Attachment 1b_ARRA

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Making suppl~mcntal appropria[i()ns for job preservation lind creation, infrastructure
investment, energy efficiency and sciencll, assistance to the unemployed, and
Slate and local fiscal stabilization, for the fiscal year ending September 30,
2009, and for othor purposes.

Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITU:.

This Act may be cited as the "American Recovery and Reinvestment Act of 2009",
SEC. 2. TABLE OF CONTENTS.

The table of contents for this Act is as follows:
DIVISION A-APPROPRIATIONS PROVISIONS
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DIVISION B-TAX, UNEMPLOYMENT, HEALTH, STATE FISCAL RELIEF, AND
OTHER PROVISIONS
TITLE I-TAX PROVISIONS
TITLE II-ASSISTANCE FOR UNEMPLOYED WORKERS AND STRUGGLING
l<'AMILIES
TITl>E III-PREMIUM ASSISTANCE FOR COBRA BENE~'ITS
TITLE IV-MEDICARE AND MEDICAID HEALTH INFORMATION TECHNOLOGY; MISCELLANEOUS MEDICARE PROVISIONS
TITLE V-STATE FISCAL RELIE~'
TITLE VI-BROADBAND TECHNOLOGY OPPORTUNITIES PROGRAM
TITLE Vll-LIMITS ON EXECUTIVE COMPENSATION
SEC, 3. PURPOSES AND PRINCIPLES.

(a) S'l'A'l'EMEN'I' OF PURPOSES,-The purposes of this Act include
the following:

H. R.1-2
0) 'fa preserve and create jobs and promote economic
recovery.
(2) To assist those most impacted by the recession.
(3) To provide investments needed to increase economic
efficiency by spurring technological advances in science and
health.
(4) To invest in transportation, environmental protection,
and other infrastructure that will provide long-tenn economic
benefits.
(5) To stabilize State and local government budgets, in
order to minimize and avoid reductions in essential services
and counterproductive state and local tax increases.
(b) GENERAL PRINCIPLES CONCf:RNING USE OF Fmms.-The
President and the heads of Federal departments and agendes shall
manage and expend the funds made available in this Act so as
to achieve the purposes specified in subsection (a), including commencing expenditures and activities as quickly as possible consistent with prudent management.
SEC. 4. REFERENCES.

Except as expressly provided otherwise, any reference to "this
Act" contained in any division of this Act shall be treated as
referring only to the provisions of that division.
SEC. 5. EMEnGENCY DESIGNA'I'lONS.

(a) IN Gr~NERAL.-Each amount in this Act is designated as
an emergency requirement and necessary to meet emergency needs
pursuant to section 204(a) of S. Can. Res. 21 (110th Congress)
and section 301(b)(2) of S. Con. Res. 70 (110th Congress), the
concurrent resolutions on the budget for fiscal years 2008 and
2009.
(b) PAY-AS-YOU-Go.-All applicable provisions in this Act are
designated as an emergency for purposes of pay-as-you-go principles.

DIVISION A-APPROPRIATIONS
PROVISIONS
That the following sums are appropriated, out of any money
in the Treasury not otherwise appropriated, for the fiscal year
ending September 30, 2009, and for other purposes, namely:
TITLE I-AGRICULTURE, RURAL DEVELOPMENT, FOOD AND
DRUG ADMINISTRATION, AND RELATED AGENCIES
DEPARTMENT

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AGRICULTURE

AGRICULTURE BUILDINGS A!\TD FACILITIES

AND

RENTAL PAYMENTS

For an additional amount for "Agriculture Buildings and Facilities and Rental Payments", $24,000,000, for necessary construction,
repair, and improvement activities.
O:F.FfCE OF INSPECTOR GENERAl,
For an additional amount for "Office of Inspector General",
$22,500,000, to remain available until September 30, 2013, for

H.R.1-66
to the Committees on Appropriations of the House of Representatives and the Senate: Provided further, That the fiscal year 2009
operating plan shall be provided not later than 90 days after enactment of this Act and that subsequent annual operating plans shall
be provided not later than November 1 of each year: Provided
further, That these operating plans shall describe how expenditures
are aligned with the specific objectives, milestones, and metrics
of the Federal Health Information Technology Strategic Plan,
including any subsequent updates to the Plan; the allocation of
resources within the Department of Health and Human Services
and other Federal agencies; and the identification of programs
and activities that are supported: Provided further, That the Secretary shall provide to the Committees on Appropriations of the
House of Representatives and the Senate a report on the actual
obligations, expenditures, and unobligated balances for each major
set of activities not later than November 1, 2009, and every 6
months thereafter as long as funding provided under this heading
is available for obligation or expenditure.
OFFICE 01-' INSPECTOR GENERAl.

