Us Congress Senate Bill SB2624 Latest Draft

                            II 
Calendar No. 187 
118THCONGRESS 
1
STSESSION S. 2624 
[Report No. 118–84] 
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 SENATE OF THE UNITED STATES 
JULY27, 2023 
Ms. B
ALDWIN, from the Committee on Appropriations, reported the following 
original bill; which was read twice and placed on the calendar 
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 2 
•S 2624 RS
Education, and related agencies for the fiscal year ending 1
September 30, 2024, and for other purposes, namely: 2
TITLE I 3
DEPARTMENT OF LABOR 4
E
MPLOYMENT AND TRAININGADMINISTRATION 5
TRAINING AND EMPLOYMENT SERVICES 6
For necessary expenses of the Workforce Innovation 7
and Opportunity Act (referred to in this Act as ‘‘WIOA’’) 8
and the National Apprenticeship Act, $4,016,526,000 plus 9
reimbursements, shall be available. Of the amounts pro-10
vided: 11
(1) for grants to States for adult employment 12
and training activities, youth activities, and dis-13
located worker employment and training activities, 14
$2,929,332,000 as follows: 15
(A) $885,649,000 for adult employment 16
and training activities, of which $173,649,000 17
shall be available for the period July 1, 2024 18
through June 30, 2025, and of which 19
$712,000,000 shall be available for the period 20
October 1, 2024 through June 30, 2025; 21
(B) $948,130,000 for youth activities, 22
which shall be available for the period April 1, 23
2024 through June 30, 2025; and 24 3 
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(C) $1,095,553,000 for dislocated worker 1
employment and training activities, of which 2
$235,553,000 shall be available for the period 3
July 1, 2024 through June 30, 2025, and of 4
which $860,000,000 shall be available for the 5
period October 1, 2024 through June 30, 2025: 6
Provided, That the funds available for allotment to 7
outlying areas to carry out subtitle B of title I of the 8
WIOA shall not be subject to the requirements of 9
section 127(b)(1)(B)(ii) of such Act: Provided fur-10
ther, That notwithstanding the requirements of 11
WIOA, outlying areas may submit a single applica-12
tion for a consolidated grant that awards funds that 13
would otherwise be available to such areas to carry 14
out the activities described in subtitle B of title I of 15
the WIOA: Provided further, That such application 16
shall be submitted to the Secretary of Labor (re-17
ferred to in this title as ‘‘Secretary’’), at such time, 18
in such manner, and containing such information as 19
the Secretary may require: Provided further, That 20
outlying areas awarded a consolidated grant de-21
scribed in the preceding provisos may use the funds 22
for any of the programs and activities authorized 23
under such subtitle B of title I of the WIOA subject 24 4 
•S 2624 RS
to approval of the application and such reporting re-1
quirements issued by the Secretary; and 2
(2) for national programs, $1,087,194,000 as 3
follows: 4
(A) $305,859,000 for the dislocated work-5
ers assistance national reserve, of which 6
$105,859,000 shall be available for the period 7
July 1, 2024 through September 30, 2025, and 8
of which $200,000,000 shall be available for the 9
period October 1, 2024 through September 30, 10
2025: Provided, That funds provided to carry 11
out section 132(a)(2)(A) of the WIOA may be 12
used to provide assistance to a State for state-13
wide or local use in order to address cases 14
where there have been worker dislocations 15
across multiple sectors or across multiple local 16
areas and such workers remain dislocated; co-17
ordinate the State workforce development plan 18
with emerging economic development needs; and 19
train such eligible dislocated workers: Provided 20
further, That funds provided to carry out sec-21
tions 168(b) and 169(c) of the WIOA may be 22
used for technical assistance and demonstration 23
projects, respectively, that provide assistance to 24
new entrants in the workforce and incumbent 25 5 
•S 2624 RS
workers: Provided further, That notwithstanding 1
section 168(b) of the WIOA, of the funds pro-2
vided under this subparagraph, the Secretary 3
may reserve not more than 10 percent of such 4
funds to provide technical assistance and carry 5
out additional activities related to the transition 6
to the WIOA: Provided further, That of the 7
