHumanServices,Education,andRelatedAgenciesAppropriationsActincludeslanguagethatreducesthefundsavailableforadministrativeexpensesinHHSandintheDepartmentsofLaborandEducationby$25million.Basedonpastexperience,weestimatethatHHSshareofthisreductioncouldbeasmuchas$18million,butOMBhasnotyetprovidedinformationonthespecificamountofthereductionorguidanceonhowtoallocateit.TheMiscellaneousAppropriationsActalsoincludesa0.22percentacrosstheboardreduction,tobeallocatedproratatoalldiscretionaryprograms,projects,andactivities,exceptformilitarypersonnelaccountsandthoseaccountsfundedintheLabor,HealthandHumanServices,Education,andRelatedAgenciesAppropriationsAct.Inadditiontoappropriationslegislation,theConsolidatedAppropriationsActincludestheBenefitsImprovementandProtectionAct(_BIPA_),whichprovidesatotalof$37.9billionoverfiveyearsfortheMedicare,Medicaid,and_SCHIP_Ԁprograms.Thelegislationincludes$35.1billionoverfiveyearstorestoreMedicarereductionsresultingfromthe1997BalancedBudgetActandtoimproveservicestobeneficiaries.Inaddition,theActincludes$2.9billionoverfiveyearstoenhancecoverageforMedicaidbeneficiariesandtoexpandandimprovetheStateChildrensHealthInsuranceProgram. @-(,        _1 9  9 9 9 1 1 %1 TheBenefitsImprovementandProtectionActalsoincludestwolegislativeprovisionsthataffectnonHCFAmandatoryhealthfunding.TheActcontainslanguagetoincreasemandatoryDiabetesfundinginIHSfrom$30millioninFY2000to$100millioninFY2001,andtoincreasemandatoryDiabetesfundingatNIHandCDCfromacombinedtotalof$30millioninFY2000to$100millioninFY2001.Theactalsoincludesaprovisionwhich,inconjunctionwithaseparateprovisionintheMiscellaneousAppropriationAct,providesformandatoryfundingforthe_Ricky_RayHemophiliaReliefFund(thisprogramwasfundedoutofthediscretionarybudgetinFY2000).Combined,thetwoprovisionsincreasetotalfundingforthe_Ricky_ԀRayprogramfrom$75millioninFY2000to$580millioninFY2001.AdescriptionoffinalappropriationsactionbyOPDIV,andasummaryofthemajorprovisionsoftheMedicare,Medicaid,and_SCHIP_ԀBenefitsImprovementandProtectionAct,appearsbelow:@FFXXXX !XX   TheBenefitsImprovementandProtectionActof2000 ! XX    ݈   TheBenefitsImprovementandProtectionActof2000includesavarietyofprovisionsthataffecttheMedicare,Medicaid,andStateChildrensHealthInsuranceprograms.TheOfficeoftheActuary(_OACT_)estimatesthattheseprovisionswillincreasespendingintheseprogramsby+$37.9billionoverfiveyears(thisisaninitialestimateandmayberevisedlater).Asummaryoftheseprovisionsfollowsbelow(pleasenotethatallcostestimatesareoverafiveyearperiod). Medicare  4 Accordingto_OACT_Ԁfiveyearestimates,thebillwillprovideapproximately$10.3billionforhospitals,$9.2billionformanagedcareplans,$4.1billionfornursinghomes,$1.5billionforhomehealthagencies,and$4.2billionforotherprovidersoverthenextfiveyears.Thebillalsoprovidesapproximately$6.0billionforMedicarebeneficiaryimprovements.L "Ax3L 3   32A3  0    MedicareBeneficiaries(+$6.0billion): Thebillestablishesnewnutritiontherapyand   glaucomascreeningbenefitsandexpandscoverageofscreeningforcolonandcervicalcancer.Italsoprovidespermanentcoveragefor_immunosuppressive_Ԁdrugs,acceleratesthereductioninhospitaloutpatientcoinsurance,extendsimmediateMedicarecoveragetopersonswithLouGehrigsdisease,andexpandstheMedicarehomebounddefinitiontoincludeadultdaycare.3݌ (#(# Ќ  L "Axx"L 3   32A3  0    Hospitals(+$10.3billion): Thebillincreasestheinflationupdateforallhospitals,adjusts  '!$ teachinghospitalspaymentsforindirectmedicaleducation,providesgreaterhospitalbaddebtreimbursement,raisesprospectivepaymentsforhospitaloutpatientdepartments,improvesruralhospitalprograms,andincreasespaymentsfor_PPS_Ԅexempthospitals.3݌ (#(# Ќ   3   32A3  0    ManagedCareOrganizations(+$9.2billion): Thebillincreasesfloorpaymentsfor +$&) Medicare+Choiceplans,establishesasevenyearphaseinscheduleforriskadjustment,increasescivilmonetarypenaltiesforplansthatviolatetheircontracts,changesprovider -(+ #Oa # #  participationrulesandqualitystandards,andimplicitlyraisesmanagedcarepaymentsbyincreasingfeeforservicespending.3F݌ (#(# Ќ   3   3!2A3  0    NursingHomes(+$4.1billion): Thebillincreasestheinflationupdateforskillednursing ` facilities,increases_PPS_Ԁpaymentstoencouragehiringofmorenurses,imposesanadditionalyearsmoratoriumonpaymentcapsfortherapyservices,andprovidesincreasesinpaymentforhighcostrehabilitationtherapy.3!!݌ (#(# Ќ   3   3#2A3  0    HomeHealth(+$1.5billion): Thebillincreasetheinflationupdateforhomehealth  d agencies,delaystheBBArequired15percentpaymentcutsbyoneadditionalyear,andprovidesa10percentaddonpaymenttoruralhomehealthagenciesin2001and2002.3# $݌ (#(# Ќ   3   3%2A3  0    Otherproviders(+$4.2billion): Thebillincreasesbasepaymentratesforhospicesby   5percent,raisespaymentsforrenaldialysisbyanadditional1.2percent,andprovidesforafullCPIinflationupdatein2001for_DME_Ԁsuppliers,afullCPIupdateforambulanceprovidersandafullmarketbasketupdatein2001for_orthotics_Ԁandprostheticssuppliers.3%%݌ (#(# Ќ   3   3(2A3  0    Appealsreform: _BIPA_ԀmakesseveralmodificationstotheMedicareappealsprocess.It T requiresthatinitialdeterminationsmustbeconcludedwithin45daysfromthedatetheSecretaryreceivesaclaimforbenefits.Beneficiariesdissatisfiedwiththeinitialdeterminationcouldrequestaredetermination,whichmustbecompletedwithin30days.Beneficiariesdissatisfiedwiththeredeterminationcouldrequestareconsideration,whichwouldbeconductedbyaqualifiedindependentcontractor(_QIC_).Appealofa_QIC_decisionwouldbeheardbyan_ALJ_.Expediteddeterminationswouldbeavailableinspecificcircumstances.NofundswereincludedintheHHSappropriationforimplementingthisnewprocess.CBOestimatesthatthecostofimplementationis$44millioninFY2001and$100millionannuallythereafter;HCFAisworkingonanindependentcostestimatewhichtheybelievewillbehigher.3(>(݌ (#(# Ќ  XXXX Medicaid h   Therearefourprovisionsin_BIPA_ԀthatwillimpactcoststotheMedicaidprogramoverthenext @" fiveyearsaccordingto_OACT_Ԁfiveyearestimates.ThelegislationcreatesthefollowingMedicaidbeneficiaryprovisions:-- 3   #XXXX,#3z.2A3  0    Enrollmentofuninsuredchildren(+$320million): Manylowincomeuninsured %T # childrenareeligibleforMedicaidandSCHIPbutarenotenrolled.Thisprovisionwouldallowstatestheoptionofenrollinguninsuredchildrenthroughschools,childsupportenforcementagencies,homelessshelters,programeligibilityoffices,andothersites.3z..݌ (#(# Ќ   3   302A3  0    XXXX Extendshealthcarecoverageprogramforthoseleavingwelfareforwork *$( (+$350million): Currently,inordertoensurethattheyhavethesupportsnecessaryto +%)  becomeselfsufficient,personsleavingwelfareforworkcontinuetobeeligiblefor p,&* 12monthsofMedicaidcoverage.Thisimportantprogram,whichwasscheduledtoexpirein2001,hasbeenextendedforoneyear,sothatitwillnowexpirein2002.300݌ (#(#   --#XXXX*1#XXXX 3   332A3  0    #XXXX3#XXXX IncreasesMedicaidpaymentstosafetynethospitals(+$2billion): TheBalanced ` BudgetAct(BBA)setstatespecificcapsontotalMedicaiddisproportionatesharehospital(_DSH_)payments.Theallotmentsdecreasefrom19982002andareincreasedbyCPIin2003.TheOmnibusBudgetandReconciliationAct(_OBRA_)of1993alsosethospitalspecificlimitssothat_DSH_Ԁpaymentscouldnotexceed100percentofahospitalsuncompensatedcarecosts.Thislegislationprovidesrelieftosafetynethospitalsbysetting2001statespecificallotmentsat2000levelsadjustedforinflationandsetting2002allotmentsat2001levelsadjustedforinflation.Italsoallowsstatestoprovidepublichospitals_DSH_Ԁpaymentsupto175percentofnetuncompensatedcarecostsfortwoyears. 334݌ (#(# Ќ  #XXXx4#XXX 3   #XXXX8#382A3  0    XXXXClosesMedicaidupperpaymentlimitloophole($500million): Thelegislationdirects   theSecretaryofHealthandHumanServicestofinalizetheregulationeliminatingareimbursementloopholethatthreatensthefiscalintegrityoftheMedicaidprogram.ThelegislationalsoprovidesforasixyeartransitionperiodforStateswithpaymentarrangementsineffectin1992thatmayviolatethenewregulation. 389݌<(#(# Ќ  #XXXXb9#XXXX 3   #XXXX;#3;2A3  0    Establishes enhancedprospectivepaymentsystemforcommunityhealthcenters:  x TheBBAphasedouttheMedicaidrequirementtopayfederallyqualifiedhealthcenters(_FQHCs_)andruralhealthclinics(_RHCs_)basedoncostby2000.TheBalancedBudgetRefinementAct(_BBRA_)extendedthephaseoutto2005.Thelegislationestablishesanewprospectivepaymentsystemforhealthcentersstartingin2001thatisbasedoncentersFY2000reasonablecosts.Thisensuresthat_FQHCs_Ԁand_RHCs_ԀreceiveadequateMedicaidreimbursementandcontinuetoprovideessentialcaretolowincomeanduninsuredpopulations.3; <݌ (#(# Ќ   3   3?2A3  0    XXXXS#XXXX@#X@}XXX implifiesenrollmentforlowincomeMedicarebeneficiaries:#XXXX@}`@#XXXXFewerthanhalfoflow d  incomeseniorsandpeoplewithdisabilitieswhoareeligibleforMedicaidassistancewithMedicarepremiumsandcostsharinggetit,inpartduetocomplicatedandburdensomeapplicationprocedures.Toaddressthis,thelegislationpromotesthedevelopmentanduseofasimple,uniformapplicationandencouragesoutreacheffortsthroughSocialSecurity.3??