Us Congress House Bill HB5894 Latest Draft

                            I 
118THCONGRESS 
1
STSESSION H. R. 5894 
Making appropriations for the Departments of Labor, Health and Human 
Services, and Education, and related agencies for the fiscal year ending 
September 30, 2024, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER6, 2023 
Mr. A
DERHOLTintroduced the following bill; 
O
CTOBER25, 2023 
Referred to the Committee on Appropriations 
A BILL 
Making appropriations for the Departments of Labor, Health 
and Human Services, and Education, and related agen-
cies for the fiscal year ending September 30, 2024, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
That the following sums are appropriated, out of any 3
money in the Treasury not otherwise appropriated, for the 4
Departments of Labor, Health and Human Services, and 5
Education, and related agencies for the fiscal year ending 6
September 30, 2024, and for other purposes, namely: 7
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TITLE I 1
DEPARTMENT OF LABOR 2
E
MPLOYMENT AND TRAININGADMINISTRATION 3
TRAINING AND EMPLOYMENT SERVICES 4
For necessary expenses of the Workforce Innovation 5
and Opportunity Act (referred to in this Act as ‘‘WIOA’’) 6
and the National Apprenticeship Act, $2,836,808,000, 7
plus reimbursements, shall be available. Of the amounts 8
provided: 9
(1) for grants to States for adult employment 10
and training activities and dislocated worker employ-11
ment and training activities, $1,807,553,000 as fol-12
lows: 13
(A) $712,000,000 for adult employment 14
and training activities, which shall be available 15
for the period October 1, 2024 through June 16
30, 2025; and 17
(B) $1,095,553,000 for dislocated worker 18
employment and training activities, of which 19
$235,553,000 shall be available for the period 20
July 1, 2024 through June 30, 2025, and of 21
which $860,000,000 shall be available for the 22
period October 1, 2024 through June 30, 2025: 23
Provided, That the funds available for allotment to 24
outlying areas to carry out subtitle B of title I of the 25
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WIOA shall not be subject to the requirements of 1
section 127(b)(1)(B)(ii) of such Act: Provided fur-2
ther, That notwithstanding the requirements of 3
WIOA, outlying areas may submit a single applica-4
tion for a consolidated grant that awards funds that 5
would otherwise be available to such areas to carry 6
out the activities described in subtitle B of title I of 7
the WIOA: Provided further, That such application 8
shall be submitted to the Secretary of Labor (re-9
ferred to in this title as ‘‘Secretary’’), at such time, 10
in such manner, and containing such information as 11
the Secretary may require: Provided further, That 12
outlying areas awarded a consolidated grant de-13
scribed in the preceding provisos may use the funds 14
for any of the programs and activities authorized 15
under such subtitle B of title I of the WIOA subject 16
to approval of the application and such reporting re-17
quirements issued by the Secretary; and 18
(2) for national programs, $1,029,255,000 as 19
follows: 20
(A) $360,859,0000 for the dislocated 21
workers assistance national reserve, of which 22
$160,859,000 shall be available for the period 23
July 1, 2024 through September 30, 2025, and 24
of which $200,000,000 shall be available for the 25
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period October 1, 2024 through September 30, 1
2025: Provided, That funds provided to carry 2
out section 132(a)(2)(A) of the WIOA may be 3
used to provide assistance to a State for state-4
wide or local use in order to address cases 5
where there have been worker dislocations 6
across multiple sectors or across multiple local 7
areas and such workers remain dislocated; co-8
ordinate the State workforce development plan 9
with emerging economic development needs; and 10
train such eligible dislocated workers: Provided 11
further, That funds provided to carry out sec-12
tions 168(b) and 169(c) of the WIOA may be 13
used for technical assistance and demonstration 14
projects, respectively, that provide assistance to 15
new entrants in the workforce and incumbent 16
workers: Provided further, That notwithstanding 17
section 168(b) of the WIOA, of the funds pro-18
vided under this subparagraph, the Secretary 19
may reserve not more than 10 percent of such 20
funds to provide technical assistance and carry 21
out additional activities related to the transition 22
to the WIOA: Provided further, That of the 23
funds provided under this subparagraph, 24
$115,000,000 shall be for training and employ-25
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ment assistance under sections 168(b), 169(c) 1
(notwithstanding the 10 percent limitation in 2
such section) and 170 of the WIOA as follows: 3
(i) $50,000,000 shall be for workers 4
in the Appalachian region, as defined by 5
40 U.S.C. 14102(a)(1), workers in the 6
Lower Mississippi, as defined in section 7
4(2) of the Delta Development Act (Public 8
Law 100–460, 102 Stat. 2246; 7 U.S.C. 9
2009aa(2)), and workers in the region 10
served by the Northern Border Regional 11
Commission, as defined by 40 U.S.C. 12
15733; and 13
(ii) $65,000,000 shall be for the pur-14
pose of developing, offering, or improving 15
educational or career training programs at 16
community colleges, defined as public insti-17
tutions of higher education, as described in 18
section 101(a) of the Higher Education 19
Act of 1965 and at which the associate’s 20
degree is primarily the highest degree 21
awarded, with other eligible institutions of 22
higher education, as defined in section 23
101(a) of the Higher Education Act of 24
1965, eligible to participate through con-25
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sortia, with community colleges as the lead 1
grantee; 2
(B) $60,000,000 for Native American pro-3
grams under section 166 of the WIOA, which 4
shall be available for the period July 1, 2024 5
through June 30, 2025; 6
(C) $97,396,000 for migrant and seasonal 7
farmworker programs under section 167 of the 8
WIOA, including $90,134,000 for formula 9
grants (of which not less than 70 percent shall 10
be for employment and training services), 11
$6,591,000 for migrant and seasonal housing 12
(of which not less than 70 percent shall be for 13
permanent housing), and $671,000 for other 14
discretionary purposes, which shall be available 15
for the period April 1, 2024 through June 30, 16
2025: Provided, That notwithstanding any 17
other provision of law or related regulation, the 18
Department of Labor shall take no action lim-19
iting the number or proportion of eligible par-20
ticipants receiving related assistance services or 21
discouraging grantees from providing such serv-22
ices: Provided further, That notwithstanding the 23
definition of ‘‘eligible seasonal farmworker’’ in 24
section 167(i)(3)(A) of the WIOA relating to an 25
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individual being ‘‘low-income’’, an individual is 1
eligible for migrant and seasonal farmworker 2
programs under section 167 of the WIOA under 3
that definition if, in addition to meeting the re-4
quirements of clauses (i) and (ii) of section 5
167(i)(3)(A), such individual is a member of a 6
family with a total family income equal to or 7
less than 150 percent of the poverty line; 8
(D) $105,000,000 for YouthBuild activi-9
ties as described in section 171 of the WIOA, 10
which shall be available for the period April 1, 11
2024 through June 30, 2025; 12
(E) $115,000,000 for ex-offender activi-13
ties, under the authority of section 169 of the 14
WIOA, which shall be available for the period 15
April 1, 2024 through June 30, 2025: Provided, 16
That of this amount, $30,000,000 shall be for 17
competitive grants to national and regional 18
intermediaries for activities that prepare for 19
employment young adults with criminal legal 20
histories, young adults who have been justice 21
system-involved, or young adults who have 22
dropped out of school or other educational pro-23
grams, with a priority for projects serving high- 24
crime, high-poverty areas; 25
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(F) $6,000,000 for the Workforce Data 1
Quality Initiative, under the authority of section 2
169 of the WIOA, which shall be available for 3
the period July 1, 2024 through June 30, 4
2025; and 5
(G) $285,000,000 to expand opportunities 6
through apprenticeships, to be available to the 7
Secretary to carry out activities through grants, 8
cooperative agreements, contracts and other ar-9
rangements, with States and other appropriate 10
entities, including equity intermediaries and 11
business and labor industry partner inter-12
mediaries, which shall be available for the pe-13
riod July 1, 2024 through June 30, 2025. 14
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES 15
For payments during fiscal year 2024 of trade ad-16
justment benefit payments and allowances under part I 17
of subchapter B of chapter 2 of title II of the Trade Act 18
of 1974, and section 246 of that Act; and for training, 19
employment and case management services, allowances for 20
job search and relocation, and related State administrative 21
expenses under part II of subchapter B of chapter 2 of 22
title II of the Trade Act of 1974, and including benefit 23
payments, allowances, training, employment and case 24
management services, and related State administration 25
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provided pursuant to section 231(a) of the Trade Adjust-1
ment Assistance Extension Act of 2011, sections 405(a) 2
and 406 of the Trade Preferences Extension Act of 2015, 3
and section 285(a) of the Trade Act of 1974, as amended, 4
$30,700,000 together with such amounts as may be nec-5
essary to be charged to the subsequent appropriation for 6
payments for any period subsequent to September 15, 7
2024: Provided, That notwithstanding section 502 of this 8
Act, any part of the appropriation provided under this 9
heading may remain available for obligation beyond the 10
current fiscal year pursuant to the authorities of section 11
245(c) of the Trade Act of 1974 (19 U.S.C. 2317(c)). 12
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 13
SERVICE OPERATIONS 14
(INCLUDING TRANSFER OF FUNDS) 15
For authorized administrative expenses, 16
$84,066,000, together with not to exceed $3,921,556,000 17
which may be expended from the Employment Security 18
Administration Account in the Unemployment Trust Fund 19
(‘‘the Trust Fund’’), of which— 20
(1) $3,141,635,000 from the Trust Fund is for 21
grants to States for the administration of State un-22
employment insurance laws as authorized under title 23
III of the Social Security Act (including not less 24
than $382,000,000 to carry out reemployment serv-25
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ices and eligibility assessments under section 306 of 1
such Act, any claimants of regular compensation, as 2
defined in such section, including those who are 3
profiled as most likely to exhaust their benefits, may 4
be eligible for such services and assessments: Pro-5
vided, That of such amount, $117,000,000 is speci-6
fied for grants under section 306 of the Social Secu-7
rity Act and is provided to meet the terms of section 8
251(b)(2)(E)(ii) of the Balanced Budget and Emer-9
gency Deficit Control Act of 1985, as amended, and 10
$265,000,000 is additional new budget authority 11
specified for purposes of section 251(b)(2)(E)(i)(V) 12
of such Act; and $9,000,000 for continued support 13
of the Unemployment Insurance Integrity Center of 14
Excellence), the administration of unemployment in-15
surance for Federal employees and for ex-service 16
members as authorized under 5 U.S.C. 8501–8523, 17
and the administration of trade readjustment allow-18
ances, reemployment trade adjustment assistance, 19
and alternative trade adjustment assistance under 20
the Trade Act of 1974 and under section 231(a) of 21
the Trade Adjustment Assistance Extension Act of 22
2011, sections 405(a) and 406 of the Trade Pref-23
erences Extension Act of 2015, and section 285(a) 24
of the Trade Act of 1974, as amended, and shall be 25
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available for obligation by the States through De-1
cember 31, 2024, except that funds used for auto-2
mation shall be available for Federal obligation until 3
expended, and for State obligation through Sep-4
tember 30, 2026, and funds for competitive grants 5
awarded to States for improved operations and to 6
conduct in-person reemployment and eligibility as-7
sessments and unemployment insurance improper 8
payment reviews and provide reemployment services 9
and referrals to training, as appropriate, shall be 10
available for Federal obligation through December 11
31, 2024 (except that funds for outcome payments 12
pursuant to section 306(f)(2) of the Social Security 13
Act shall be available for Federal obligation through 14
March 31, 2025), and for obligation by the States 15
through September 30, 2026, and funds for the Un-16
employment Insurance Integrity Center of Excel-17
lence shall be available for obligation by the State 18
through September 30, 2025, and funds used for 19
unemployment insurance workloads experienced 20
through September 30, 2024 shall be available for 21
Federal obligation through December 31, 2024; 22
(2) $23,000,000 from the Trust Fund is for na-23
tional activities necessary to support the administra-24
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tion of the Federal-State unemployment insurance 1
system; 2
(3) $658,639,000 from the Trust Fund, to-3
gether with $21,413,000 from the General Fund of 4
the Treasury, is for grants to States in accordance 5
with section 6 of the Wagner-Peyser Act, and shall 6
be available for Federal obligation for the period 7
July 1, 2024 through June 30, 2025; 8
(4) $25,000,000 from the Trust Fund is for na-9
tional activities of the Employment Service, includ-10
ing administration of the work opportunity tax cred-11
it under section 51 of the Internal Revenue Code of 12
1986 (including assisting States in adopting or mod-13
ernizing information technology for use in the proc-14
essing of certification requests), and the provision of 15
technical assistance and staff training under the 16
Wagner-Peyser Act; 17
(5) $73,282,000 from the Trust Fund is for the 18
administration of foreign labor certifications and re-19
lated activities under the Immigration and Nation-20
ality Act and related laws, of which $50,000,000 21
shall be available for the Federal administration of 22
such activities, and $23,282,000 shall be available 23
for grants to States for the administration of such 24
activities; and 25
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(6) $62,653,000 from the General Fund is to 1
provide workforce information, national electronic 2
tools, and one-stop system building under the Wag-3
ner-Peyser Act and shall be available for Federal ob-4
ligation for the period July 1, 2024 through June 5
30, 2025, of which up to $9,800,000 may be used 6
to carry out research and demonstration projects re-7
lated to testing effective ways to promote greater 8
labor force participation of people with disabilities: 9
Provided, That the Secretary may transfer amounts 10
made available for research and demonstration 11
projects under this paragraph to the ‘‘Office of Dis-12
ability Employment Policy’’ account for such pur-13
poses: 14
Provided, That to the extent that the Average Weekly In-15
sured Unemployment (‘‘AWIU’’) for fiscal year 2024 is 16
projected by the Department of Labor to exceed 17
2,365,000, an additional $28,600,000 from the Trust 18
Fund shall be available for obligation for every 100,000 19
increase in the AWIU level (including a pro rata amount 20
for any increment less than 100,000) to carry out title 21
III of the Social Security Act: Provided further, That 22
funds appropriated in this Act that are allotted to a State 23
to carry out activities under title III of the Social Security 24
Act may be used by such State to assist other States in 25
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carrying out activities under such title III if the other 1
States include areas that have suffered a major disaster 2
declared by the President under the Robert T. Stafford 3
Disaster Relief and Emergency Assistance Act: Provided 4
further, That the Secretary may use funds appropriated 5
for grants to States under title III of the Social Security 6
Act to make payments on behalf of States for the use of 7
the National Directory of New Hires under section 8
453(j)(8) of such Act: Provided further, That the Sec-9
retary may use funds appropriated for grants to States 10
under title III of the Social Security Act to make pay-11
ments on behalf of States to the entity operating the State 12
Information Data Exchange System: Provided further, 13
That funds appropriated in this Act which are used to es-14
tablish a national one-stop career center system, or which 15
are used to support the national activities of the Federal- 16
State unemployment insurance, employment service, or 17
immigration programs, may be obligated in contracts, 18
grants, or agreements with States and non-State entities: 19
Provided further, That States awarded competitive grants 20
for improved operations under title III of the Social Secu-21
rity Act, or awarded grants to support the national activi-22
ties of the Federal-State unemployment insurance system, 23
may award subgrants to other States and non-State enti-24
ties under such grants, subject to the conditions applicable 25
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to the grants: Provided further, That funds appropriated 1
under this Act for activities authorized under title III of 2
the Social Security Act and the Wagner-Peyser Act may 3
be used by States to fund integrated Unemployment In-4
surance and Employment Service automation efforts, not-5
withstanding cost allocation principles prescribed under 6
the final rule entitled ‘‘Uniform Administrative Require-7
ments, Cost Principles, and Audit Requirements for Fed-8
eral Awards’’ at part 200 of title 2, Code of Federal Regu-9
lations: Provided further, That the Secretary, at the re-10
quest of a State participating in a consortium with other 11
States, may reallot funds allotted to such State under title 12
III of the Social Security Act to other States participating 13
in the consortium or to the entity operating the Unemploy-14
ment Insurance Information Technology Support Center 15
in order to carry out activities that benefit the administra-16
tion of the unemployment compensation law of the State 17
making the request: Provided further, That the Secretary 18
may collect fees for the costs associated with additional 19
data collection, analyses, and reporting services relating 20
to the National Agricultural Workers Survey requested by 21
State and local governments, public and private institu-22
tions of higher education, and nonprofit organizations and 23
may utilize such sums, in accordance with the provisions 24
of 29 U.S.C. 9a, for the National Agricultural Workers 25
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Survey infrastructure, methodology, and data to meet the 1
information collection and reporting needs of such entities, 2
which shall be credited to this appropriation and shall re-3
main available until September 30, 2025, for such pur-4
poses. 5
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND 6
OTHER FUNDS 7
For repayable advances to the Unemployment Trust 8
Fund as authorized by sections 905(d) and 1203 of the 9
Social Security Act, and to the Black Lung Disability 10
Trust Fund as authorized by section 9501(c)(1) of the In-11
ternal Revenue Code of 1986; and for nonrepayable ad-12
vances to the revolving fund established by section 901(e) 13
of the Social Security Act, to the Unemployment Trust 14
Fund as authorized by 5 U.S.C. 8509, and to the ‘‘Federal 15
Unemployment Benefits and Allowances’’ account, such 16
sums as may be necessary, which shall be available for 17
obligation through September 30, 2025. 18
PROGRAM ADMINISTRATION 19
For expenses of administering employment and train-20
ing programs, $108,900,000, together with not to exceed 21
$54,015,000 which may be expended from the Employ-22
ment Security Administration Account in the Unemploy-23
ment Trust Fund. 24
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EMPLOYEEBENEFITSSECURITYADMINISTRATION 1
SALARIES AND EXPENSES 2
For necessary expenses for the Employee Benefits 3
Security Administration, $152,880,000, of which up to 4
$3,000,000 shall be made available through September 30, 5
2025, for the procurement of expert witnesses for enforce-6
ment litigation. 7
P
ENSIONBENEFITGUARANTYCORPORATION 8
PENSION BENEFIT GUARANTY CORPORATION FUND 9
The Pension Benefit Guaranty Corporation (‘‘Cor-10
poration’’) is authorized to make such expenditures, in-11
cluding financial assistance authorized by subtitle E of 12
title IV of the Employee Retirement Income Security Act 13
of 1974, within limits of funds and borrowing authority 14
available to the Corporation, and in accord with law, and 15
to make such contracts and commitments without regard 16
to fiscal year limitations, as provided by 31 U.S.C. 9104, 17
as may be necessary in carrying out the program, includ-18
ing associated administrative expenses, through Sep-19
tember 30, 2024, for the Corporation: Provided, That 20
none of the funds available to the Corporation for fiscal 21
year 2024 shall be available for obligations for administra-22
tive expenses in excess of $512,900,000: Provided further, 23
That to the extent that the number of new plan partici-24
pants in plans terminated by the Corporation exceeds 25
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100,000 in fiscal year 2024, an amount not to exceed an 1
additional $9,200,000 shall be available through Sep-2
tember 30, 2028, for obligations for administrative ex-3
penses for every 20,000 additional terminated partici-4
pants: Provided further, That obligations in excess of the 5
amounts provided for administrative expenses in this para-6
graph may be incurred and shall be available through Sep-7
tember 30, 2028 for obligation for unforeseen and extraor-8
dinary pre-termination or termination expenses or extraor-9
dinary multiemployer program related expenses after ap-10
proval by the Office of Management and Budget and noti-11
fication of the Committees on Appropriations of the House 12
of Representatives and the Senate: Provided further, That 13
an additional amount shall be available for obligation 14
through September 30, 2028 to the extent the Corpora-15
tion’s costs exceed $250,000 for the provision of credit or 16
identity monitoring to affected individuals upon suffering 17
a security incident or privacy breach, not to exceed an ad-18
ditional $100 per affected individual. 19
W
AGE ANDHOURDIVISION 20
SALARIES AND EXPENSES 21
For necessary expenses for the Wage and Hour Divi-22
sion, including reimbursement to State, Federal, and local 23
agencies and their employees for inspection services ren-24
dered, $185,000,000. 25
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OFFICE OFLABOR-MANAGEMENTSTANDARDS 1
SALARIES AND EXPENSES 2
For necessary expenses for the Office of Labor-Man-3
agement Standards, $48,515,000. 4
O
FFICE OFFEDERALCONTRACTCOMPLIANCE 5
P
ROGRAMS 6
SALARIES AND EXPENSES 7
For necessary expenses for the Office of Federal Con-8
tract Compliance Programs, $83,232,000. 9
O
FFICE OFWORKERS’ COMPENSATIONPROGRAMS 10
SALARIES AND EXPENSES 11
For necessary expenses for the Office of Workers’ 12
Compensation Programs, $106,500,000, together with 13
$2,205,000 which may be expended from the Special Fund 14
in accordance with sections 39(c), 44(d), and 44(j) of the 15
Longshore and Harbor Workers’ Compensation Act. 16
SPECIAL BENEFITS 17
(INCLUDING TRANSFER OF FUNDS) 18
For the payment of compensation, benefits, and ex-19
penses (except administrative expenses not otherwise au-20
thorized) accruing during the current or any prior fiscal 21
year authorized by 5 U.S.C. 81; continuation of benefits 22
as provided for under the heading ‘‘Civilian War Benefits’’ 23
in the Federal Security Agency Appropriation Act, 1947; 24
the Employees’ Compensation Commission Appropriation 25
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Act, 1944; section 5(f) of the War Claims Act (50 U.S.C. 1
App. 2012); obligations incurred under the War Hazards 2
Compensation Act (42 U.S.C. 1701 et seq.); and 50 per-3
cent of the additional compensation and benefits required 4
by section 10(h) of the Longshore and Harbor Workers’ 5
Compensation Act, $700,000,000, together with such 6
amounts as may be necessary to be charged to the subse-7
quent year appropriation for the payment of compensation 8
and other benefits for any period subsequent to August 9
15 of the current year, for deposit into and to assume 10
the attributes of the Employees’ Compensation Fund es-11
tablished under 5 U.S.C. 8147(a): Provided, That 12
amounts appropriated may be used under 5 U.S.C. 8104 13
by the Secretary to reimburse an employer, who is not the 14
employer at the time of injury, for portions of the salary 15
of a re-employed, disabled beneficiary: Provided further, 16
That balances of reimbursements unobligated on Sep-17
tember 30, 2023, shall remain available until expended for 18
the payment of compensation, benefits, and expenses: Pro-19
vided further, That in addition there shall be transferred 20
to this appropriation from the Postal Service and from 21
any other corporation or instrumentality required under 22
5 U.S.C. 8147(c) to pay an amount for its fair share of 23
the cost of administration, such sums as the Secretary de-24
termines to be the cost of administration for employees 25
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of such fair share entities through September 30, 2024: 1
Provided further, That of those funds transferred to this 2
account from the fair share entities to pay the cost of ad-3
ministration of the Federal Employees’ Compensation Act, 4
$83,007,000 shall be made available to the Secretary as 5
follows: 6
(1) For enhancement and maintenance of auto-7
mated data processing systems operations and tele-8
communications systems, $28,153,000; 9
(2) For automated workload processing oper-10
ations, including document imaging, centralized mail 11
intake, and medical bill processing, $26,526,000; 12
(3) For periodic roll disability management and 13
medical review, $26,527,000; 14
(4) For program integrity, $1,801,000; and 15
(5) The remaining funds shall be paid into the 16
Treasury as miscellaneous receipts: 17
Provided further, That the Secretary may require that any 18
person filing a notice of injury or a claim for benefits 19
under 5 U.S.C. 81, or the Longshore and Harbor Work-20
ers’ Compensation Act, provide as part of such notice and 21
claim, such identifying information (including Social Secu-22
rity account number) as such regulations may prescribe. 23
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SPECIAL BENEFITS FOR DISABLED COAL MINERS 1
For carrying out title IV of the Federal Mine Safety 2
and Health Act of 1977, as amended by Public Law 107– 3
275, $22,890,000, to remain available until expended. 4
For making after July 31 of the current fiscal year, 5
benefit payments to individuals under title IV of such Act, 6
for costs incurred in the current fiscal year, such amounts 7
as may be necessary. 8
For making benefit payments under title IV for the 9
first quarter of fiscal year 2025, $7,000,000, to remain 10
available until expended. 11
ADMINISTRATIVE EXPENSES , ENERGY EMPLOYEES 12
OCCUPATIONAL ILLNESS COMPENSATION FUND 13
For necessary expenses to administer the Energy 14
Employees Occupational Illness Compensation Program 15
Act, $66,532,000, to remain available until expended: Pro-16
vided, That the Secretary may require that any person fil-17
ing a claim for benefits under the Act provide as part of 18
such claim such identifying information (including Social 19
Security account number) as may be prescribed. 20
BLACK LUNG DISABILITY TRUST FUND 21
(INCLUDING TRANSFER OF FUNDS) 22
Such sums as may be necessary from the Black Lung 23
Disability Trust Fund (the ‘‘Fund’’), to remain available 24
until expended, for payment of all benefits authorized by 25
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section 9501(d)(1), (2), (6), and (7) of the Internal Rev-1
enue Code of 1986; and repayment of, and payment of 2
interest on advances, as authorized by section 9501(d)(4) 3
of that Act. In addition, the following amounts may be 4
expended from the Fund for fiscal year 2024 for expenses 5
of operation and administration of the Black Lung Bene-6
fits program, as authorized by section 9501(d)(5): not to 7
exceed $44,059,000 for transfer to the Office of Workers’ 8
Compensation Programs, ‘‘Salaries and Expenses’’; not to 9
exceed $41,178,000 for transfer to Departmental Manage-10
ment, ‘‘Salaries and Expenses’’; not to exceed $368,000 11
for transfer to Departmental Management, ‘‘Office of In-12
spector General’’; and not to exceed $356,000 for pay-13
ments into miscellaneous receipts for the expenses of the 14
Department of the Treasury. 15
O
CCUPATIONALSAFETY ANDHEALTHADMINISTRATION 16
SALARIES AND EXPENSES 17
For necessary expenses for the Occupational Safety 18
and Health Administration, $536,922,000, including not 19
to exceed $120,000,000 which shall be the maximum 20
amount available for grants to States under section 23(g) 21
of the Occupational Safety and Health Act (the ‘‘Act’’), 22
which grants shall be no less than 50 percent of the costs 23
of State occupational safety and health programs required 24
to be incurred under plans approved by the Secretary 25
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under section 18 of the Act; and, in addition, notwith-1
standing 31 U.S.C. 3302, the Occupational Safety and 2
Health Administration may retain up to $499,000 per fis-3
cal year of training institute course tuition and fees, other-4
wise authorized by law to be collected, and may utilize 5
such sums for occupational safety and health training and 6
education: Provided, That notwithstanding 31 U.S.C. 7
3302, the Secretary is authorized, during the fiscal year 8
ending September 30, 2024, to collect and retain fees for 9
services provided to Nationally Recognized Testing Lab-10
oratories, and may utilize such sums, in accordance with 11
the provisions of 29 U.S.C. 9a, to administer national and 12
international laboratory recognition programs that ensure 13
the safety of equipment and products used by workers in 14
the workplace: Provided further, That none of the funds 15
appropriated under this paragraph shall be obligated or 16
expended to prescribe, issue, administer, or enforce any 17
standard, rule, regulation, or order under the Act which 18
is applicable to any person who is engaged in a farming 19
operation which does not maintain a temporary labor 20
camp and employs 10 or fewer employees: Provided fur-21
ther, That no funds appropriated under this paragraph 22
shall be obligated or expended to administer or enforce 23
any standard, rule, regulation, or order under the Act with 24
respect to any employer of 10 or fewer employees who is 25
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included within a category having a Days Away, Re-1
stricted, or Transferred (‘‘DART’’) occupational injury 2
and illness rate, at the most precise industrial classifica-3
tion code for which such data are published, less than the 4
national average rate as such rates are most recently pub-5
lished by the Secretary, acting through the Bureau of 6
Labor Statistics, in accordance with section 24 of the Act, 7
except— 8
(1) to provide, as authorized by the Act, con-9
sultation, technical assistance, educational and train-10
ing services, and to conduct surveys and studies; 11
(2) to conduct an inspection or investigation in 12
response to an employee complaint, to issue a cita-13
tion for violations found during such inspection, and 14
to assess a penalty for violations which are not cor-15
rected within a reasonable abatement period and for 16
any willful violations found; 17
(3) to take any action authorized by the Act 18
with respect to imminent dangers; 19
(4) to take any action authorized by the Act 20
with respect to health hazards; 21
(5) to take any action authorized by the Act 22
with respect to a report of an employment accident 23