funds provided under this subparagraph, 8
$105,000,000 shall be for training and employ-9
ment assistance under sections 168(b), 169(c) 10
(notwithstanding the 10 percent limitation in 11
such section) and 170 of the WIOA as follows: 12
(i) $50,000,000 shall be for workers 13
in the Appalachian region, as defined by 14
40 U.S.C. 14102(a)(1), workers in the 15
Lower Mississippi, as defined in section 16
4(2) of the Delta Development Act (Public 17
Law 100–460, 102 Stat. 2246; 7 U.S.C. 18
2009aa(2)), and workers in the region 19
served by the Northern Border Regional 20
Commission, as defined by 40 U.S.C. 21
15733; and 22
(ii) $55,000,000 shall be for the pur-23
pose of developing, offering, or improving 24
educational or career training programs at 25 6 
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community colleges, defined as public insti-1
tutions of higher education, as described in 2
section 101(a) of the Higher Education 3
Act of 1965 and at which the associate’s 4
degree is primarily the highest degree 5
awarded, with other eligible institutions of 6
higher education, as defined in section 7
101(a) of the Higher Education Act of 8
1965, eligible to participate through con-9
sortia, with community colleges as the lead 10
grantee: Provided, That the Secretary shall 11
follow the requirements for the program in 12
House Report 116–62: Provided further, 13
That any grant funds used for apprentice-14
ships shall be used to support only appren-15
ticeship programs registered under the Na-16
tional Apprenticeship Act and as referred 17
to in section 3(7)(B) of the WIOA; 18
(B) $60,000,000 for Native American pro-19
grams under section 166 of the WIOA, which 20
shall be available for the period July 1, 2024 21
through June 30, 2025; 22
(C) $97,396,000 for migrant and seasonal 23
farmworker programs under section 167 of the 24
WIOA, including $90,134,000 for formula 25 7 
•S 2624 RS
grants (of which not less than 70 percent shall 1
be for employment and training services), 2
$6,591,000 for migrant and seasonal housing 3
(of which not less than 70 percent shall be for 4
permanent housing), and $671,000 for other 5
discretionary purposes, which shall be available 6
for the period April 1, 2024 through June 30, 7
2025: Provided, That notwithstanding any 8
other provision of law or related regulation, the 9
Department of Labor shall take no action lim-10
iting the number or proportion of eligible par-11
ticipants receiving related assistance services or 12
discouraging grantees from providing such serv-13
ices: Provided further, That notwithstanding the 14
definition of ‘‘eligible seasonal farmworker’’ in 15
section 167(i)(3)(A) of the WIOA relating to an 16
individual being ‘‘low-income’’, an individual is 17
eligible for migrant and seasonal farmworker 18
programs under section 167 of the WIOA under 19
that definition if, in addition to meeting the re-20
quirements of clauses (i) and (ii) of section 21
167(i)(3)(A), such individual is a member of a 22
family with a total family income equal to or 23
less than 150 percent of the poverty line; 24 8 
•S 2624 RS
(D) $105,000,000 for YouthBuild activi-1
ties as described in section 171 of the WIOA, 2
which shall be available for the period April 1, 3
2024 through June 30, 2025; 4
(E) $115,000,000 for ex-offender activi-5
ties, under the authority of section 169 of the 6
WIOA, which shall be available for the period 7
April 1, 2024 through June 30, 2025: Provided, 8
That of this amount, $30,000,000 shall be for 9
competitive grants to national and regional 10
intermediaries for activities that prepare for 11
employment young adults with criminal legal 12
histories, young adults who have been justice 13
system-involved, or young adults who have 14
dropped out of school or other educational pro-15
grams, with a priority for projects serving high- 16
crime, high-poverty areas; 17
(F) $6,000,000 for the Workforce Data 18
Quality Initiative, under the authority of section 19
169 of the WIOA, which shall be available for 20
the period July 1, 2024 through June 30, 21
2025; 22
(G) $290,000,000 to expand opportunities 23
through apprenticeships only registered under 24
the National Apprenticeship Act and as referred 25 9 
•S 2624 RS
to in section 3(7)(B) of the WIOA, to be avail-1
able to the Secretary to carry out activities 2