݌ (#(# Ќ  #XXXX@#XXXX StateChildrensHealthInsuranceProgram(_SCHIP_)  %T # _BIPA_Ԁalsointroducedthefollowingchangestothe_SCHIP_Ԁprogram. 3   #XXXXB#XXXX3D2A3  0    Adjuststhe_SCHIP_Ԁreallocationformula: TheBBArequiresthatstatesthatdonotuse )$' annual_SCHIP_ԀallotmentswithinthreeyearsmustreturnallunusedfundstotheFederalgovernmentwhichwouldthenredistributethefundstostatesthathavealreadyexhaustedtheirallotments.ThelegislationestablishesanewreallocationformulaforFY1998and1999allotmentswherebyStateswouldbeentitledtoeitherredistributedfundsorretaina T-'+ proportionoftheunusedfundsthroughtheendofFY2002.StatesthatretainaproportionoftheirFY1998fundsmayuseupto10percentoftheretainedfundsforoutreachactivities.3DmD݌ (#(# Ќ   3   3G2A3  0    FixMedicaid_SCHIP_Ԁexpansiondoubleobligationproblem: Thisprovisionprovidesa L  technicalaccountingclarificationrequestedbyHCFA.Itwouldauthorizethepaymentofthecostsof_SCHIP_ԀMedicaidexpansionsfromthe_SCHIP_ԀappropriationratherthanfromtheMedicaidappropriation.ItalsoauthorizesthatthecostsStatesincurredduringFY1998,1999,and2000tofund_SCHIP_ԀMedicaidexpansionprogramsbereimbursedtoTitleXIXbyTitleXXI.#XXXXND#3GG݌ P (#(# Ќ   !X@  % XX! K%XXXX !XX   AnnualAppropriationsLegislationkK ! XX       (  ForFY2001,HHSisfundedatatotaldiscretionaryprogramlevelof$53.504billion,anincreaseof+$6.823billion(+14.6percent)overFY2000and+$3.745billion(+7.5percent)overtherequest.AsummaryofappropriationsactionbyOPDIVfollowsbelow.Pleasenotethattheinformationbelowdoesnotreflecttheeffectsofthe$25millionreductiontosalariesandexpensesincludedintheLabor/HHSbillorthe-0.22percentacrosstheboardreductionfornonLabor/HHSprograms,asthesereductionshavenotyetbeenallocated. FoodandDrugAdministration  ` CongressprovidedFDAwithatotalprogramlevelof$1.293billion.Thisincludesincreasesof+$112millionforinitiativesinFDA;offsetbytheendingofthetobaccoprogram(-$34million),andbyfinancingFY2001needswithreprogrammedFY2000tobaccofunds(-$23million).NoactionwastakenbyCongressontheproposednewuserfeesandseafoodinspectiontransfer.Inaddition,theGeneralServicesAdministration(GSA)receivedanadditional+$92millionforFDAsnewconsolidatedheadquartersatWhiteOak.L "Axx"L 3   3BQ2A3  0    DrugReimportation: TheCongressprovidedaconditionalappropriationof$23million   thatwouldbeavailableiftheSecretarydeterminedthattheMedicineEquityandDrugSafetyActcouldbeoperatedinamannerthatreduceddrugpricesandposednoadditionalrisktothepublicshealthandsafety.TheAdministrationhasindicatedthatitdoesnotbelievethattheseconditionscanbemet,and,therefore,thesefundswillnotbeavailabletoFDA.3BQmQ݌ (#(# Ќ   3   3S2A3  0    FoodSafety:$n4XXXXXXXX  $n4oTXXXXXXXX  Theconferenceprovidedthefull$30millionincreaserequestedforfood $'!$ safety.3ST݌ (#(# Ќ   3   3U2A3  0    LosAngelesLaboratory: Therequested$20millionwasprovidedforthefirstphaseof )P$' theconstructiononthenewLosAngeleslaboratory.3UV݌ (#(#    +,&)  3   3]W2A3  0    MedicalErrors/AdverseEvents: $7millionoftherequested$16millionincreasewas  providedtobeginthiswork.Theconferencereportincludeslanguageindicatingthatthesefundscanonlybeusedtoimproveadverseeventreportingsystems.3]WW݌ (#(#    3   3 Y2A3  0    PreMarketReview: Theconfereesprovidedanincreaseof$31millioninbudget P  authorityand_PDUFA_Ԁfunds,whichwas$4millionabovetherequest.Congressdidnotactonthe$15millioninproposedlawuserfeesformedicaldevicesandfoodadditives.3 YKY݌ (#(# Ќ  ݀ 3   3[2A3  0    InternetDrugs: FDAreceived$5millionofthe$10millionrequestedbythePresident  h for_internet_Ԁdrugsinitiative.3[1[݌ (#(# Ќ   3   3e\2A3  0    Inspections: FDAreceived$9millionofthe$14millionrequestedtoincreasepost 0  marketsafetyinspectionsinareasoutsideoffoodsafety(e.g.drugs,devices,etc.)3e\\݌ (#(# Ќ   3   3]2A3  0    _Bioterrorism_: FDAreceived$5millionofthe$12millionrequestedfor_bioterrorism_.3]^݌ (#(# Ќ  ݀ 3   3$_2A3  0    FDAWhiteOakFacility: GSAreceived$35millioninFY2000and$92millionin p FY2001forthefirstphaseofanewconsolidatedheadquarters.ThefirstphasewillprovideofficeandlabspacefortheCenterforDrugEvaluationandReview(_CDER_).Therequesteddesignfundsforthenextphase(CenterforDevicesandRadiologicalHealth)werenotprovidedforintheappropriation.Thelongtermplancallsforanadditional$309millioninFY20022006.3$_O_݌ (#(# Ќ  HealthResourcesandServicesAdministration  L FinalFY2001conferenceactionincludedatotalprogramlevelof$6.229billion,+$1.370billion(+28%)abovethePresidentsBudgetand+$1.511billion(+32%)aboveFY2000.L "Axx"L 3   3c2A3  0    RyanWhiteHIV/AIDSActivities: Atotalof$1.8billionwasprovidedfortheRyan  WhiteHIV/AIDSactivities.Thisis+$214million(+$13%)aboveFY2000.Includedinthisamountis$589millionwhichisearmarkedfortheAIDSDrugAssistanceProgram(_ADAP_).Thisincreasewillprovideservicestonearly21,000personsthroughgrantstocitiesandStates,provideAIDSdrugstoanadditional+6,800personsthrough_ADAP_,allowearlyinterventionserviceprogramstoserveover+18,000additionalclients,andallowpediatricHIV/AIDSprogramstoserveanadditional+5,600clients.FundsareincludedtoexpanduponeffortstoincreaseaccesstoHIV/AIDStreatmentswithindisproportionatelyimpactedminoritycommunities.OnOctober20,2000,theRyanWhite &L!$ programwas_reauthorized_.Someofthenewprovisionsinthe_reauthorization_Ԁincludeasupplemental_ADAP_ԀgrantprogramandaTitleIIgrantprogramtoemergingcommunities,municipalareaswithatleast500reportedAIDScasesoverthepastfiveyears,butnotthe2,000totalthatisnecessaryforareastobeeligibleforaTitleIgrant.3cGc݌ (#(# Ќ   3   3h2A3  0    CommunityHealthCenters: Fundingtotals$1.169billion,+$150million(+15%)above p,&* FY2000and+$100(+9%)millionabovethePresidentsBudgetrequest.Inaddition,the `-'+ recentlypassedMedicare,Medicaid,and_SCHIP_ԀBenefitsImprovementandProtectionActreplacesthecostbasedreimbursementsystemforFederallyQualifiedHealthCenters(_FQHCs_)byestablishinganewprospectivepaymentssysteminFY2001thatprovides_FQHCs_Ԁwithaninflationadjustedpervisitpaymentforservicesbasedonthe_FQHC_saveragepervisitcostinFY19992000.3hi݌ (#(# Ќ   3   3ql2A3  0    NationalHealthServiceCorp: Theconfereesincluded$125million,+$12millionabove $  bothFY2000andthePresidentsBudgetfortheNationalHealthServiceCorp.Theconfereesrecommendedthatnationalhealthservicecorpsloanrepaymentawardscontinuetobemadeinareasofgreatestneed.3qll݌ (#(# Ќ   3   3an2A3  0    FamilyPlanning: Fundingtotals$254million,+$15millionaboveFY2000,whichis (  expectedtoincreaseservicestoanestimated150,000to200,000women.3ann݌ (#(# Ќ   3   3o2A3  0    HealthCareAccessfortheUninsured: Atotalof$140millionwasprovidedto   continueeffortsinitiatedlastyeartoaddresstheproblemofuninsuredworkers.Thisincludes$125millionfortheCommunityAccessProgram,whichis+$100millionaboveFY2000.Thesefundswillcontinueeffortsin23communitiestosupportinfrastructuredevelopmentandexpandtheprogramtoanadditional4060communities.Thetotalalsoincludes$15millionforStatePlanningGrants,tosupportgrantstoupto10newStatestodevelopdesignsforprovidingaccesstohealthinsurancecoverageforallresidentsoftheState,providetechnicalassistancetograntees,andprovidelimitedsupplementalfundingtoStatesfundedinFY2000. 