which is fatal to one or more employees or which re-24
sults in hospitalization of two or more employees, 25
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and to take any action pursuant to such investiga-1
tion authorized by the Act; and 2
(6) to take any action authorized by the Act 3
with respect to complaints of discrimination against 4
employees for exercising rights under the Act: 5
Provided further, That the foregoing proviso shall not 6
apply to any person who is engaged in a farming operation 7
which does not maintain a temporary labor camp and em-8
ploys 10 or fewer employees: Provided further, That not 9
less than $3,500,000 shall be for Voluntary Protection 10
Programs. 11
M
INESAFETY ANDHEALTHADMINISTRATION 12
SALARIES AND EXPENSES 13
For necessary expenses for the Mine Safety and 14
Health Administration, $325,052,000, including purchase 15
and bestowal of certificates and trophies in connection 16
with mine rescue and first-aid work, and the hire of pas-17
senger motor vehicles, including up to $2,000,000 for 18
mine rescue and recovery activities and not less than 19
$10,537,000 for State assistance grants: Provided, That 20
notwithstanding 31 U.S.C. 3302, not to exceed $750,000 21
may be collected by the National Mine Health and Safety 22
Academy for room, board, tuition, and the sale of training 23
materials, otherwise authorized by law to be collected, to 24
be available for mine safety and health education and 25
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training activities: Provided further, That notwithstanding 1
31 U.S.C. 3302, the Mine Safety and Health Administra-2
tion is authorized to collect and retain up to $2,499,000 3
from fees collected for the approval and certification of 4
equipment, materials, and explosives for use in mines, and 5
may utilize such sums for such activities: Provided further, 6
That the Secretary is authorized to accept lands, build-7
ings, equipment, and other contributions from public and 8
private sources and to prosecute projects in cooperation 9
with other agencies, Federal, State, or private: Provided 10
further, That the Mine Safety and Health Administration 11
is authorized to promote health and safety education and 12
training in the mining community through cooperative 13
programs with States, industry, and safety associations: 14
Provided further, That the Secretary is authorized to rec-15
ognize the Joseph A. Holmes Safety Association as a prin-16
cipal safety association and, notwithstanding any other 17
provision of law, may provide funds and, with or without 18
reimbursement, personnel, including service of Mine Safe-19
ty and Health Administration officials as officers in local 20
chapters or in the national organization: Provided further, 21
That any funds available to the Department of Labor may 22
be used, with the approval of the Secretary, to provide 23
for the costs of mine rescue and survival operations in the 24
event of a major disaster. 25
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BUREAU OFLABORSTATISTICS 1
SALARIES AND EXPENSES 2
For necessary expenses for the Bureau of Labor Sta-3
tistics, including advances or reimbursements to State, 4
Federal, and local agencies and their employees for serv-5
ices rendered, $589,952,000, together with not to exceed 6
$68,000,000 which may be expended from the Employ-7
ment Security Administration account in the Unemploy-8
ment Trust Fund. 9
O
FFICE OFDISABILITYEMPLOYMENTPOLICY 10
SALARIES AND EXPENSES 11
(INCLUDING TRANSFER OF FUNDS) 12
For necessary expenses for the Office of Disability 13
Employment Policy to provide leadership, develop policy 14
and initiatives, and award grants furthering the objective 15
of eliminating barriers to the training and employment of 16
people with disabilities, $43,000,000, of which not less 17
than $9,000,000 shall be for research and demonstration 18
projects related to testing effective ways to promote great-19
er labor force participation of people with disabilities: Pro-20
vided, That the Secretary may transfer amounts made 21
available under this heading for research and demonstra-22
tion projects to the ‘‘State Unemployment Insurance and 23
Employment Service Operations’’ account for such pur-24
poses. 25
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DEPARTMENTAL MANAGEMENT 1
SALARIES AND EXPENSES 2
For necessary expenses for Departmental Manage-3
ment, including the hire of three passenger motor vehicles, 4
$200,995,000, together with not to exceed $308,000, 5
which may be expended from the Employment Security 6
Administration account in the Unemployment Trust 7
Fund: Provided, That $6,211,000 shall be used for pro-8
gram evaluation and shall be available for obligation 9
through September 30, 2025: Provided further, That funds 10
available for program evaluation may be used to admin-11
ister grants for the purpose of evaluation: Provided fur-12
ther, That grants made for the purpose of evaluation shall 13
be awarded through fair and open competition. 14
VETERANS’ EMPLOYMENT AND TRAINING 15
Not to exceed $269,841,000 may be derived from the 16
Employment Security Administration account in the Un-17
employment Trust Fund to carry out the provisions of 18
chapters 41, 42, and 43 of title 38, United States Code, 19
of which— 20
(1) $185,000,000 is for Jobs for Veterans State 21
grants under 38 U.S.C. 4102A(b)(5) to support dis-22
abled veterans’ outreach program specialists under 23
section 4103A of such title and local veterans’ em-24
ployment representatives under section 4104(b) of 25
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such title, and for the expenses described in section 1
4102A(b)(5)(C), which shall be available for expend-2
iture by the States through September 30, 2026, 3
and not to exceed 3 percent for the necessary Fed-4
eral expenditures for data systems and contract sup-5
port to allow for the tracking of participant and per-6
formance information: Provided, That, in addition, 7
such funds may be used to support such specialists 8
and representatives in the provision of services to 9
transitioning members of the Armed Forces who 10
have participated in the Transition Assistance Pro-11
gram and have been identified as in need of inten-12
sive services, to members of the Armed Forces who 13
are wounded, ill, or injured and receiving treatment 14
in military treatment facilities or warrior transition 15
units, and to the spouses or other family caregivers 16
of such wounded, ill, or injured members; 17
(2) $34,379,000 is for carrying out the Transi-18
tion Assistance Program under 38 U.S.C. 4113 and 19
10 U.S.C. 1144; 20
(3) $47,048,000 is for Federal administration 21
of chapters 41, 42, and 43 of title 38, and sections 22
2021, 2021A and 2023 of title 38, United States 23
Code: Provided, That, up to $500,000 may be used 24
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to carry out the Hire VETS Act (division O of Pub-1
lic Law 115–31); and 2
(4) $3,414,000 is for the National Veterans’ 3
Employment and Training Services Institute under 4
38 U.S.C. 4109: 5
Provided, That the Secretary may reallocate among the 6
appropriations provided under paragraphs (1) through (4) 7
above an amount not to exceed 3 percent of the appropria-8
tion from which such reallocation is made. 9
In addition, from the General Fund of the Treasury, 10
$65,500,000 is for carrying out programs to assist home-11
less veterans and veterans at risk of homelessness who are 12
transitioning from certain institutions under sections 13
2021, 2021A, and 2023 of title 38, United States Code: 14
Provided, That notwithstanding subsections (c)(3) and (d) 15
of section 2023, the Secretary may award grants through 16
September 30, 2024, to provide services under such sec-17
tion: Provided further, That services provided under sec-18
tions 2021 or under 2021A may include, in addition to 19
services to homeless veterans described in section 20
2002(a)(1), services to veterans who were homeless at 21
some point within the 60 days prior to program entry or 22
veterans who are at risk of homelessness within the next 23
60 days, and that services provided under section 2023 24
may include, in addition to services to the individuals de-25
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scribed in subsection (e) of such section, services to vet-1
erans recently released from incarceration who are at risk 2
of homelessness: Provided further, That notwithstanding 3
paragraph (3) under this heading, funds appropriated in 4
this paragraph may be used for data systems and contract 5
support to allow for the tracking of participant and per-6
formance information: Provided further, That notwith-7
standing sections 2021(e)(2) and 2021A(f)(2) of title 38, 8
United States Code, such funds shall be available for ex-9
penditure pursuant to 31 U.S.C. 1553. 10
In addition, fees may be assessed and deposited in 11
the HIRE Vets Medallion Award Fund pursuant to sec-12
tion 5(b) of the HIRE Vets Act, and such amounts shall 13
be available to the Secretary to carry out the HIRE Vets 14
Medallion Award Program, as authorized by such Act, and 15
shall remain available until expended: Provided, That such 16
sums shall be in addition to any other funds available for 17
such purposes, including funds available under paragraph 18
(3) of this heading: Provided further, That section 2(d) 19
of division O of the Consolidated Appropriations Act, 2017 20
(Public Law 115–31; 38 U.S.C. 4100 note) shall not 21
apply. 22
IT MODERNIZATION 23
For necessary expenses for Department of Labor cen-24
tralized infrastructure technology investment activities re-25
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lated to support systems and modernization, $27,269,000, 1
which shall be available through September 30, 2025. 2
OFFICE OF INSPECTOR GENERAL 3
For salaries and expenses of the Office of Inspector 4
General in carrying out the provisions of the Inspector 5
General Act of 1978, $91,187,000, together with not to 6
exceed $5,841,000 which may be expended from the Em-7
ployment Security Administration account in the Unem-8
ployment Trust Fund: Provided, That not more than 9
$2,000,000 of the amount provided under this heading 10
may be available until expended. 11
G
ENERALPROVISIONS 12
S
EC. 101. None of the funds appropriated by this Act 13
for the Job Corps shall be used to pay the salary and bo-14
nuses of an individual, either as direct costs or any prora-15
tion as an indirect cost, at a rate in excess of Executive 16
Level II. 17
(TRANSFER OF FUNDS) 18
S
EC. 102. Not to exceed 1 percent of any discre-19
tionary funds (pursuant to the Balanced Budget and 20
Emergency Deficit Control Act of 1985) which are appro-21
priated for the current fiscal year for the Department of 22
Labor in this Act may be transferred between a program, 23
project, or activity, but no such program, project, or activ-24
ity shall be increased by more than 3 percent by any such 25
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transfer: Provided, That the transfer authority granted by 1
this section shall not be used to create any new program 2
or to fund any project or activity for which no funds are 3
provided in this Act: Provided further, That the Commit-4
tees on Appropriations of the House of Representatives 5
and the Senate are notified at least 15 days in advance 6
of any transfer. 7
S
EC. 103. In accordance with Executive Order 8
13126, none of the funds appropriated or otherwise made 9
available pursuant to this Act shall be obligated or ex-10
pended for the procurement of goods mined, produced, 11
manufactured, or harvested or services rendered, in whole 12
or in part, by forced or indentured child labor in industries 13
and host countries already identified by the United States 14
Department of Labor prior to enactment of this Act. 15
S
EC. 104. Except as otherwise provided in this sec-16
tion, none of the funds made available to the Department 17
of Labor for grants under section 414(c) of the American 18
Competitiveness and Workforce Improvement Act of 1998 19
(29 U.S.C. 2916a) may be used for any purpose other 20
than competitive grants for training individuals who are 21
older than 16 years of age and are not currently enrolled 22
in school within a local educational agency in the occupa-23
tions and industries for which employers are using H–1B 24
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visas to hire foreign workers, and the related activities 1
necessary to support such training. 2
S
EC. 105. None of the funds made available by this 3
Act under the heading ‘‘Employment and Training Ad-4
ministration’’ shall be used by a recipient or subrecipient 5
of such funds to pay the salary and bonuses of an indi-6
vidual, either as direct costs or indirect costs, at a rate 7
in excess of Executive Level II. This limitation shall not 8
apply to vendors providing goods and services as defined 9
in Office of Management and Budget Circular A–133. 10
Where States are recipients of such funds, States may es-11
tablish a lower limit for salaries and bonuses of those re-12
ceiving salaries and bonuses from subrecipients of such 13
funds, taking into account factors including the relative 14
cost-of-living in the State, the compensation levels for 15
comparable State or local government employees, and the 16
size of the organizations that administer Federal pro-17
grams involved including Employment and Training Ad-18
ministration programs. 19
(TRANSFER OF FUNDS) 20
S
EC. 106. (a) Notwithstanding section 102, the Sec-21
retary may transfer funds made available to the Employ-22
ment and Training Administration by this Act, either di-23
rectly or through a set-aside, for technical assistance serv-24
ices to grantees to ‘‘Program Administration’’ when it is 25
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determined that those services will be more efficiently per-1
formed by Federal employees: Provided, That this section 2
shall not apply to section 171 of the WIOA. 3
(b) Notwithstanding section 102, the Secretary may 4
transfer not more than 0.5 percent of each discretionary 5
appropriation made available to the Employment and 6
Training Administration by this Act to ‘‘Program Admin-7
istration’’ in order to carry out program integrity activities 8
relating to any of the programs or activities that are fund-9
ed under any such discretionary appropriations: Provided, 10
That funds transferred under this subsection shall be 11
available to the Secretary to carry out program integrity 12
activities directly or through grants, cooperative agree-13
ments, contracts and other arrangements with States and 14
other appropriate entities: Provided further, That funds 15
transferred under the authority provided by this sub-16
section shall be available for obligation through September 17
30, 2024. 18
(TRANSFER OF FUNDS) 19
S
EC. 107. (a) The Secretary may reserve not more 20
than 0.75 percent from each appropriation made available 21
in this Act identified in subsection (b) in order to carry 22
out evaluations of any of the programs or activities that 23
are funded under such accounts. Any funds reserved under 24
this section shall be transferred to ‘‘Departmental Man-25
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agement’’ for use by the Office of the Chief Evaluation 1
Officer within the Department of Labor, and shall be 2
available for obligation through September 30, 2024: Pro-3
vided, That such funds shall only be available if the Chief 4
Evaluation Officer of the Department of Labor submits 5
a plan to the Committees on Appropriations of the House 6
of Representatives and the Senate describing the evalua-7
tions to be carried out 15 days in advance of any transfer. 8
(b) The accounts referred to in subsection (a) are: 9
‘‘Training and Employment Services’’, ‘‘State Unemploy-10
ment Insurance and Employment Service Operations’’, 11
‘‘Employee Benefits Security Administration’’, ‘‘Office of 12
Workers’ Compensation Programs’’, ‘‘Wage and Hour Di-13
vision’’, ‘‘Office of Federal Contract Compliance Pro-14
grams’’, ‘‘Office of Labor Management Standards’’, ‘‘Oc-15
cupational Safety and Health Administration’’, ‘‘Mine 16
Safety and Health Administration’’, ‘‘Office of Disability 17
Employment Policy’’, and ‘‘Veterans’ Employment and 18
Training’’. 19
S
EC. 108. (a) Section 7 of the Fair Labor Standards 20
Act of 1938 (29 U.S.C. 207) shall be applied as if the 21
following text is part of such section: 22
‘‘(s)(1) The provisions of this section shall not apply 23
for a period of 2 years after the occurrence of a major 24
disaster to any employee— 25
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‘‘(A) employed to adjust or evaluate claims re-1
sulting from or relating to such major disaster, by 2
an employer not engaged, directly or through an af-3
filiate, in underwriting, selling, or marketing prop-4
erty, casualty, or liability insurance policies or con-5
tracts; 6
‘‘(B) who receives from such employer on aver-7
age weekly compensation of not less than $591.00 8
per week or any minimum weekly amount estab-9
lished by the Secretary, whichever is greater, for the 10
number of weeks such employee is engaged in any 11
of the activities described in subparagraph (C); and 12
‘‘(C) whose duties include any of the following: 13
‘‘(i) interviewing insured individuals, indi-14
viduals who suffered injuries or other damages 15
or losses arising from or relating to a disaster, 16
witnesses, or physicians; 17
‘‘(ii) inspecting property damage or review-18
ing factual information to prepare damage esti-19
mates; 20
‘‘(iii) evaluating and making recommenda-21
tions regarding coverage or compensability of 22
claims or determining liability or value aspects 23
of claims; 24
‘‘(iv) negotiating settlements; or 25
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‘‘(v) making recommendations regarding 1
litigation. 2
‘‘(2) The exemption in this subsection shall not affect 3
the exemption provided by section 13(a)(1). 4
‘‘(3) For purposes of this subsection— 5
‘‘(A) the term ‘major disaster’ means any dis-6
aster or catastrophe declared or designated by any 7
State or Federal agency or department; 8
‘‘(B) the term ‘employee employed to adjust or 9
evaluate claims resulting from or relating to such 10
major disaster’ means an individual who timely se-11
cured or secures a license required by applicable law 12
to engage in and perform the activities described in 13
clauses (i) through (v) of paragraph (1)(C) relating 14
to a major disaster, and is employed by an employer 15
that maintains worker compensation insurance cov-16
erage or protection for its employees, if required by 17
applicable law, and withholds applicable Federal, 18
State, and local income and payroll taxes from the 19
wages, salaries and any benefits of such employees; 20
and 21
‘‘(C) the term ‘affiliate’ means a company that, 22
by reason of ownership or control of 25 percent or 23
more of the outstanding shares of any class of voting 24
securities of one or more companies, directly or indi-25
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rectly, controls, is controlled by, or is under common 1
control with, another company.’’. 2
(b) This section shall be effective on the date of en-3
actment of this Act. 4
S
EC. 109. (a) FLEXIBILITYWITHRESPECT TO THE 5
C
ROSSING OFH–2B NONIMMIGRANTSWORKING IN THE 6
S
EAFOODINDUSTRY.— 7
(1) I
N GENERAL.—Subject to paragraph (2), if 8
a petition for H–2B nonimmigrants filed by an em-9
ployer in the seafood industry is granted, the em-10
ployer may bring the nonimmigrants described in 11
the petition into the United States at any time dur-12
ing the 120-day period beginning on the start date 13
for which the employer is seeking the services of the 14
nonimmigrants without filing another petition. 15
(2) R
EQUIREMENTS FOR CROSSINGS AFTER 16
90TH DAY.—An employer in the seafood industry 17
may not bring H–2B nonimmigrants into the United 18
States after the date that is 90 days after the start 19
date for which the employer is seeking the services 20
of the nonimmigrants unless the employer— 21
(A) completes a new assessment of the 22
local labor market by— 23
(i) listing job orders in local news-24
papers on 2 separate Sundays; and 25
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(ii) posting the job opportunity on the 1
appropriate Department of Labor Elec-2
tronic Job Registry and at the employer’s 3
place of employment; and 4
(B) offers the job to an equally or better 5
qualified United States worker who— 6
(i) applies for the job; and 7
(ii) will be available at the time and 8
place of need. 9
(3) E
XEMPTION FROM RULES WITH RESPECT 10
TO STAGGERING.—The Secretary of Labor shall not 11
consider an employer in the seafood industry who 12
brings H–2B nonimmigrants into the United States 13
during the 120-day period specified in paragraph (1) 14
to be staggering the date of need in violation of sec-15
tion 655.20(d) of title 20, Code of Federal Regula-16
tions, or any other applicable provision of law. 17
(b) H–2B N
ONIMMIGRANTSDEFINED.—In this sec-18
tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad-19
mitted to the United States pursuant to section 20
101(a)(15)(H)(ii)(B) of the Immigration and Nationality 21
Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 22
S
EC. 110. The determination of prevailing wage for 23
the purposes of the H–2B program shall be the greater 24
of—(1) the actual wage level paid by the employer to other 25
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employees with similar experience and qualifications for 1
such position in the same location; or (2) the prevailing 2
wage level for the occupational classification of the posi-3
tion in the geographic area in which the H–2B non-4
immigrant will be employed, based on the best information 5
available at the time of filing the petition. In the deter-6
mination of prevailing wage for the purposes of the H– 7
2B program, the Secretary shall accept private wage sur-8
veys even in instances where Occupational Employment 9
Statistics survey data are available unless the Secretary 10
determines that the methodology and data in the provided 11
survey are not statistically supported. 12
S
EC. 111. None of the funds in this Act shall be used 13
to enforce the definition of corresponding employment 14
found in 20 CFR 655.5 or the three-fourths guarantee 15
rule definition found in 20 CFR 655.20, or any references 16
thereto. Further, for the purpose of regulating admission 17
of temporary workers under the H–2B program, the defi-18
nition of temporary need shall be that provided in 8 CFR 19
214.2(h)(6)(ii)(B). 20
S
EC. 112. Notwithstanding any other provision of 21
law, the Secretary may furnish through grants, coopera-22
tive agreements, contracts, and other arrangements, up to 23
$2,000,000 of excess personal property, at a value deter-24
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mined by the Secretary, to apprenticeship programs for 1
the purpose of training apprentices in those programs. 2
S
EC. 113. (a) The Act entitled ‘‘An Act to create a 3
Department of Labor’’, approved March 4, 1913 (37 Stat. 4
736, chapter 141) shall be applied as if the following text 5
is part of such Act: 6
‘‘SEC. 12. SECURITY DETAIL. 7
‘‘(a) I
NGENERAL.—The Secretary of Labor is au-8
thorized to employ law enforcement officers or special 9
agents to— 10
‘‘(1) provide protection for the Secretary of 11
Labor during the workday of the Secretary and dur-12
ing any activity that is preliminary or postliminary 13
to the performance of official duties by the Sec-14
retary; 15
‘‘(2) provide protection, incidental to the protec-16
tion provided to the Secretary, to a member of the 17
immediate family of the Secretary who is partici-18
pating in an activity or event relating to the official 19
duties of the Secretary; 20
‘‘(3) provide continuous protection to the Sec-21
retary (including during periods not described in 22
paragraph (1)) and to the members of the imme-23
diate family of the Secretary if there is a unique and 24
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articulable threat of physical harm, in accordance 1
with guidelines established by the Secretary; and 2
‘‘(4) provide protection to the Deputy Secretary 3
of Labor or another senior officer representing the 4
Secretary of Labor at a public event if there is a 5
unique and articulable threat of physical harm, in 6
accordance with guidelines established by the Sec-7
retary. 8
‘‘(b) A
UTHORITIES.—The Secretary of Labor may 9
authorize a law enforcement officer or special agent em-10
ployed under subsection (a), for the purpose of performing 11
the duties authorized under subsection (a), to— 12
‘‘(1) carry firearms; 13
‘‘(2) make arrests without a warrant for any of-14
fense against the United States committed in the 15
presence of such officer or special agent; 16
‘‘(3) perform protective intelligence work, in-17
cluding identifying and mitigating potential threats 18
and conducting advance work to review security mat-19
ters relating to sites and events; 20
‘‘(4) coordinate with local law enforcement 21
agencies; and 22
‘‘(5) initiate criminal and other investigations 23
into potential threats to the security of the Sec-24
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retary, in coordination with the Inspector General of 1
the Department of Labor. 2
‘‘(c) C
OMPLIANCEWITHGUIDELINES.—A law en-3
forcement officer or special agent employed under sub-4
section (a) shall exercise any authority provided under this 5
section in accordance with any— 6
‘‘(1) guidelines issued by the Attorney General; 7
and 8
‘‘(2) guidelines prescribed by the Secretary of 9
Labor.’’. 10
(b) This section shall be effective on the date of en-11
actment of this Act. 12
S
EC. 114. The Secretary is authorized to dispose of 13
or divest, by any means the Secretary determines appro-14
priate, including an agreement or partnership to construct 15
a new Job Corps center, all or a portion of the real prop-16
erty on which the Treasure Island Job Corps Center is 17
situated. Any sale or other disposition, to include any as-18
sociated construction project, will not be subject to any 19
requirement of any Federal law or regulation relating to 20
the disposition of Federal real property or relating to Fed-21
eral procurement, including but not limited to subchapter 22
III of chapter 5 of title 40 of the United States Code, 23
subchapter V of chapter 119 of title 42 of the United 24
States Code, and chapter 33 of division C of subtitle I 25
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of title 41 of the United States Code. The net proceeds 1
of such a sale shall be transferred to the Secretary, which 2
shall be available until expended to carry out the Job 3
Corps Program on Treasure Island. 4
(RESCISSION) 5
S
EC. 115. Of the unobligated funds available under 6
section 286(s)(2) of the Immigration and Nationality Act 7
(8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma-8
nently rescinded not later than September 30, 2024. 9
(RESCISSION) 10
S
EC. 116. Of the amounts which are made available 11
to ‘‘Employment and Training Administration—Training 12
and Employment Services’’ on October 1, 2023 by Public 13
Law 117–328, $712,000,000 are hereby rescinded. 14
S
EC. 117. No Federal funds may be made available 15
to alter or affect the administration, implementation, or 16
enforcement of the final rule entitled ‘‘Independent Con-17
tractor Status Under the Fair Labor Standards Act’’ (86 18
Fed. Reg. 1168) and dated January 7, 2021. 19
S
EC. 118. No Federal funds may be made available 20
to administer, implement, or enforce the rule entitled 21
‘‘Prudence and Loyalty in Selecting Plan Investments and 22
Exercising Shareholder Rights’’ (87 Fed. Reg. 73822) and 23
dated December 1, 2022. 24
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SEC. 119. No Federal funds may be made available 1
to administer, implement, or enforce— 2
(1) the final rule entitled ‘‘Adverse Effect Wage 3
Rate Methodology for the Temporary Employment 4
of H-2A Nonimmigrants in Non-Range Occupations 5
in the United States’’ (88 Fed. Reg. 12760) and 6
dated February 28, 2023; or 7
(2) section 655.131(b) of title 20, Code of Fed-8
eral Regulations (relating to joint employer require-9
ments) as amended by the final regulations pub-10
lished by the Department of Labor in the Federal 11
Register on October 12, 2022 (87 Fed. Reg. 61660). 12
This title may be cited as the ‘‘Department of Labor 13
Appropriations Act, 2024’’. 14
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TITLE II 1
DEPARTMENT OF HEALTH AND HUMAN 2
SERVICES 3
H
EALTHRESOURCES ANDSERVICESADMINISTRATION 4
PRIMARY HEALTH CARE 5
For carrying out titles II and III of the Public Health 6
Service Act (referred to in this Act as the ‘‘PHS Act’’) 7
with respect to primary health care and the Native Hawai-8
ian Health Care Act of 1988, $1,858,772,000: Provided, 9
That no more than $1,000,000 shall be available until ex-10
pended for carrying out the provisions of section 224(o) 11
of the PHS Act: Provided further, That no more than 12
$120,000,000 shall be available until expended for car-13
rying out subsections (g) through (n) and (q) of section 14
224 of the PHS Act, and for expenses incurred by the 15
Department of Health and Human Services (referred to 16
in this Act as ‘‘HHS’’) pertaining to administrative claims 17
made under such law: Provided further, That not less than 18
$150,000,000 shall be obligated in fiscal year 2024 for 19
construction and capital improvement costs. 20
HEALTH WORKFORCE 21
For carrying out titles III, VII, and VIII of the PHS 22
Act with respect to the health workforce, sections 1128E 23
and 1921 of the Social Security Act, and the Health Care 24
Quality Improvement Act of 1986, $1,336,348,000: Pro-25
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vided, That section 751(j)(2) of the PHS Act and the pro-1
portional funding amounts in paragraphs (1) through (4) 2
of section 756(f) of the PHS Act shall not apply to funds 3
made available under this heading: Provided further, That 4
for any program operating under section 751 of the PHS 5
Act on or before January 1, 2009, the Secretary of Health 6
and Human Services (referred to in this title as the ‘‘Sec-7
retary’’) may hereafter waive any of the requirements con-8
tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 9
Act for the full project period of a grant under such sec-10
tion: Provided further, That section 756(c) of the PHS Act 11
shall apply to paragraphs (1) through (4) of section 12
756(a) of such Act: Provided further, That no funds shall 13
be available for section 340G–1 of the PHS Act: Provided 14
further, That fees collected for the disclosure of informa-15
tion under section 427(b) of the Health Care Quality Im-16
provement Act of 1986 and sections 1128E(d)(2) and 17
1921 of the Social Security Act shall be sufficient to re-18
cover the full costs of operating the programs authorized 19
by such sections and shall remain available until expended 20
for the National Practitioner Data Bank: Provided further, 21
That funds transferred to this account to carry out section 22
846 and subpart 3 of part D of title III of the PHS Act 23
may be used to make prior year adjustments to awards 24
made under such section and subpart: Provided further, 25
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That $126,000,000 shall remain available until expended 1
for the purposes of providing primary health services, as-2
signing National Health Service Corps (‘‘NHSC’’) partici-3
pants to expand the delivery of substance use disorder 4
treatment services, notwithstanding the assignment prior-5
ities and limitations under sections 333(a)(1)(D), 333(b), 6
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-7
ments under the NHSC Loan Repayment Program under 8
section 338B of such Act: Provided further, That, within 9
the amount made available in the previous proviso, 10
$16,000,000 shall remain available until expended for the 11
purposes of making payments under the NHSC Loan Re-12
payment Program under section 338B of the PHS Act 13
to individuals participating in such program who provide 14
primary health services in Indian Health Service facilities, 15
Tribally-Operated 638 Health Programs, and Urban In-16
dian Health Programs (as those terms are defined by the 17
Secretary), notwithstanding the assignment priorities and 18
limitations under section 333(b) of such Act: Provided fur-19
ther, That for purposes of the previous two provisos, sec-20