through grants, cooperative agreements, con-3
tracts and other arrangements, with States and 4
other appropriate entities, including equity 5
intermediaries and business and labor industry 6
partner intermediaries, which shall be available 7
for the period July 1, 2024 through June 30, 8
2025; and 9
(H) $107,939,000 for carrying out Dem-10
onstration and Pilot projects under section 11
169(c) of the WIOA, which shall be available 12
for the period April 1, 2024 through June 30, 13
2025, in addition to funds available for such ac-14
tivities under subparagraph (A) for the 15
projects, and in the amounts, specified in the 16
table titled ‘‘Congressionally Directed Spend-17
ing’’ included in the report accompanying this 18
Act: Provided, That such funds may be used for 19
projects that are related to the employment and 20
training needs of dislocated workers, other 21
adults, or youth: Provided further, That the 10 22
percent funding limitation under such section of 23
the WIOA shall not apply to such funds: Pro-24
vided further, That section 169(b)(6)(C) of the 25 10 
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WIOA shall not apply to such funds: Provided 1
further, That sections 102 and 107 of this Act 2
shall not apply to such funds. 3
JOB CORPS 4
(INCLUDING TRANSFER OF FUNDS) 5
To carry out subtitle C of title I of the WIOA, includ-6
ing Federal administrative expenses, the purchase and 7
hire of passenger motor vehicles, the construction, alter-8
ation, and repairs of buildings and other facilities, and the 9
purchase of real property for training centers as author-10
ized by the WIOA, $1,760,155,000, plus reimbursements, 11
as follows: 12
(1) $1,603,325,000 for Job Corps Operations, 13
which shall be available for the period July 1, 2024 14
through June 30, 2025; 15
(2) $123,000,000 for construction, rehabilita-16
tion and acquisition of Job Corps Centers, which 17
shall be available for the period July 1, 2024 18
through June 30, 2027, and which may include the 19
acquisition, maintenance, and repair of major items 20
of equipment: Provided, That the Secretary may 21
transfer up to 15 percent of such funds to meet the 22
operational needs of such centers or to achieve ad-23
ministrative efficiencies: Provided further, That any 24
funds transferred pursuant to the preceding proviso 25 11 
•S 2624 RS
shall not be available for obligation after June 30, 1
2024: Provided further, That the Committees on Ap-2
propriations of the House of Representatives and the 3
Senate are notified at least 15 days in advance of 4
any transfer; and 5
(3) $33,830,000 for necessary expenses of Job 6
Corps, which shall be available for obligation for the 7
period October 1, 2023 through September 30, 8
2024: 9
Provided, That no funds from any other appropriation 10
shall be used to provide meal services at or for Job Corps 11
Centers. 12
COMMUNITY SERVICE EMPLOYMENT FOR OLDER 13
AMERICANS 14
To carry out title V of the Older Americans Act of 15
1965 (referred to in this Act as ‘‘OAA’’), $405,000,000, 16
which shall be available for the period April 1, 2024 17
through June 30, 2025, and may be recaptured and reobli-18
gated in accordance with section 517(c) of the OAA. 19
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES 20
For payments during fiscal year 2024 of trade ad-21
justment benefit payments and allowances under part I 22
of subchapter B of chapter 2 of title II of the Trade Act 23
of 1974, and section 246 of that Act; and for training, 24
employment and case management services, allowances for 25 12 
•S 2624 RS
job search and relocation, and related State administrative 1
expenses under part II of subchapter B of chapter 2 of 2
title II of the Trade Act of 1974, and including benefit 3
payments, allowances, training, employment and case 4
management services, and related State administration 5
provided pursuant to section 231(a) of the Trade Adjust-6
ment Assistance Extension Act of 2011, sections 405(a) 7
and 406 of the Trade Preferences Extension Act of 2015, 8
and section 285(a) of the Trade Act of 1974, as amended, 9
$30,700,000 together with such amounts as may be nec-10
essary to be charged to the subsequent appropriation for 11
payments for any period subsequent to September 15, 12
2024: Provided, That notwithstanding section 502 of this 13