3oo݌T(#(# Ќ   3   3os2A3  0    _Ricky_ԀRayHemophiliaReliefProgram: Theconfereesprovided$580millionin , mandatoryfunding,including$475millionintheMedicare,Medicaid,and_SCHIP_BenefitsImprovementandProtectionActof2000.Ofthistotal,$10millionisavailable,untilexpended,forprogrammanagement.Anestimated5,700claimantscanbepaid.3oss݌ (#(# Ќ   3   3u2A3  0    ChildrensHospitalsGraduateMedicalEducation: Fundingtotals$235million, h  +$195millionaboveFY2000and+$155millionabovethePresidentsBudgetrequest.Consistentwiththelegislation,thesefundswillbeallocatedonapercapitaformulabasistoallfreestandingchildrenshospitalsqualifyingasgraduatetrainingcenters.3uu݌ (#(# Ќ   3   3w2A3  0    HealthCareFacilities: Thefinalbillincluded$252millionforonetimeonlyconstruction %l" andrenovationprojects.Whilenofundinghadbeenrequested,alistofspecificprojectsisidentifiedintheconferencereport.3w x݌ (#(# Ќ   3   3y2A3  0    AbstinenceEducation: Atotalof$20millionisavailableinFY2001,andanadvance ( #& appropriationof$30millionisprovidedforFY2002,formakingabstinenceeducationgrantstocommunitieswhichwillbecarriedoutunderMaternalandChildHealthSpecialProjectsofRegionalandNationalSignificance.FY2001willbethefirstyearoffundingforthisnewactivity.3yy݌ (#(# Ќ   \-'+  3   3{2A3  0    NewlyFundedPrograms: Theconfereesprovidedfundingforseveralnewprograms  includingAdoptionAwareness($10million),the_Denali_ԀCommission($10million),and  TraumaCare($3million). Fundingforanadoptionawarenessprogram,whichwas x authorizedintheChildHealthActof2000,willbeusedtomakegrantstonational,regional,orlocaladoptionorganizationstodevelopandimplementprogramstotrainSection330healthcenterstaffandTitleXfamilyplanningclinicstaffinprovidingadoptioninformationandreferralstopregnantwomen.The$10millionprovidedforthe_Denali_ԀCommissionwillbeusedtoplan,construct,andequipdemonstrationhealth,nutrition,andchildcareprojectsinhospitals,healthcareclinics,andmentalhealthfacilities.Fundingfortraumacarewillbeusedtoimprovethenationsoverallemergencymedicalsystem,includingthejointeffortsbetweenHRSAandtheNationalHighwayTrafficSafetyAdministrationtoassessstatesystemsandrecommendimprovementstothecurrentsystem.3{|݌ (#(# Ќ   3   3,2A3  0    UniversalNewbornHearingScreening: Fundingtotals$8million,whichis+$5million   aboveFY2000andthePresidentsBudgetrequest.ThisprogramwasrecentlyauthorizedintheChildrensHealthAct.3,W݌ (#(# Ќ   3   3Â2A3  0    CriticalCarePrograms: Thefinalbillincluded$39millionforcriticalcareprograms < whichis+$19millionaboveFY2000.Thistotalincluded$19millionforemergencymedicalservicesforchildren(toimproveexistingEMSsystemsandevaluateprotocolsfortreatingchildren);and$20millionforPoisonControlactivities.PoisonControlfundsareprovidedtosupportactivitiesauthorizedlastFebruaryinthePoisonControlCenterEnhancementandAwarenessAct.3Â݌ (#(# Ќ   3   3_2A3  0    Rur  alHealthand_Telehealth_ԀActivities: Theconfereesprovidedatotalof$137million  forruralhealthand_telehealth_Ԁactivitieswhichis+$39millionaboveFY2000and+$58millionabovePresidentsBudgetrequest.Withinthistotal,$58millionisforruraloutreachgrants,$13millionisforruralhealthresearch,$36millionisfor_telehealth_,and$25millionisforruralhospitalflexibilitygrants.Thistotalincludes$58millioninspecificprojectearmarks.3_݌ (#(# Ќ   3   3l2A3  0    HealthProfessions: Fundingtotals$353million,whichis+$51millionaboveFY2000 ,#  and+$135millionabovethePresidentsBudgetrequest.Thisincreasewasprovidedacrosstheboardtoallhealthprofessionsprograms.3l݌ (#(# Ќ   3   32A3  0      ProgramManagement: Theconfereesincluded$139millionforprogrammanagement &D!$ activities,+$15millionaboveFY2000andthePresidentsBudget.Thistotalincludes$3.5millioninspecificprojectearmarks.3>݌ (#(# Ќ   3   32A3  0    BoneMarrowProgram: Theconfereesprovided$22million,+$4millionabove *$( FY2000.TheconfereesrecognizedthecontinuingneedtoincreaseminorityrepresentationinthenationalregistryandsupportexpansionoftheNationalMarrowDonorProgramscordbloodbankinitiative.3݌\-'+(#(# Ќ  IndianHealthService   TheCongressprovidedIHSwithaprogramlevelof$3.194billion,+$336million(+12%)abovetheFY2000appropriationand+$84million(+3%)morethanthebudgetrequest.Thetotalprogramlevelincludes$454millioninestimatedinsurancecollections,anincreaseof$22millionovertheamountcollectedinFY2000.L "Axx"L 3   3b2A3  0    ContractSupportCosts: IHSreceivedatotalof$249million,+$20millionmorethan  ` FY2000but$20millionlessthanthebudgetrequest.Billlanguagelimitscontractsupportcostfundingfornewandexpandedcontractsto$10million.TheconferencecompromiseeliminatedaHousemoratoriumonneworexpandedselfdeterminationcontractinginFY2001.3b݌ (#(# Ќ   3   32A3  0    ContractHealthServices: IHSreceivedatotalof$447million,+$40million(+10%)   morethanFY2000,topurchasehealthcarefromnonIHShospitalsandhealthpractitioners.3݌ (#(# Ќ   3   32A3  0    NewHealthInitiatives: IHSreceivedonly$1million(foremergencymedicalservices)of < the$30millioninadditionalfundingrequestedtoaddressareasofconcernidentifiedbyTribesduringtheconsultationprocess.Thebudgetrequestedfundsfordiseaserelatedconditions(e.g.,diabetes,elderhealth),behavioralhealthproblems(e.g.,mentalhealth),andpreventivehealth(e.g.,communityhealthrepresentatives,injuryprevention).3/݌ (#(# Ќ   3   32A3  0    AlcoholandSubstanceAbusePrevention&Treatment: IHSreceivedanincreaseof , +$30millionforAlcoholandSubstanceAbusePreventionandTreatment,withhalfofthisincreaseprovidedtotheAlaskaFederationofNativesforitsSobrietyandAlcoholControlProgram.ThesefundswereprovidedtoIHSintheConsolidatedAppropriationsActsubsequenttothepassageoftheInteriorAppropriationsAct.3݌ (#(# Ќ   3   3ߗ2A3  0    IndianHealthCareImprovementFund: IHSreceivedanincreaseof+$30millionto T! provideadditionalhealthservicestoTribeswiththelowestcurrentaccesstothoseservices.IHSisrequiredtoreporttotheAppropriationsCommitteespriortodistributingthesefunds.3ߗ ݌ (#(# Ќ   3   32A3  0    HealthFacilityConstruction: IHSreceivedatotalof$86millionforfacility %X # constructioncomparedtoabudgetrequestof$65million.Fundingabovethebudgetrequestwasprovidedprimarilyfornewconstructiongrantsforsmalltribalfacilities($10millionintotal);forstaffquartersfortheBethel(AK)hospital(+$5million),thehighestrankingstaffquartersprojectonIHSsHealthFacilityConstructionPrioritySystem;andforjointventureinwhichtribesbuildhealthfacilitieswhichIHScommitstostaff/operate(+$5million).3݌ (#(#    l,&*  3   32A3  0    PayCosts: IHSreceivedanincreaseof+$50millionforincreasedpaycosts,consistent   withtheneedpresentedtotheAppropriationsSubcommitteestaffs.3݌ (#(# Ќ   3   3+2A3  0    CongressionalEarmarks !IHSreceived+$6millionforsixinitiativeswhichwerenot d includedinthebudgetrequest.Theseinitiatives,whichmayhavebeenrequestedbyindividualTribes,included$2milliontoassisttheHopiTribeinfinancingconstructionofstaffquartersforitsnewoutpatientfacility,$1milliontoreconfigurefacilitiesinthePortlandAreatomakebetteruseofexitingspace,$1milliontohireadditionalpodiatrists,and$1milliontoprovideadditionaldentalservicestourbanIndiansinAlbuquerque,N.M.3+V݌ (#(# Ќ   3   32A3  0    MedicareCollections: TheMedicare,Medicaid,and_SCHIP_ԀBenefitsImprovementand @  ProtectionAct(_BIPA_)providesnewauthorityforIHShealthfacilitiestoreceiveMedicarereimbursementforphysicianservicesunderthesametermsandconditionsasnonIHSfacilities.ReimbursementforphysicianserviceswasonecomponentoftheMedicaredemonstrationprojectdevelopedbyIHSandHCFAandforwardedtoOMBinDecember.Indevelopingthedemonstrationproject,HCFAestimatedIHSwouldreceive$50millionannuallyforphysicianservices(totalIHSMedicarecollectionsinFY2000were$109million).3<݌ (#(# Ќ   3!   3s2A3  0    SpecialDiabetesProgramsforIndians: _BIPA_ԀalsoincreasedIHSfundingfordiabetes , preventionandtreatmentgrantsto$100millionannuallythroughFY2003,anincreaseof+$70millionannually.FundingforthesegrantswasoriginallyprovidedbytheBalancedBudgetActof1997.3s݌ (#(# Ќ  CentersforDiseaseControlandPrevention  0 TheLabor/HHSconferenceagreementappropriated$3.868billionindiscretionarybudgetauthorityforCDC.CDCalsoreceived$181millionin_bioterrorism_ԀfundingfromthePublicHealthandSocialServicesEmergencyFund(_PHSSEF_),$75millionfromtheEPASuperfundAllocationincludedintheVA/HUDappropriationfor_ATSDR_Ԁand$72millioninonepercentevaluationfundsforHealthStatistics.CDCstotalprogramlevelis$4.201billion,anincreaseof+$667million(+19%)overthePresidentsBudgetand+$860million(+26%)overtheFY2000level.HighlightsoftheCDCappropriationinclude: 3"   3w2A3  0    HIV/AIDS: Totalprogramlevelis$893million,anincreaseof+$97million(+12%) %h" abovethePresidentsBudgetand+$163million(+22%)abovetheFY2000level.Theappropriationincludes$105millionforthePresidentsGlobalAIDSinitiative,anincreaseof+$44million(+72%)abovethePresidentsBudget.Alsoincludedis$88millionfortheinitiativeonHIV/AIDSinminoritycommunities.3w݌ (#(# Ќ   3#   3ѫ2A3  0    InfectiousDiseases(includingfoodsafety): Totalprogramlevelis$265million,an *$( increaseof+$65million(+32%)abovethePresidentsBudgetand+$88million(+50%) aboveFY2000.Thebillfullyfundedthe+$10millionincreaserequestedforfoodsafety, l,&* andthe+$25millionincreaserequestedforemerginginfectiousdiseases.Alsoincludedis$25millionforapilotprogramforcombatingantimicrobialresistantdiseases.3ѫ݌ (#(#    3$   3s2A3  0    _Bioterrorism_: Totalprogramlevelis$181million.Thisrepresentsanincreaseof ` +$33million(+21%)abovethePresidentsBudgetand+$8million(+5%)aboveFY2000.Thisincludesthefull$52millionrequestedfortheNationalPharmaceuticalStockpile,$32millionfortheHealthAlertNetwork,and$18millionforanthraxvaccineevaluationstudies.3s݌ (#(# Ќ   3%   32A3  0    Immunization: Totalprogramlevelis$588million,anincreaseof$59million(+11%)  P  abovethePresidentsBudgetand+$78million(+15%)aboveFY2000.Thisincludes$182million,anincreaseof+$42million(+30%)overFY2000forStateandlocalinfrastructureandoperations;$210million,+$20million(+11%)overFY2000forvaccinepurchases;andtherequested$91million,anincreaseof+$5million(+5%)overFY2000forglobalpolioactivities.3݌ (#(# Ќ   3&   3U2A3  0    BuildingsandFacilities: CDCreceived$175million,+$48million(+38%)abovethe d PresidentsBudget,fortheirbuildingplans.ThisisthefirstincrementoffundingthatCDCrecommendedintheirMasterPlanforcompletionofpriorityconstructionprojectsoverthenextfiveyears.3U݌ (#(# Ќ   3'   3@2A3  0    ChronicandEnvironmentalDisease: Totalprogramlevelis$498million,anincreaseof h +$113million(+29%)abovethePresidentsBudgetand+$123million(+33%)aboveFY2000.CDCreceived$103million,anincreaseof+$5million,tofullyfundthePresidentsrequestforpreventionofyouthsmoking.CDCsenvironmentalhealthlab_biomonitoring_Ԁprogramreceived$47million,anincreaseof+$29million(+161%)overtheFY2000level.Inaddition,CongressprovidedincreasesabovethePresidentsBudgetforCDCpreventionprograms,including+$24millionforcancerprograms,+$18millionforasthma,+$10millionforcardiovasculardiseases,+$10millionforanutritionandphysicalactivities,+$7millionfordiabetes,+$7millionforfetalalcoholsyndrome,+$6millionforautism,+$3millionforinfanthearingand+$2millionforepilepsy.3@k݌ (#(# Ќ   3(   32A3  0    EliminatingRacialandEthnicDisparities: Totalprogramlevelis$38million,an ,#  increaseof+$3million(+8%)overthePresidentsBudget,and+$8million(+26%)aboveFY2000.ThirtytwocommunitybaseddemonstrationprojectswereplannedwithfundsprovidedinFY1999,andfifteentotwentybeganimplementationwithFY2000funding.ThePresidentsBudgetproposedtoincreasethenumberofcommunitybasedprojectsbeingimplementedbytwo,andincludedfundsforplanninggrantstargetingNativeAmericanpopulations.3݌ (#(# Ќ   3)   3f2A3  0    InjuryPrevention: Totalprogramlevelis$102million,anincreaseof+$7million(+7%) *$( abovethePresident'sBudgetand+$12million(+13%)aboveFY2000.Thisincludesthefull+$5millionincreaserequestedforCDCssupportoftheViolenceAgainstWomenInitiative,aswellasanincreaseabovethePresidentsBudgetof+$3millionfor X-'+ preventionofchildabuseandneglect,and$2milliontoworkwiththeConsumerProductSafetyCommissiontoidentifyproductsthatcontributetocommoninjuries.3f݌ (#(# Ќ   3*   3@2A3  0    SexuallyTransmittedDiseases: Totalprogramlevelis$163million,anincreaseof ` +$12million(+8%)abovethePresidentsBudgetand+$27million(+20%)aboveFY2000.ThisincludesincreasesaboveFY2000of+$15millionforsyphiliseliminationand$6millionforchlamydia.3@k݌ (#(# Ќ   3+   3"2A3  0    BreastandCervicalCancer: Totalprogramlevelis$185million,anincreaseof  d +$13million(+8%)abovethePresidentsBudgetand+$18million(+11%)aboveFY2000.Thebillmaintainsastatutoryauthoritytouseupto$10millionforthe_WISEWOMAN_Ԁprogramandtoexpandtheprogramfrom6to15States.3"P݌ (#(# Ќ   3,   3>2A3  0    EpidemicServices: Totalprogramlevelis+$232million,anincreaseof+$147million   (+171%)overthePresidentsBudgetand+$128million(+124%)overFY2000.Thisincludes$125millionforanewNationalCampaigntoChangeChildrensHealthBehaviors.ThisprogramwasenvisionedbyChairmanPorterandrepresentshisviewthatCDCwillinvolveallhealthagenciesinstructuringamajormediacampaign.3>i݌ (#(# Ќ  L "Axx"L 3-   32A3  0    HealthStatistics: Totalprogramlevelis$116million,anincreaseof+$6million(+6%) , abovethePresidentsBudgetand+$11million(+11%)overFY2000.CongressmaintainedtheapproximatehistoricalsharesofBAandonepercentevaluationfunding.3݌ (#(# Ќ   3.   32A3  0    OccupationalSafetyandHealth: Totalprogramlevelis$252,anincreaseof D +$32million(+15%)abovethePresidentsBudget,and+$37million(+17%)aboveFY2000.TheDepartmentofLaboralsowilltransfertoNationalInstituteforOccupationSafetyandHealth(_NIOSH_)morethanhalfofthe$60millionincludedinitsappropriationfortheimplementationofthenewEnergyEmployeesOccupationalIllness_Compenation_Actof2000._NIOSH_ԀwillusethesefundstoconductscientificreviewsofcompensationclaimsmadebyformerDepartmentofEnergyworkersemployedatnuclearweaponsmanufacturingfacilities.3݌ (#(# Ќ   3/   3C2A3  0    Tuberculosis: Totalprogramlevelis$134million,anincreaseof+$6million(+5%) 0#  abovethePresidentsBudgetandtheFY2000level.ThisincludesadditionalfundstocontinuetocombatglobalTBandfightdrugresistantstrainsinternationallyanddomestically.3Cn݌ (#(# Ќ   30   32A3  0    PreventionCenters: Totalprogramlevelis$25million,anincreaseof+$10million '4"% (+70%)abovethePresidentsBudgetand+$7million(+41%)aboveFY2000.3C݌ (#(# Ќ   31   32A3  0    PreventiveHealthBlockGrant: Totalprogramlevelis$179million,theamount *$( requestedinthePresidentsBudget. 3݌+%)(#(#    t,&*  32   32A3  0    ProgramAdministration: Theconferees,forthefirsttime,providedacombined   $669millionlineitemforCDCintramuralspendingonstaffingandtoconducttechnicalassistance,publichealthresearch,surveillanceandinvestigationsofoutbreaks.Thisisadecreaseof$24million,(3%)belowthePresidentsBudgetandanincreaseof+$21million(+3%)abovetheFY2000level.Thisincludes$38millioninfundsrequestedfortheOfficeofDirector.3݌ (#(# Ќ  ݀ 33   32A3  0    AgencyforToxicSubstancesandDiseaseRegistry(_ATSDR_): OnOctober27,the  x PresidentenactedtheFY2001VeteransAffairs,HousingandUrbanDevelopment,andIndependentAgenciesAppropriationsBillwhichincludesappropriations_ATSDR_.Thebillprovided$75millionfor_ATSDR_,anincreaseof+$11million(+17%)morethanthePresidentsrequestand+$5million(+7%)overFY2000.Further,thebillappropriatesfundingdirectlytoHHSfor_ATSDR_,whichhashistoricallybeenfundedthroughEPA.Thismeansthat_ATSDR_ԀwillnowbesubmittingbudgetrequeststotheDepartment.3݌ (#(# Ќ  ̚ NationalInstitutesofHealth 󀀀 x  Atotalof$20.307billionwasprovidedtoNIH,anincreaseof+$1.5billion(+7.9%)overthe T PresidentsBudget,andanincreaseof+$2.5billion(+14.0%)overtheFY2000level(thisdoesnotincludefundingprovidedto_NIEHS_ԀbytheVA/HUDcommittee).ThisrepresentsthethirdyearoftheCongressannouncedplantodoubletheNIHbudgetoverfiveyears.ThebottomlinefigureforNIHreflectsthetransferof$5.8millionoutoftheNIHappropriationtosupportdirectlyin_OPHS_ԀtherecentlytransferredandrenamedOfficeforHumanResearchProtections.4 3   3%2A3  0    DistributionbyInstitute: MostInstitutesreceivedincreasesofabout+1314%over , FY2000.Afew(Alcohol,Nursing,and_Fogarty_)wereprovidedincreasesinthe+1617%range.OthersignificantexceptionswerefortheNationalCenterforComplementaryandAlternativeMedicine(+29%)andtheNationalCenterforResearchResources(+21%).3%S݌ (#(# Ќ   3   3b2A3  0    MinorityHealthandHealthDisparitiesResearch: Conferenceactionaccommodated h  therecentstatutoryestablishmentofaNationalCenteronMinorityHealthandHealthDisparities(_NCMHD_)atNIH,andfundeditat$130million.NIHwillcombineinto_MCMHD_ԀtheresourcesforthepredecessorOfficeofResearchonMinorityHealthwiththoseoftheMinorityHealthInitiative,bothofwhichhadbeenfundedoutoftheOfficeoftheDirector.The$130millionappropriatedforFY2001representsaincreaseof$13million(+11%)overthePresidentsrequestand$33million(+33%)overthecomparableFY2000level.3b݌ (#(# Ќ   3   32A3  0    InstitutionalDevelopmentAwards(_IDeA_)Program: Congressprovided$100million (#& inFY2001forthe_IDeA_ԀprogramwithintheNationalCenterforResearchResources(_NCRR_),dramaticallyincreasingthisprogramforthesecondyearinarow.Fundingwas$10millioninFY1999and$40millioninFY2000;nofurtherincreasehadbeen requestedinthePresidentsbudget.Thisprogramisintendedtobroadenthegeographic l,&* distributionofNIHawardsbyenhancingthecompetitivenessofresearchinstitutionsinStateswhichhistoricallyhavehadlowratesofsuccessinobtainingfunding.3݌ (#(#    3   32A3  0    NeuroscienceCenterConstruction: Congressprovidedtherequestedfirstphaseof ` constructionfunding($47million)fortheinitialpartofNIHsNationalNeuroscienceResearchCenterfacility.Insteadofalsoprovidingtherequestedadvanceappropriationof$26millionforthesecondphaseofthisbuilding,CongressincludedbilllanguageauthorizingNIHtocontractforthefullscopeoftheprojectevenwithonlypartialfundingprovided.CongressalsoprovidedthatthebuildingwillbenamedfortheretiringLabor/HHSAppropriationsSubcommitteeChairmanJohnEdwardPorter.3݌ (#(# Ќ   3   32A3  0    AIDSResearch: Theconferencereportindicateditsunderstandingthatwithintheoverall (  14.0%increaseinFY2001,NIHintendedtoprovideanincreaseof12.0%(+$241million)overFY2000forAIDSresearch,foratotalofover$2.2billion.Followingpastpractice,CongressincludedresourcesforAIDSresearchwithineachInstitute,butwithoutspecificearmarkedamounts.ThiswasinconsistentwiththePresidentsrequesttoconsolidateAIDSdollarswithinaseparateOfficeofAIDSResearchappropriation.NIHwasagainprovidedlimitedauthoritytotransferuptothreepercentofAIDSfundsbetweenInstitutes,ifnecessary.3݌ (#(# Ќ   3   3$2A3  0    StemCellResearch: CongressdidnotaltertheexistingprohibitionsonFederalfunding x ofhumanembryoresearch,whichshouldnotimpairNIHsplanstosupportresearchthatuseshuman_pluripotent_ԀstemcellsaslongastheyarederivedthroughnonFederalfundsandfollowtherequirementsoftherecentlypublishedStemCellResearchGuidelines.3$O݌ (#(# Ќ   3   32A3  0    ReturnonInvestmentinResearch: Theconferencereportincludedlanguagedirecting  NIHtoprepareaplanbyJuly2001toensurethattaxpayersinterestsareprotectedinsecuringanappropriatereturnontheNIHinvestmentinbasicresearchrelatedtoFDAapprovedtherapeuticdrugswithannualU.S.salesofatleast$500millionandwhichreceivedNIHfundingintheirdevelopment.ThiscompromiselanguagehadbeennegotiatedbetweenNIHandSenatorRon_Wyden_.3݌ (#(# Ќ   3   3e2A3  0    NIH_Bayview_ԀLeasedFacilities: CongressincludedbilllanguageauthorizingGSAto ,#  enterintoalongtermleasetoallowconstructionofnewresearchfacilitiestoreplacethosecurrentlyusedbytwoNIHInstitutes(DrugAbuseandAging)atthe_Bayview_campusofJohnsHopkinsUniversityinBaltimore,Maryland.3e݌ (#(# Ќ   3   32A3  0    ChildrensEnvironmentalHealthLongitudinalStudy: Theconferencereportstated '0"% thattheAppropriationsCommitteesweresupportiveof_NICHD_splanstoconductanationallongitudinalstudyofenvironmentalinfluencesonchildrenshealthandthatthebudgetincludedfundstosupportthisinitiativeinFY2001.3݌ (#(# Ќ   3   3 2A3  0    ChimpanzeeCareContract: Theconferencereportincludedbilllanguagethatwaived l,&* thematchingrequirementforthecontracttomanageandcareforthe288chimpanzees \-'+ acquiredbyNIHfromthe_Coulston_ԀFoundation.ItalsorequiredthatthecontractoreitherbeaccreditedbytheAssociationfortheAccreditationofLaboratoryAnimalCareInternationalorhaveaPublicHealthServicesassurance.3 5݌ (#(# Ќ   3   32A3  0    NIH/SAMHSAGranteeSalaryCap: Congressagainraisedthecaponsalariesthatcan L  bepaidtoNIHandSAMHSAgranteesoutofgrantawardstoExecutiveLevelI(now$161,200).CongresslastyearhadraisedthiscapfromExecutiveLevelIII(previously$130,200)toExecutiveLevelII(previously$141,300).3݌ (#(# Ќ   3   32A3  0    NewLoanRepaymentProgram: Theconfereesmodifiedexistinglawtoallow  P  extramuralresearcherstobeincludedintheclinicalresearchloanrepaymentprogramforindividualsfromdisadvantagedbackgrounds.Thisloanrepaymentprogramhadpreviouslybeenlimitedtointramuralresearchers.3݌ (#(# Ќ     `     3   32A3  0    ActingNIHDirector: TheconfereesincludedaprovisionthatwouldallowDr.Ruth   _Kirschstein_ԀtoserveastheofficialActingDirectorofNIHuntilanewDirectorisconfirmedbytheSenate.3,݌ (#(# Ќ   3   32A3  0    PlazaCommemorationforPaulG.Rogers: TheconfereesalsourgedNIHtodesignate @ theplazainfrontoftheJamesShannonBuilding(alsoknownas Building1)ontheNIHcampusasthePaulG.RogersPlazaandtocommemorateitinhishonor. x 3݌(#(# Ќ   3   3x2A3  0    BiomedicalImagingandBioengineeringInstitute: AftertheAppropriations X agreementswereconcluded,theSenatepassed,underunanimousconsent,legislationtheHousehadearlierpassedtoestablishanewNationalInstituteofBiomedicalImagingandEngineeringinNIH.ThePresidentsignedthebillonDecember29th.Appropriationsaction,though,didnotreflectthislegislation.3x݌ (#(# Ќ     3   32A3  0    _NIEHS_ԀSuperfundRelatedActivities: IntheFY2001VA/HUDAppropriationsbill,  Congressprovided$63milliontotheNationalInstituteofEnvironmentalHealthSciences(_NIEHS_)tosupportenvironmentalhealthresearch($40million)andworkertrainingprogramsinhazardoussubstancecleanup($23million).Thiswasanincreaseof$3million(+5.0%)overFY2000,and+$15millionmorethanrequestedbythePresident.ThesefundshavehistoricallybeenbudgetedthroughEPAsHazardousSubstanceSuperfundbudget,butwereappropriateddirectlyto_NIEHS_ԀforthefirsttimeintheFY2001bill.Thiswillmeanthat_NIEHS_ԀwillnowbesubmittingbudgetrequestsforfundingthroughtheVA/HUDAppropriationsBilltotheDepartment,insteadoftoEPA,effectiveFY2002.InFY2001,about11percentofthetotal_NIEHS_ԀbudgetwillcomefromtheVA/HUDAppropriationsbill.3݌ (#(# Ќ   3   32A3  0    TypeIDiabetesResearch: _BIPA_ԀalsoincreasedthemandatoryfundingfortypeI *$( diabetesresearchfrom$30millionto$100millionayearbeginninginFY2001.NIHandCDCwillneedtodeveloparevisedinteragencyresearchplanfortheseadditionalfunds,aswasoriginallydonein1997underNIHsleadership.3݌\-'+(#(# Ќ  SubstanceAbuseandMentalHealthServicesAdministration   TheFY2001finalconferenceagreementincludedaprogramlevelof$2.958billionforsubstanceabuseandmentalhealthservices,anincreaseof+$307million(+12%)overFY2000.Thislevelis+$123million(+4%)abovethePresidentsFY2001request. MentalHealth: Theconfereesprovided$782millionforMentalHealthservicesinFY2001,an  t increaseof+$151million(+24%)overFY2000and+$51million(+7%)abovethePresidentsrequest. 3   3 2A3  0    MentalHealthBlockGrant: Theagreementprovided$420millionfortheMental (  HealthBlockGrant,anincreaseof+$64million(+18%)overFY2000.3 . ݌ (#(# Ќ   3   3Y 2A3  0    MentalHealthKnowledgeDevelopmentandApplication: Theagreementprovided   $204millionfortheMentalHealth_KDA_,anincreaseof+$67million(+49%)overFY2000.Thislevelis+$37million(+22%)abovethePresidentsrequest.Itisintendedthat$90millionisforyouthviolencepreventionactivitiesthatarejointlyadministeredbytheDepartmentsofEducationandJustice.3Y  ݌ (#(# Ќ   3   3 2A3  0    ChildrensMentalHealthServices: FY2001fundingtotals$92million,anincreaseof h $9million(+11%)overtheFY2000and+$5million(+6%)abovethebudgetrequest.3  ݌ (#(# Ќ   3   352A3  0    PATHHomelessFormulaGrant: TheFY2001Conferencefundinglevelis$37million 0 forgrantstoStatesforthehomeless.Thisamountis+$6million(+19%)abovetheFY2000amount.35`݌ (#(# Ќ   3   32A3  0    ProtectionandAdvocacy: TheFY2001fundinglevelis$30million,whichis  +$5million(+20%)overtheFY2000leveland+$4million(+16%)abovethePresidentsFY2000request.3݌ (#(# Ќ  SubstanceAbuse: TheFY2001programlevelof$2.1billionis+$135million(+7%)above 4#  FY2000and$53million(+3%)abovethePresidentsrequest.TheConferenceagreementprovided$53millionfortargetedserviceexpansionandcapacitybuildingtominoritycommunitybasedsubstancetreatmentprogramsand$32.1milliontoimplementprogramsthatstrengthensubstancepreventioncapacityincommunitiesofcolordisproportionatelyimpactedbytheHIV/AIDSepidemic.OveralldrugtreatmentfundingwillenableSAMHSAtoprovideservicestoanestimated410,000individualsinFY2001,anincreaseof+12,000overFY2000.  3   32A3  0    SubstanceAbuseBlockGrant: TheFY2001conferencefundinglevelis$1.7billion, *$( +$65million(+4%)aboveFY2000andanincreaseof+$34million(+2%)overthePresidentsbudget.3 ݌ (#(# Ќ   `-'+  3   3t2A3  0    SubstanceAbuseTreatmentKnowledgeDevelopmentandApplication(_KDA_)and  TargetedCapacityExpansion(_TCE_): TheFY2001fundinglevelof$256millionis  +$42million(+20%)overFY2000.Withinthetotalprovided,$10millionistoinitiategrantstolocalnonprofitandpublicentitiesforthepurposeofdevelopingandexpandingsubstanceabuseservicesforhomelesspersons.3t݌ (#(# Ќ  0   (#(#  3   3-2A3  0    SubstanceAbusePrevention_KDA_Ԁand_TCE_: TheFY2001fundinglevelof$175 (  millionis+$29million(+19%)abovetheFY2000leveland$33million(+23%)abovethePresidentsrequest.Thislevelincluded$15milliontocarryoutthefetalalcoholsyndromepreventionandservicesprogram.3-X݌ (#(# Ќ   3   3W2A3  0    ProgramManagement: Theagreementprovided$79millionforProgramManagement ,  anincrease$20million(+34%)overFY2000.Itisintendedthat$12millionbeusedinconjunctionwiththeNationalHouseholdSurvey. p 3W݌ (#(# Ќ  AgencyforHealthcareResearchandQuality  |  Theconfereesprovidedatotalprogramlevelof$270millionforAHRQ,anincreaseof+$20million(+8%)abovethePresident'sbudgetand+$66million(+33%)overFY2000.L "Axx"L 3   3j2A3  0    OnePercentEvaluation: Theconfereesincreasedby+86percent(+$76million)the | amountofone-percentevaluationfundingusedtofinanceAHRQactivities.3j݌ (#(# Ќ   3   32A3  0    MedicalErrors: CongresshasdirectedAHRQtospend$50million todetermineways D toreducemedicalerrorsinresponsetotherecentInstituteofMedicinestudy,andanadditional$10milliononresearchtoinvestigatetheimpactofthehealthcareworkplaceonmedicalerrorsandthequalityofcareprovidedtopatients.3݌ (#(# Ќ  HealthCareFinancingAdministration   L "Axx"LCongressappropriated$2.246billionforHCFAsProgramManagementaccount.Ofthisamount,HCFAsResearch,SurveyandCertification,FederalAdministration,andMedicareContractorsubaccountstotaled$2.194billion,+$108millionabovethePresidentsBudgetrequest.CongressstotalappropriationfortheNationalMedicareEducationProgramisestimatedat$70million(HCFAsOfficeoftheActuarywillestimatethetotalamountofuserfeesauthorizedatalaterdate).Thisamountis$80millionbelowwhatwasproposedinthePresidentsbudget. 