tion 331(a)(3)(D) of the PHS Act shall be applied as if 21
the term ‘‘primary health services’’ includes clinical sub-22
stance use disorder treatment services, including those 23
provided by masters level, licensed substance use disorder 24
treatment counselors: Provided further, That of the funds 25
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made available under this heading, $6,000,000 shall be 1
available to make grants to establish, expand, or maintain 2
optional community-based nurse practitioner fellowship 3
programs that are accredited or in the accreditation proc-4
ess, with a preference for those in Federally Qualified 5
Health Centers, for practicing postgraduate nurse practi-6
tioners in primary care or behavioral health: Provided fur-7
ther, That of the funds made available under this heading, 8
$10,000,000 shall remain available until expended for ac-9
tivities under section 775 of the PHS Act: Provided fur-10
ther, That the United States may recover liquidated dam-11
ages in an amount determined by the formula under sec-12
tion 338E(c)(1) of the PHS Act if an individual either 13
fails to begin or complete the service obligated by a con-14
tract under section 775(b) of the PHS Act: Provided fur-15
ther, That for purposes of section 775(c)(1) of the PHS 16
Act, the Secretary may include other mental and behav-17
ioral health disciplines as the Secretary deems appro-18
priate: Provided further, That the Secretary may termi-19
nate a contract entered into under section 775 of the PHS 20
Act in the same manner articulated in section 206 of this 21
title for fiscal year 2024 contracts entered into under sec-22
tion 338B of the PHS Act. 23
Of the funds made available under this heading, 24
$60,000,000 shall remain available until expended for 25
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grants to public institutions of higher education to expand 1
or support graduate education for physicians provided by 2
such institutions, including funding for infrastructure de-3
velopment, maintenance, equipment, and minor renova-4
tions or alterations: Provided, That, in awarding such 5
grants, the Secretary shall give priority to public institu-6
tions of higher education located in States with a projected 7
primary care provider shortage in 2030, as determined by 8
the Secretary: Provided further, That grants so awarded 9
are limited to such public institutions of higher education 10
in States in the top quintile of States with a projected 11
primary care provider shortage in 2030, as determined by 12
the Secretary: Provided further, That the minimum 13
amount of a grant so awarded to such an institution shall 14
be not less than $1,000,000 per year: Provided further, 15
That such a grant may be awarded for a period not to 16
exceed 5 years: Provided further, That such a grant award-17
ed with respect to a year to such an institution shall be 18
subject to a matching requirement of non-Federal funds 19
in an amount that is not more than 10 percent of the 20
total amount of Federal funds provided in the grant to 21
such institution with respect to such year. 22
MATERNAL AND CHILD HEALTH 23
For carrying out titles III, XI, XII, and XIX of the 24
PHS Act with respect to maternal and child health and 25
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title V of the Social Security Act, $991,582,000: Provided, 1
That notwithstanding sections 502(a)(1) and 502(b)(1) of 2
the Social Security Act, not more than $177,268,000 shall 3
be available for carrying out special projects of regional 4
and national significance pursuant to section 501(a)(2) of 5
such Act and $10,276,000 shall be available for projects 6
described in subparagraphs (A) through (F) of section 7
501(a)(3) of such Act. 8
RYAN WHITE HIV/AIDS PROGRAM 9
For carrying out title XXVI of the PHS Act with 10
respect to the Ryan White HIV/AIDS program, 11
$2,332,535,000, of which $2,045,630,000 shall remain 12
available to the Secretary through September 30, 2026, 13
for parts A and B of title XXVI of the PHS Act, and 14
of which not less than $900,313,000 shall be for State 15
AIDS Drug Assistance Programs under the authority of 16
section 2616 or 311(c) of such Act. 17
HEALTH SYSTEMS 18
For carrying out titles III and XII of the PHS Act 19
with respect to health care systems, and the Stem Cell 20
Therapeutic and Research Act of 2005, $101,009,000, of 21
which $122,000 shall be available until expended for facil-22
ity renovations and other facilities-related expenses of the 23
National Hansen’s Disease Program: Provided, That the 24
second sentence in section 372(a) of the PHS Act and sec-25
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tion 372(b)(1)(A) of the PHS Act shall not apply to any 1
contracts awarded by the Secretary of Health and Human 2
Services for the operation of the Organ Procurement and 3
Transplantation Network. 4
RURAL HEALTH 5
For carrying out titles III and IV of the PHS Act 6
with respect to rural health, section 427(a) of the Federal 7
Coal Mine Health and Safety Act of 1969, and sections 8
711 and 1820 of the Social Security Act, $402,607,000, 9
of which $74,277,000 from general revenues, notwith-10
standing section 1820(j) of the Social Security Act, shall 11
be available for carrying out the Medicare rural hospital 12
flexibility grants program: Provided, That of the funds 13
made available under this heading for Medicare rural hos-14
pital flexibility grants, $25,942,000 shall be available for 15
the Small Rural Hospital Improvement Grant Program 16
for quality improvement and adoption of health informa-17
tion technology, no less than $5,000,000 shall be available 18
to award grants to public or non-profit private entities for 19
the Rural Emergency Hospital Technical Assistance Pro-20
gram, and up to $1,000,000 shall be to carry out section 21
1820(g)(6) of the Social Security Act, with funds provided 22
for grants under section 1820(g)(6) available for the pur-23
chase and implementation of telehealth services and other 24
efforts to improve health care coordination for rural vet-25
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erans between rural providers and the Department of Vet-1
erans Affairs: Provided further, That notwithstanding sec-2
tion 338J(k) of the PHS Act, $12,500,000 shall be avail-3
able for State Offices of Rural Health: Provided further, 4
That $12,700,000 shall remain available through Sep-5
tember 30, 2026, to support the Rural Residency Develop-6
ment Program. 7
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 8
For carrying out title III of the Public Health Service 9
Act and for cross-cutting activities and program support 10
for activities funded in other appropriations included in 11
this Act for the Health Resources and Services Adminis-12
tration, $215,088,000, of which $45,050,000 shall be for 13
expenses necessary for the Office for the Advancement of 14
Telehealth, including grants, contracts, and cooperative 15
agreements for the advancement of telehealth activities: 16
Provided, That funds made available under this heading 17
may be used to supplement program support funding pro-18
vided under the headings ‘‘Primary Health Care’’, 19
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 20
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 21
and ‘‘Rural Health’’. 22
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 23
For payments from the Vaccine Injury Compensation 24
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 25
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may be necessary for claims associated with vaccine-re-1
lated injury or death with respect to vaccines administered 2
after September 30, 1988, pursuant to subtitle 2 of title 3
XXI of the PHS Act, to remain available until expended: 4
Provided, That for necessary administrative expenses, not 5
to exceed $15,200,000 shall be available from the Trust 6
Fund to the Secretary. 7
COVERED COUNTERMEASURES PROCESS FUND 8
For carrying out section 319F–4 of the PHS Act, 9
$7,000,000, to remain available until expended. 10
C
ENTERS FORDISEASECONTROL ANDPREVENTION 11
IMMUNIZATION AND RESPIRATORY DISEASES 12
For carrying out titles II, III, XVII, and XXI, and 13
section 2821 of the PHS Act, and titles II and IV of the 14
Immigration and Nationality Act, with respect to immuni-15
zation and respiratory diseases, $326,075,000. 16
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 17
DISEASES, AND TUBERCULOSIS PREVENTION 18
For carrying out titles II, III, XVII, and XXIII of 19
the PHS Act with respect to HIV/AIDS, viral hepatitis, 20
sexually transmitted diseases, and tuberculosis prevention, 21
$1,171,056,000. 22
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 23
For carrying out titles II, III, and XVII, and section 24
2821 of the PHS Act, and titles II and IV of the Immigra-25
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tion and Nationality Act, with respect to emerging and 1
zoonotic infectious diseases, $708,772,000: Provided, That 2
of the amounts made available under this heading, up to 3
$1,000,000 shall remain available until expended to pay 4
for the transportation, medical care, treatment, and other 5
related costs of persons quarantined or isolated under 6
Federal or State quarantine law. 7
CHRONIC DISEASE PREVENTION AND HEALTH 8
PROMOTION 9
For carrying out titles II, III, XI, XV, XVII, and 10
XIX of the PHS Act with respect to chronic disease pre-11
vention and health promotion, $797,569,000: Provided, 12
That funds made available under this heading may be 13
available for making grants under section 1509 of the 14
PHS Act for not less than 21 States, tribes, or tribal orga-15
nizations: Provided further, That the proportional funding 16
requirements under section 1503(a) of the PHS Act shall 17
not apply to funds made available under this heading. 18
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES , 19
DISABILITIES AND HEALTH 20
For carrying out titles II, III, XI, and XVII of the 21
PHS Act with respect to birth defects, developmental dis-22
abilities, disabilities and health, $205,560,000. 23
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PUBLIC HEALTH SCIENTIFIC SERVICES 1
For carrying out titles II, III, and XVII of the PHS 2
Act with respect to health statistics, surveillance, health 3
informatics, and workforce development, $654,497,000. 4
ENVIRONMENTAL HEALTH 5
For carrying out titles II, III, and XVII of the PHS 6
Act with respect to environmental health, $130,850,000: 7
Provided, That of the amounts appropriated under this 8
heading up to $2,600,000 may remain available until ex-9
pended for carrying out the Vessel Sanitation Program, 10
in addition to user fee collections available for such pur-11
pose. 12
INJURY PREVENTION AND CONTROL 13
For carrying out titles II, III, and XVII of the PHS 14
Act with respect to injury prevention and control, 15
$730,779,000. 16
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 17
HEALTH 18
For carrying out titles II, III, and XVII of the PHS 19
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 20
of the Federal Mine Safety and Health Act, section 13 21
of the Mine Improvement and New Emergency Response 22
Act, and sections 20, 21, and 22 of the Occupational Safe-23
ty and Health Act, with respect to occupational safety and 24
health, $247,700,000. 25
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ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 1
COMPENSATION PROGRAM 2
For necessary expenses to administer the Energy 3
Employees Occupational Illness Compensation Program 4
Act, $55,358,000, to remain available until expended: Pro-5
vided, That this amount shall be available consistent with 6
the provision regarding administrative expenses in section 7
151(b) of division B, title I of Public Law 106–554. 8
GLOBAL HEALTH 9
For carrying out titles II, III, and XVII of the PHS 10
Act with respect to global health, $370,772,000, of which 11
$100,000,000 shall remain available through September 12
30, 2026, for global public health protection: Provided, 13
That funds may be used for purchase and insurance of 14
official motor vehicles in foreign countries. 15
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 16
For carrying out titles II, III, and XVII of the PHS 17
Act with respect to public health preparedness and re-18
sponse, and for expenses necessary to support activities 19
related to countering potential biological, nuclear, radio-20
logical, and chemical threats to civilian populations, 21
$735,000,000: Provided, That the Director of the Centers 22
for Disease Control and Prevention (referred to in this 23
title as ‘‘CDC’’) or the Administrator of the Agency for 24
Toxic Substances and Disease Registry may detail staff 25
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without reimbursement to support an activation of the 1
CDC Emergency Operations Center, so long as the Direc-2
tor or Administrator, as applicable, provides a notice to 3
the Committees on Appropriations of the House of Rep-4
resentatives and the Senate within 15 days of the use of 5
this authority, a full report within 30 days after use of 6
this authority which includes the number of staff and 7
funding level broken down by the originating center and 8
number of days detailed, and an update of such report 9
every 180 days until staff are no longer on detail without 10
reimbursement to the CDC Emergency Operations Center. 11
BUILDINGS AND FACILITIES 12
(INCLUDING TRANSFER OF FUNDS) 13
For acquisition of real property, equipment, construc-14
tion, installation, demolition, and renovation of facilities, 15
$40,000,000, which shall remain available until expended: 16
Provided, That funds made available to this account in 17
this or any prior Act that are available for the acquisition 18
of real property or for construction or improvement of fa-19
cilities shall be available to make improvements on non- 20
federally owned property, provided that any improvements 21
that are not adjacent to federally owned property do not 22
exceed $2,500,000, and that the primary benefit of such 23
improvements accrues to CDC: Provided further, That 24
funds previously set-aside by CDC for repair and upgrade 25
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of the Lake Lynn Experimental Mine and Laboratory 1
shall be used to acquire a replacement mine safety re-2
search facility: Provided further, That funds made avail-3
able to this account in this or any prior Act that are avail-4
able for the acquisition of real property or for construction 5
or improvement of facilities in conjunction with the new 6
replacement mine safety research facility shall be available 7
to make improvements on non-federally owned property, 8
provided that any improvements that are not adjacent to 9
federally owned property do not exceed $5,000,000: Pro-10
vided further, That in addition, the prior year unobligated 11
balance of any amounts assigned to former employees in 12
accounts of CDC made available for Individual Learning 13
Accounts shall be credited to and merged with the 14
amounts made available under this heading to support the 15
replacement of the mine safety research facility. 16
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 17
(INCLUDING TRANSFER OF FUNDS) 18
For carrying out titles II, III, XVII and XIX, and 19
section 2821 of the PHS Act and for cross-cutting activi-20
ties and program support for activities funded in other 21
appropriations included in this Act for the Centers for 22
Disease Control and Prevention, $231,428,000: Provided, 23
That paragraphs (1) through (3) of subsection (b) of sec-24
tion 2821 of the PHS Act shall not apply to funds appro-25
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priated under this heading and in all other accounts of 1
the CDC: Provided further, That of the amounts made 2
available under this heading, $35,000,000, to remain 3
available until expended, shall be available to the Director 4
of the CDC for deposit in the Infectious Diseases Rapid 5
Response Reserve Fund established by section 231 of divi-6
sion B of Public Law 115–245: Provided further, That 7
funds appropriated under this heading may be used to 8
support a contract for the operation and maintenance of 9
an aircraft in direct support of activities throughout CDC 10
to ensure the agency is prepared to address public health 11
preparedness emergencies: Provided further, That employ-12
ees of CDC or the Public Health Service, both civilian and 13
commissioned officers, detailed to States, municipalities, 14
or other organizations under authority of section 214 of 15
the PHS Act, or in overseas assignments, shall be treated 16
as non-Federal employees for reporting purposes only and 17
shall not be included within any personnel ceiling applica-18
ble to the Agency, Service, or HHS during the period of 19
detail or assignment: Provided further, That CDC may use 20
up to $10,000 from amounts appropriated to CDC in this 21
Act for official reception and representation expenses 22
when specifically approved by the Director of CDC: Pro-23
vided further, That in addition, such sums as may be de-24
rived from authorized user fees, which shall be credited 25
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to the appropriation charged with the cost thereof: Pro-1
vided further, That with respect to the previous proviso, 2
authorized user fees from the Vessel Sanitation Program 3
and the Respirator Certification Program shall be avail-4
able through September 30, 2025. 5
N
ATIONALINSTITUTES OFHEALTH 6
NATIONAL CANCER INSTITUTE 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to cancer, $7,104,159,000, of which up 9
to $30,000,000 may be used for facilities repairs and im-10
provements at the National Cancer Institute—Frederick 11
Federally Funded Research and Development Center in 12
Frederick, Maryland. 13
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 14
For carrying out section 301 and title IV of the PHS 15
Act with respect to cardiovascular, lung, and blood dis-16
eases, and blood and blood products, $3,982,345,000. 17
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 18
RESEARCH 19
For carrying out section 301 and title IV of the PHS 20
Act with respect to dental and craniofacial diseases, 21
$520,163,000. 22
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NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 1
KIDNEY DISEASES 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to diabetes and digestive and kidney dis-4
ease, $2,300,721,000. 5
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 6
AND STROKE 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to neurological disorders and stroke, 9
$2,588,925,000. 10
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 11
DISEASES 12
For carrying out section 301 and title IV of the PHS 13
Act with respect to allergy and infectious diseases, 14
$5,062,279,000. 15
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 16
For carrying out section 301 and title IV of the PHS 17
Act with respect to general medical sciences, 18
$3,154,679,000, of which $1,327,482,000 shall be from 19
funds available under section 241 of the PHS Act: Pro-20
vided, That not less than $435,956,000 is provided for the 21
Institutional Development Awards program. 22
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EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 1
CHILD HEALTH AND HUMAN DEVELOPMENT 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to child health and human development, 4
$1,749,078,000. 5
NATIONAL EYE INSTITUTE 6
For carrying out section 301 and title IV of the PHS 7
Act with respect to eye diseases and visual disorders, 8
$896,549,000. 9
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 10
SCIENCES 11
For carrying out section 301 and title IV of the PHS 12
Act with respect to environmental health sciences, 13
$913,979,000. 14
NATIONAL INSTITUTE ON AGING 15
For carrying out section 301 and title IV of the PHS 16
Act with respect to aging, $4,407,623,000. 17
NATIONAL INSTITUTE OF ARTHRITIS AND 18
MUSCULOSKELETAL AND SKIN DISEASES 19
For carrying out section 301 and title IV of the PHS 20
Act with respect to arthritis and musculoskeletal and skin 21
diseases, $685,465,000. 22
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NATIONAL INSTITUTE ON DEAFNESS AND OTHER 1
COMMUNICATION DISORDERS 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to deafness and other communication dis-4
orders, $534,333,000. 5
NATIONAL INSTITUTE OF NURSING RESEARCH 6
For carrying out section 301 and title IV of the PHS 7
Act with respect to nursing research, $197,693,000. 8
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 9
ALCOHOLISM 10
For carrying out section 301 and title IV of the PHS 11
Act with respect to alcohol abuse and alcoholism, 12
$595,318,000. 13
NATIONAL INSTITUTE ON DRUG ABUSE 14
For carrying out section 301 and title IV of the PHS 15
Act with respect to drug abuse, $1,662,695,000. 16
NATIONAL INSTITUTE OF MENTAL HEALTH 17
For carrying out section 301 and title IV of the PHS 18
Act with respect to mental health, $2,112,843,000. 19
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 20
For carrying out section 301 and title IV of the PHS 21
Act with respect to human genome research, 22
$663,200,000. 23
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NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 1
BIOENGINEERING 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to biomedical imaging and bioengineering 4
research, $440,627,000. 5
NATIONAL CENTER FOR COMPLEMENTARY AND 6
INTEGRATIVE HEALTH 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to complementary and integrative health, 9
$170,384,000. 10
NATIONAL INSTITUTE ON MINORITY HEALTH AND 11
HEALTH DISPARITIES 12
For carrying out section 301 and title IV of the PHS 13
Act with respect to minority health and health disparities 14
research, $524,395,000. 15
JOHN E. FOGARTY INTERNATIONAL CENTER 16
For carrying out the activities of the John E. Fogarty 17
International Center (described in subpart 2 of part E of 18
title IV of the PHS Act), $95,162,000. 19
NATIONAL LIBRARY OF MEDICINE 20
For carrying out section 301 and title IV of the PHS 21
Act with respect to health information communications, 22
$497,548,000: Provided, That of the amounts available for 23
improvement of information systems, $4,000,000 shall be 24
available until September 30, 2025: Provided further, That 25
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in fiscal year 2024, the National Library of Medicine may 1
enter into personal services contracts for the provision of 2
services in facilities owned, operated, or constructed under 3
the jurisdiction of the National Institutes of Health (re-4
ferred to in this title as ‘‘NIH’’). 5
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 6
SCIENCES 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to translational sciences, $923,323,000: 9
Provided, That not less than $75,000,000 shall be avail-10
able to implement section 480 of the PHS Act, relating 11
to the Cures Acceleration Network: Provided further, That 12
at least $629,560,000 is provided to the Clinical and 13
Translational Sciences Awards program. 14
OFFICE OF THE DIRECTOR 15
For carrying out the responsibilities of the Office of 16
the Director, NIH, $2,069,459,000: Provided, That fund-17
ing shall be available for the purchase of not to exceed 18
29 passenger motor vehicles for replacement only: Pro-19
vided further, That all funds credited to the NIH Manage-20
ment Fund shall remain available for one fiscal year after 21
the fiscal year in which they are deposited: Provided fur-22
ther, That $722,401,000 shall be available for the Com-23
mon Fund established under section 402A(c)(1) of the 24
PHS Act: Provided further, That of the funds provided, 25
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$10,000 shall be for official reception and representation 1
expenses when specifically approved by the Director of the 2
NIH: Provided further, That the Office of AIDS Research 3
within the Office of the Director of the NIH may spend 4
up to $8,000,000 to make grants for construction or ren-5
ovation of facilities as provided for in section 6
2354(a)(5)(B) of the PHS Act: Provided further, That 7
$80,000,000 shall be used to carry out section 404I of 8
the PHS Act (42 U.S.C. 283k), relating to biomedical and 9
behavioral research facilities: Provided further, That 10
amounts made available under this heading are also avail-11
able to establish, operate, and support the Research Policy 12
Board authorized by section 2034(f) of the 21st Century 13
Cures Act. 14
In addition to other funds appropriated for the Com-15
mon Fund established under section 402A(c) of the PHS 16
Act, $12,600,000 is appropriated to the Common Fund 17
from the 10-year Pediatric Research Initiative Fund de-18
scribed in section 9008 of the Internal Revenue Code of 19
1986 (26 U.S.C. 9008), for the purpose of carrying out 20
section 402(b)(7)(B)(ii) of the PHS Act (relating to pedi-21
atric research), as authorized in the Gabriella Miller Kids 22
First Research Act. 23
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BUILDINGS AND FACILITIES 1
For the study of, construction of, demolition of, ren-2
ovation of, and acquisition of equipment for, facilities of 3
or used by NIH, including the acquisition of real property, 4
$350,000,000, to remain available until expended. 5
NIH INNOVATION ACCOUNT , CURES ACT 6
(INCLUDING TRANSFER OF FUNDS) 7
For necessary expenses to carry out the purposes de-8
scribed in section 1001(b)(4) of the 21st Century Cures 9
Act, in addition to amounts available for such purposes 10
in the appropriations provided to the NIH in this Act, 11
$407,000,000, to remain available until expended: Pro-12
vided, That such amounts are appropriated pursuant to 13
section 1001(b)(3) of such Act, are to be derived from 14
amounts transferred under section 1001(b)(2)(A) of such 15
Act, and may be transferred by the Director of the Na-16
tional Institutes of Health to other accounts of the Na-17
tional Institutes of Health solely for the purposes provided 18
in such Act: Provided further, That upon a determination 19
by the Director that funds transferred pursuant to the 20
previous proviso are not necessary for the purposes pro-21
vided, such amounts may be transferred back to the Ac-22
count: Provided further, That the transfer authority pro-23
vided under this heading is in addition to any other trans-24
fer authority provided by law. 25
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ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 1
For carrying out section 301 and part J of title IV 2
of the PHS Act with respect to advanced research projects 3
for health, $500,000,000. 4
S
UBSTANCEABUSE ANDMENTALHEALTHSERVICES 5
A
DMINISTRATION 6
MENTAL HEALTH 7
For carrying out titles III, V, and XIX of the PHS 8
Act with respect to mental health, the Protection and Ad-9
vocacy for Individuals with Mental Illness Act, and the 10
SUPPORT for Patients and Communities Act, 11
$2,706,282,000: Provided, That of the funds made avail-12
able under this heading, $93,887,000 shall be for the Na-13
tional Child Traumatic Stress Initiative: Provided further, 14
That notwithstanding section 520A(f)(2) of the PHS Act, 15
no funds appropriated for carrying out section 520A shall 16
be available for carrying out section 1971 of the PHS Act: 17
Provided further, That in addition to amounts provided 18
herein, $21,039,000 shall be available under section 241 19
of the PHS Act to carry out subpart I of part B of title 20
XIX of the PHS Act to fund section 1920(b) technical 21
assistance, national data, data collection and evaluation 22
activities, and further that the total available under this 23
Act for section 1920(b) activities shall not exceed 5 per-24
cent of the amounts appropriated for subpart I of part 25
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B of title XIX: Provided further, That of the funds made 1
available under this heading for subpart I of part B of 2
title XIX of the PHS Act, at least 5 percent shall be avail-3
able to support evidence-based crisis systems: Provided 4
further, That up to 10 percent of the amounts made avail-5
able to carry out the Children’s Mental Health Services 6
program may be used to carry out demonstration grants 7
or contracts for early interventions with persons not more 8
than 25 years of age at clinical high risk of developing 9
a first episode of psychosis: Provided further, That section 10
520E(b)(2) of the PHS Act shall not apply to funds ap-11
propriated in this Act for fiscal year 2024: Provided fur-12
ther, That $385,000,000 shall be available for grants to 13
communities and community organizations who meet cri-14
teria for Certified Community Behavioral Health Clinics 15
pursuant to section 223(a) of Public Law 113–93: Pro-16
vided further, That none of the funds provided for section 17
1911 of the PHS Act shall be subject to section 241 of 18
such Act: Provided further, That of the funds made avail-19
able under this heading, $21,420,000 shall be to carry out 20
section 224 of the Protecting Access to Medicare Act of 21
2014 (Public Law 113–93; 42 U.S.C. 290aa 22 note). 22
SUBSTANCE ABUSE TREATMENT 23
For carrying out titles III and V of the PHS Act 24
with respect to substance abuse treatment and title XIX 25
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of such Act with respect to substance abuse treatment and 1
prevention, section 1003 of the 21st Century Cures Act, 2
and the SUPPORT for Patients and Communities Act, 3
$3,980,103,000: Provided, That $1,583,000,000 shall be 4
for carrying out section 1003 of the 21st Century Cures 5
Act: Provided further, That of such amount in the pre-6
ceding proviso not less than 4 percent shall be made avail-7
able to Indian Tribes or tribal organizations: Provided fur-8
ther, That of the amount reserved by the previous proviso, 9
the Secretary shall award grants using data that the Sec-10
retary determines to be the most objective and reliable 11
measure of drug use and drug-related deaths: Provided 12
further, That in addition to amounts provided herein, the 13
following amounts shall be available under section 241 of 14
the PHS Act: (1) $79,200,000 to carry out subpart II 15
of part B of title XIX of the PHS Act to fund section 16
1935(b) technical assistance, national data, data collection 17
and evaluation activities, and further that the total avail-18
able under this Act for section 1935(b) activities shall not 19
exceed 5 percent of the amounts appropriated for subpart 20
II of part B of title XIX; and (2) $2,000,000 to evaluate 21
substance abuse treatment programs: Provided further, 22
That none of the funds provided for section 1921 of the 23
PHS Act or State Opioid Response Grants shall be subject 24
to section 241 of such Act. 25
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SUBSTANCE ABUSE PREVENTION 1
For carrying out titles III and V of the PHS Act 2
with respect to substance abuse prevention, $179,602,000. 3
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 4
For program support and cross-cutting activities that 5
supplement activities funded under the headings ‘‘Mental 6
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 7
Abuse Prevention’’ in carrying out titles III, V, and XIX 8
of the PHS Act and the Protection and Advocacy for Indi-9
viduals with Mental Illness Act in the Substance Abuse 10
and Mental Health Services Administration, 11
$109,895,000: Provided, That in addition to amounts pro-12
vided herein, $31,428,000 shall be available under section 13
241 of the PHS Act to supplement funds available to 14
carry out national surveys on drug abuse and mental 15
health, to collect and analyze program data, and to con-16
duct public awareness and technical assistance activities: 17
Provided further, That, in addition, fees may be collected 18
for the costs of publications, data, data tabulations, and 19
data analysis completed under title V of the PHS Act and 20
provided to a public or private entity upon request, which 21
shall be credited to this appropriation and shall remain 22
available until expended for such purposes: Provided fur-23
ther, That amounts made available in this Act for carrying 24
out section 501(o) of the PHS Act shall remain available 25
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through September 30, 2025: Provided further, That funds 1
made available under this heading (other than amounts 2
specified in the first proviso under this heading) may be 3