Act, any part of the appropriation provided under this 14
heading may remain available for obligation beyond the 15
current fiscal year pursuant to the authorities of section 16
245(c) of the Trade Act of 1974 (19 U.S.C. 2317(c)). 17
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 18
SERVICE OPERATIONS 19
(INCLUDING TRANSFER OF FUNDS) 20
For authorized administrative expenses, 21
$84,066,000, together with not to exceed $3,988,084,000 22
which may be expended from the Employment Security 23
Administration Account in the Unemployment Trust Fund 24
(‘‘the Trust Fund’’), of which— 25 13 
•S 2624 RS
(1) $3,206,635,000 from the Trust Fund is for 1
grants to States for the administration of State un-2
employment insurance laws as authorized under title 3
III of the Social Security Act (including not less 4
than $382,000,000 to carry out reemployment serv-5
ices and eligibility assessments under section 306 of 6
such Act, any claimants of regular compensation, as 7
defined in such section, including those who are 8
profiled as most likely to exhaust their benefits, may 9
be eligible for such services and assessments: Pro-10
vided, That of such amount, $117,000,000 is speci-11
fied for grants under section 306 of the Social Secu-12
rity Act and is provided to meet the terms of section 13
251(b)(2)(E)(ii) of the Balanced Budget and Emer-14
gency Deficit Control Act of 1985, as amended, and 15
$265,000,000 is additional new budget authority 16
specified for purposes of section 251(b)(2)(E) of 17
such Act; and $9,000,000 for continued support of 18
the Unemployment Insurance Integrity Center of 19
Excellence), the administration of unemployment in-20
surance for Federal employees and for ex-service 21
members as authorized under 5 U.S.C. 8501–8523, 22
and the administration of trade readjustment allow-23
ances, reemployment trade adjustment assistance, 24
and alternative trade adjustment assistance under 25 14 
•S 2624 RS
the Trade Act of 1974 and under section 231(a) of 1
the Trade Adjustment Assistance Extension Act of 2
2011, sections 405(a) and 406 of the Trade Pref-3
erences Extension Act of 2015, and section 285(a) 4
of the Trade Act of 1974, as amended, and shall be 5
available for obligation by the States through De-6
cember 31, 2024, except that funds used for auto-7
mation shall be available for Federal obligation 8
through December 31, 2024, and for State obliga-9
tion through September 30, 2026, or, if the automa-10
tion is being carried out through consortia of States, 11
for State obligation through September 30, 2030, 12
and for expenditure through September 30, 2031, 13
and funds for competitive grants awarded to States 14
for improved operations and to conduct in-person re-15
employment and eligibility assessments and unem-16
ployment insurance improper payment reviews and 17
provide reemployment services and referrals to train-18
ing, as appropriate, shall be available for Federal ob-19
ligation through December 31, 2024 (except that 20
funds for outcome payments pursuant to section 21
306(f)(2) of the Social Security Act shall be avail-22
able for Federal obligation through March 31, 23
2025), and for obligation by the States through Sep-24
tember 30, 2026, and funds for the Unemployment 25 15 
•S 2624 RS
Insurance Integrity Center of Excellence shall be 1
available for obligation by the State through Sep-2
tember 30, 2025, and funds used for unemployment 3
insurance workloads experienced through September 4
30, 2024 shall be available for Federal obligation 5
through December 31, 2024; 6
(2) $18,000,000 from the Trust Fund is for na-7
tional activities necessary to support the administra-8
tion of the Federal-State unemployment insurance 9
system; 10
(3) $653,639,000 from the Trust Fund, to-11
gether with $21,413,000 from the General Fund of 12
the Treasury, is for grants to States in accordance 13
with section 6 of the Wagner-Peyser Act, and shall 14
be available for Federal obligation for the period 15
July 1, 2024 through June 30, 2025; 16
(4) $25,000,000 from the Trust Fund is for na-17
tional activities of the Employment Service, includ-18
ing administration of the work opportunity tax cred-19
it under section 51 of the Internal Revenue Code of 20
1986 (including assisting States in adopting or mod-21
ernizing information technology for use in the proc-22