3   3#2A3  0    Research: Congressappropriated$139millionforresearch,+$84millionmorethan (#& requestedinthePresidentsBudget.Theincreaseisforanumberofearmarkedresearchprojectsthatwereincludedinappropriationsbilllanguage.Thisincludes$70millionforMedicaidresearchanddemonstrationprojects. Thereisalso$20millionappropriatedfor +%) theNursingHomeTransitionInitiative,tocontinuedemonstrationprojectsonMedicaidcoverageofcommunitybasedattendantcareservicesforpeoplewithdisabilities.  X-'+ Congressalsoincorporated$50millionintotheresearchanddemonstrationlineforRealChoiceSystemsChangegrants,similartoSectionIVoftheMedicaidCommunityAttendantServicesSupportsAct(_MiCASA_).Thiswillfundinitiativesthatprovidespecific actionstepsandtimetablestoachievesystemsimprovementsintheprovisionoflongtermcareservicesandsupports.3##݌ (#(# Ќ   3   3Y(2A3  0    SurveyandCertification: Congressappropriated$244million,+$10millionmorethan $  thePresidentsBudgetrequestintheSurveyandCertificationbudgettosupplementnursinghomeenforcementactivities.3Y((݌ (#(# Ќ   3   3)2A3  0    FederalAdministration: Congressappropriated$505.9million,+$10millionmorethan <  thePresidentsBudgetrequest.3)*݌ (#(# Ќ   3   31+2A3  0    MedicareContractors: Congressappropriated$1.305billion,anadditional+$4million   abovethePresidentsBudgetrequest.CongressdidnotenactlegislationproposedinthePresidentsBudgettomoveproviderenrollmentandoverpaymentrecoveryfunctionsfromHCFAsMedicareContractorsdiscretionaryaccounttotheMedicareIntegrityProgram,leavingMedicarecontractoroversightactivitiesunderfundedby$14million.31+\+݌ (#(# Ќ   3   3-2A3  0    NationalMedicareEducationProgram: TheCongressignoredthePresidentsBudget , proposaltorepealtheloweredamountofmanagedcarecontractoruserfeesauthorizedintheBalancedBudgetRefinementActof1999(_BBRA_)andauthorize$150millioninuserfees;insteadtheycomplemented_BBRA_sreduceduserfeesof$18millionwithanadditional$52millionindiscretionarybudgetauthority.CombiningtheseamountswithbaseprogrammanagementandPROfundingof$53millionprovidesforatotalofabout$123millioninFY2001forthe_NMEP_.3--݌ (#(# Ќ   3   312A3  0    UnbudgetedCosts: Thechallengeduringthecomingyearwillbetoidentifyfundingfor  thoseHCFAcoststhathavearisensincethePresidentsbudgetwassubmitted.Theseinclude(1)costsassociatedwithlargerthanexpectedbeneficiaryincreaseinthefeeforserviceprogramduetoMedicare+Choiceplanseitherdroppingoutoftheprogramorreducingtheirserviceareas,(2)clinicaltrialsactivitiescosts,and(3)theadditionalcostsofadministeringthenewlyenactedBenefitsImprovementandProtectionActof2000.31B1݌ (#(# Ќ  8  %l" 8 AdministrationforChildrenandFamilies   Thefinalconferenceagreementincludedatotaldiscretionaryprogramlevelof$12.149billionforACF,anincreaseof+$451million(+3.9%)abovethePresidentsBudgetand+$3.040billionovertheFY2000level.Amongthesefunds,$1.4billionoftheHeadStartappropriationisanadvanceappropriationavailableOctober1st,2000,and$300millionisforthe_LIHEAP_ 8  EmergencyContingencyFund,whichthePresidentreleasedonDecember30th. $  ^c  ^ck6"0    HeadStart: Theconfereesprovidedanadditional+$934millionabovetheFY2000  ` level,foratotalof$6.2billionforHeadStart.Ofthesefunds,$1.4billionisadvancefunding,tobecomeavailableonOctober1,2001.Atthisfundinglevel,HeadStartwillprovideservicesto92 32 3 13 6,000children(+4 64 5 55 0,000overFY2000),including+9,6 56 7 97 00additionalEarlyHeadStartchildren.Oftheincrease,$356millionisforQualityactivitiesincludingtraininganddevelopmentandreductionofstaffturnover,$179millionisforcostoflivingadjustmentstohelpretainqualifiedstaff,and$373millionistoexpandservicestothe60,000additionalchildren.^ck66݌ (#(# Ќ  ^c  ^c9"0    ChildCareandDevelopmentBlockGrant(_CCDBG_): Theconferenceagreement L providedatotalof$2.0billion,anincreaseof+$817millionoverFY2000.ThisisthefullamountrequestedinthePresidentsBudget.Includedinthesefundsareearmarksforchildcareresearch($10million),childcareresourcesandreferralandschoolagedchildcareactivities($19million),andqualityimprovements($273million).Oftheincreaseforquality,$100millionistoimproveinfantandtoddlerchildcarequality;thisis+$50millionmorethantherequest.Breakingfrompastpractice,theconfereesdidnotincludetherequestedFY2002advancefundingforthe_CCDBG_.Atotalof2.2millionchildreninFY2001willbenefitfromFederalchildcaresupport,boththroughthe_CCDBG_andtheentitlementportionoftheChildCareandDevelopmentFund.^c99݌ (#(# Ќ    ^c  ^c3>"0    EarlyLearningFund: Theconfereesprovided$20millionindiscretionaryfundsforthe t newEarlyLearningFund.ThePresidentsBudgethadrequested$600millioninmandatoryfunds.TheFund,alsoauthorizedintheappropriationsbill,isdesignedtoimprovethequalityofchildcareforchildrenfrombirthtofivethroughchallengegrantstocommunitiestodesignandmonitortheirownplansforpromotingearlychildhooddevelopment.  ^c3>N>݌$x!(#(# Ќ  ^c  ^c@"0    LowIncomeHomeEnergyAssistanceProgram(_LIHEAP_): TheConfereesadded %P # $300millioninregularfundingtothe$1.1billionenactedayearago,foratotalof$1.4billioninFY2001funding.TheConfereesalsoprovidedtherequested$300millioninemergencycontingencyfunds,whichthePresidentreleasedonDecember30.Whencombinedwiththe$556millioninFY2000emergencycontingencyfundingreleasedforusethiswinter,Stateswillhave$2.26billiontoassistfamilieswiththiswinter'senergybills.However,Congressdidnotprovidetherequestedadvanceappropriationof $1.1billionforFY2002.^c@@݌d,&*(#(# Ќ     ^c  ^cC"0    RunawayandHomelessYouth: Atotalof$69millionwasprovidedforRunawayand  HomelessYouthprograms.Thisis+$5millionoverFY2000,but$5millionbelowthePresidentsrequest.^cCC݌ (#(# Ќ  ^c  ^c$E"0    RefugeeandEntrantAssistance: Atotalof$433millionwasprovidedforRefugeeand <  EntrantAssistance.Inaddition,$60millioninprioryearfundsareavailableforuseinFY2001.TheFY2001fundinglevelprovidesassistanceandservicestoanestimated115,000refugees(including19,000_asylees_)and$10millionforvictimsoftorture,thePresidentsrequest.TheconfereesincludedlanguagethatwillallowACFtoexpendfundsforanewcertificationprogramtoverifyeligibilityforbenefitstovictimsoftrafficking,establishedbytherecentlyenactedVictimsofTraffickingandViolenceProtectionAct.^c$E?E݌ (#(# Ќ    ^c  ^c\H"0    AdoptionIncentives: Theconfereesprovide$43millionforadoptioninitiativesas   requestedinthePresidentsBudget.Theconfereesincludedlanguagethatwillallowfundsforthisprogramtobeusedtofullyfundprioryearbonuses.^c\HwH݌ (#(# Ќ  ^c  ^cI"0    SocialServicesResearch: Fundingtotals$38millionforsocialservicesandincome T maintenanceresearchactivities,+$10millionaboveFY2000.Theconfereesearmarked$5millionoftheincreasetobetransferredtotheCensusBureauforcontinueddatacollectionontheSurveyofIncomeandProgramParticipationandanadditional$5.2millionforotherspecialearmarkedprojects.^cIJ݌ (#(# Ќ  ^c  ^c L"0    ݇ DevelopmentalDisability: Atotalof$134millionwasprovidedfortheDevelopmental D Disabilitiesprogram,+$11millionabovetheFY2000levelandthePresidentsBudget.FundingincreasesaredirectedtoProtectionandAdvocacy(+$3million),BasicStateGrants(+$6million),andUniversityAffiliatedPrograms(+$2million).^c L$L݌ (#(# Ќ  ^c  ^cM"0    NativeAmericanPrograms: Theconfereesprovided$46millionforNativeAmerican  programs.Thisfundinglevelis+$11millionabovetheFY2000level,and+$2millionabovePresidentsBudgetrequest.Thisfundinglevelincludes$1.6millionforspecialearmarkedprojects.AspartoftheAdministrationsFY2001TribalInitiativerequestforNativeAmericanPrograms,increaseswillbedirectedwithspecialattentiontoenergydevelopmentandcreationoftribalcodesandordinances.