used to supplement program support funding provided 4
under the headings ‘‘Mental Health’’, ‘‘Substance Abuse 5
Treatment’’, and ‘‘Substance Abuse Prevention’’. 6
C
ENTERS FORMEDICARE& MEDICAIDSERVICES 7
GRANTS TO STATES FOR MEDICAID 8
For carrying out, except as otherwise provided, titles 9
XI and XIX of the Social Security Act, $406,956,850,000, 10
to remain available until expended. 11
In addition, for carrying out such titles after May 31, 12
2024, for the last quarter of fiscal year 2024 for unantici-13
pated costs incurred for the current fiscal year, such sums 14
as may be necessary, to remain available until expended. 15
In addition, for carrying out such titles for the first 16
quarter of fiscal year 2025, $245,580,414,000, to remain 17
available until expended. 18
Payment under such title XIX may be made for any 19
quarter with respect to a State plan or plan amendment 20
in effect during such quarter, if submitted in or prior to 21
such quarter and approved in that or any subsequent 22
quarter. 23
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PAYMENTS TO THE HEALTH CARE TRUST FUNDS 1
For payment to the Federal Hospital Insurance 2
Trust Fund and the Federal Supplementary Medical In-3
surance Trust Fund, as provided under sections 217(g), 4
1844, and 1860D–16 of the Social Security Act, sections 5
103(c) and 111(d) of the Social Security Amendments of 6
1965, section 278(d)(3) of Public Law 97–248, and for 7
administrative expenses incurred pursuant to section 8
201(g) of the Social Security Act, $476,725,000,000. 9
In addition, for making matching payments under 10
section 1844 and benefit payments under section 1860D– 11
16 of the Social Security Act that were not anticipated 12
in budget estimates, such sums as may be necessary. 13
PROGRAM MANAGEMENT 14
For carrying out, except as otherwise provided, titles 15
XI, XVIII, XIX, and XXI of the Social Security Act, titles 16
XIII and XXVII of the PHS Act, the Clinical Laboratory 17
Improvement Amendments of 1988, and other responsibil-18
ities of the Centers for Medicare & Medicaid Services, not 19
to exceed $3,326,690,000 to be transferred from the Fed-20
eral Hospital Insurance Trust Fund and the Federal Sup-21
plementary Medical Insurance Trust Fund, as authorized 22
by section 201(g) of the Social Security Act; together with 23
all funds collected in accordance with section 353 of the 24
PHS Act and section 1857(e)(2) of the Social Security 25
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Act, funds retained by the Secretary pursuant to section 1
1893(h) of the Social Security Act, and such sums as may 2
be collected from authorized user fees and the sale of data, 3
which shall be credited to this account and remain avail-4
able until expended: Provided, That all funds derived in 5
accordance with 31 U.S.C. 9701 from organizations estab-6
lished under title XIII of the PHS Act shall be credited 7
to and available for carrying out the purposes of this ap-8
propriation: Provided further, That the Secretary is di-9
rected to collect fees in fiscal year 2024 from Medicare 10
Advantage organizations pursuant to section 1857(e)(2) 11
of the Social Security Act and from eligible organizations 12
with risk-sharing contracts under section 1876 of that Act 13
pursuant to section 1876(k)(4)(D) of that Act: Provided 14
further, That of the amount made available under this 15
heading, $397,334,000 shall remain available until Sep-16
tember 30, 2025, and shall be available for the Survey 17
and Certification Program: Provided further, That 18
amounts available under this heading to support quality 19
improvement organizations (as defined in section 1152 of 20
the Social Security Act) shall not exceed the amount spe-21
cifically provided for such purpose under this heading in 22
division H of the Consolidated Appropriations Act, 2018 23
(Public Law 115–141). 24
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HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 1
In addition to amounts otherwise available for pro-2
gram integrity and program management, $915,000,000, 3
to remain available through September 30, 2025, to be 4
transferred from the Federal Hospital Insurance Trust 5
Fund and the Federal Supplementary Medical Insurance 6
Trust Fund, as authorized by section 201(g) of the Social 7
Security Act, of which $675,648,000 shall be for the Cen-8
ters for Medicare & Medicaid Services program integrity 9
activities, of which $100,145,000 shall be for the Depart-10
ment of Health and Human Services Office of Inspector 11
General to carry out fraud and abuse activities authorized 12
by section 1817(k)(3) of such Act, and of which 13
$132,207,000 shall be for the Department of Justice to 14
carry out fraud and abuse activities authorized by section 15
1817(k)(3) of such Act: Provided, That the report re-16
quired by section 1817(k)(5) of the Social Security Act 17
for fiscal year 2024 shall include measures of the oper-18
ational efficiency and impact on fraud, waste, and abuse 19
in the Medicare, Medicaid, and CHIP programs for the 20
funds provided by this appropriation: Provided further, 21
That of the amount provided under this heading, 22
$311,000,000 is provided to meet the terms of section 23
251(b)(2)(C)(ii) of the Balanced Budget and Emergency 24
Deficit Control Act of 1985, as amended, and 25
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$604,000,000 is additional new budget authority specified 1
for purposes of section 251(b)(2)(C)(i)(XI) of such Act 2
for additional health care fraud and abuse control activi-3
ties: Provided further, That the Secretary shall provide not 4
less than $35,000,000 from amounts made available under 5
this heading and amounts made available for fiscal year 6
2024 under section 1817(k)(3)(A) of the Social Security 7
Act for the Senior Medicare Patrol program to combat 8
health care fraud and abuse. 9
A
DMINISTRATION FOR CHILDREN ANDFAMILIES 10
PAYMENTS TO STATES FOR CHILD SUPPORT 11
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 12
For carrying out, except as otherwise provided, titles 13
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 14
and the Act of July 5, 1960, $3,309,000,000, to remain 15
available until expended; and for such purposes for the 16
first quarter of fiscal year 2025, $1,400,000,000, to re-17
main available until expended. 18
For carrying out, after May 31 of the current fiscal 19
year, except as otherwise provided, titles I, IV–D, X, XI, 20
XIV, and XVI of the Social Security Act and the Act of 21
July 5, 1960, for the last 3 months of the current fiscal 22
year for unanticipated costs, incurred for the current fiscal 23
year, such sums as may be necessary. 24
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LOW INCOME HOME ENERGY ASSISTANCE 1
For making payments under subsections (b) and (d) 2
of section 2602 of the Low-Income Home Energy Assist-3
ance Act of 1981 (42 U.S.C. 8621 et seq.), 4
$4,011,000,000: Provided, That notwithstanding section 5
2609A(a) of such Act, not more than $9,600,000 may be 6
reserved by the Secretary for technical assistance, train-7
ing, and monitoring of program activities for compliance 8
with internal controls, policies and procedures, and to sup-9
plement funding otherwise available for necessary admin-10
istrative expenses to carry out such Act, and the Secretary 11
may, in addition to the authorities provided in section 12
2609A(a)(1), use such funds through contracts with pri-13
vate entities that do not qualify as nonprofit organiza-14
tions: Provided further, That all but $900,000,000 of the 15
amount appropriated under this heading shall be allocated 16
as though the total appropriation for such payments for 17
fiscal year 2024 was less than $1,975,000,000: Provided 18
further, That, after applying all applicable provisions of 19
section 2604 of such Act and the previous proviso, each 20
State or territory that would otherwise receive an alloca-21
tion that is less than 97 percent of the amount that it 22
received under this heading for fiscal year 2023 from 23
amounts appropriated in Public Law 117–328 shall have 24
its allocation increased to that 97 percent level, with the 25
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portions of other States’ and territories’ allocations that 1
would exceed 100 percent of the amounts they respectively 2
received in such fashion for fiscal year 2023 being ratably 3
reduced. 4
REFUGEE AND ENTRANT ASSISTANCE 5
For necessary expenses for refugee and entrant as-6
sistance activities authorized by section 414 of the Immi-7
gration and Nationality Act and section 501 of the Ref-8
ugee Education Assistance Act of 1980, and for carrying 9
out section 462 of the Homeland Security Act of 2002, 10
section 235 of the William Wilberforce Trafficking Victims 11
Protection Reauthorization Act of 2008, the Trafficking 12
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-13
ture Victims Relief Act of 1998, $2,756,956,000, of which 14
$2,707,201,000 shall remain available through September 15
30, 2026, for carrying out such sections 414, 501, 462, 16
and 235: Provided, That amounts available under this 17
heading to carry out the TVPA shall also be available for 18
research and evaluation with respect to activities under 19
such Act: Provided further, That the contribution of funds 20
requirement under section 235(c)(6)(C)(iii) of the William 21
Wilberforce Trafficking Victims Protection Reauthoriza-22
tion Act of 2008 shall not apply to funds made available 23
under this heading. 24
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PAYMENTS TO STATES FOR THE CHILD CARE AND 1
DEVELOPMENT BLOCK GRANT 2
For carrying out the Child Care and Development 3
Block Grant Act of 1990 (‘‘CCDBG Act’’), 4
$8,021,387,000 shall be used to supplement, not supplant 5
State general revenue funds for child care assistance for 6
low-income families: Provided, That technical assistance 7
under section 658I(a)(3) of such Act may be provided di-8
rectly, or through the use of contracts, grants, cooperative 9
agreements, or interagency agreements: Provided further, 10
That all funds made available to carry out section 418 11
of the Social Security Act (42 U.S.C. 618), including 12
funds appropriated for that purpose in such section 418 13
or any other provision of law, shall be subject to the res-14
ervation of funds authority in paragraphs (4) and (5) of 15
section 658O(a) of the CCDBG Act: Provided further, 16
That notwithstanding section 658O(a)(2) of such Act, 5 17
percent of the amount appropriated under this heading for 18
such Act shall be reserved under such section for Indian 19
tribes and tribal organizations with applications approved 20
under section 658O(c) of such Act: Provided further, That 21
of the amounts made available under this heading, the 22
Secretary may reserve up to 0.5 percent for Federal ad-23
ministrative expenses. 24
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SOCIAL SERVICES BLOCK GRANT 1
For making grants to States pursuant to section 2
2002 of the Social Security Act, $1,700,000,000: Pro-3
vided, That notwithstanding subparagraph (B) of section 4
404(d)(2) of such Act, the applicable percent specified 5
under such subparagraph for a State to carry out State 6
programs pursuant to title XX–A of such Act shall be 10 7
percent. 8
CHILDREN AND FAMILIES SERVICES PROGRAMS 9
For carrying out, except as otherwise provided, the 10
Runaway and Homeless Youth Act, the Head Start Act, 11
the Every Student Succeeds Act, the Child Abuse Preven-12
tion and Treatment Act, sections 303 and 313 of the 13
Family Violence Prevention and Services Act, the Native 14
American Programs Act of 1974, title II of the Child 15
Abuse Prevention and Treatment and Adoption Reform 16
Act of 1978 (adoption opportunities), part B–1 of title IV 17
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 18
of the Social Security Act, and the Community Services 19
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-20
istrative expenses to carry out titles I, IV, V, X, XI, XIV, 21
XVI, and XX–A of the Social Security Act, the Act of 22
July 5, 1960, and the Low-Income Home Energy Assist-23
ance Act of 1981, $13,388,077,000, of which 24
$75,000,000, to remain available through September 30, 25
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2025, shall be for grants to States for adoption and legal 1
guardianship incentive payments, as defined by section 2
473A of the Social Security Act and may be made for 3
adoptions and legal guardianships completed before Sep-4
tember 30, 2024: Provided, That $11,246,820,000 shall 5
be for making payments under the Head Start Act, includ-6
ing for Early Head Start–Child Care Partnerships, and, 7
of which, notwithstanding section 640 of such Act: 8
(1) $25,000,000 shall be available for allocation 9
by the Secretary to supplement activities described 10
in paragraphs (7)(B) and (9) of section 641(c) of 11
the Head Start Act under the Designation Renewal 12
System, established under the authority of sections 13
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 14
and such funds shall not be included in the calcula-15
tion of ‘‘base grant’’ in subsequent fiscal years, as 16
such term is used in section 640(a)(7)(A) of such 17
Act; 18
(2) $8,000,000 shall be available for the Tribal 19
Colleges and Universities Head Start Partnership 20
Program consistent with section 648(g) of such Act; 21
and 22
(3) up to $40,000,000 shall be available to sup-23
plement funding otherwise available for research, 24
evaluation, and Federal administrative costs: 25
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Provided further, That notwithstanding the income eligi-1
bility requirements of subsection (a) and paragraphs (1) 2
and (2) of subsection (d) of section 645 of the Head Start 3
Act, and of the income eligibility criteria and allowances 4
prescribed in regulations under such Act, an Indian tribe 5
that operates a Head Start program may, at its discretion, 6
establish selection criteria, including criteria to prioritize 7
children in families for which a child, a family member, 8
or a member of the same household, is a member of an 9
Indian tribe, to enroll children who would benefit from the 10
Head Start program: Provided further, That the Secretary 11
may reduce the reservation of funds under section 12
640(a)(2)(C) of such Act in lieu of reducing the reserva-13
tion of funds under sections 640(a)(2)(B), 640(a)(2)(D), 14
and 640(a)(2)(E) of such Act: Provided further, That 15
$804,383,000 shall be for making payments under the 16
CSBG Act: Provided further, That $34,383,000 shall be 17
for section 680 of the CSBG Act, of which not less than 18
$22,383,000 shall be for section 680(a)(2) and not less 19
than $12,000,000 shall be for section 680(a)(3)(B) of 20
such Act: Provided further, That, notwithstanding section 21
675C(a)(3) of the CSBG Act, to the extent Community 22
Services Block Grant funds are distributed as grant funds 23
by a State to an eligible entity as provided under such 24
Act, and have not been expended by such entity, they shall 25
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remain with such entity for carryover into the next fiscal 1
year for expenditure by such entity consistent with pro-2
gram purposes: Provided further, That the Secretary shall 3
establish procedures regarding the disposition of intan-4
gible assets and program income that permit such assets 5
acquired with, and program income derived from, grant 6
funds authorized under section 680 of the CSBG Act to 7
become the sole property of such grantees after a period 8
of not more than 12 years after the end of the grant pe-9
riod for any activity consistent with section 680(a)(2)(A) 10
of the CSBG Act: Provided further, That intangible assets 11
in the form of loans, equity investments and other debt 12
instruments, and program income may be used by grant-13
ees for any eligible purpose consistent with section 14
680(a)(2)(A) of the CSBG Act: Provided further, That 15
these procedures shall apply to such grant funds made 16
available after November 29, 1999: Provided further, That 17
funds appropriated for section 680(a)(2) of the CSBG Act 18
shall be available for financing construction and rehabili-19
tation and loans or investments in private business enter-20
prises owned by community development corporations: 21
Provided further, That $240,000,000 shall be for carrying 22
out section 303(a) of the Family Violence Prevention and 23
Services Act, of which $7,000,000 shall be allocated not-24
withstanding section 303(a)(2) of such Act for carrying 25
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out section 309 of such Act: Provided further, That the 1
percentages specified in section 112(a)(2) of the Child 2
Abuse Prevention and Treatment Act shall not apply to 3
funds appropriated under this heading: Provided further, 4
That $1,864,000 shall be for a human services case man-5
agement system for federally declared disasters, to include 6
a comprehensive national case management contract and 7
Federal costs of administering the system: Provided fur-8
ther, That up to $2,000,000 shall be for improving the 9
Public Assistance Reporting Information System, includ-10
ing grants to States to support data collection for a study 11
of the system’s effectiveness. 12
PROMOTING SAFE AND STABLE FAMILIES 13
For carrying out, except as otherwise provided, sec-14
tion 436 of the Social Security Act, $345,000,000 and, 15
for carrying out, except as otherwise provided, section 437 16
of such Act, $86,515,000: Provided, That of the funds 17
available to carry out section 437, $59,765,000 shall be 18
allocated consistent with subsections (b) through (d) of 19
such section: Provided, That of the funds available to 20
carry out section 437, to assist in meeting the require-21
ments described in section 471(e)(4)(C), $20,000,000 22
shall be for grants to each State, territory, and Indian 23
tribe operating title IV–E plans for developing, enhancing, 24
or evaluating kinship navigator programs, as described in 25
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section 427(a)(1) of such Act and $6,750,000, in addition 1
to funds otherwise appropriated in section 476 for such 2
purposes, shall be for the Family First Clearinghouse and 3
to support evaluation and technical assistance relating to 4
the evaluation of child and family services: Provided fur-5
ther, That section 437(b)(1) shall be applied to amounts 6
in the previous proviso by substituting ‘‘5 percent’’ for 7
‘‘3.3 percent’’, and notwithstanding section 436(b)(1), 8
such reserved amounts may be used for identifying, estab-9
lishing, and disseminating practices to meet the criteria 10
specified in section 471(e)(4)(C): Provided further, That 11
the reservation in section 437(b)(2) and the limitations 12
in section 437(d) shall not apply to funds specified in the 13
second proviso: Provided further, That the minimum grant 14
award for kinship navigator programs in the case of States 15
and territories shall be $200,000, and, in the case of 16
tribes, shall be $25,000. 17
PAYMENTS FOR FOSTER CARE AND PERMANENCY 18
For carrying out, except as otherwise provided, title 19
IV–E of the Social Security Act, $8,594,000,000. 20
For carrying out, except as otherwise provided, title 21
IV–E of the Social Security Act, for the first quarter of 22
fiscal year 2025, $3,400,000,000. 23
For carrying out, after May 31 of the current fiscal 24
year, except as otherwise provided, section 474 of title IV– 25
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E of the Social Security Act, for the last 3 months of the 1
current fiscal year for unanticipated costs, incurred for the 2
current fiscal year, such sums as may be necessary. 3
A
DMINISTRATION FOR COMMUNITYLIVING 4
AGING AND DISABILITY SERVICES PROGRAMS 5
(INCLUDING TRANSFER OF FUNDS) 6
For carrying out, to the extent not otherwise pro-7
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 8
RAISE Family Caregivers Act, the Supporting Grand-9
parents Raising Grandchildren Act, titles III and XXIX 10
of the PHS Act, sections 1252 and 1253 of the PHS Act, 11
section 119 of the Medicare Improvements for Patients 12
and Providers Act of 2008, title XX–B of the Social Secu-13
rity Act, the Developmental Disabilities Assistance and 14
Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 15
of title II of the Help America Vote Act of 2002, the As-16
sistive Technology Act of 1998, titles II and VII (and sec-17
tion 14 with respect to such titles) of the Rehabilitation 18
Act of 1973, and for Department-wide coordination of pol-19
icy and program activities that assist individuals with dis-20
abilities, $2,418,901,000, together with $55,242,000 to be 21
transferred from the Federal Hospital Insurance Trust 22
Fund and the Federal Supplementary Medical Insurance 23
Trust Fund to carry out section 4360 of the Omnibus 24
Budget Reconciliation Act of 1990: Provided, That of 25
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amounts made available under this heading to carry out 1
sections 311, 331, and 336 of the OAA, up to one percent 2
of such amounts shall be available for developing and im-3
plementing evidence-based practices for enhancing senior 4
nutrition, including medically-tailored meals: Provided fur-5
ther, That notwithstanding any other provision of this Act, 6
funds made available under this heading to carry out sec-7
tion 311 of the OAA may be transferred to the Secretary 8
of Agriculture in accordance with such section: Provided 9
further, That up to 5 percent of the funds provided for 10
adult protective services grants under section 2042 of title 11
XX of the Social Security Act may be used to make grants 12
to Tribes and tribal organizations: Provided further, That 13
$2,000,000 shall be for competitive grants to support al-14
ternative financing programs that provide for the purchase 15
of assistive technology devices, such as a low-interest loan 16
fund; an interest buy-down program; a revolving loan 17
fund; a loan guarantee; or an insurance program: Provided 18
further, That applicants shall provide an assurance that, 19
and information describing the manner in which, the alter-20
native financing program will expand and emphasize con-21
sumer choice and control: Provided further, That State 22
agencies and community-based disability organizations 23
that are directed by and operated for individuals with dis-24
abilities shall be eligible to compete: Provided further, That 25
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none of the funds made available under this heading may 1
be used by an eligible system (as defined in section 102 2
of the Protection and Advocacy for Individuals with Men-3
tal Illness Act (42 U.S.C. 10802)) to continue to pursue 4
any legal action in a Federal or State court on behalf of 5
an individual or group of individuals with a developmental 6
disability (as defined in section 102(8)(A) of the Develop-7
mental Disabilities and Assistance and Bill of Rights Act 8
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 9
a mental impairment (or a combination of mental and 10
physical impairments), that has as the requested remedy 11
the closure of State operated intermediate care facilities 12
for people with intellectual or developmental disabilities, 13
unless reasonable public notice of the action has been pro-14
vided to such individuals (or, in the case of mental inca-15
pacitation, the legal guardians who have been specifically 16
awarded authority by the courts to make healthcare and 17
residential decisions on behalf of such individuals) who are 18
affected by such action, within 90 days of instituting such 19
legal action, which informs such individuals (or such legal 20
guardians) of their legal rights and how to exercise such 21
rights consistent with current Federal Rules of Civil Pro-22
cedure: Provided further, That the limitations in the imme-23
diately preceding proviso shall not apply in the case of an 24
individual who is neither competent to consent nor has a 25
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legal guardian, nor shall the proviso apply in the case of 1
individuals who are a ward of the State or subject to pub-2
lic guardianship. 3
A
DMINISTRATION FOR STRATEGICPREPAREDNESS AND 4
R
ESPONSE 5
RESEARCH, DEVELOPMENT, AND PROCUREMENT 6
For carrying out title III and subtitles A and B of 7
title XXVIII of the PHS Act, with respect to the research, 8
development, storage, production, and procurement of 9
medical countermeasures to counter potential chemical, bi-10
ological, radiological, and nuclear threats to civilian popu-11
lations, $3,277,991,000. Of such amount: 12
(1) $1,100,000,000 shall be for expenses nec-13
essary to support advanced research and develop-14
ment pursuant to section 319L of the PHS Act and 15
other administrative expenses of the Biomedical Ad-16
vanced Research and Development Authority, to re-17
main available through September 30, 2025: Pro-18
vided, That funds provided under this heading for 19
purposes of acquisition of security countermeasures 20
shall be in addition to any other funds made avail-21
able for such purposes: Provided further, That prod-22
ucts purchased with funds made available under this 23
paragraph may, at the discretion of the Secretary, 24
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be deposited in the Strategic National Stockpile pur-1
suant to section 319F–2 of the PHS Act; 2
(2) $850,000,000 shall be for expenses nec-3
essary for procuring security countermeasures (as 4
defined in section 319F–2(c)(1)(B) of the PHS 5
Act), to remain available until expended; 6
(3) $1,000,000,000 shall be for expenses nec-7
essary to carry out section 319F–2(a) of the PHS 8
Act, to remain available until expended; and 9
(4) $327,991,000 shall be for expenses nec-10
essary to prepare for or respond to an influenza 11
pandemic, of which $300,000,000 shall remain avail-12
able until expended for activities including the devel-13
opment and purchase of vaccines, antivirals, nec-14
essary medical supplies, diagnostics, and surveillance 15
tools: Provided, That notwithstanding section 496(b) 16
of the PHS Act, funds allocated under this para-17
graph may be used for the construction or renova-18
tion of privately owned facilities for the production 19
of pandemic influenza vaccines and other biologics, 20
if the Secretary finds such construction or renova-21
tion necessary to secure sufficient supplies of such 22
vaccines or biologics. 23
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OPERATIONS AND EMERGENCY RESPONSE 1
For carrying out titles III, XII, and subtitles A and 2
B of title XXVIII of the PHS Act, operations and emer-3
gency response activities related to countering potential 4
chemical biological, radiological, and nuclear threats and 5
other public health emergencies, $342,606,000. 6
O
FFICE OF THESECRETARY 7
GENERAL DEPARTMENTAL MANAGEMENT 8
For necessary expenses, not otherwise provided, for 9
general departmental management, for carrying out titles 10
III, XVII, XXI, and section 229 of the PHS Act, the 11
United States-Mexico Border Health Commission Act, and 12
research studies under section 1110 of the Social Security 13
Act, $402,341,000, together with $58,028,000 from the 14
amounts available under section 241 of the PHS Act to 15
carry out national health or human services research and 16
evaluation activities: Provided, That of this amount, 17
$28,000,000 shall be for minority AIDS prevention and 18
treatment activities: Provided further, That of the funds 19
made available under this heading, $40,000,000 shall be 20
for making competitive grants which exclusively imple-21
ment education in sexual risk avoidance (defined as volun-22
tarily refraining from non-marital sexual activity): Pro-23
vided further, That funding for such competitive grants 24
for sexual risk avoidance shall use medically accurate in-25
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formation referenced to peer-reviewed publications by edu-1
cational, scientific, governmental, or health organizations; 2
implement an evidence-based approach integrating re-3
search findings with practical implementation that aligns 4
with the needs and desired outcomes for the intended au-5
dience; and teach the benefits associated with self-regula-6
tion, success sequencing for poverty prevention, healthy 7
relationships, goal setting, and resisting sexual coercion, 8
dating violence, and other youth risk behaviors such as 9
underage drinking or illicit drug use without normalizing 10
teen sexual activity: Provided further, That no more than 11
10 percent of the funding for such competitive grants for 12
sexual risk avoidance shall be available for technical assist-13
ance and administrative costs of such programs: Provided 14
further, That funds provided in this Act for embryo adop-15
tion activities may be used to provide to individuals adopt-16
ing embryos, through grants and other mechanisms, med-17
ical and administrative services deemed necessary for such 18
adoptions: Provided further, That such services shall be 19
provided consistent with 42 CFR 59.5(a)(4): Provided fur-20
ther, That of the funds made available under this heading, 21
$5,000,000 shall be for carrying out prize competitions 22
sponsored by the Office of the Secretary to accelerate in-23
novation in the prevention, diagnosis, and treatment of 24
kidney diseases (as authorized by section 24 of the Steven-25
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son-Wydler Technology Innovation Act of 1980 (15 U.S.C. 1
3719)). 2
MEDICARE HEARINGS AND APPEALS 3
For expenses necessary for Medicare hearings and 4
appeals in the Office of the Secretary, $196,000,000, of 5
which $40,000,000 shall remain available until September 6
30, 2025, to be transferred in appropriate part from the 7
Federal Hospital Insurance Trust Fund and the Federal 8
Supplementary Medical Insurance Trust Fund. 9
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 10
INFORMATION TECHNOLOGY 11
For expenses necessary for the Office of the National 12
Coordinator for Health Information Technology, including 13
grants, contracts, and cooperative agreements for the de-14
velopment and advancement of interoperable health infor-15
mation technology, $56,238,000 shall be from amounts 16
made available under section 241 of the PHS Act. 17
OFFICE OF INSPECTOR GENERAL 18
For expenses necessary for the Office of Inspector 19
General, including the hire of passenger motor vehicles for 20
investigations, in carrying out the provisions of the Inspec-21
tor General Act of 1978, $80,000,000: Provided, That of 22
such amount, necessary sums shall be available for pro-23
viding protective services to the Secretary and inves-24
tigating non-payment of child support cases for which non- 25
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payment is a Federal offense under 18 U.S.C. 228: Pro-1
vided further, That of the amount appropriated under this 2
heading, necessary sums shall be available for carrying out 3
activities authorized under section 3022 of the PHS Act 4
(42 U.S.C. 300jj–52). 5
OFFICE FOR CIVIL RIGHTS 6
For expenses necessary for the Office for Civil 7
Rights, $32,000,000. 8
RETIREMENT PAY AND MEDICAL BENEFITS FOR 9
COMMISSIONED OFFICERS 10
For retirement pay and medical benefits of Public 11
Health Service Commissioned Officers as authorized by 12
law, for payments under the Retired Serviceman’s Family 13
Protection Plan and Survivor Benefit Plan, and for med-14
ical care of dependents and retired personnel under the 15
Dependents’ Medical Care Act, such amounts as may be 16
required during the current fiscal year. 17
G
ENERALPROVISIONS 18
S
EC. 201. Funds appropriated in this title shall be 19
available for not to exceed $50,000 for official reception 20
and representation expenses when specifically approved by 21
the Secretary. 22
S
EC. 202. None of the funds appropriated in this title 23
shall be used to pay the salary of an individual, through 24
a grant or other extramural mechanism, at a rate in excess 25
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of Executive Level II: Provided, That none of the funds 1
appropriated in this title shall be used to prevent the NIH 2
from paying up to 100 percent of the salary of an indi-3
vidual at this rate. 4
S
EC. 203. None of the funds appropriated in this Act 5
may be expended pursuant to section 241 of the PHS Act, 6
except for funds specifically provided for in this Act, or 7
for other taps and assessments made by any office located 8