essing of certification requests), and the provision of 23
technical assistance and staff training under the 24
Wagner-Peyser Act; 25 16 
•S 2624 RS
(5) $84,810,000 from the Trust Fund is for the 1
administration of foreign labor certifications and re-2
lated activities under the Immigration and Nation-3
ality Act and related laws, of which $61,528,000 4
shall be available for the Federal administration of 5
such activities, and $23,282,000 shall be available 6
for grants to States for the administration of such 7
activities; and 8
(6) $62,653,000 from the General Fund is to 9
provide workforce information, national electronic 10
tools, and one-stop system building under the Wag-11
ner-Peyser Act and shall be available for Federal ob-12
ligation for the period July 1, 2024 through June 13
30, 2025, of which up to $9,800,000 may be used 14
to carry out research and demonstration projects re-15
lated to testing effective ways to promote greater 16
labor force participation of people with disabilities: 17
Provided, That the Secretary may transfer amounts 18
made available for research and demonstration 19
projects under this paragraph to the ‘‘Office of Dis-20
ability Employment Policy’’ account for such pur-21
poses: 22
Provided, That to the extent that the Average Weekly In-23
sured Unemployment (‘‘AWIU’’) for fiscal year 2024 is 24
projected by the Department of Labor to exceed 25 17 
•S 2624 RS
3,075,000, an additional $28,600,000 from the Trust 1
Fund shall be available for obligation for every 100,000 2
increase in the AWIU level (including a pro rata amount 3
for any increment less than 100,000) to carry out title 4
III of the Social Security Act: Provided further, That 5
funds appropriated in this Act that are allotted to a State 6
to carry out activities under title III of the Social Security 7
Act may be used by such State to assist other States in 8
carrying out activities under such title III if the other 9
States include areas that have suffered a major disaster 10
declared by the President under the Robert T. Stafford 11
Disaster Relief and Emergency Assistance Act: Provided 12
further, That the Secretary may use funds appropriated 13
for grants to States under title III of the Social Security 14
Act to make payments on behalf of States for the use of 15
the National Directory of New Hires under section 16
453(j)(8) of such Act: Provided further, That the Sec-17
retary may use funds appropriated for grants to States 18
under title III of the Social Security Act to make pay-19
ments on behalf of States to the entity operating the State 20
Information Data Exchange System: Provided further, 21
That funds appropriated in this Act which are used to es-22
tablish a national one-stop career center system, or which 23
are used to support the national activities of the Federal- 24
State unemployment insurance, employment service, or 25 18 
•S 2624 RS
immigration programs, may be obligated in contracts, 1
grants, or agreements with States and non-State entities: 2
Provided further, That States awarded competitive grants 3
for improved operations under title III of the Social Secu-4
rity Act, or awarded grants to support the national activi-5
ties of the Federal-State unemployment insurance system, 6
may award subgrants to other States and non-State enti-7
ties under such grants, subject to the conditions applicable 8
to the grants: Provided further, That funds appropriated 9
under this Act for activities authorized under title III of 10
the Social Security Act and the Wagner-Peyser Act may 11
be used by States to fund integrated Unemployment In-12
surance and Employment Service automation efforts, not-13
withstanding cost allocation principles prescribed under 14
the final rule entitled ‘‘Uniform Administrative Require-15
ments, Cost Principles, and Audit Requirements for Fed-16
eral Awards’’ at part 200 of title 2, Code of Federal Regu-17
lations: Provided further, That the Secretary, at the re-18
quest of a State participating in a consortium with other 19
States, may reallot funds allotted to such State under title 20
III of the Social Security Act to other States participating 21
in the consortium or to the entity operating the Unemploy-22
ment Insurance Information Technology Support Center 23
in order to carry out activities that benefit the administra-24