^cMN݌ (#(# Ќ  ^c  ^cP"0    CommunityServicePrograms: Atotalof$683millionwasprovidedforcommunity %\ # servicesprograms.Thisfundinglevelis+$88millionaboveFY2000,and+$142millionabovethePresidentsBudgetrequest.Includedinthisamountis$600millionforGrantstoStatesforcommunityserviceprograms,a+$72millionincreaseoverFY2000.Fundingalsoincluded$25millionforindividualdevelopmentaccountswhichmatchedtherequest.TheconfereesprovidedfundingforseveralprogramswhichwerenotrequestedinthePresidentsBudgetincluding;communityeconomicdevelopment($30million),ruralcommunityfacilities($5million),communityfoodandnutrition($6million),andnationalyouthsports($16million).^cPP݌\-'+(#(# Ќ  ^c  ^cT"0    FamilyViolencePrograms: ThePresidentsfullrequestof$134millionwasprovided  forFamilyViolenceprograms,anincreaseof+$16millionoverFY2000.Thisfundinglevelwillexpandthecurrentnetworkofover2,000sheltersandsafehouses,providingservicesto+30,000additionalsurvivorsofdomesticandsexualviolenceandincreasethecapacityoftheNationalDomesticViolenceHotline.^cTT݌ (#(# Ќ   ^c  ^cBV"0    ProgramAdministration: Theconfereesprovided$164millionforFederal  x Administration,anincreaseof+$16millionaboveFY2000,andnearlymatchingthePresidentsBudgetrequest.Theincreasewillsupportactivitiesincludingchildwelfaremonitoringreviews,assistingTribeswith_TANF_ԀandChildSupportEnforcementactivities,managingincreasesinthenumberofnewHeadStartandEarlyHeadStartgrantees,andimplementingtheAdministrationsChildCareInitiative.^cBV]V݌ (#(# Ќ  AdministrationonAging    Thefinalagreementincludedabudgetauthoritytotalof$1.103billionforAoA,+$170million(+18%)abovetheFY2000appropriationand+$20million(+2%)abovetherequest.L "Axx"L 3   3Z2A3  0    Family_Caregivers_: Theconfereesprovidedthefull$125millionrequestedforthenew ( Family_Caregivers_ԀinitiativeauthorizedintherecentlyenactedOlderAmericansActAmendmentsof2000.Ofthe$125million,$5millionisreservedforNativeAmerican_caregiver_Ԁprograms.3Z>Z݌ (#(# Ќ   3   3L\2A3  0    SupportiveServices: ThefinalAppropriationprovidedtheadditional+$15million , includedinthebudgetrequestforcoresupportiveservices(e.g.,transportation,homemakerandpersonalcareservicesandadultdaycare)foratotalof$325million.3L\w\݌ (#(# Ќ   3   3 ^2A3  0    MealsPrograms: Theconfereesprovidedanincreaseof+$9millionforatotalof  $530million,sufficienttoprovideanestimated282millionmeals.Thebudgetrequeststraightlinedfundingforbothmealsprograms(congregateandhomedelivered)attheirFY2000levels.3 ^7^݌ (#(# Ќ   3   3_2A3  0    GrantsforNativeAmericans: Atotalof$23millionwasprovided,includingthe 0#  +$5millionincreaseforadditionalmealsandsupportiveservicesforNativeAmericangranteessoughtinthebudgetrequest.The$5millionincreaseissufficienttoprovideanadditional+307,000meals.3_`݌ (#(# Ќ   3   3a2A3  0    StateandLocalInnovations: Theconfereesprovidedatotalof$38million,+$6million '4"% abovetheFY2000level.Theconferencereportspecificallyearmarks$18millionofthisamountfor35separateearmarkedprojects.Fundswerenotprovidedforthe+$5millionincreaserequestedaspartoftheDepartmentwidementalhealthinitiative.3aa݌ (#(# Ќ   3   3c2A3  0    PreventiveHealth: Theappropriationprovidedatotalof$21million,andincreaseof p,&* +$5million(+31%)overtheFY2000level.Theadditionalfundsareformedication `-'+ management,screeningandeducationtopreventincorrectmedicationandadversedrugreaction.3c d݌ (#(# Ќ   3   3e2A3  0    AlzheimersDisease: TheAppropriationprovidedatotalof$9million,anincreaseof ` +$3million(+50%)overtheFY2000level.InFY2000,AoAawardedAlzheimersDiseaseDemonstrationGrantsto17States.3ee݌ (#(# Ќ   3   3`g2A3  0    ProgramAdministration: TheConfereesprovidedatotalof$17million,thesameasthe  x budgetrequest,andanincreaseof$774,000(+5%)overtheFY2000level.TheadditionalfundswillallowAoAtoannualizethecostofthe20newstaffaddedinFY2000,fullycoverincreasedpaycostsforexistingstaff,andmeetotherincreasedoperatingcosts.3`gg݌ (#(# Ќ  GeneralDepartmentalManagement    Theconfereesprovidedatotalof$297millionindiscretionarybudgetauthorityforGDM,an x  increaseof+$11million(+4%)abovethecomparableFY2001PresidentsBudgetrequestand+$21million(+7%)abovethecomparableFY2000level.Thistotalincludes$132millionfor P basicdepartmentalmanagementoperatingexpenses,includingincreasesforFY2001payrelatedcosts.Thislevelis$0.5millionbelowthePresident'sBudgetrequestand+$5million(+4%)abovetheFY2000level.  3   3k2A3  0    HIV/AIDSPreventionandTreatment: Theconferencecommitteemoved$50million P forHIV/AIDSpreventionandtreatmentactivitiesinminoritycommunitiesfromthePublicHealthandSocialServicesEmergencyFundintotheGDMappropriation.ThisisthefullamountrequestedinthePresident'sBudget,andthesamefundinglevelasinFY2000.3k(l݌ (#(# Ќ   3   38n2A3  0    OfficeforHumanResearchProtection: Theconferencecommitteeapprovedthe  transferoftheOfficeforHumanResearchProtectionfromNIHtoGDM,atthefullrequestedlevelof$6million,a+$4millionincrease(+160%)overtheFY2000level.38ncn݌ (#(# Ќ   3   3o2A3  0    OfficeofMinorityHealth: Theconfereesprovided$49million,+$10million(+27%) T! abovethePresidentsrequestand+$11million(+30%)overtheFY2000fundinglevel.However,virtuallyallofthisincreaseisearmarkedfor15specificprojects.3op݌ (#(# Ќ   3   3q2A3  0    AdolescentFamilyLife: Theconfereesprovided$24million,+$17million(+219%)over %l" therequestand+$5million(+26%)abovetheFY2000level.Theincreaserestoresproposedreductionsandfundsnewcareprogramsforpregnantandparentingteens.3qq݌ (#(# Ќ   3   3ts2A3  0    OfficeonWomensHealth: Theagreementappropriated$17million,+$1million(+5%) ( #& overthePresident'srequestand+$2million(+11%)aboveFY2000.Includedinthistotalisanearmarkof$0.4millionfortheAfricanAmericanWomensHealthand_Wellness_Projectat_Spelman_ԀCollege.TheConfereesalsosupport_OWH_ԀfundingacomplementaryadolescentbonehealthinitiativewiththeNational_Osteoperosis_ԀFoundation.3tss݌ (#(# Ќ   \-'+  3   3vv2A3  0    OfficeofEmergencyPreparedness: Theconferencecommitteeprovided$12millionis  thesameasthePresidentsBudgetrequestand+$2million(+21%)overtheFY2000fundinglevel.ThislevelfundsOEPsroutinenon_bioterrorism_Ԁrelatedactivities.3vvv݌ (#(# Ќ   3   3]x2A3  0    USMexicoBorderHealthCommission: Theconfereesprovided$2millionfor P  continuationofthisCommission,anincreaseof+$0.5million(+36%)aboveboththePresident'sBudgetrequestandtheFY2000level.3]xx݌ (#(# Ќ   3   3y2A3  0    PresidentsCouncilonPhysicalFitnessandSports: Theconferencelevelof$1million  h isthesameastheFY2000levelandslightlybelowthePresidentsBudgetrequest.3yz݌ (#(# Ќ   3   3k{2A3  0    YouthViolenceInitiative: Thefinalconferenceagreementreducedfundingfor 0  continuationoftheSurgeonGeneralsYouthViolenceInitiativeto$0.4million,orslightlybelowboththePresidentsrequestandtheFY2000fundinglevelof$0.5million.3k{{݌ (#(# Ќ   3   35}2A3  0    OtherActivities: Theconferencereportincludedfundsforseveraldirectedprojects:35}`}݌ (#(# Ќ   L ilyx"L ;   ;~0  2il3  0` (#(#  $0.8millionforcontinuationofthehumanservicestransportationgrant;;~~݌p` (#` (# Ќ  L ilyyL ;   ;/0  2il3  0` (#(#  $0.5millionforanewcontractwiththeNationalAcademyofSciences,toevaluate \ childrenshealthandsafety;;/Z݌ ` (#` (# Ќ  L ilyyL ;   ;0  2il3  0` (#(#  $0.6millionfortheARCHNationalResourceCenteronRespiteandCrisis 4 ServicesinChapelHill,NC;; ݌ ` (#` (# Ќ  L ilyyL ;   ;0  2il3  0` (#(#  $0.5millionforcontinueddevelopmentoftheCenterforIntegrativeMedicineat  p theThomasJeffersonUniversityHospitalinPhiladelphia;;݌ ` (#` (# Ќ  L ilyyL ;   ;P0  2il3  0` (#(#  $0.5millionfortheGlaucomaCaucusFoundationtoprovideglaucomascreening H andoutreachactivities;;P{݌ ` (#` (# Ќ  L ilyyL ;   ;0  2il3  0` (#(#  $0.4millionforastudyonthefeasibilityoftribecompactingfortheoperationof   Departmentalprograms,asrequiredbytheTribalSelfGovernanceAmendmentsof2000;; ݌ ` (#` (# Ќ   ;   ;r0  2il3  0` (#(#  $0.2millionforthe_Briarpatch_ԀTransitionalLivingPrograminMadison,WI;;r݌` (#` (# Ќ   ;   ;0  2il3  0` (#(#  $0.1millionforpublicserviceannouncementsregardingabstinenceeducationfor l  BucksCounty,PA.;Љ݌ ` (#` (# Ќ  PolicyResearch  0#  Theconferenceagreementprovided$17millionforPolicyResearch,thesameasboththePresidentsBudgetrequestandtheFY2000level.Includedinthistotalisanearmarkof$7milliontocontinuethestudyofwelfarereformoutcomes. OfficeofInspectorGeneral  (#& TheconferencereportprovidedtheOIGwith$34millionindiscretionaryfunding,equaltothePresidentsbudgetrequestand+$3million(+7.9%)overtheFY2000enactedlevel.Thislevel willensurethattheOIGcancontinuetoexpandandstrengthenitsworkincriticalnon h,&* Medicare/nonMedicaidareas,includingpublichealthissues,childrenandfamilyprograms(includingchildsupportenforcement),agingprogramsanddepartmentwidemanagementwork. OfficeforCivilRights  ` TheconferencereportprovidedOCRwith$28million,anincreaseof$0.6millionoverthePresidentsBudgetrequestand+$6million(+24%)overtheFY2000enactedlevel.ThislevelwillensurethattheOCRcanbeginitstechnicalassistanceactivitiesrelatedtothePrivacyRulethatwillhelpcoveredentitiesunderstandhowtocomplywiththenewregulations.Italsowillhelpsupportcriticalcivilrightsenforcementinitiatives,includingreducingracialdisparitiesinhealth,asproposedinthePresidentsBudget. PublicHealthandSocialServicesEmergencyFund    Theconfereesprovidedatotalof$241millionfor_PHSSEF_,+$47million(+24%)abovethecomparableFY2001PresidentsBudgetrequestand$115million(32%)belowtheFY2000level.ThisyeartheConferenceCommitteedesignatedallofthefundsinthe_PHSSEF_Ԁfor_Bioterrorism_Ԁactivities:L "AxyL 3   32A3  0    CDC_Bioterrorism_: Theconferencereportprovided$181millionforCDC_bioterrorism_,   including$32millionfortheHealthAlertNetwork,$18millionforthesecondyearofacollaborativeresearchprogramwiththeDepartmentofDefenseontheanthraxvaccine,$2milliontocontinueresearchintoantiinfectiveagentstocombatemergingdiseases,and$130millionforallotheractivities;3݌ (#(# Ќ   3   3 2A3  0    OfficeofEmergencyPreparedness: Theappropriatorsprovided$30.1millionforOEP  activities,including$17milliontoestablish25newMetropolitanMedicalResponseSystems(_MMRS_)andaddthe_bioterrorism_Ԁcomponentto20existing_MMRS_;and3 K݌ (#(# Ќ   3   382A3  0    VaccineResearchandDevelopment: Theagreementincluded$30millionforresearch `  anddevelopmentofimprovedvaccinesforanthraxandsmallpox(lastyearthesefundswereallocatedbytheDepartmenttoCDCandFDA).38c݌ (#(# Ќ  / .  3   3W2A3  0    . / 0 0 GeneralLegislativeProvisions  '("%  NewProvisions: ThefollowingnewgeneralprovisionswereincludedintheLabor/HHS )$' appropriationsact:  x+%) L "Axx"L 3   32A3  0    AcrosstheBoardAdministrativeandRelatedExpensesReduction: Theconference  languageprovidedfora$25millionproratacutforadministrativeandrelatedexpensesoftheDepartmentsLabor,HealthandHumanServices,andEducation. 3݌x(#(#    3   3\2A3  0    OrganProcurementOrganizations: Thelanguageamendedthe_recertification_Ԁprocess P  forOrganProcurementOrganizations.TheconfereesdirecttheSecretarytopromulgateregulationsbyJanuary1,2002thatrequire_recertifications_Ԁtooccurnotmorethanonceeveryfouryears,tobebaseduponmultipleoutcomeandprocessperformancemeasuresfromtheOrganProcurementOrganizations,andtoprovideforanappealprocessinthecaseofadecertification.3\݌ (#(# Ќ   3   3+2A3  0    CDCInternationalHIV/AIDSActivities: Theconferencereportincludedauthorityto ,  supportCDCseffortstocarryoutinternationalHIV/AIDSandotherinfectiousandchronicdiseaseactivitiesabroad.ThebilllanguageallowsCDCtooperateintheshorttermthroughtheawardofpersonalservicescontractsinsituationswhereotheroptions,suchastheuseofexistingstaff,areineffectiveandimpractical.ReportlanguagedirectsHHStoworkwithOMB,andCongressionalcommitteesasappropriate,toconsidereffectivelongtermsolutionsforaddressingthesetypesofneeds.TheconferencealsoensuresthattheDepartmentofStatecanprovidenecessarysupportservicesforCDCsinternationalhealthprograms,includingthepurchaseofnecessarylabequipmentandthelease,repairandrenovationoflaboratoryandotherfacilities.3+V݌ (#(# Ќ   3   3E2A3  0    Human_Papillomavirus_: ThelanguageamendsthePublicHealthServicesActtorequire T theCDCtoconductsurveillanceoftheHuman_Papillomavirus_Ԁ(_HPV_),provideaprogressreportonthesurveillancetotheCongressnolaterthanoneyearaftertheeffectivedateofthissection,conductpreventionresearchon_HPV_,provideaprogressreportonthepreventionresearchoneyearlaterandafinalreportthreeyearsaftertheeffectivedateofthissection,andprepareanddistributeeducationalmaterialson_HPV_.ThelanguagerequirestheSecretarytoreexamineexistingcondomlabelstodetermineifthelabelsaremedicallyaccurateregardingtheeffectivenessinpreventing_STDs_,including_HPV_.3Ep݌ (#(# Ќ   3   32A3  0    SaccharinLabeling: Theconferencerepealsthemandatedsaccharinwarninglabel.3Ч݌@"(#(# Ќ   3   32A3  0    EvaluationofAbstinenceEducationPrograms: Thelanguageextendsthefunding $! availableforevaluationsofabstinenceeducationStateprogramsto2005andprovidesforaninterimreportnotlaterthanJanuary1,2002. 3ۨ݌%\ #(#(# Ќ   3   3_2A3  0    AbstinenceEducationGrants: Theconferencereportprohibitstheawardingof '8"% abstinenceeducationgrantstocommunitiesauthorizedintheEmergencySupplementalAct,2000untilMarch1,2001.3_݌ (#(# Ќ   3   32A3  0    OfficeforHumanResearchProtectionsTransfer: Thelanguagedirectsatransferof +%)  $5.8millionfromNIHtotheGDMaccounttosupportthenewlyestablishedOfficefor x,&* HumanResearchProtections.ReportlanguagedirectsthatfuturefundingfortheofficewillberequestedwithintheOfficeoftheSecretary.3݌ (#(#    3   3 2A3  0    StateSupplementaryPayments: Theconferenceacceleratestheeffectivedateof ` currentlawrequiringaStatethathasenteredintoanagreementwiththeSocialSecurityAdministrationforFederaladministrationofStatesupplementarypaymentsberequiredtoremitpaymentsandfeesnolaterthanthebusinessdayprecedingtheSSIpaymentfromSeptember,2009toSeptember,2001.3 4݌ (#(# Ќ   3   3L2A3  0    PurposefortheNationalInstituteofChildHealthandHumanDevelopment: The  P  languageamendsthePublicHealthServiceActtorevisethepurposeoftheInstitutetoincludegynecologichealth.3Lw݌ (#(# Ќ  ExistingProvisions: Thefollowinggeneralprovisionsweremaintainedintheirexistingformor   preservedwithsomemodifications:L "Axx"L 3   32A3  0    TransferofDiscretionaryFunds: TheseparatetransferauthoritiesfortheSecretaryand h theDirectoroftheNationalInstitutesofHealthremainunchangedfromFY2000.However,inreportlanguage,theconfereesrequirealetterofreprogrammingtotheappropriationcommitteesandawrittenresponsefromthecommitteespriortoatransferoffundstoCDC.3݌ (#(# Ќ   3   32A3  0    WithholdingofSubstanceAbuseFunds: TheconferenceadjustedtheFY2000 X languageregardingthewithholdingofsubstanceabusefunds.ThisyearslanguageprohibitstheSecretaryfromwithholdingaStatessubstanceabuseblockgrantfundsifthatStateisnotincompliancewiththerequirementsofthe_Synar_ԀAmendmentbutcertifiesitwillcommitadditionalStatefundstopreventthesaleoftobaccoproductstominors.TheprovisionalsoprohibitstheSecretaryfromwithholdingsubstanceabusefundingfromaterritorythatreceiveslessthan$1million.3݌ (#(# Ќ   3   3 2A3  0    ProhibitiononDistributionofSterileNeedles: Theprohibitionofusinganyfundsto X! carryoutaprogramdistributingsterileneedlesandsyringesforthehypodermicinjectionofanyillegaldrugremainsunchangedfromFY2000.3 6݌ (#(# Ќ   3   32A3  0    HydeLanguage: Thelanguageprohibitingtheuseofappropriatedfundingforhealth  %p" benefitscoveragethatincludescoverageofabortionsremainsunchangedfromFY2000.3݌ (#(# Ќ   3   3%2A3  0    HumanEmbryoResearch: Thelanguageprohibitingtheuseofappropriatedfundingfor '8"% creatingahumanembryoorperformingresearchonahumanembryoremainsunchangedfromFY2000.3%P݌ (#(# Ќ   3   32A3  0    UniqueHealthIdentifier: Theprohibitionofusinganyappropriatedfundingto +%) promulgateoradoptafinalstandardforprovidingauniquehealthidentifierremainsunchangedfromFY2000.3˼݌d-'+(#(# Ќ   3   3,2A3  0    MedicareCompetitivePricingDemonstrations: AswasthecaseinFY2000,nofunds  maybeusedtoadministerorimplementtheMedicareCompetitivePricingDemonstrationProjectinArizonaorKansasCity.3,W݌ (#(# Ќ   3   32A3  0    PhysiciansComparabilityAllowances: Theconferenceextendstheauthorityof <  physicianscomparabilityallowancesforfiveyearsthroughFY2007.3݌ (#(# Ќ   3   32A3  0    NIHandSAMHSASalaryCap: CongressraisedthelimitNIHandSAMHSAmaypay  h anindividual,throughagrantorotherextramuralmechanism,fromLevelIIoftheExecutiveSchedule(asprovidedintheFY2000appropriation)toLevelIforFY2001.3?݌ (#(# Ќ   3   32A3  0    FifthQuarter: TheAdministrationproposedandtheCongressagreedtostrikethe   provisionthatallowssalariesandexpensesfundingthatisunobligatedattheendofthefiscalyeartoremainavailableforthreeadditionalmonths.TheDepartmenthasneverusedthisauthority.3݌ (#(# Ќ