in HHS, prior to the preparation and submission of a re-9
port by the Secretary to the Committees on Appropria-10
tions of the House of Representatives and the Senate de-11
tailing the planned uses of such funds. 12
S
EC. 204. Notwithstanding section 241(a) of the 13
PHS Act, such portion as the Secretary shall determine, 14
but not more than 2.5 percent, of any amounts appro-15
priated for programs authorized under such Act shall be 16
made available for the evaluation (directly, or by grants 17
or contracts) of the implementation and effectiveness of 18
such programs. 19
(TRANSFER OF FUNDS) 20
S
EC. 205. Not to exceed 1 percent of any discre-21
tionary funds (pursuant to the Balanced Budget and 22
Emergency Deficit Control Act of 1985) which are appro-23
priated for the current fiscal year for HHS in this Act 24
may be transferred between appropriations, but no such 25
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appropriation shall be increased by more than 3 percent 1
by any such transfer: Provided, That the transfer author-2
ity granted by this section shall not be used to create any 3
new program or to fund any project or activity for which 4
no funds are provided in this Act: Provided further, That 5
the Committees on Appropriations of the House of Rep-6
resentatives and the Senate are notified at least 15 days 7
in advance of any transfer. 8
S
EC. 206. In lieu of the timeframe specified in section 9
338E(c)(2) of the PHS Act, terminations described in 10
such section may occur up to 60 days after the effective 11
date of a contract awarded in fiscal year 2024 under sec-12
tion 338B of such Act, or at any time if the individual 13
who has been awarded such contract has not received 14
funds due under the contract. 15
S
EC. 207. None of the funds appropriated in this Act 16
may be made available to any entity under title X of the 17
PHS Act unless the applicant for the award certifies to 18
the Secretary that it encourages family participation in 19
the decision of minors to seek family planning services and 20
that it provides counseling to minors on how to resist at-21
tempts to coerce minors into engaging in sexual activities. 22
S
EC. 208. Notwithstanding any other provision of 23
law, no provider of services under title X of the PHS Act 24
shall be exempt from any State law requiring notification 25
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or the reporting of child abuse, child molestation, sexual 1
abuse, rape, or incest. 2
S
EC. 209. None of the funds appropriated by this Act 3
(including funds appropriated to any trust fund) may be 4
used to carry out the Medicare Advantage program if the 5
Secretary denies participation in such program to an oth-6
erwise eligible entity (including a Provider Sponsored Or-7
ganization) because the entity informs the Secretary that 8
it will not provide, pay for, provide coverage of, or provide 9
referrals for abortions: Provided, That the Secretary shall 10
make appropriate prospective adjustments to the capita-11
tion payment to such an entity (based on an actuarially 12
sound estimate of the expected costs of providing the serv-13
ice to such entity’s enrollees): Provided further, That noth-14
ing in this section shall be construed to change the Medi-15
care program’s coverage for such services and a Medicare 16
Advantage organization described in this section shall be 17
responsible for informing enrollees where to obtain infor-18
mation about all Medicare covered services. 19
S
EC. 210. None of the funds made available in this 20
title may be used, in whole or in part, to advocate or pro-21
mote gun control. 22
S
EC. 211. The Secretary shall make available through 23
assignment not more than 60 employees of the Public 24
Health Service to assist in child survival activities and to 25
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work in AIDS programs through and with funds provided 1
by the Agency for International Development, the United 2
Nations International Children’s Emergency Fund or the 3
World Health Organization. 4
S
EC. 212. In order for HHS to carry out inter-5
national health activities, including HIV/AIDS and other 6
infectious disease, chronic and environmental disease, and 7
other health activities abroad during fiscal year 2024: 8
(1) The Secretary may exercise authority equiv-9
alent to that available to the Secretary of State in 10
section 2(c) of the State Department Basic Authori-11
ties Act of 1956. The Secretary shall consult with 12
the Secretary of State and relevant Chief of Mission 13
to ensure that the authority provided in this section 14
is exercised in a manner consistent with section 207 15
of the Foreign Service Act of 1980 and other appli-16
cable statutes administered by the Department of 17
State. 18
(2) The Secretary is authorized to provide such 19
funds by advance or reimbursement to the Secretary 20
of State as may be necessary to pay the costs of ac-21
quisition, lease, alteration, renovation, and manage-22
ment of facilities outside of the United States for 23
the use of HHS. The Department of State shall co-24
operate fully with the Secretary to ensure that HHS 25
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has secure, safe, functional facilities that comply 1
with applicable regulation governing location, set-2
back, and other facilities requirements and serve the 3
purposes established by this Act. The Secretary is 4
authorized, in consultation with the Secretary of 5
State, through grant or cooperative agreement, to 6
make available to public or nonprofit private institu-7
tions or agencies in participating foreign countries, 8
funds to acquire, lease, alter, or renovate facilities in 9
those countries as necessary to conduct programs of 10
assistance for international health activities, includ-11
ing activities relating to HIV/AIDS and other infec-12
tious diseases, chronic and environmental diseases, 13
and other health activities abroad. 14
(3) The Secretary is authorized to provide to 15
personnel appointed or assigned by the Secretary to 16
serve abroad, allowances and benefits similar to 17
those provided under chapter 9 of title I of the For-18
eign Service Act of 1980, and 22 U.S.C. 4081 19
through 4086 and subject to such regulations pre-20
scribed by the Secretary. The Secretary is further 21
authorized to provide locality-based comparability 22
payments (stated as a percentage) up to the amount 23
of the locality-based comparability payment (stated 24
as a percentage) that would be payable to such per-25
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sonnel under section 5304 of title 5, United States 1
Code if such personnel’s official duty station were in 2
the District of Columbia. Leaves of absence for per-3
sonnel under this subsection shall be on the same 4
basis as that provided under subchapter I of chapter 5
63 of title 5, United States Code, or section 903 of 6
the Foreign Service Act of 1980, to individuals serv-7
ing in the Foreign Service. 8
(TRANSFER OF FUNDS) 9
S
EC. 213. The Director of the NIH, jointly with the 10
Director of the Office of AIDS Research, may transfer up 11
to 3 percent among institutes and centers from the total 12
amounts identified by these two Directors as funding for 13
research pertaining to the human immunodeficiency virus: 14
Provided, That the Committees on Appropriations of the 15
House of Representatives and the Senate are notified at 16
least 15 days in advance of any transfer. 17
(TRANSFER OF FUNDS) 18
S
EC. 214. Of the amounts made available in this Act 19
for NIH, the amount for research related to the human 20
immunodeficiency virus, as jointly determined by the Di-21
rector of NIH and the Director of the Office of AIDS Re-22
search, shall be made available to the ‘‘Office of AIDS 23
Research’’ account. The Director of the Office of AIDS 24
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Research shall transfer from such account amounts nec-1
essary to carry out section 2353(d)(3) of the PHS Act. 2
S
EC. 215. (a) AUTHORITY.—Notwithstanding any 3
other provision of law, the Director of NIH (‘‘Director’’) 4
may use funds authorized under section 402(b)(12) of the 5
PHS Act to enter into transactions (other than contracts, 6
cooperative agreements, or grants) to carry out research 7
identified pursuant to or research and activities described 8
in such section 402(b)(12). 9
(b) P
EERREVIEW.—In entering into transactions 10
under subsection (a), the Director may utilize such peer 11
review procedures (including consultation with appropriate 12
scientific experts) as the Director determines to be appro-13
priate to obtain assessments of scientific and technical 14
merit. Such procedures shall apply to such transactions 15
in lieu of the peer review and advisory council review pro-16
cedures that would otherwise be required under sections 17
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 18
and 494 of the PHS Act. 19
S
EC. 216. Not to exceed $100,000,000 of funds ap-20
propriated by this Act to the institutes and centers of the 21
National Institutes of Health may be used for alteration, 22
repair, or improvement of facilities, as necessary for the 23
proper and efficient conduct of the activities authorized 24
herein, at not to exceed $5,000,000 per project. 25
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(TRANSFER OF FUNDS) 1
S
EC. 217. Of the amounts made available for NIH, 2
1 percent of the amount made available for National Re-3
search Service Awards (‘‘NRSA’’) shall be made available 4
to the Administrator of the Health Resources and Services 5
Administration to make NRSA awards for research in pri-6
mary medical care to individuals affiliated with entities 7
who have received grants or contracts under sections 736, 8
739, or 747 of the PHS Act, and 1 percent of the amount 9
made available for NRSA shall be made available to the 10
Director of the Agency for Healthcare Research and Qual-11
ity to make NRSA awards for health service research. 12
S
EC. 218. (a) The Biomedical Advanced Research 13
and Development Authority (‘‘BARDA’’) may enter into 14
a contract, for more than one but no more than 10 pro-15
gram years, for purchase of research services or of security 16
countermeasures, as that term is defined in section 319F– 17
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 18
if— 19
(1) funds are available and obligated— 20
(A) for the full period of the contract or 21
for the first fiscal year in which the contract is 22
in effect; and 23
(B) for the estimated costs associated with 24
a necessary termination of the contract; and 25
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(2) the Secretary determines that a multi-year 1
contract will serve the best interests of the Federal 2
Government by encouraging full and open competi-3
tion or promoting economy in administration, per-4
formance, and operation of BARDA’s programs. 5
(b) A contract entered into under this section— 6
(1) shall include a termination clause as de-7
scribed by subsection (c) of section 3903 of title 41, 8
United States Code; and 9
(2) shall be subject to the congressional notice 10
requirement stated in subsection (d) of such section. 11
S
EC. 219. (a) The Secretary shall publish in the fiscal 12
year 2025 budget justification and on Departmental Web 13
sites information concerning the employment of full-time 14
equivalent Federal employees or contractors for the pur-15
poses of implementing, administering, enforcing, or other-16
wise carrying out the provisions of the ACA, and the 17
amendments made by that Act, in the proposed fiscal year 18
and each fiscal year since the enactment of the ACA. 19
(b) With respect to employees or contractors sup-20
ported by all funds appropriated for purposes of carrying 21
out the ACA (and the amendments made by that Act), 22
the Secretary shall include, at a minimum, the following 23
information: 24
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(1) For each such fiscal year, the section of 1
such Act under which such funds were appropriated, 2
a statement indicating the program, project, or ac-3
tivity receiving such funds, the Federal operating di-4
vision or office that administers such program, and 5
the amount of funding received in discretionary or 6
mandatory appropriations. 7
(2) For each such fiscal year, the number of 8
full-time equivalent employees or contracted employ-9
ees assigned to each authorized and funded provision 10
detailed in accordance with paragraph (1). 11
(c) In carrying out this section, the Secretary may 12
exclude from the report employees or contractors who— 13
(1) are supported through appropriations en-14
acted in laws other than the ACA and work on pro-15
grams that existed prior to the passage of the ACA; 16
(2) spend less than 50 percent of their time on 17
activities funded by or newly authorized in the ACA; 18
or 19
(3) work on contracts for which FTE reporting 20
is not a requirement of their contract, such as fixed- 21
price contracts. 22
S
EC. 220. The Secretary shall publish, as part of the 23
fiscal year 2025 budget of the President submitted under 24
section 1105(a) of title 31, United States Code, informa-25
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tion that details the uses of all funds used by the Centers 1
for Medicare & Medicaid Services specifically for Health 2
Insurance Exchanges for each fiscal year since the enact-3
ment of the ACA and the proposed uses for such funds 4
for fiscal year 2025. Such information shall include, for 5
each such fiscal year, the amount of funds used for each 6
activity specified under the heading ‘‘Health Insurance 7
Exchange Transparency’’ in the committee report accom-8
panying this Act. 9
S
EC. 221. None of the funds made available by this 10
Act from the Federal Hospital Insurance Trust Fund or 11
the Federal Supplemental Medical Insurance Trust Fund, 12
or transferred from other accounts funded by this Act to 13
the ‘‘Centers for Medicare & Medicaid Services—Program 14
Management’’ account, may be used for payments under 15
section 1342(b)(1) of Public Law 111–148 (relating to 16
risk corridors). 17
(TRANSFER OF FUNDS) 18
S
EC. 222. (a) Within 45 days of enactment of this 19
Act, the Secretary shall transfer funds appropriated under 20
section 4002 of the ACA to the accounts specified, in the 21
amounts specified, and for the activities specified under 22
the heading ‘‘Prevention and Public Health Fund’’ in the 23
committee report accompanying this Act. 24
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(b) Notwithstanding section 4002(c) of the ACA, the 1
Secretary may not further transfer these amounts. 2
(c) Funds transferred for activities authorized under 3
section 2821 of the PHS Act shall be made available with-4
out reference to section 2821(b) of such Act. 5
S
EC. 223. Effective during the period beginning on 6
November 1, 2015 and ending January 1, 2025, any pro-7
vision of law that refers (including through cross-reference 8
to another provision of law) to the current recommenda-9
tions of the United States Preventive Services Task Force 10
with respect to breast cancer screening, mammography, 11
and prevention shall be administered by the Secretary in-12
volved as if— 13
(1) such reference to such current recommenda-14
tions were a reference to the recommendations of 15
such Task Force with respect to breast cancer 16
screening, mammography, and prevention last issued 17
before 2009; and 18
(2) such recommendations last issued before 19
2009 applied to any screening mammography modal-20
ity under section 1861(jj) of the Social Security Act 21
(42 U.S.C. 1395x(jj)). 22
(TRANSFER OF FUNDS) 23
S
EC. 224. The NIH Director may transfer funds for 24
opioid addiction, opioid alternatives, stimulant misuse and 25
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addiction, pain management, and addiction treatment to 1
other Institutes and Centers of the NIH to be used for 2
the same purpose 15 days after notifying the Committees 3
on Appropriations of the House of Representatives and the 4
Senate: Provided, That the transfer authority provided in 5
the previous proviso is in addition to any other transfer 6
authority provided by law. 7
S
EC. 225. (a) The Secretary shall provide to the 8
Committees on Appropriations of the House of Represent-9
atives and the Senate: 10
(1) Detailed monthly enrollment figures from 11
the Exchanges established under the Patient Protec-12
tion and Affordable Care Act of 2010 pertaining to 13
enrollments during the open enrollment period; and 14
(2) Notification of any new or competitive grant 15
awards, including supplements, authorized under 16
section 330 of the Public Health Service Act. 17
(b) The Committees on Appropriations of the House 18
and Senate must be notified at least 2 business days in 19
advance of any public release of enrollment information 20
or the award of such grants. 21
S
EC. 226. The Department of Health and Human 22
Services shall provide the Committees on Appropriations 23
of the House of Representatives and Senate a biannual 24
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report 30 days after enactment of this Act on staffing de-1
scribed in the committee report accompanying this Act. 2
S
EC. 227. Funds appropriated in this Act that are 3
available for salaries and expenses of employees of the De-4
partment of Health and Human Services shall also be 5
available to pay travel and related expenses of such an 6
employee or of a member of his or her family, when such 7
employee is assigned to duty, in the United States or in 8
a U.S. territory, during a period and in a location that 9
are the subject of a determination of a public health emer-10
gency under section 319 of the Public Health Service Act 11
and such travel is necessary to obtain medical care for 12
an illness, injury, or medical condition that cannot be ade-13
quately addressed in that location at that time. For pur-14
poses of this section, the term ‘‘U.S. territory’’ means 15
Guam, the Commonwealth of Puerto Rico, the Northern 16
Mariana Islands, the Virgin Islands, American Samoa, or 17
the Trust Territory of the Pacific Islands. 18
S
EC. 228. The Department of Health and Human 19
Services may accept donations from the private sector, 20
nongovernmental organizations, and other groups inde-21
pendent of the Federal Government for the care of unac-22
companied alien children (as defined in section 462(g)(2) 23
of the Homeland Security Act of 2002 (6 U.S.C. 24
279(g)(2))) in the care of the Office of Refugee Resettle-25
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ment of the Administration for Children and Families, in-1
cluding medical goods and services, which may include 2
early childhood developmental screenings, school supplies, 3
toys, clothing, and any other items intended to promote 4
the wellbeing of such children. 5
S
EC. 229. None of the funds made available in this 6
Act under the heading ‘‘Department of Health and 7
Human Services—Administration for Children and Fami-8
lies—Refugee and Entrant Assistance’’ may be obligated 9
to a grantee or contractor to house unaccompanied alien 10
children (as such term is defined in section 462(g)(2) of 11
the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 12
in any facility that is not State-licensed for the care of 13
unaccompanied alien children, except in the case that the 14
Secretary determines that housing unaccompanied alien 15
children in such a facility is necessary on a temporary 16
basis due to an influx of such children or an emergency, 17
provided that— 18
(1) the terms of the grant or contract for the 19
operations of any such facility that remains in oper-20
ation for more than six consecutive months shall re-21
quire compliance with— 22
(A) the same requirements as licensed 23
placements, as listed in Exhibit 1 of the Flores 24
Settlement Agreement that the Secretary deter-25
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mines are applicable to non-State licensed facili-1
ties; and 2
(B) staffing ratios of one (1) on-duty 3
Youth Care Worker for every eight (8) children 4
or youth during waking hours, one (1) on-duty 5
Youth Care Worker for every sixteen (16) chil-6
dren or youth during sleeping hours, and clini-7
cian ratios to children (including mental health 8
providers) as required in grantee cooperative 9
agreements; 10
(2) the Secretary may grant a 60-day waiver 11
for a contractor’s or grantee’s non-compliance with 12
paragraph (1) if the Secretary certifies and provides 13
a report to Congress on the contractor’s or grantee’s 14
good-faith efforts and progress towards compliance; 15
(3) not more than four consecutive waivers 16
under paragraph (2) may be granted to a contractor 17
or grantee with respect to a specific facility; 18
(4) ORR shall ensure full adherence to the 19
monitoring requirements set forth in section 5.5 of 20
its Policies and Procedures Guide as of May 15, 21
2019; 22
(5) for any such unlicensed facility in operation 23
for more than three consecutive months, ORR shall 24
conduct a minimum of one comprehensive moni-25
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toring visit during the first three months of oper-1
ation, with quarterly monitoring visits thereafter; 2
and 3
(6) not later than 60 days after the date of en-4
actment of this Act, ORR shall brief the Committees 5
on Appropriations of the House of Representatives 6
and the Senate outlining the requirements of ORR 7
for influx facilities including any requirement listed 8
in paragraph (1)(A) that the Secretary has deter-9
mined are not applicable to non-State licensed facili-10
ties. 11
S
EC. 230. In addition to the existing Congressional 12
notification for formal site assessments of potential influx 13
facilities, the Secretary shall notify the Committees on Ap-14
propriations of the House of Representatives and the Sen-15
ate at least 15 days before operationalizing an unlicensed 16
facility, and shall (1) specify whether the facility is hard- 17
sided or soft-sided, and (2) provide analysis that indicates 18
that, in the absence of the influx facility, the likely out-19
come is that unaccompanied alien children will remain in 20
the custody of the Department of Homeland Security for 21
longer than 72 hours or that unaccompanied alien children 22
will be otherwise placed in danger. Within 60 days of 23
bringing such a facility online, and monthly thereafter, the 24
Secretary shall provide to the Committees on Appropria-25
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tions of the House of Representatives and the Senate a 1
report detailing the total number of children in care at 2
the facility, the average length of stay and average length 3
of care of children at the facility, and, for any child that 4
has been at the facility for more than 60 days, their length 5
of stay and reason for delay in release. 6
S
EC. 231. None of the funds made available in this 7
Act may be used to prevent a United States Senator or 8
Member of the House of Representatives from entering, 9
for the purpose of conducting oversight, any facility in the 10
United States used for the purpose of maintaining custody 11
of, or otherwise housing, unaccompanied alien children (as 12
defined in section 462(g)(2) of the Homeland Security Act 13
of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 14
or Member has coordinated the oversight visit with the 15
Office of Refugee Resettlement not less than two business 16
days in advance to ensure that such visit would not inter-17
fere with the operations (including child welfare and child 18
safety operations) of such facility. 19
S
EC. 232. Not later than 14 days after the date of 20
enactment of this Act, and monthly thereafter, the Sec-21
retary shall submit to the Committees on Appropriations 22
of the House of Representatives and the Senate, and make 23
publicly available online, a report with respect to children 24
who were separated from their parents or legal guardians 25
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by the Department of Homeland Security (DHS) (regard-1
less of whether or not such separation was pursuant to 2
an option selected by the children, parents, or guardians), 3
subsequently classified as unaccompanied alien children, 4
and transferred to the care and custody of ORR during 5
the previous month. Each report shall contain the fol-6
lowing information: 7
(1) the number and ages of children so sepa-8
rated subsequent to apprehension at or between 9
ports of entry, to be reported by sector where sepa-10
ration occurred; and 11
(2) the documented cause of separation, as re-12
ported by DHS when each child was referred. 13
S
EC. 233. Funds appropriated in this Act that are 14
available for salaries and expenses of employees of the 15
Centers for Disease Control and Prevention shall also be 16
available for the primary and secondary schooling of eligi-17
ble dependents of personnel stationed in a U.S. territory 18
as defined in section 229 of this Act at costs not in excess 19
of those paid for or reimbursed by the Department of De-20
fense. 21
S
EC. 234. Section 231 of division B of the Depart-22
ment of Defense and Labor, Health and Human Services, 23
and Education Appropriations Act, 2019 and Continuing 24
Appropriations Act, 2019 (42 U.S.C. 247d–4a) is amend-25
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ed by striking ‘‘Provided further, That the Committees on 1
Appropriations of the House of Representatives’’ and all 2
that follows through ‘‘and all the actual obligations in-3
curred to date:’’ and inserting the following: ‘‘Provided 4
further, That the Director shall provide to the Committees 5
on Appropriations of the House of Representatives and the 6
Senate, at least 15 days in advance of any transfer or obli-7
gation of funds made under the authority provided in this 8
section, (1) a notification on the anticipated uses of such 9
funds by program, project, or activity; and (2) a detailed 10
spend plan of anticipated uses of funds, including esti-11
mated personnel and administrative costs, disaggregated 12
by program, project, or activity: Provided further, That 13
such spend plans shall be updated to include all applicable 14
obligations to date and unobligated amounts and sub-15
mitted quarterly to such Committees on Appropriations 16
until available funds are fully expended: Provided further, 17
That the Director shall brief such Committees on Appro-18
priations not later than 15 days after providing such a 19
notification: Provided further, That the Director shall pro-20
vide to such Committees on a monthly basis a report on 21
all amounts available in the Reserve Fund for the current 22
fiscal year and the preceding two fiscal years, including 23
(1) each individual obligation above $5,000,000; (2) with 24
respect to each such obligation, the notification to which 25
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it relates; and (3) the total amount unobligated in the Re-1
serve Fund:’’. 2
S
EC. 235. Title VIII of division B of the CARES Act 3
(Public Law 116–136) is amended, under the heading 4
‘‘Department of Health and Human Services–Centers for 5
Disease Control and Prevention–CDC-Wide Activities and 6
Program Support’’, by striking ‘‘Provided further, That 7
the Secretary of Health and Human Services, in consulta-8
tion with the Director of the CDC, shall provide a report 9
to the Committees on Appropriations of the House of Rep-10
resentatives and the Senate every 14 days, for one year 11
from the date from any such declaration or determination 12
described in the third proviso of section 231 of division 13
B of Public Law 115–245, that details commitment and 14
obligation information for the Reserve Fund during the 15
prior two weeks, as long as such report would detail obli-16
gations in excess of $5,000,000, and upon the request by 17
such Committees:’’. 18
(RESCISSION) 19
S
EC. 236. Of the unobligated balances in the ‘‘Non-20
recurring Expenses Fund’’ established in section 223 of 21
division G of Public Law 110–161, $1,000,000,000 are 22
hereby rescinded not later than September 30, 2024: Pro-23
vided, That from any remaining unobligated balances in 24
such Fund, the Secretary of Health and Human Services 25
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may transfer up to $85,000,000 to ‘‘Department of 1
Health and Human Services—Centers for Disease Control 2
and Prevention—Buildings and Facilities’’ to be merged 3
with and to be available for the same time period as the 4
appropriations to which transferred: Provided further, 5
That, except as otherwise provided in this Act, none of 6
the funds provided by this Act may be obligated for a new 7
program, project, or activity using such Fund for which 8
a notification was not submitted to the Committees on Ap-9
propriations of the House of Representatives and the Sen-10
ate prior to the date of enactment of this Act: Provided 11
further, That the Secretary may obligate funds from such 12
Fund for any program, project, or activity for which a no-13
tification was submitted before the date of enactment of 14
this Act: Provided further, That the Secretary may trans-15
fer amounts into such Fund: Provided further, That any 16
amounts transferred into such Fund are available for the 17
purposes provided by this section or for which a notifica-18
tion was submitted to such Committees on Appropriations 19
before the date of enactment of this Act: Provided further, 20
That the authority to transfer amounts under this section 21
is in addition to any other transfer authority in law. 22
S
EC. 237. (a) Not later than March 16, 2023, and 23
every 30 days thereafter, the Secretary of Health and 24
Human Services shall submit to the Committee on Appro-25
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priations of the House of Representatives and the Com-1
mittee on Appropriations of the Senate a report with re-2
spect to Federal expenditures made pursuant to a covered 3
law. Such report shall include the following (if applicable 4
for the period covered by the report): 5
(1) The total amount of funding made available 6
by covered laws (and the amendments made by such 7
laws) that has been obligated to date. 8
(2) A list of each financial award funded, in 9
part or in full, by covered laws (and the amendments 10
made by such laws), including the following informa-11
tion for each such award: 12
(A) All recipients for which funding has 13
been obligated. 14
(B) The amount of funding that has been 15
obligated for each recipient. 16
(C) The type of award (such as a grant or 17
loan). 18
(3) The number, job title, and duties of any full 19
time equivalent employees who have been hired using 20
the funding made available by covered laws (and the 21
amendments made by such laws). 22
(4) An accounting of such funds that have not 23
yet been obligated. 24
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(5) The identity of any contractors that have 1
been procured using such funding. 2
(6) The total amount of funding awarded under 3
a covered law that was returned to the Treasury and 4
the specific accounts to which such funds were obli-5
gated after being so returned. 6
(7) The total amount of such funds that have 7
been transferred out of each account established or 8
funded under a covered law, and with respect to 9
such transferred funds, the information specified in 10
paragraphs (1) through (6). 11
(b) For purposes of this section, the term ‘‘covered 12
law’’ means— 13
(1) section 11004 of Public Law 117–169 (commonly 14
referred to as the ‘‘Inflation Reduction Act of 2022’’); 15
(2) the American Rescue Plan Act (Public Law 117– 16
2) (and the amendments made by such Act); and 17
(3)(A) the third paragraph under the heading ‘‘Office 18
of the Secretary—Public Health and Social Services 19
Emergency Fund’’ of division B of the CARES Act (Pub-20
lic Law 116–136); 21
(B) the second paragraph under the heading ‘‘Office 22
of the Secretary—Public Health and Social Services 23
Emergency Fund’’ of division B of the Paycheck Protec-24
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tion Program and Health Care Enhancement Act (Public 1
Law 116–139); and 2
(C) the third paragraph under the heading ‘‘Office 3
of the Secretary—Public Health and Social Services 4
Emergency Fund’’ of the Coronavirus Response and Relief 5
Supplemental Appropriations Act, 2021 (division M of 6
Public Law 117–260). 7
S
EC. 238. None of the funds provided in this Act 8
under the heading ‘‘Department of Health and Human 9
Services—Office of the Secretary—General Departmental 10