For an additional amount for the "Office of Inspector General",
$17,000,000 which shall remain available until September 30, 2012.
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

For an additional amount for "Public Health and Social Services
Emergency Fund" to improve information technology security at
the Department of Health and Human Services, $50,000,000.
PREVENTION AND WELLNESS FUND
(INCLUDING TRANSFER OF FUNDS)

For necessary expenses for a "Prevention and Wellness Fund"
to be administered through the Department of Health and Human
Services, Office of the Secretary, $1,000,000,000: Provided, That
of the amount provided in this paragraph, $300,000,000 shall be
transferred to the Centers for Disease Control and Prevention
("CDC") as an additional amount to carry out the immunization
program ("section 317 immunization program") authorized by section 317(a), (j), and (k)(l) of the Public Health Service Act ("PHS
Act"): Provided further, That of the amount provided in this paragraph, $650,000,000 shall be to carry out evidence-based clinical
and community-based prevention and wellness strategies authorized
by the PHS Act, as determined by the Secretary, that deliver
specific, measurable health outcomes that address chronic disease
rates: Provided further, That funds appropriated in the preceding
proviso may be transferred to other appropriation accounts of the
Department of Health and Human Services, as determined by the
Secretary to be appropriate: Provided fUlther, That of the amount
appropriated in this paragraph, $50,000,000 shall be provided to
States for an additional amount to carry out activities to implement
healthcare associated infections reduction strategies: Provided further, That not more than 0.5 percent of funds made available
in this paragraph may be used for management and oversight
expenses in the office or division of the Department of Health
and Human Services administering the funds: Provided further,

H. R. 1-67
That the Secretary shall, directly or through contracts with public
or private entities, provide for annual evaluations of programs
carried out with funds provided under this heading in order to
determine the quality and effectiveness of the programs: Provided
further, That the Secretary shall, not later than 1 year after the
date of enactment of this Act, submit to the Committees on Appropriations of the House of Representatives and the Senate, the
Committee on Energy and Commerce of the House of Representatives, and the Committee on Health, Education, Labor, and Pensions
of the Senate, a report summarizing the annual evaluations of
programs from the preceding proviso: Provided further, That the
Secretary shall provide to the Committees on Appropriations of
the House of Representatives and the Senate an operating plan
for the Prevention and Wellness Fund prior to making any Federal
obligations of funds provided in this paragraph (excluding funds
to carry out the seelion 317 immunization program), but not later
than 90 days after t.he date of enactment of this Act, that indicates
the prevention priorities to be addressed; provides measurable goals
for each prevention priO};ty; details the allocation of resources
within the Department of Health and Human Services; and identifies which programs or activities are supported, including descriptions of any new programs or activities: ProtJided further, That
the Secretary shall provide to the Committees on Appropriations
of the House of Representatives and t.he Senate a report on the
actual obligations, expenditures, and unobligated balances for each
activity funded under this heading not later than November 1,
2009, and every 6 months thereafter as long as funding provided
under this heading is available for obligation or expenditure.
DEPARTMENT OF EDUCATION
EDUCATION FOR THE DISADVANTAGED

For an additional amount for "Education for the Disadvantaged"
to carry out title 1 of the Elementary and Secondary Education
Act of 1965 ("ESEA"), $13,000,000,000: Provided, That
$5,000,000,000 shall be available for targeted grants under section
1.125 of the ESEA: Provided further, That $5,000,000,000 shall
be available for education finance incentive grants under section
1125A of the ESEA: Provided further, That $3,000,000,000 shall
be for school improvement grants under section 1003(g) of the
ESEA: Provided further, That each local educational agency
receiving funds available under this paragraph shall be required
to file with the State educational agency, no later than December
1, 2009, a school-by-school listing of per-pupil educational expenditures from State and local sources during the 2008-2009 academic
year: Provided further, That each State educational agency shall
report that infonnation to the Secretary of Education by March
31,2010.
IMPACT AID
For an additional amount for "Impact Aid" to carry out section
B007 of tiUe VIII of the Elementary and Secondary Education
Act of 1965, $100,000,000, which shall be expended pursuant to
the requirements of section B05.