Management’’ may be used for employee travel. 11
S
EC. 239. None of the funds provided in this Act may 12
be used to conduct or support research using human fetal 13
tissue if such tissue is obtained pursuant to an induced 14
abortion. 15
S
EC. 240. (a) IN GENERAL.—Notwithstanding any 16
other provision of law, none of the funds made available 17
by this Act may be made available either directly, through 18
a State (including through managed care contracts with 19
a State), or through any other means, to a prohibited enti-20
ty. 21
(b) PROHIBITED ENTITY.—The term ‘‘prohibited 22
entity’’ means an entity, including its affiliates, subsidi-23
aries, successors, and clinics— 24
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(1) that, as of the date of enactment of this 1
Act— 2
(A) is an organization described in section 3
501(c)(3) of the Internal Revenue Code of 1986 4
and exempt from taxation under section 501(a) 5
of such Code; 6
(B) is an essential community provider de-7
scribed in section 156.235 of title 45, Code of 8
Federal Regulations (as in effect on the date of 9
enactment of this Act), that is primarily en-10
gaged in family planning services, reproductive 11
health, and related medical care; and 12
(C) performs, or provides any funds to any 13
other entity that performs abortions, other than 14
an abortion performed— 15
(i) in the case of a pregnancy that is 16
the result of an act of rape or incest; or 17
(ii) in the case where a woman suffers 18
from a physical disorder, physical injury, 19
or physical illness that would, as certified 20
by a physician, place the woman in danger 21
of death unless an abortion is performed, 22
including a life endangering physical condi-23
tion caused by, or arising from, the preg-24
nancy itself; and 25
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(2) for which the total amount of Federal 1
grants to such entity, including grants to any affili-2
ates, subsidiaries, or clinics of such entity, under 3
title X of the Public Health Service Act in fiscal 4
year 2016 exceeded $23,000,000. 5
(c)(1) END OF PROHIBITION.—The definition in 6
subsection (b) shall cease to apply to an entity if such enti-7
ty certifies that it, including its affiliates, subsidiaries, 8
successors, and clinics, will not perform, and will not pro-9
vide any funds to any other entity that performs, an abor-10
tion as described in subsection (b)(1)(C). 11
(2) REPAYMENT.—The Secretary of Health 12
and Human Services shall seek repayment of any 13
Federal assistance received by any entity that had 14
made a certification described in paragraph (1) and 15
subsequently violated the terms of such certification. 16
S
EC. 241. None of the funds in this Act may be used 17
to support, administer, oversee, or issue a grant, contract, 18
or cooperative agreement for the purposes of providing in-19
formation on, promoting access to, or facilitating an abor-20
tion. 21
S
EC. 242. Notwithstanding any other provision of 22
law, no Federal funding may be made available to the 23
EcoHealth Alliance, Inc. located in New York. 24
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SEC. 243. None of the funds provided in this Act to 1
the Department of Health and Human Services, or pro-2
vided under a previous or subsequent appropriations Act 3
to such department, or provided from any account in the 4
Treasury of the United States derived by the collection 5
of fees available to such department, may be used to en-6
force the rule titled ‘‘Medicare and Medicaid Programs; 7
Omnibus COVID-19 Health Care Staff Vaccination’’, 8
which was issued by the Centers for Medicare and Med-9
icaid Services on November 5, 2021, or any substantially 10
similar rule. 11
S
EC. 244. None of the funds in this Act may be used 12
to implement, administer, or enforce Executive Order 13
13988, entitled ‘Preventing and Combating Discrimina-14
tion on the Basis of Gender Identity or Sexual Orienta-15
tion,’ published by the Executive Office of the President 16
on January 25, 2021 (86 Fed. Reg. 7023). 17
S
EC. 245. Beginning on the fourth day following the 18
date of enactment of this Act, the aggregate dollar amount 19
appropriated under the heading ‘‘Department of Health 20
and Human Services—Office of the Secretary—General 21
Departmental Management’’ shall be reduced by $1,000 22
for each day on which the Secretary of Health and Human 23
Services fails to submit to the Congress the fiscal year 24
2023 and 2024 Moyer Report. 25
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SEC. 246. None of the funds appropriated under this 1
act may be used to require any project under title X of 2
the PHS Act to refer for abortions: Provided, That no pro-3
vider of services under title X of the PHS Act shall be 4
required to subvert or operate in conflict with any State 5
law limiting referral for abortion/pregnancy counseling. 6
S
EC. 247. Title II of the Public Health Service Act 7
(42 U.S.C. 202 et seq.) is amended by inserting after sec-8
tion 245 the following: 9
‘‘SEC. 245A. CIVIL ACTION FOR CERTAIN VIOLATIONS. 10
‘‘(a) I
NGENERAL.—A qualified party may, in a civil 11
action, obtain appropriate relief with regard to a des-12
ignated violation. 13
‘‘(b) D
EFINITIONS.—For purposes of this section: 14
‘‘(1) D
ESIGNATED VIOLATION.—The term ‘des-15
ignated violation’ means an actual or threatened vio-16
lation of— 17
‘‘(A) section 507(d) of division H of the 18
Consolidated Appropriations Act, 2023 (or any 19
subsequent substantially similar provision); or 20
‘‘(B) any funding condition imposed by the 21
Federal Government pursuant to such section 22
507(d) (or such provision). 23
‘‘(2) Q
UALIFIED PARTY.—The term ‘qualified 24
party’ means— 25
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‘‘(A) the Attorney General of the United 1
States; 2
‘‘(B) any attorney general of a State; or 3
‘‘(C) any person or entity adversely af-4
fected by the designated violation without re-5
gard to whether such person or entity is a 6
health care provider. 7
‘‘(3) S
TATE GOVERNMENTAL ENTITY .—The 8
term ‘State governmental entity’ means a State, a 9
local government within a State, and any agency or 10
other governmental unit or subdivision of a State, or 11
of such a local government. 12
‘‘(c) A
DMINISTRATIVEREMEDIESNOTREQUIRED.— 13
An action under this section may be commenced, and relief 14
may be granted, without regard to whether the party com-15
mencing the action has sought or exhausted any available 16
administrative remedies. 17
‘‘(d) D
EFENDANTS.—An action under this section 18
may be maintained against a Federal agency committing 19
a designated violation described in subsection (b)(1)(A) or 20
any recipient or subrecipient of Federal assistance com-21
mitting a designated violation described in subsection 22
(b)(1)(B), including a State governmental entity. 23
‘‘(e) N
ATURE OFRELIEF.—In an action under this 24
section, the court shall grant— 25
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‘‘(1) all appropriate relief, including injunctive 1
relief, declaratory relief, and compensatory damages 2
to prevent the occurrence, continuance, or repetition 3
of the designated violation and to compensate for 4
losses resulting from the designated violation; and 5
‘‘(2) to a prevailing plaintiff, reasonable attor-6
neys’ fees and litigation costs. 7
Relief in an action under this section may include money 8
damages even if the defendant is a governmental entity. 9
‘‘(f) A
BROGATION OFSTATEIMMUNITY.—No State 10
or governmental official that commits a designated viola-11
tion shall be immune under the Tenth Amendment to the 12
Constitution of the United States, the Eleventh Amend-13
ment to the Constitution of the United States, or any 14
other source of law, from an action under subsection (a).’’. 15
S
EC. 248. None of the funds in this Act may be used 16
to issue or implement as a final rule the proposed rule 17
entitled ‘‘Nondiscrimination in Health Programs and Ac-18
tivities’’ published by the Department of Health and 19
Human Services in the Federal Register on August 4, 20
2022 (87 Fed. Reg. 47824) (relating to section 1557 of 21
the Affordable Care Act) or any successor or substantially 22
similar rule. 23
This title may be cited as the ‘‘Department of Health 24
and Human Services Appropriations Act, 2024’’. 25
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TITLE III 1
DEPARTMENT OF EDUCATION 2
O
FFICE OFELEMENTARY AND SECONDARYEDUCATION 3
EDUCATION FOR THE DISADVANTAGED 4
For carrying out title I and subpart 2 of part B of 5
title II of the Elementary and Secondary Education Act 6
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 7
418A of the Higher Education Act of 1965 (referred to 8
in this Act as ‘‘HEA’’), $13,055,290,000, of which 9
$2,126,990,000 shall become available on July 1, 2024, 10
and shall remain available through September 30, 2025, 11
and of which $10,841,177,000 shall become available on 12
October 1, 2024, and shall remain available through Sep-13
tember 30, 2025, for academic year 2024–2025: Provided, 14
That $1,906,901,000 shall be for basic grants under sec-15
tion 1124 of the ESEA: Provided further, That up to 16
$5,000,000 of these funds shall be available to the Sec-17
retary of Education (referred to in this title as ‘‘Sec-18
retary’’) on October 1, 2023, to obtain annually updated 19
local educational agency-level census poverty data from 20
the Bureau of the Census: Provided further, That 21
$1,362,301,000 shall be for concentration grants under 22
section 1124A of the ESEA: Provided further, That 23
$4,542,550,000 shall be for targeted grants under section 24
1125 of the ESEA: Provided further, That 25
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$4,542,550,000 shall be for education finance incentive 1
grants under section 1125A of the ESEA: Provided fur-2
ther, That $224,000,000 shall be for carrying out subpart 3
2 of part B of title II: Provided further, That $52,123,000 4
shall be for carrying out section 418A of the HEA. 5
I
MPACTAID 6
For carrying out programs of financial assistance to 7
federally affected schools authorized by title VII of the 8
ESEA, $1,618,112,000, of which $1,468,242,000 shall be 9
for basic support payments under section 7003(b), 10
$48,316,000 shall be for payments for children with dis-11
abilities under section 7003(d), $18,406,000 shall be for 12
construction under section 7007(a), $78,313,000 shall be 13
for Federal property payments under section 7002, and 14
$4,835,000, to remain available until expended, shall be 15
for facilities maintenance under section 7008: Provided, 16
That for purposes of computing the amount of a payment 17
for an eligible local educational agency under section 18
7003(a) for school year 2023–2024, children enrolled in 19
a school of such agency that would otherwise be eligible 20
for payment under section 7003(a)(1)(B) of such Act, but 21
due to the deployment of both parents or legal guardians, 22
or a parent or legal guardian having sole custody of such 23
children, or due to the death of a military parent or legal 24
guardian while on active duty (so long as such children 25
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reside on Federal property as described in section 1
7003(a)(1)(B)), are no longer eligible under such section, 2
shall be considered as eligible students under such section, 3
provided such students remain in average daily attendance 4
at a school in the same local educational agency they at-5
tended prior to their change in eligibility status. 6
S
CHOOLIMPROVEMENT PROGRAMS 7
For carrying out school improvement activities au-8
thorized by part B of title I, part A of title II, subpart 9
1 of part A of title IV, part B of title IV, part B of title 10
V, and parts B and C of title VI of the ESEA; the McKin-11
ney-Vento Homeless Assistance Act; section 203 of the 12
Educational Technical Assistance Act of 2002; the Com-13
pact of Free Association Amendments Act of 2003; and 14
the Civil Rights Act of 1964, $4,850,428,000, of which 15
$3,053,673,000 shall become available on July 1, 2024, 16
and remain available through September 30, 2025, and 17
of which $1,681,441,000 shall become available on Octo-18
ber 1, 2024, and shall remain available through September 19
30, 2025, for academic year 2024–2025: Provided, That 20
$1,329,673,000 shall be for part B of title IV: Provided 21
further, That $45,897,000 shall be for part B of title VI, 22
which may be used for construction, renovation, and mod-23
ernization of any public elementary school, secondary 24
school, or structure related to a public elementary school 25
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or secondary school that serves a predominantly Native 1
Hawaiian student body, and that the 5 percent limitation 2
in section 6205(b) of the ESEA on the use of funds for 3
administrative purposes shall apply only to direct adminis-4
trative costs: Provided further, That $44,953,000 shall be 5
for part C of title VI, which shall be awarded on a com-6
petitive basis, and may be used for construction, and that 7
the 5 percent limitation in section 6305 of the ESEA on 8
the use of funds for administrative purposes shall apply 9
only to direct administrative costs: Provided further, That 10
$24,464,000 shall be available to carry out the Supple-11
mental Education Grants program for the Federated 12
States of Micronesia and the Republic of the Marshall Is-13
lands: Provided further, That the Secretary may reserve 14
up to 5 percent of the amount referred to in the previous 15
proviso to provide technical assistance in the implementa-16
tion of these grants: Provided further, That $215,000,000 17
shall be for part B of title V: Provided further, That 18
$1,380,000,000 shall be available for grants under sub-19
part 1 of part A of title IV: Provided further, That not-20
withstanding subsection (a)(3) of section 4103 of such 21
Act, the Secretary may reserve not more than 1 percent 22
under such subsection (a)(3) only for technical assistance. 23
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INDIANEDUCATION 1
For expenses necessary to carry out, to the extent 2
not otherwise provided, title VI, part A of the ESEA, 3
$194,746,000, of which $72,000,000 shall be for subpart 4
2 of part A of title VI and $12,365,000 shall be for sub-5
part 3 of part A of title VI: Provided, That the 5 percent 6
limitation in sections 6115(d), 6121(e), and 6133(g) of 7
the ESEA on the use of funds for administrative purposes 8
shall apply only to direct administrative costs: Provided 9
further, That grants awarded under sections 6132 and 10
6133 of the ESEA with funds provided under this heading 11
may be for a period of up to 5 years. 12
I
NNOVATION ANDIMPROVEMENT 13
For carrying out activities authorized by subparts 1, 14
3, and 4 of part B of title II, and parts C, E, and subparts 15
1 and 4 of part F of title IV of the ESEA, $737,000,000: 16
Provided, That $3,000,000 shall be for subpart 3 of part 17
B of title II and shall be made available without regard 18
to sections 2201 and 2231(b): Provided further, That 19
$450,000,000 shall be for part C of title IV, and shall 20
be made available without regard to section 4311: Pro-21
vided further, That section 4303(d)(3)(A)(i) shall not 22
apply to the funds available for part C of title IV: Provided 23
further, That of the funds available for part C of title IV, 24
the Secretary shall use not less than $65,000,000 to carry 25
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out section 4304, up to $140,000,000, to remain available 1
through March 31, 2025, to carry out section 4305(b), 2
and not more than $16,000,000 to carry out the activities 3
in section 4305(a)(3): Provided further, That the Sec-4
retary shall allow entities receiving grants under section 5
4303 to use up to 10 percent of such grants for activities 6
described in section 4303(b)(2) and up to 5 percent for 7
the activities described in section 4303(c)(1)(C): Provided 8
further, That entities receiving grants under section 9
4304(k) shall not be required to meet the matching re-10
quirements described in section 4304(k)(2)(C) and (D) 11
and shall not be required to use such grants to support 12
facilities aid programs that allocate funds on a per-pupil 13
basis: Provided further, That notwithstanding section 14
4601(b), $284,000,000 shall be available through Decem-15
ber 31, 2024 for subpart 1 of part F of title IV. 16
S
AFESCHOOLS ANDCITIZENSHIPEDUCATION 17
For carrying out activities authorized by subparts 2 18
and 3 of part F of title IV of the ESEA, $316,000,000, 19
to remain available through December 31, 2024: Provided, 20
That $216,000,000 shall be available for section 4631, of 21
which up to $5,000,000, to remain available until ex-22
pended, shall be for the Project School Emergency Re-23
sponse to Violence (Project SERV) program: Provided fur-24
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ther, That $100,000,000 shall be available for section 1
4625. 2
S
PECIALEDUCATION 3
For carrying out the Individuals with Disabilities 4
Education Act (IDEA) and the Special Olympics Sport 5
and Empowerment Act of 2004, $15,453,264,000, of 6
which $5,870,321,000 shall become available on July 1, 7
2024, and shall remain available through September 30, 8
2025, and of which $9,283,383,000 shall become available 9
on October 1, 2024, and shall remain available through 10
September 30, 2025, for academic year 2024–2025: Pro-11
vided, That the amount for section 611(b)(2) of the IDEA 12
shall be equal to the lesser of the amount available for 13
that activity during fiscal year 2023, increased by the 14
amount of inflation as specified in section 619(d)(2)(B) 15
of the IDEA, or the percent change in the funds appro-16
priated under section 611(i) of the IDEA, but not less 17
than the amount for that activity during fiscal year 2023: 18
Provided further, That the Secretary shall, without regard 19
to section 611(d) of the IDEA, distribute to all other 20
States (as that term is defined in section 611(g)(2)), sub-21
ject to the third proviso, any amount by which a State’s 22
allocation under section 611, from funds appropriated 23
under this heading, is reduced under section 24
612(a)(18)(B), according to the following: 85 percent on 25
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the basis of the States’ relative populations of children 1
aged 3 through 21 who are of the same age as children 2
with disabilities for whom the State ensures the avail-3
ability of a free appropriate public education under this 4
part, and 15 percent to States on the basis of the States’ 5
relative populations of those children who are living in pov-6
erty: Provided further, That the Secretary may not dis-7
tribute any funds under the previous proviso to any State 8
whose reduction in allocation from funds appropriated 9
under this heading made funds available for such a dis-10
tribution: Provided further, That the States shall allocate 11
such funds distributed under the second proviso to local 12
educational agencies in accordance with section 611(f): 13
Provided further, That the amount by which a State’s allo-14
cation under section 611(d) of the IDEA is reduced under 15
section 612(a)(18)(B) and the amounts distributed to 16
States under the previous provisos in fiscal year 2012 or 17
any subsequent year shall not be considered in calculating 18
the awards under section 611(d) for fiscal year 2013 or 19
for any subsequent fiscal years: Provided further, That, 20
notwithstanding the provision in section 612(a)(18)(B) re-21
garding the fiscal year in which a State’s allocation under 22
section 611(d) is reduced for failure to comply with the 23
requirement of section 612(a)(18)(A), the Secretary may 24
apply the reduction specified in section 612(a)(18)(B) over 25
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a period of consecutive fiscal years, not to exceed 5, until 1
the entire reduction is applied: Provided further, That the 2
Secretary may, in any fiscal year in which a State’s alloca-3
tion under section 611 is reduced in accordance with sec-4
tion 612(a)(18)(B), reduce the amount a State may re-5
serve under section 611(e)(1) by an amount that bears 6
the same relation to the maximum amount described in 7
that paragraph as the reduction under section 8
612(a)(18)(B) bears to the total allocation the State 9
would have received in that fiscal year under section 10
611(d) in the absence of the reduction: Provided further, 11
That the Secretary shall either reduce the allocation of 12
funds under section 611 for any fiscal year following the 13
fiscal year for which the State fails to comply with the 14
requirement of section 612(a)(18)(A) as authorized by 15
section 612(a)(18)(B), or seek to recover funds under sec-16
tion 452 of the General Education Provisions Act (20 17
U.S.C. 1234a): Provided further, That the funds reserved 18
under 611(c) of the IDEA may be used to provide tech-19
nical assistance to States to improve the capacity of the 20
States to meet the data collection requirements of sections 21
616 and 618 and to administer and carry out other serv-22
ices and activities to improve data collection, coordination, 23
quality, and use under parts B and C of the IDEA: Pro-24
vided further, That the Secretary may use funds made 25
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available for the State Personnel Development Grants pro-1
gram under part D, subpart 1 of IDEA to evaluate pro-2
gram performance under such subpart: Provided further, 3
That States may use funds reserved for other State-level 4
activities under sections 611(e)(2) and 619(f) of the IDEA 5
to make subgrants to local educational agencies, institu-6
tions of higher education, other public agencies, and pri-7
vate non-profit organizations to carry out activities au-8
thorized by those sections: Provided further, That, not-9
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 10
fewer States apply for grants pursuant to section 643(e) 11
of such Act, the Secretary shall provide a grant to each 12
State in an amount equal to the maximum amount de-13
scribed in section 643(e)(2)(B) of such Act: Provided fur-14
ther, That if more than 5 States apply for grants pursuant 15
to section 643(e) of the IDEA, the Secretary shall award 16
funds to those States on the basis of the States’ relative 17
populations of infants and toddlers except that no such 18
State shall receive a grant in excess of the amount de-19
scribed in section 643(e)(2)(B) of such Act: Provided fur-20
ther, That States may use funds allotted under section 21
643(c) of the IDEA to make subgrants to local edu-22
cational agencies, institutions of higher education, other 23
public agencies, and private non-profit organizations to 24
carry out activities authorized by section 638 of IDEA: 25
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Provided further, That, notwithstanding section 638 of the 1
IDEA, a State may use funds it receives under section 2
633 of the IDEA to offer continued early intervention 3
services to a child who previously received services under 4
part C of the IDEA from age 3 until the beginning of 5
the school year following the child’s third birthday with 6
parental consent and without regard to the procedures in 7
section 635(c) of the IDEA. 8
R
EHABILITATIONSERVICES 9
For carrying out, to the extent not otherwise pro-10
vided, the Rehabilitation Act of 1973 and the Helen Keller 11
National Center Act, $4,397,033,000, of which 12
$4,253,834,000 shall be for grants for vocational rehabili-13
tation services under title I of the Rehabilitation Act. 14
S
PECIALINSTITUTIONS FORPERSONSWITH 15
D
ISABILITIES 16
AMERICAN PRINTING HOUSE FOR THE BLIND 17
For carrying out the Act to Promote the Education 18
of the Blind of March 3, 1879, $43,431,000. 19
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 20
For the National Technical Institute for the Deaf 21
under titles I and II of the Education of the Deaf Act 22
of 1986, $92,500,000: Provided, That from the total 23
amount available, the Institute may at its discretion use 24
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funds for the endowment program as authorized under 1
section 207 of such Act. 2
GALLAUDET UNIVERSITY 3
For the Kendall Demonstration Elementary School, 4
the Model Secondary School for the Deaf, and the partial 5
support of Gallaudet University under titles I and II of 6
the Education of the Deaf Act of 1986, $165,361,000, of 7
which up to $15,000,000, to remain available until ex-8
pended, shall be for construction, as defined by section 9
201(2) of such Act: Provided, That from the total amount 10
available, the University may at its discretion use funds 11
for the endowment program as authorized under section 12
207 of such Act. 13
C
AREER, TECHNICAL, ANDADULTEDUCATION 14
For carrying out, to the extent not otherwise pro-15
vided, the Carl D. Perkins Career and Technical Edu-16
cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu-17
cation and Family Literacy Act (‘‘AEFLA’’), 18
$2,191,436,000, of which $1,400,436,000 shall become 19
available on July 1, 2024, and shall remain available 20
through September 30, 2025, and of which $791,000,000 21
shall become available on October 1, 2024, and shall re-22
main available through September 30, 2025: Provided, 23
That $25,000,000 shall be available for innovation and 24
modernization grants under such section 114(e) of the 25
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Perkins Act: Provided further, That of the amounts made 1
available for AEFLA, $13,712,000 shall be for national 2
leadership activities under section 242. 3
S
TUDENTFINANCIALASSISTANCE 4
For carrying out subparts 1 and 10 of part A of title 5
IV of the HEA, $22,475,352,000 which shall remain 6
available through September 30, 2025. 7
The maximum Pell Grant for which a student shall 8
be eligible during award year 2024–2025 shall be $6,335. 9
S
TUDENTAIDADMINISTRATION 10
For Federal administrative expenses to carry out part 11
D of title I, and subparts 1, 9, and 10 of part A, and 12
parts B, D, and E of title IV of the HEA, and subpart 13
1 of part A of title VII of the Public Health Service Act, 14
$1,769,207,000, to remain available through September 15
30, 2025: Provided, That for student loan contracts 16
awarded prior to October 1, 2017, the Secretary shall 17
allow student loan borrowers who are consolidating Fed-18
eral student loans to select from any student loan servicer 19
to service their new consolidated student loan: Provided 20
further, That in order to promote accountability and high- 21
quality service to borrowers, the Secretary shall not award 22
funding for any contract solicitation for a new Federal 23
student loan servicing environment, including the solicita-24
tion for the Federal Student Aid (FSA) Next Generation 25
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Processing and Servicing Environment, unless such an en-1
vironment provides for the participation of multiple stu-2
dent loan servicers that contract directly with the Depart-3
ment of Education to manage a unique portfolio of bor-4
rower accounts and the full life-cycle of loans from dis-5
bursement to pay-off with certain limited exceptions, and 6
allocates student loan borrower accounts to eligible stu-7
dent loan servicers based on performance: Provided fur-8
ther, That the Secretary shall provide quarterly briefings 9
to the Committees on Appropriations and Education and 10
Labor of the House of Representatives and the Commit-11
tees on Appropriations and Health, Education, Labor, and 12
Pensions of the Senate on general progress related to so-13
licitations for Federal student loan servicing contracts: 14
Provided further, That not later than 60 days after enact-15
ment of this Act, FSA shall provide to the Committees 16
on Appropriations of the House of Representatives and the 17
Senate a detailed spend plan of anticipated uses of funds 18
made available in this account for fiscal year 2024 and 19
provide quarterly updates on this plan (including contracts 20
awarded, change orders, bonuses paid to staff, reorganiza-21
tion costs, and any other activity carried out using 22
amounts provided under this heading for fiscal year 2024). 23
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HIGHEREDUCATION 1
For carrying out, to the extent not otherwise pro-2
vided, titles III, IV, V, VI, VII, and VIII of the HEA, 3
and section 117 of the Perkins Act, $2,767,239,000: Pro-4
vided, That notwithstanding any other provision of law, 5
funds made available in this Act to carry out title VI of 6
the HEA may be used to support visits and study in for-7
eign countries by individuals who are participating in ad-8
vanced foreign language training and international studies 9
in areas that are vital to United States national security 10
and who plan to apply their language skills and knowledge 11
of these countries in the fields of government, the profes-12
sions, or international development: Provided further, That 13
of the funds referred to in the preceding proviso up to 14
1 percent may be used for program evaluation, national 15
outreach, and information dissemination activities: Pro-16
vided further, That up to 1.5 percent of the funds made 17
available under chapter 2 of subpart 2 of part A of title 18
IV of the HEA may be used for evaluation: Provided fur-19
ther, That section 313(d) of the HEA shall not apply to 20
an institution of higher education that is eligible to receive 21
funding under section 318 of the HEA: Provided further, 22
That of the funds made available under this Act to carry 23
out part B of title III of the HEA, to supplement amounts 24
otherwise available, not less than $10,000,000 shall be for 25
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grants to part B institutions as defined under section 1
322(2) of the HEA, that are junior or community colleges, 2
as defined in section 312(f) of the HEA: Provided further, 3
That funds in the preceding proviso are in addition to any 4
grant award that any such institution may receive under 5
section 323 of such Act and shall be allocated in accord-6
ance with the allotments specified under section 324 of 7
such Act. 8
H
OWARDUNIVERSITY 9
For partial support of Howard University, 10
$301,693,000, of which not less than $3,405,000 shall be 11
for a matching endowment grant pursuant to the Howard 12
University Endowment Act and shall remain available 13
until expended. 14
C
OLLEGEHOUSING ANDACADEMICFACILITIESLOANS 15
P
ROGRAM 16
For Federal administrative expenses to carry out ac-17
tivities related to existing facility loans pursuant to section 18
121 of the HEA, $321,000. 19
H
ISTORICALLYBLACKCOLLEGE ANDUNIVERSITY 20
C
APITALFINANCINGPROGRAMACCOUNT 21
For the cost of guaranteed loans, $20,150,000, as au-22
thorized pursuant to part D of title III of the HEA, which 23
shall remain available through September 30, 2025: Pro-24
vided, That such costs, including the cost of modifying 25
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such loans, shall be as defined in section 502 of the Con-1
gressional Budget Act of 1974: Provided further, That 2
these funds are available to subsidize total loan principal, 3
any part of which is to be guaranteed, not to exceed 4
$377,340,824: Provided further, That these funds may be 5
used to support loans to public and private Historically 6
Black Colleges and Universities without regard to the limi-7
tations within section 344(a) of the HEA. 8
In addition, for administrative expenses to carry out 9
the Historically Black College and University Capital Fi-10
nancing Program entered into pursuant to part D of title 11
III of the HEA, $528,000. 12
I
NSTITUTE OFEDUCATIONSCIENCES 13
For necessary expenses for the Institute of Education 14
Sciences as authorized by section 208 of the Department 15
of Education Organization Act and carrying out activities 16
authorized by the National Assessment of Educational 17
Progress Authorization Act, section 208 of the Edu-18
cational Technical Assistance Act of 2002, and section 19
664 of the Individuals with Disabilities Education Act, 20
$707,372,000, which shall remain available through Sep-21
tember 30, 2025. 22
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DEPARTMENTAL MANAGEMENT 1
PROGRAM ADMINISTRATION 2
For carrying out, to the extent not otherwise pro-3
vided, the Department of Education Organization Act, in-4
cluding rental of conference rooms in the District of Co-5
lumbia and hire of three passenger motor vehicles, 6
$350,000,000: Provided, That none of the funds provided 7
by this Act may be used to support a number of non-career 8
employees that is above the number of non-career employ-9
ees as of December 31, 2021. 10
OFFICE FOR CIVIL RIGHTS 11
For expenses necessary for the Office for Civil 12
Rights, as authorized by section 203 of the Department 13
of Education Organization Act, $105,000,000. 14
OFFICE OF INSPECTOR GENERAL 15
For expenses necessary for the Office of Inspector 16
General, as authorized by section 212 of the Department 17
of Education Organization Act, $60,000,000, of which 18
$3,000,000 shall be available through September 30, 19
2025. 20
G
ENERALPROVISIONS 21
S
EC. 301. No funds appropriated in this Act may be 22
used to prevent the implementation of programs of vol-23
untary prayer and meditation in the public schools. 24
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(TRANSFER OF FUNDS) 1
S
EC. 302. Not to exceed 1 percent of any discre-2
tionary funds (pursuant to the Balanced Budget and 3
Emergency Deficit Control Act of 1985) which are appro-4
priated for the Department of Education in this Act may 5
be transferred between appropriations, but no such appro-6
priation shall be increased by more than 3 percent by any 7
such transfer: Provided, That the transfer authority grant-8
ed by this section shall not be used to create any new pro-9
gram or to fund any project or activity for which no funds 10
are provided in this Act: Provided further, That the Com-11
mittees on Appropriations of the House of Representatives 12
and the Senate are notified at least 15 days in advance 13
of any transfer. 14
S
EC. 303. Funds appropriated in this Act and con-15
solidated for evaluation purposes under section 8601(c) of 16
the ESEA shall be available from July 1, 2024, through 17
September 30, 2025. 18
S
EC. 304. (a) An institution of higher education that 19
maintains an endowment fund supported with funds ap-20
propriated for title III or V of the HEA for fiscal year 21
2024 may use the income from that fund to award schol-22
arships to students, subject to the limitation in section 23
331(c)(3)(B)(i) of the HEA. The use of such income for 24
such purposes, prior to the enactment of this Act, shall 25
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be considered to have been an allowable use of that in-1
come, subject to that limitation. 2
(b) Subsection (a) shall be in effect until titles III 3
and V of the HEA are reauthorized. 4
S
EC. 305. Section 114(f) of the HEA (20 U.S.C. 5
1011c(f)) shall be applied by substituting ‘‘2024’’ for 6
‘‘2021’’. 7
S
EC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 8
1087h(a)) shall be applied by substituting ‘‘2024’’ for 9
‘‘2021’’. 10
S
EC. 307. Funds appropriated in this Act under the 11
heading ‘‘Student Aid Administration’’ may be available 12
for payments for student loan servicing to an institution 13
of higher education that services outstanding Federal Per-14
kins Loans under part E of title IV of the Higher Edu-15
cation Act of 1965 (20 U.S.C. 1087aa et seq.). 16
S
EC. 308. The Secretary may reserve not more than 17
0.5 percent from any amount made available in this Act 18
for an HEA program, except for any amounts made avail-19
able for subpart 1 of part A of title IV of the HEA, to 20
carry out rigorous and independent evaluations and to col-21
lect and analyze outcome data for any program authorized 22
by the HEA: Provided, That no funds made available in 23
this Act for the ‘‘Student Aid Administration’’ account 24
shall be subject to the reservation under this section: Pro-25
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vided further, That any funds reserved under this section 1
shall be available through September 30, 2026: Provided 2
further, That if, under any other provision of law, funds 3
are authorized to be reserved or used for evaluation activi-4
ties with respect to a program or project, the Secretary 5
may also reserve funds for such program or project for 6
the purposes described in this section so long as the total 7
reservation of funds for such program or project does not 8
exceed any statutory limits on such reservations: Provided 9
further, That not later than 30 days prior to the initial 10
obligation of funds reserved under this section, the Sec-11
retary shall submit to the Committees on Appropriations 12
of the Senate and the House of Representatives, the Com-13
mittee on Health, Education, Labor and Pensions of the 14
Senate, and the Committee on Education and Labor of 15
the House of Representatives a plan that identifies the 16
source and amount of funds reserved under this section, 17
the impact on program grantees if funds are withheld for 18
the purposes of this section, and the activities to be carried 19
out with such funds. 20
(INCLUDING TRANSFER OF FUNDS) 21
S
EC. 309. Of the amounts appropriated in this Act 22
for ‘‘Institute of Education Sciences’’, up to $19,000,000 23
shall be available for the Secretary of Education (‘‘the 24
Secretary’’) to provide support services to the Institute of 25
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Education Sciences (including, but not limited to informa-1
tion technology services, lease or procurement of office 2
space, human resource services, financial management 3
services, financial systems support, budget formulation 4
and execution, legal counsel, equal employment oppor-5
tunity services, physical security, facilities management, 6
acquisition and contract management, grants administra-7
tion and policy, and enterprise risk management): Pro-8
vided, That the Secretary shall calculate the actual 9
amounts obligated and expended for such support services 10
by using a standard Department of Education method-11
ology for allocating the cost of all such support services: 12
Provided further, That the Secretary may transfer any 13
amounts available for IES support services in excess of 14
actual amounts needed for IES support services, as so cal-15
culated, to the ‘‘Program Administration’’ account from 16
the ‘‘Institute of Education Sciences’’ account: Provided 17
further, That in order to address any shortfall between 18
amounts available for IES support services and amounts 19
needed for IES support services, as so calculated, the Sec-20
retary may transfer necessary amounts to the ‘‘Institute 21
of Education Sciences’’ account from the ‘‘Program Ad-22
ministration’’ account: Provided further, That the Com-23
mittees on Appropriations of the House of Representatives 24
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and the Senate are notified at least 14 days in advance 1
of any transfer made pursuant to this section. 2
(RESCISSION) 3
S
EC. 310. Of the unobligated balances in the ‘‘De-4
partment of Education Nonrecurring Expenses Fund’’ es-5
tablished in section 313 of division H of Public Law 116– 6
260, $29,000,000 are hereby rescinded not later than Sep-7
tember 30, 2024: Provided, That from any remaining un-8
obligated balances in such Fund, the Secretary may trans-9
fer up to $45,325,000 to ‘‘Howard University’’ for comple-10
tion of the Howard University hospital, to remain avail-11
able until expended: Provided further, That, except as oth-12
erwise provided in this Act, none of the funds provided 13
by this Act may be obligated for a new program, project, 14
or activity using such Fund for which a notification was 15
not submitted to the Committees on Appropriations of the 16
House of Representatives and the Senate before the date 17
of enactment of this Act: Provided further, That the Sec-18
retary may obligate funds from such Fund for any pro-19
gram, project, or activity for which a notification was sub-20
mitted before the date of enactment of this Act: Provided 21
further, That the Secretary may transfer amounts into 22
such Fund: Provided further, That any amounts trans-23
ferred into such Fund are available for the purposes pro-24
vided by this section or for which a notification was sub-25
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mitted to such Committees on Appropriations before the 1
date of enactment of this Act: Provided further, That the 2
authority to transfer amounts under this section is in ad-3
dition to any other transfer authority in law. 4
S
EC. 311. (a) None of the funds made available by 5
this title may be used to issue or implement as final rules 6
the rules proposed by the Department of Education relat-7
ing to title IX of the Education Amendments of 1972 (20 8
5 U.S.C. 1681-1688) and described under the heading 9
‘‘Nondiscrimination on the Basis of Sex in Education Pro-10
grams or Activities Receiving Federal Financial Assist-11
ance’’ (87 Fed. Reg. 41390; published July 12, 2022). 12
(b) None of the funds made available by this title may 13
be used to issue or implement— 14
(1) as final rules the rules proposed by the De-15
partment of Education relating title IX of the Edu-16
cation Amendments of 1972 (20 U.S.C. 1681-1688) 17
and described under the heading ‘‘Nondiscrimination 18
on the Basis of Sex in Education Programs or Ac-19
tivities Receiving Federal Financial Assistance: Sex- 20
Related Eligibility Criteria for Male and Female 21
Athletic Teams’’ (88 Fed. Reg. 22860; published 22
April 13, 2023), or 23
(2) any rule similar in substance to the pro-24
posed rules described in paragraph (1) that relates 25
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to eligibility criteria for participation on athletic 1
teams. 2
S
EC. 312. None of the funds made available under 3
this Act may be provided to any public institution of high-4
er education that denies to a religious student organiza-5
tion any right, benefit, or privilege that is otherwise af-6
forded to other student organizations at the institution 7
(including full access to the facilities of the institution and 8
official recognition of the organization by the institution) 9
because of the religious beliefs, practices, speech, leader-10
ship standards, or standards of conduct of the religious 11
student organization. 12
(RESCISSION) 13
S
EC. 313. Of the amounts which are made available 14
to ‘‘Department of Education—Education for the Dis-15
advantaged’’ on October 1, 2023 by Public Law 117–328, 16
$8,671,399,000 are hereby rescinded. 17
(RESCISSION) 18
S
EC. 314. Of the amounts which are made available 19
to ‘‘Department of Education—School Improvement Pro-20
grams’’ on October 1, 2023 by Public Law 117–328, 21
$1,681,441,000 are hereby rescinded. 22
S
EC. 315. None of the funds made available by this 23
Act may be used to— 24
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(1) implement the waivers and modifications of 1
statutory and regulatory provisions relating to an 2
extension of the suspension of payments on certain 3
loans and waivers of interest on such loans under 4
section 3513 of the CARES Act (20 U.S.C. 1001 5
note), described by the Department of Education in 6
the Federal Register on October 12, 2022 (87 Fed. 7
Reg. 61513 et seq.), and most recently extended in 8
the announcement by the Department of Education 9
on November 22, 2022; 10
(2) take any substantially similar action; or 11
(3) waive any consequences of nonpayment by 12
a borrower in repayment such as delinquency or de-13
fault. 14
S
EC. 316. None of the funds made available by this 15
Act may be used to— 16
(1) implement the modifications of statutory 17
and regulatory provisions relating to debt discharge 18
described by the Department of Education in the 19
Federal Register on October 12, 2022 (87 Fed. Reg. 20
61514), or take any substantially similar action; 21
(2) issue a final rule or otherwise implement 22
the proposed rule on ‘‘Improving Income-Driven Re-23
payment for the William D. Ford Federal Direct 24
Loan Program’’ published by the Department of 25
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Education in the Federal Register on January 11, 1
2023 (88 Fed. Reg. 1894 et seq.), or take any sub-2
stantially similar action; or 3
(3) implement, administer, or enforce parts 4
600, 668, and 685 of title 34, Code of Federal Reg-5
ulations, (relating to borrower defense to repay-6
ment), as amended by the final regulations published 7
by the Department of Education in the Federal Reg-8
ister on November 1, 2022 (87 Fed. Reg. 65904 et 9
seq.) or take any substantially similar action. 10
This title may be cited as the ‘‘Department of Edu-11
cation Appropriations Act, 2024’’. 12
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TITLE IV 1
RELATED AGENCIES 2
C
OMMITTEE FORPURCHASEFROMPEOPLEWHOARE 3
B
LIND ORSEVERELYDISABLED 4
SALARIES AND EXPENSES 5
For expenses necessary for the Committee for Pur-6
chase From People Who Are Blind or Severely Disabled 7
(referred to in this title as ‘‘the Committee’’) established 8
under section 8502 of title 41, United States Code, 9
$13,124,000: Provided, That in order to authorize any 10
central nonprofit agency designated pursuant to section 11
8503(c) of title 41, United States Code, to perform re-12
quirements of the Committee as prescribed under section 13
51–3.2 of title 41, Code of Federal Regulations, the Com-14
mittee shall enter into a written agreement with any such 15
central nonprofit agency: Provided further, That such 16
agreement shall contain such auditing, oversight, and re-17
porting provisions as necessary to implement chapter 85 18
of title 41, United States Code: Provided further, That 19
such agreement shall include the elements listed under the 20
heading ‘‘Committee For Purchase From People Who Are 21
Blind or Severely Disabled—Written Agreement Ele-22
ments’’ in the explanatory statement described in section 23
4 of Public Law 114–113 (in the matter preceding division 24
A of that consolidated Act): Provided further, That any 25
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such central nonprofit agency may not charge a fee under 1
section 51–3.5 of title 41, Code of Federal Regulations, 2
prior to executing a written agreement with the Com-3
mittee: Provided further, That no less than $3,150,000 4
shall be available for the Office of Inspector General. 5
C
ORPORATION FORNATIONAL ANDCOMMUNITYSERVICE 6
OPERATING EXPENSES 7
For necessary expenses for the Corporation for Na-8
tional and Community Service (referred to in this title as 9
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 10
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 11
National and Community Service Act of 1990 (referred 12
to in this title as ‘‘1990 Act’’), $593,347,000, notwith-13
standing sections 198B(b)(3), 198S(g), 501(a)(4)(C), and 14
501(a)(4)(F) of the 1990 Act: Provided, That of the 15
amounts provided under this heading up to 1 percent of 16
program grant funds may be used to defray the costs of 17
conducting grant application reviews, including the use of 18
outside peer reviewers and electronic management of the 19
grants cycle: Provided further, That for the purposes of 20
carrying out the 1990 Act, satisfying the requirements in 21
section 122(c)(1)(D) may include a determination of need 22
by the local community. 23
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SALARIES AND EXPENSES 1
For necessary expenses of administration as provided 2
under section 501(a)(5) of the 1990 Act and under section 3
504(a) of the 1973 Act, including payment of salaries, au-4
thorized travel, hire of passenger motor vehicles, the rental 5
of conference rooms in the District of Columbia, the em-6
ployment of experts and consultants authorized under 5 7
U.S.C. 3109, and not to exceed $2,500 for official recep-8
tion and representation expenses, $60,000,000. 9
OFFICE OF INSPECTOR GENERAL 10
For necessary expenses of the Office of Inspector 11
General in carrying out the Inspector General Act of 1978, 12
$7,595,000. 13
ADMINISTRATIVE PROVISIONS 14
S
EC. 401. CNCS shall make any significant changes 15
to program requirements, service delivery or policy only 16
through public notice and comment rulemaking. For fiscal 17
year 2024, during any grant selection process, an officer 18
or employee of CNCS shall not knowingly disclose any cov-19
ered grant selection information regarding such selection, 20
directly or indirectly, to any person other than an officer 21
or employee of CNCS that is authorized by CNCS to re-22
ceive such information. 23
S
EC. 402. AmeriCorps programs receiving grants 24
under the National Service Trust program shall meet an 25
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overall minimum share requirement of 24 percent for the 1
first 3 years that they receive AmeriCorps funding, and 2
thereafter shall meet the overall minimum share require-3
ment as provided in section 2521.60 of title 45, Code of 4
Federal Regulations, without regard to the operating costs 5
match requirement in section 121(e) or the member sup-6
port Federal share limitations in section 140 of the 1990 7
Act, and subject to partial waiver consistent with section 8
2521.70 of title 45, Code of Federal Regulations. 9
S
EC. 403. Donations made to CNCS under section 10
196 of the 1990 Act for the purposes of financing pro-11
grams and operations under titles I and II of the 1973 12
Act or subtitle B, C, D, or E of title I of the 1990 Act 13
shall be used to supplement and not supplant current pro-14
grams and operations. 15
S
EC. 404. In addition to the requirements in section 16
146(a) of the 1990 Act, use of an educational award for 17
the purpose described in section 148(a)(4) shall be limited 18
to individuals who are veterans as defined under section 19
101 of the Act. 20
S
EC. 405. For the purpose of carrying out section 21
189D of the 1990 Act— 22
(1) entities described in paragraph (a) of such 23
section shall be considered ‘‘qualified entities’’ under 24
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section 3 of the National Child Protection Act of 1
1993 (‘‘NCPA’’); 2
(2) individuals described in such section shall 3
be considered ‘‘volunteers’’ under section 3 of 4
NCPA; and 5
(3) State Commissions on National and Com-6
munity Service established pursuant to section 178 7
of the 1990 Act, are authorized to receive criminal 8
history record information, consistent with Public 9
Law 92–544. 10
S
EC. 406. Notwithstanding sections 139(b), 146 and 11
147 of the 1990 Act, an individual who successfully com-12
pletes a term of service of not less than 1,200 hours dur-13
ing a period of not more than one year may receive a na-14
tional service education award having a value of 70 per-15
cent of the value of a national service education award 16
determined under section 147(a) of the Act. 17
(RESCISSION) 18
S
EC. 407. Of the unobligated balances available in 19
the ‘‘National Service Trust’’ established in section 102 20
of the National and Community Service Trust Act of 21
1993, $243,000,000 are hereby permanently rescinded, 22
except that no amounts may be rescinded from amounts 23
that were previously designated by the Congress as being 24
for an emergency requirement pursuant to a concurrent 25
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resolution on the budget or the Balanced Budget and 1
Emergency Deficit Control Act of 1985. 2
F
EDERALMEDIATION ANDCONCILIATIONSERVICE 3
SALARIES AND EXPENSES 4
For expenses necessary for the Federal Mediation 5
and Conciliation Service (‘‘Service’’) to carry out the func-6
tions vested in it by the Labor-Management Relations Act, 7
1947, including hire of passenger motor vehicles; for ex-8
penses necessary for the Labor-Management Cooperation 9
Act of 1978; and for expenses necessary for the Service 10
to carry out the functions vested in it by the Civil Service 11
Reform Act, $53,705,000: Provided, That notwithstanding 12
31 U.S.C. 3302, fees charged, up to full-cost recovery, for 13
special training activities and other conflict resolution 14
services and technical assistance, including those provided 15
to foreign governments and international organizations, 16
and for arbitration services shall be credited to and 17
merged with this account, and shall remain available until 18
expended: Provided further, That fees for arbitration serv-19
ices shall be available only for education, training, and 20
professional development of the agency workforce: Pro-21
vided further, That the Director of the Service is author-22
ized to accept and use on behalf of the United States gifts 23
of services and real, personal, or other property in the aid 24
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of any projects or functions within the Director’s jurisdic-1
tion. 2
F
EDERALMINESAFETY ANDHEALTHREVIEW 3
C
OMMISSION 4
SALARIES AND EXPENSES 5
For expenses necessary for the Federal Mine Safety 6
and Health Review Commission, $18,012,000. 7
I
NSTITUTE OFMUSEUM ANDLIBRARYSERVICES 8
OFFICE OF MUSEUM AND LIBRARY SERVICES : GRANTS 9
AND ADMINISTRATION 10
For carrying out the Museum and Library Services 11
Act of 1996 and the National Museum of African Amer-12
ican History and Culture Act, $294,800,000. 13
M
EDICAID ANDCHIPPAYMENT ANDACCESS 14
C
OMMISSION 15
SALARIES AND EXPENSES 16
For expenses necessary to carry out section 1900 of 17
the Social Security Act, $9,405,000. 18
M
EDICAREPAYMENTADVISORYCOMMISSION 19
SALARIES AND EXPENSES 20
For expenses necessary to carry out section 1805 of 21
the Social Security Act, $13,824,000, to be transferred to 22
this appropriation from the Federal Hospital Insurance 23
Trust Fund and the Federal Supplementary Medical In-24
surance Trust Fund. 25
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NATIONALCOUNCIL ONDISABILITY 1
SALARIES AND EXPENSES 2
For expenses necessary for the National Council on 3
Disability as authorized by title IV of the Rehabilitation 4
Act of 1973, $3,850,000. 5
N
ATIONALLABORRELATIONSBOARD 6
SALARIES AND EXPENSES 7
For expenses necessary for the National Labor Rela-8
tions Board to carry out the functions vested in it by the 9
Labor-Management Relations Act, 1947, and other laws, 10
$200,000,000: Provided, That no part of this appropria-11
tion shall be available to organize or assist in organizing 12
agricultural laborers or used in connection with investiga-13
tions, hearings, directives, or orders concerning bargaining 14
units composed of agricultural laborers as referred to in 15
section 2(3) of the Act of July 5, 1935, and as amended 16
by the Labor-Management Relations Act, 1947, and as de-17
fined in section 3(f) of the Act of June 25, 1938, and 18
including in said definition employees engaged in the 19
maintenance and operation of ditches, canals, reservoirs, 20
and waterways when maintained or operated on a mutual, 21
nonprofit basis and at least 95 percent of the water stored 22
or supplied thereby is used for farming purposes. 23
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ADMINISTRATIVE PROVISIONS 1
S
EC. 408. None of the funds provided by this Act 2
or previous Acts making appropriations for the National 3
Labor Relations Board may be used to issue any new ad-4
ministrative directive or regulation that would provide em-5
ployees any means of voting through any electronic means 6
in an election to determine a representative for the pur-7
poses of collective bargaining. 8
S
EC. 409. No Federal funds may be made available 9
to alter or affect the administration, implementation, or 10
enforcement of the final rule entitled ‘‘Joint Employer 11
Status Under the National Labor Relations Act’’ (86 Fed. 12
Reg. 11184) and dated February 26, 2020. 13
N
ATIONALMEDIATIONBOARD 14
SALARIES AND EXPENSES 15
For expenses necessary to carry out the provisions 16
of the Railway Labor Act, including emergency boards ap-17
pointed by the President, $15,113,000. 18
O
CCUPATIONALSAFETY ANDHEALTHREVIEW 19
C
OMMISSION 20
SALARIES AND EXPENSES 21
For expenses necessary for the Occupational Safety 22
and Health Review Commission, $15,449,000. 23
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RAILROADRETIREMENTBOARD 1
DUAL BENEFITS PAYMENTS ACCOUNT 2
For payment to the Dual Benefits Payments Ac-3
count, authorized under section 15(d) of the Railroad Re-4
tirement Act of 1974, $8,000,000, which shall include 5
amounts becoming available in fiscal year 2024 pursuant 6
to section 224(c)(1)(B) of Public Law 98–76; and in addi-7
tion, an amount, not to exceed 2 percent of the amount 8
provided herein, shall be available proportional to the 9
amount by which the product of recipients and the average 10
benefit received exceeds the amount available for payment 11
of vested dual benefits: Provided, That the total amount 12
provided herein shall be credited in 12 approximately 13
equal amounts on the first day of each month in the fiscal 14
year. 15
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 16
ACCOUNTS 17
For payment to the accounts established in the 18
Treasury for the payment of benefits under the Railroad 19
Retirement Act for interest earned on unnegotiated 20
checks, $150,000, to remain available through September 21
30, 2025, which shall be the maximum amount available 22
for payment pursuant to section 417 of Public Law 98– 23
76. 24
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LIMITATION ON ADMINISTRATION 1
For necessary expenses for the Railroad Retirement 2
Board (‘‘Board’’) for administration of the Railroad Re-3
tirement Act and the Railroad Unemployment Insurance 4
Act, $103,000,000, to be derived in such amounts as de-5
termined by the Board from the railroad retirement ac-6
counts and from moneys credited to the railroad unem-7
ployment insurance administration fund: Provided, That 8
notwithstanding section 7(b)(9) of the Railroad Retire-9
ment Act this limitation may be used to hire attorneys 10
only through the excepted service: Provided further, That 11
the previous proviso shall not change the status under 12
Federal employment laws of any attorney hired by the 13
Railroad Retirement Board prior to January 1, 2013: Pro-14
vided further, That notwithstanding section 7(b)(9) of the 15
Railroad Retirement Act, this limitation may be used to 16
hire students attending qualifying educational institutions 17
or individuals who have recently completed qualifying edu-18
cational programs using current excepted hiring authori-19
ties established by the Office of Personnel Management. 20
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 21
For expenses necessary for the Office of Inspector 22
General for audit, investigatory and review activities, as 23
authorized by the Inspector General Act of 1978, not more 24
than $14,000,000, to be derived from the railroad retire-25
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ment accounts and railroad unemployment insurance ac-1
count. 2
S
OCIALSECURITYADMINISTRATION 3
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 4
For payment to the Federal Old-Age and Survivors 5
Insurance Trust Fund and the Federal Disability Insur-6
ance Trust Fund, as provided under sections 201(m) and 7
1131(b)(2) of the Social Security Act, $10,000,000. 8
SUPPLEMENTAL SECURITY INCOME PROGRAM 9
For carrying out titles XI and XVI of the Social Se-10
curity Act, section 401 of Public Law 92–603, section 212 11
of Public Law 93–66, as amended, and section 405 of 12
Public Law 95–216, including payment to the Social Secu-13
rity trust funds for administrative expenses incurred pur-14
suant to section 201(g)(1) of the Social Security Act, 15
$45,455,426,000, to remain available until expended: Pro-16
vided, That any portion of the funds provided to a State 17
in the current fiscal year and not obligated by the State 18
during that year shall be returned to the Treasury: Pro-19
vided further, That not more than $91,000,000 shall be 20
available for research and demonstrations under sections 21
1110, 1115, and 1144 of the Social Security Act, and re-22
main available through September 30, 2026. 23
For making, after June 15 of the current fiscal year, 24
benefit payments to individuals under title XVI of the So-25
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cial Security Act, for unanticipated costs incurred for the 1
current fiscal year, such sums as may be necessary. 2
For making benefit payments under title XVI of the 3
Social Security Act for the first quarter of fiscal year 4
2025, $21,700,000,0000, to remain available until ex-5
pended. 6
LIMITATION ON ADMINISTRATIVE EXPENSES 7
(INCLUDING TRANSFER OF FUNDS) 8
For necessary expenses, including the hire and pur-9
chase of two passenger motor vehicles, and not to exceed 10
$20,000 for official reception and representation expenses, 11
not more than $11,951,978,000 may be expended, as au-12
thorized by section 201(g)(1) of the Social Security Act, 13
from any one or all of the trust funds referred to in such 14
section: Provided, That not less than $2,700,000 shall be 15
for the Social Security Advisory Board: Provided further, 16
That unobligated balances of funds provided under this 17
paragraph at the end of fiscal year 2024 not needed for 18
fiscal year 2024 shall remain available until expended to 19
invest in the Social Security Administration information 20
technology and telecommunications hardware and soft-21
ware infrastructure, including related equipment and non- 22
payroll administrative expenses associated solely with this 23
information technology and telecommunications infra-24
structure: Provided further, That the Commissioner of So-25
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cial Security shall notify the Committees on Appropria-1
tions of the House of Representatives and the Senate prior 2
to making unobligated balances available under the au-3
thority in the previous proviso: Provided further, That re-4
imbursement to the trust funds under this heading for ex-5
penditures for official time for employees of the Social Se-6
curity Administration pursuant to 5 U.S.C. 7131, and for 7
facilities or support services for labor organizations pursu-8
ant to policies, regulations, or procedures referred to in 9
section 7135(b) of such title shall be made by the Sec-10
retary of the Treasury, with interest, from amounts in the 11
general fund not otherwise appropriated, as soon as pos-12
sible after such expenditures are made. 13
In addition, $1,851,000,000 may be expended, as au-14
thorized by section 201(g)(1) of the Social Security Act, 15
from any one or all of the trust funds referred to in such 16
section, to remain available through March 31, 2025, for 17
the costs associated with continuing disability reviews 18
under titles II and XVI of the Social Security Act, includ-19
ing work-related continuing disability reviews to determine 20
whether earnings derived from services demonstrate an in-21
dividual’s ability to engage in substantial gainful activity, 22
for the costs associated with conducting redeterminations 23
of eligibility under title XVI of the Social Security Act, 24
for the costs of co-operative disability investigation units, 25
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and for the costs associated with the prosecution of fraud 1
in the programs and operations of the Social Security Ad-2
ministration by Special Assistant United States Attorneys: 3
Provided, That, of such amount, $273,000,000 is provided 4
to meet the terms of section 251(b)(2)(B)(ii)(III) of the 5
Balanced Budget and Emergency Deficit Control Act of 6
1985, as amended, and $1,578,000,000 is additional new 7
budget authority specified for purposes of section 8
251(b)(2)(B)(i)(XI) of such Act: Provided further, That, 9
of the additional new budget authority described in the 10
preceding proviso, $18,000,000 may be transferred to the 11
‘‘Office of Inspector General’’, Social Security Administra-12
tion, for the costs of jointly operated co-operative disability 13
investigation units: Provided further, That such transfer 14
authority is in addition to any other transfer authority 15
provided by law: Provided further, That the Commissioner 16
shall provide to the Congress (at the conclusion of the fis-17
cal year) a report on the obligation and expenditure of 18
these funds, similar to the reports that were required by 19
section 103(d)(2) of Public Law 104–121 for fiscal years 20
1996 through 2002: Provided further, That none of the 21
funds described in this paragraph shall be available for 22
transfer or reprogramming except as specified in this 23
paragraph. 24
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In addition, $150,000,000 to be derived from admin-1
istration fees in excess of $5.00 per supplementary pay-2
ment collected pursuant to section 1616(d) of the Social 3
Security Act or section 212(b)(3) of Public Law 93–66, 4
which shall remain available until expended: Provided, 5
That to the extent that the amounts collected pursuant 6
to such sections in fiscal year 2024 exceed $150,000,000, 7
the amounts shall be available in fiscal year 2025 only 8
to the extent provided in advance in appropriations Acts. 9
In addition, up to $1,000,000 to be derived from fees 10
collected pursuant to section 303(c) of the Social Security 11
Protection Act, which shall remain available until ex-12
pended. 13
OFFICE OF INSPECTOR GENERAL 14
(INCLUDING TRANSFER OF FUNDS) 15
For expenses necessary for the Office of Inspector 16
General in carrying out the provisions of the Inspector 17
General Act of 1978, $32,000,000, together with not to 18
exceed $82,665,000, to be transferred and expended as 19
authorized by section 201(g)(1) of the Social Security Act 20
from the Federal Old-Age and Survivors Insurance Trust 21
Fund and the Federal Disability Insurance Trust Fund: 22
Provided, That $2,000,000 shall remain available until ex-23
pended for information technology modernization, includ-24
ing related hardware and software infrastructure and 25
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equipment, and for administrative expenses directly asso-1
ciated with information technology modernization. 2
In addition, an amount not to exceed 3 percent of 3
the total provided in this appropriation may be transferred 4
from the ‘‘Limitation on Administrative Expenses’’, Social 5
Security Administration, to be merged with this account, 6
to be available for the time and purposes for which this 7
account is available: Provided, That notice of such trans-8
fers shall be transmitted promptly to the Committees on 9
Appropriations of the House of Representatives and the 10
Senate at least 15 days in advance of any transfer. 11
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TITLE V 1
GENERAL PROVISIONS 2
(TRANSFER OF FUNDS) 3
S
EC. 501. The Secretaries of Labor, Health and 4
Human Services, and Education are authorized to transfer 5
unexpended balances of prior appropriations to accounts 6
corresponding to current appropriations provided in this 7
Act. Such transferred balances shall be used for the same 8
purpose, and for the same periods of time, for which they 9
were originally appropriated. 10
S
EC. 502. No part of any appropriation contained in 11
this Act shall remain available for obligation beyond the 12
current fiscal year unless expressly so provided herein. 13
S
EC. 503. (a) No part of any appropriation contained 14
in this Act or transferred pursuant to section 4002 of 15
Public Law 111–148 shall be used, other than for normal 16
and recognized executive-legislative relationships, for pub-17
licity or propaganda purposes, for the preparation, dis-18
tribution, or use of any kit, pamphlet, booklet, publication, 19
electronic communication, radio, television, or video pres-20
entation designed to support or defeat the enactment of 21
legislation before the Congress or any State or local legis-22
lature or legislative body, except in presentation to the 23
Congress or any State or local legislature itself, or de-24
signed to support or defeat any proposed or pending regu-25
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lation, administrative action, or order issued by the execu-1
tive branch of any State or local government, except in 2
presentation to the executive branch of any State or local 3
government itself. 4
(b) No part of any appropriation contained in this 5
Act or transferred pursuant to section 4002 of Public Law 6
111–148 shall be used to pay the salary or expenses of 7
any grant or contract recipient, or agent acting for such 8
recipient, related to any activity designed to influence the 9
enactment of legislation, appropriations, regulation, ad-10
ministrative action, or Executive order proposed or pend-11
ing before the Congress or any State government, State 12
legislature or local legislature or legislative body, other 13
than for normal and recognized executive-legislative rela-14
tionships or participation by an agency or officer of a 15
State, local or tribal government in policymaking and ad-16
ministrative processes within the executive branch of that 17
government. 18
(c) The prohibitions in subsections (a) and (b) shall 19
include any activity to advocate or promote any proposed, 20
pending or future Federal, State or local tax increase, or 21
any proposed, pending, or future requirement or restric-22
tion on any legal consumer product, including its sale or 23
marketing, including but not limited to the advocacy or 24
promotion of gun control. 25
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SEC. 504. The Secretaries of Labor and Education 1
are authorized to make available not to exceed $28,000 2
and $20,000, respectively, from funds available for sala-3
ries and expenses under titles I and III, respectively, for 4
official reception and representation expenses; the Direc-5
tor of the Federal Mediation and Conciliation Service is 6
authorized to make available for official reception and rep-7
resentation expenses not to exceed $5,000 from the funds 8
available for ‘‘Federal Mediation and Conciliation Service, 9
Salaries and Expenses’’; and the Chairman of the Na-10
tional Mediation Board is authorized to make available for 11
official reception and representation expenses not to ex-12
ceed $5,000 from funds available for ‘‘National Mediation 13
Board, Salaries and Expenses’’. 14
S
EC. 505. When issuing statements, press releases, 15
requests for proposals, bid solicitations and other docu-16
ments describing projects or programs funded in whole or 17
in part with Federal money, all grantees receiving Federal 18
funds included in this Act, including but not limited to 19
State and local governments and recipients of Federal re-20
search grants, shall clearly state— 21
(1) the percentage of the total costs of the pro-22
gram or project which will be financed with Federal 23
money; 24
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(2) the dollar amount of Federal funds for the 1
project or program; and 2
(3) percentage and dollar amount of the total 3
costs of the project or program that will be financed 4
by non-governmental sources. 5
S
EC. 506. (a) None of the funds appropriated in this 6
Act, and none of the funds in any trust fund to which 7
funds are appropriated in this Act, shall be expended for 8
any abortion. 9
(b) None of the funds appropriated in this Act, and 10
none of the funds in any trust fund to which funds are 11
appropriated in this Act, shall be expended for health ben-12
efits coverage that includes coverage of abortion. 13
(c) The term ‘‘health benefits coverage’’ means the 14
package of services covered by a managed care provider 15
or organization pursuant to a contract or other arrange-16
ment. 17
S
EC. 507. (a) The limitations established in the pre-18
ceding section shall not apply to an abortion— 19
(1) if the pregnancy is the result of an act of 20
rape or incest; or 21
(2) in the case where a woman suffers from a 22
physical disorder, physical injury, or physical illness, 23
including a life-endangering physical condition 24
caused by or arising from the pregnancy itself, that 25
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would, as certified by a physician, place the woman 1
in danger of death unless an abortion is performed. 2
(b) Nothing in the preceding section shall be con-3
strued as prohibiting the expenditure by a State, locality, 4
entity, or private person of State, local, or private funds 5
(other than a State’s or locality’s contribution of Medicaid 6
matching funds). 7
(c) Nothing in the preceding section shall be con-8
strued as restricting the ability of any managed care pro-9
vider from offering abortion coverage or the ability of a 10
State or locality to contract separately with such a pro-11
vider for such coverage with State funds (other than a 12
State’s or locality’s contribution of Medicaid matching 13
funds). 14
(d)(1) None of the funds made available in this Act 15
may be made available to a Federal agency or program, 16
or to a State or local government, if such agency, program, 17
or government subjects any institutional or individual 18
health care entity to discrimination on the basis that the 19
health care entity does not provide, pay for, provide cov-20
erage of, or refer for abortions. 21
(2) In this subsection, the term ‘‘health care entity’’ 22
includes an individual physician or other health care pro-23
fessional, a hospital, a provider-sponsored organization, a 24
health maintenance organization, a health insurance plan, 25
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or any other kind of health care facility, organization, or 1
plan. 2
S
EC. 508. (a) None of the funds made available in 3
this Act may be used for— 4
(1) the creation of a human embryo or embryos 5
for research purposes; or 6
(2) research in which a human embryo or em-7
bryos are destroyed, discarded, or knowingly sub-8
jected to risk of injury or death greater than that 9
allowed for research on fetuses in utero under 45 10
CFR 46.204(b) and section 498(b) of the Public 11
Health Service Act (42 U.S.C. 289g(b)). 12
(b) For purposes of this section, the term ‘‘human 13
embryo or embryos’’ includes any organism, not protected 14
as a human subject under 45 CFR 46 as of the date of 15
the enactment of this Act, that is derived by fertilization, 16
parthenogenesis, cloning, or any other means from one or 17
more human gametes or human diploid cells. 18
S
EC. 509. (a) None of the funds made available in 19
this Act may be used for any activity that promotes the 20
legalization of any drug or other substance included in 21
schedule I of the schedules of controlled substances estab-22
lished under section 202 of the Controlled Substances Act 23
except for normal and recognized executive-congressional 24
communications. 25
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(b) The limitation in subsection (a) shall not apply 1
when there is significant medical evidence of a therapeutic 2
advantage to the use of such drug or other substance or 3
that federally sponsored clinical trials are being conducted 4
to determine therapeutic advantage. 5
S
EC. 510. None of the funds made available in this 6
Act may be used to promulgate or adopt any final stand-7
ard under section 1173(b) of the Social Security Act pro-8
viding for, or providing for the assignment of, a unique 9
health identifier for an individual (except in an individ-10
ual’s capacity as an employer or a health care provider), 11
until legislation is enacted specifically approving the 12
standard. 13
S
EC. 511. None of the funds made available in this 14
Act may be obligated or expended to enter into or renew 15
a contract with an entity if— 16
(1) such entity is otherwise a contractor with 17
the United States and is subject to the requirement 18
in 38 U.S.C. 4212(d) regarding submission of an 19
annual report to the Secretary of Labor concerning 20
employment of certain veterans; and 21
(2) such entity has not submitted a report as 22
required by that section for the most recent year for 23
which such requirement was applicable to such enti-24
ty. 25
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SEC. 512. None of the funds made available in this 1
Act may be transferred to any department, agency, or in-2
strumentality of the United States Government, except 3
pursuant to a transfer made by, or transfer authority pro-4
vided in, this Act or any other appropriation Act. 5
S
EC. 513. None of the funds made available by this 6
Act to carry out the Library Services and Technology Act 7
may be made available to any library covered by para-8
graph (1) of section 224(f) of such Act, as amended by 9
the Children’s Internet Protection Act, unless such library 10
has made the certifications required by paragraph (4) of 11
such section. 12
S
EC. 514. (a) None of the funds provided under this 13
Act, or provided under previous appropriations Acts to the 14
agencies funded by this Act that remain available for obli-15
gation or expenditure in fiscal year 2024, or provided from 16
any accounts in the Treasury of the United States derived 17
by the collection of fees available to the agencies funded 18
by this Act, shall be available for obligation or expenditure 19
through a reprogramming of funds that— 20
(1) creates new programs; 21
(2) eliminates a program, project, or activity; 22
(3) increases funds or personnel by any means 23
for any project or activity for which funds have been 24
denied or restricted; 25
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(4) relocates an office or employees; 1
(5) reorganizes or renames offices; 2
(6) reorganizes programs or activities; or 3
(7) contracts out or privatizes any functions or 4
activities presently performed by Federal employees; 5
unless the Committees on Appropriations of the House of 6
Representatives and the Senate are consulted 15 days in 7
advance of such reprogramming or of an announcement 8
of intent relating to such reprogramming, whichever oc-9
curs earlier, and are notified in writing 10 days in advance 10
of such reprogramming. 11
(b) None of the funds provided under this Act, or 12
provided under previous appropriations Acts to the agen-13
cies funded by this Act that remain available for obligation 14
or expenditure in fiscal year 2024, or provided from any 15
accounts in the Treasury of the United States derived by 16
the collection of fees available to the agencies funded by 17
this Act, shall be available for obligation or expenditure 18
through a reprogramming of funds in excess of $500,000 19
or 10 percent, whichever is less, that— 20
(1) augments existing programs, projects (in-21
cluding construction projects), or activities; 22
(2) reduces by 10 percent funding for any exist-23
ing program, project, or activity, or numbers of per-24
sonnel by 10 percent as approved by Congress; or 25
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(3) results from any general savings from a re-1
duction in personnel which would result in a change 2
in existing programs, activities, or projects as ap-3
proved by Congress; 4
unless the Committees on Appropriations of the House of 5
Representatives and the Senate are consulted 15 days in 6
advance of such reprogramming or of an announcement 7
of intent relating to such reprogramming, whichever oc-8
curs earlier, and are notified in writing 10 days in advance 9
of such reprogramming. 10
S
EC. 515. (a) None of the funds made available in 11
this Act may be used to request that a candidate for ap-12
pointment to a Federal scientific advisory committee dis-13
close the political affiliation or voting history of the can-14
didate or the position that the candidate holds with re-15
spect to political issues not directly related to and nec-16
essary for the work of the committee involved. 17
(b) None of the funds made available in this Act may 18
be used to disseminate information that is deliberately 19
false or misleading. 20
S
EC. 516. Within 45 days of enactment of this Act, 21
each department and related agency funded through this 22
Act shall submit an operating plan that details at the pro-23
gram, project, and activity level any funding allocations 24
for fiscal year 2024 that are different than those specified 25
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in this Act, the accompanying detailed table in the com-1
mittee report accompanying this Act, or the fiscal year 2
2024 budget request. 3
S
EC. 517. The Secretaries of Labor, Health and 4
Human Services, and Education shall each prepare and 5
submit to the Committees on Appropriations of the House 6
of Representatives and the Senate a report on the number 7
and amount of contracts, grants, and cooperative agree-8
ments exceeding $500,000, individually or in total for a 9
particular project, activity, or programmatic initiative, in 10
value and awarded by the Department on a non-competi-11
tive basis during each quarter of fiscal year 2024, but not 12
to include grants awarded on a formula basis or directed 13
by law. Such report shall include the name of the con-14
tractor or grantee, the amount of funding, the govern-15
mental purpose, including a justification for issuing the 16
award on a non-competitive basis. Such report shall be 17
transmitted to the Committees within 30 days after the 18
end of the quarter for which the report is submitted. 19
S
EC. 518. None of the funds appropriated in this Act 20
shall be expended or obligated by the Commissioner of So-21
cial Security, for purposes of administering Social Security 22
benefit payments under title II of the Social Security Act, 23
to process any claim for credit for a quarter of coverage 24
based on work performed under a social security account 25
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number that is not the claimant’s number and the per-1
formance of such work under such number has formed the 2
basis for a conviction of the claimant of a violation of sec-3
tion 208(a)(6) or (7) of the Social Security Act. 4
S
EC. 519. None of the funds appropriated by this Act 5
may be used by the Commissioner of Social Security or 6
the Social Security Administration to pay the compensa-7
tion of employees of the Social Security Administration 8
to administer Social Security benefit payments, under any 9
agreement between the United States and Mexico estab-10
lishing totalization arrangements between the social secu-11
rity system established by title II of the Social Security 12
Act and the social security system of Mexico, which would 13
not otherwise be payable but for such agreement. 14
S
EC. 520. (a) None of the funds made available in 15
this Act may be used to maintain or establish a computer 16
network unless such network blocks the viewing, 17
downloading, and exchanging of pornography. 18
(b) Nothing in subsection (a) shall limit the use of 19
funds necessary for any Federal, State, tribal, or local law 20
enforcement agency or any other entity carrying out crimi-21
nal investigations, prosecution, or adjudication activities. 22
S
EC. 521. For purposes of carrying out Executive 23
Order 13589, Office of Management and Budget Memo-24
randum M–12–12 dated May 11, 2012, and requirements 25
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contained in the annual appropriations bills relating to 1
conference attendance and expenditures: 2
(1) the operating divisions of HHS shall be con-3
sidered independent agencies; and 4
(2) attendance at and support for scientific con-5
ferences shall be tabulated separately from and not 6
included in agency totals. 7
S
EC. 522. Federal agencies funded under this Act 8
shall clearly state within the text, audio, or video used for 9
advertising or educational purposes, including emails or 10
Internet postings, that the communication is printed, pub-11
lished, or produced and disseminated at United States tax-12
payer expense. The funds used by a Federal agency to 13
carry out this requirement shall be derived from amounts 14
made available to the agency for advertising or other com-15
munications regarding the programs and activities of the 16
agency. 17
S
EC. 523. (a) Federal agencies may use Federal dis-18
cretionary funds that are made available in this Act to 19
carry out up to 10 Performance Partnership Pilots. Such 20
Pilots shall be governed by the provisions of section 526 21
of division H of Public Law 113–76, except that in car-22
rying out such Pilots section 526 shall be applied by sub-23
stituting ‘‘Fiscal Year 2024’’ for ‘‘Fiscal Year 2014’’ in 24
the title of subsection (b) and by substituting ‘‘September 25
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30, 2028’’ for ‘‘September 30, 2018’’ each place it ap-1
pears: Provided, That such pilots shall include commu-2
nities that have experienced civil unrest. 3
(b) In addition, Federal agencies may use Federal 4
discretionary funds that are made available in this Act to 5
participate in Performance Partnership Pilots that are 6
being carried out pursuant to the authority provided by 7
section 526 of division H of Public Law 113–76, section 8
524 of division G of Public Law 113–235, section 525 of 9
division H of Public Law 114–113, section 525 of division 10
H of Public Law 115–31, section 525 of division H of 11
Public Law 115–141, section 524 of division A of Public 12
Law 116–94, section 524 of division H of Public Law 13
116–260, and section 523 of division H of Public Law 14
117–103. 15
(c) Pilot sites selected under authorities in this Act 16
and prior appropriations Acts may be granted by relevant 17
agencies up to an additional 5 years to operate under such 18
authorities. 19
S
EC. 524. Not later than 30 days after the end of 20
each calendar quarter, beginning with the first month of 21
fiscal year 2024 the Departments of Labor, Health and 22
Human Services and Education and the Social Security 23
Administration shall provide the Committees on Appro-24
priations of the House of Representatives and Senate a 25
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report on the status of balances of appropriations: Pro-1
vided, That for balances that are unobligated and uncom-2
mitted, committed, and obligated but unexpended, the 3
monthly reports shall separately identify the amounts at-4
tributable to each source year of appropriation (beginning 5
with fiscal year 2012, or, to the extent feasible, earlier 6
fiscal years) from which balances were derived. 7
S
EC. 525. The Departments of Labor, Health and 8
Human Services, and Education shall provide to the Com-9
mittees on Appropriations of the House of Representatives 10
and the Senate a comprehensive list of any new or com-11
petitive grant award notifications, including supplements, 12
issued at the discretion of such Departments not less than 13
3 full business days before any entity selected to receive 14
a grant award is announced by the Department or its of-15
fices (other than emergency response grants at any time 16
of the year or for grant awards made during the last 10 17
business days of the fiscal year, or if applicable, of the 18
program year). 19
S
EC. 526. Notwithstanding any other provision of 20
this Act, no funds appropriated in this Act shall be used 21
to purchase sterile needles or syringes for the hypodermic 22
injection of any illegal drug: Provided, That such limita-23
tion does not apply to the use of funds for elements of 24
a program other than making such purchases if the rel-25
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evant State or local health department, in consultation 1
with the Centers for Disease Control and Prevention, de-2
termines that the State or local jurisdiction, as applicable, 3
is experiencing, or is at risk for, a significant increase in 4
hepatitis infections or an HIV outbreak due to injection 5
drug use, and such program is operating in accordance 6
with State and local law. 7
S
EC. 527. (a) Each department and related agency 8
funded through this Act shall provide answers to questions 9
submitted for the record by members of any congressional 10
committee within 45 business days after receipt. 11
(b) There is rescinded an amount equal to $1,000 for 12
each day of the noncompliance period described in sub-13
section (c) from an account listed in subsection (d). 14
(c) The noncompliance period under subsection (b) 15
means the period beginning on the first day following the 16
failure to comply with the deadline described in subsection 17
(a) and ending on the date on which the department or 18
agency becomes compliant. 19
(d) Any rescission under subsection (b) shall be from 20
the applicable following account of the noncompliant de-21
partment or agency: 22
(1)‘‘Department of Health and Human Serv-23
ices—Office of the Secretary—General Depart-24
mental Management’’ 25
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(2) ‘‘Department of Labor—Departmental 1
Management—Salaries and Expenses’’ 2
(3) ‘‘Department of Education—Departmental 3
Management—Program Administration’’ 4
S
EC. 528. Of amounts deposited in the Child Enroll-5
ment Contingency Fund under section 2104(n)(2) of the 6
Social Security Act and the income derived from invest-7
ment of those funds pursuant to section 2104(n)(2)(C) of 8
that Act, $13,493,000,000 shall not be available for obli-9
gation in this fiscal year. 10
S
EC. 529. (a) This section applies to: (1) the Admin-11
istration for Children and Families in the Department of 12
Health and Human Services; and (2) the Chief Evaluation 13
Office and the statistical-related cooperative and inter-14
agency agreements and contracting activities of the Bu-15
reau of Labor Statistics in the Department of Labor. 16
(b) Amounts made available under this Act which are 17
either appropriated, allocated, advanced on a reimbursable 18
basis, or transferred to the functions and organizations 19
identified in subsection (a) for research, evaluation, or sta-20
tistical purposes shall be available for obligation through 21
September 30, 2028: Provided, That when an office ref-22
erenced in subsection (a) receives research and evaluation 23
funding from multiple appropriations, such offices may 24
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use a single Treasury account for such activities, with 1
funding advanced on a reimbursable basis. 2
(c) Amounts referenced in subsection (b) that are un-3
expended at the time of completion of a contract, grant, 4
or cooperative agreement may be deobligated and shall im-5
mediately become available and may be reobligated in that 6
fiscal year or the subsequent fiscal year for the research, 7
evaluation, or statistical purposes for which such amounts 8
are available. 9
S
EC. 530. None of the funds made available by this 10
Act may be used to carry out any program, project, or 11
activity that promotes or advances Critical Race Theory 12
or any concept associated with Critical Race Theory. 13
S
EC. 531. None of the funds appropriated or other-14
wise made available by this Act may be made available 15
to implement, administer, apply, enforce, or carry out Ex-16
ecutive Order 13985 of January 20, 2021 (86 Fed. Reg. 17
7009, relating to advancing racial equity and support for 18
under-served communities through the Federal Govern-19
ment), Executive Order 14035 of June 25, 2021 (86 Fed. 20
Reg. 34593, relating to diversity, equity, inclusion, and 21
accessibility in the federal workforce), or Executive Order 22
14091 of February 16, 2023 (88 Fed. Reg. 10825 relating 23
to further advancing racial equity and support for under-24
served communities through the federal government). 25
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SEC. 532. None of the funds made available by this 1
Act may be made available to support, directly or indi-2
rectly, the Wuhan Institute of Virology, or any laboratory 3
owned or controlled by the governments of the People’s 4
Republic of China, the Republic of Cuba, the Islamic Re-5
public of Iran, The Democratic People’s Republic of 6
Korea, the Russian Federation, the Bolivarian Republic 7
of Venezuela under the regime of Nicola´s Maduro Moros, 8
or any other country determined by the Secretary of State 9
to be a foreign adversary. 10
S
EC. 533. None of the funds made available by this 11
Act may be used, either directly or indirectly, to conduct 12
or support any gain-of-function research involving a poten-13
tial pandemic pathogen by any country determined by the 14
Secretary of State to be a foreign adversary including the 15
People’s Republic of China, the Republic of Cuba, the Is-16
lamic Republic of Iran, The Democratic People’s Republic 17
of Korea, the Russian Federation, or the Bolivarian Re-18
public of Venezuela under the regime of Nicola´s Maduro 19
Moros. 20
S
EC. 534. None of the funds made available by this 21
Act may be used for surgical procedures or hormone thera-22
pies for the purposes of gender affirming care. 23
S
EC. 535. None of the funds made available by this 24
Act may be used to implement, administer, apply, enforce, 25
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or carry out any diversity, equity, and inclusion office, pro-1
gram, or training. 2
S
EC. 536. None of the funds made available by this 3
Act may be used to implement, administer, or enforce Ex-4
ecutive Order 14076 (Protecting Access to Reproductive 5
Healthcare Services) or Executive Order 14079 (Securing 6
Access to Reproductive and Other Healthcare Services). 7
S
EC. 537. (a) In general.—Notwithstanding section 8
7 of title 1, United States Code, section 1738C of title 9
28, United States Code, or any other provision of law, 10
none of the funds provided by this Act, or previous appro-11
priations Acts, shall be used in whole or in part to take 12
any discriminatory action against a person, wholly or par-13
tially, on the basis that such person speaks, or acts, in 14
accordance with a sincerely held religious belief, or moral 15
conviction, that marriage is, or should be recognized as, 16
a union of one man and one woman. 17
(b) Discriminatory action defined.—As used in sub-18
section (a), a discriminatory action means any action 19
taken by the Federal Government to— 20
(1) alter in any way the Federal tax treatment 21
of, or cause any tax, penalty, or payment to be as-22
sessed against, or deny, delay, or revoke an exemp-23
tion from taxation under section 501(a) of the Inter-24
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nal Revenue Code of 1986 of, any person referred to 1
in subsection (a); 2
(2) disallow a deduction for Federal tax pur-3
poses of any charitable contribution made to or by 4
such person; 5
(3) withhold, reduce the amount or funding for, 6
exclude, terminate, or otherwise make unavailable or 7
deny, any Federal grant, contract, subcontract, co-8
operative agreement, guarantee, loan, scholarship, li-9
cense, certification, accreditation, employment, or 10
other similar position or status from or to such per-11
son; 12
(4) withhold, reduce, exclude, terminate, or oth-13
erwise make unavailable or deny, any entitlement or 14
benefit under a Federal benefit program, including 15
admission to, equal treatment in, or eligibility for a 16
degree from an educational program, from or to 17
such person; or 18
(5) withhold, reduce, exclude, terminate, or oth-19
erwise make unavailable or deny access or an entitle-20
ment to Federal property, facilities, educational in-21
stitutions, speech fora (including traditional, limited, 22
and nonpublic fora), or charitable fundraising cam-23
paigns from or to such person. 24
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(c) Accreditation; Licensure; Certification.—The 1
Federal Government shall consider accredited, licensed, or 2
certified for purposes of Federal law any person that 3
would be accredited, licensed, or certified, respectively, for 4
such purposes but for a determination against such person 5
wholly or partially on the basis that the person speaks, 6
or acts, in accordance with a sincerely held religious belief 7
or moral conviction described in subsection (a). 8
(RESCISSION) 9
S
EC. 538. Of the unobligated balances in the ‘‘Non-10
recurring Expenses Fund’’ established in section 111(a) 11
of division B of Public Law 116–93, $11,000,000,000 are 12
hereby permanently rescinded. 13
(RESCISSION) 14
S
EC. 539. Of the unobligated balances available in 15
Public Law 117-169, $9,774,000,000 available under sec-16
tion 10301(1)(A)(iii) as of the date of the enactment of 17
this Act are permanently rescinded. 18
S
EC. 540. None of the funds made available by this 19
Act may be used by the Secretaries of Labor, Health and 20
Human Services, or Education, the Commissioner of the 21
Social Security Administration, or the head of any other 22
agency funded in this Act to fly or display a flag over 23
a federal facility other than the flag of the United States; 24
the flag of a State, territory, or the District of Columbia; 25
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the flag of an Indian Tribal Government; the official flag 1
of a U.S. Department or agency; or the POW/MIA flag. 2
SPENDING REDUCTION ACCOUNT 3
S
EC. 541. The amount by which the applicable alloca-4
tion of new budget authority made by the Committee on 5
Appropriations of the House of Representatives under sec-6
tion 302(b) of the Congressional Budget Act of 1974 ex-7
ceeds the amount of proposed new budget authority is $0. 8
This division may be cited as the ‘‘Departments of 9
Labor, Health and Human Services, and Education, and 10
Related Agencies Appropriations Act, 2024’’. 11
Æ 
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