tion of the unemployment compensation law of the State 25 19 
•S 2624 RS
making the request: Provided further, That the Secretary 1
may collect fees for the costs associated with additional 2
data collection, analyses, and reporting services relating 3
to the National Agricultural Workers Survey requested by 4
State and local governments, public and private institu-5
tions of higher education, and nonprofit organizations and 6
may utilize such sums, in accordance with the provisions 7
of 29 U.S.C. 9a, for the National Agricultural Workers 8
Survey infrastructure, methodology, and data to meet the 9
information collection and reporting needs of such entities, 10
which shall be credited to this appropriation and shall re-11
main available until September 30, 2025, for such pur-12
poses. 13
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND 14
OTHER FUNDS 15
For repayable advances to the Unemployment Trust 16
Fund as authorized by sections 905(d) and 1203 of the 17
Social Security Act, and to the Black Lung Disability 18
Trust Fund as authorized by section 9501(c)(1) of the In-19
ternal Revenue Code of 1986; and for nonrepayable ad-20
vances to the revolving fund established by section 901(e) 21
of the Social Security Act, to the Unemployment Trust 22
Fund as authorized by 5 U.S.C. 8509, and to the ‘‘Federal 23
Unemployment Benefits and Allowances’’ account, such 24 20 
•S 2624 RS
sums as may be necessary, which shall be available for 1
obligation through September 30, 2025. 2
PROGRAM ADMINISTRATION 3
For expenses of administering employment and train-4
ing programs, $118,900,000, together with not to exceed 5
$54,015,000 which shall be available from the Employ-6
ment Security Administration Account in the Unemploy-7
ment Trust Fund. 8
E
MPLOYEEBENEFITSSECURITYADMINISTRATION 9
SALARIES AND EXPENSES 10
For necessary expenses for the Employee Benefits 11
Security Administration, $191,100,000, of which up to 12
$3,000,000 shall be made available through September 30, 13
2025, for the procurement of expert witnesses for enforce-14
ment litigation. 15
P
ENSIONBENEFITGUARANTYCORPORATION 16
PENSION BENEFIT GUARANTY CORPORATION FUND 17
The Pension Benefit Guaranty Corporation (‘‘Cor-18
poration’’) is authorized to make such expenditures, in-19
cluding financial assistance authorized by subtitle E of 20
title IV of the Employee Retirement Income Security Act 21
of 1974, within limits of funds and borrowing authority 22
available to the Corporation, and in accord with law, and 23
to make such contracts and commitments without regard 24
to fiscal year limitations, as provided by 31 U.S.C. 9104, 25 21 
•S 2624 RS
as may be necessary in carrying out the program, includ-1
ing associated administrative expenses, through Sep-2
tember 30, 2024, for the Corporation: Provided, That 3
none of the funds available to the Corporation for fiscal 4
year 2024 shall be available for obligations for administra-5
tive expenses in excess of $512,900,000: Provided further, 6
That to the extent that the number of new plan partici-7
pants in plans terminated by the Corporation exceeds 8
100,000 in fiscal year 2024, an amount not to exceed an 9
additional $9,200,000 shall be available through Sep-10
tember 30, 2028, for obligations for administrative ex-11
penses for every 20,000 additional terminated partici-12
pants: Provided further, That obligations in excess of the 13
amounts provided for administrative expenses in this para-14
graph may be incurred and shall be available through Sep-15
tember 30, 2028 for obligation for unforeseen and extraor-16
dinary pre-termination or termination expenses or extraor-17
dinary multiemployer program related expenses after ap-18
proval by the Office of Management and Budget and noti-19
fication of the Committees on Appropriations of the House 20
of Representatives and the Senate: Provided further, That 21
an additional amount shall be available for obligation 22
through September 30, 2028 to the extent the Corpora-23
tion’s costs exceed $250,000 for the provision of credit or 24
identity monitoring to affected individuals upon suffering 25 22 
•S 2624 RS
a security incident or privacy breach, not to exceed an ad-1
ditional $100 per affected individual. 2
W
AGE ANDHOURDIVISION 3
SALARIES AND EXPENSES 4
For necessary expenses for the Wage and Hour Divi-5
sion, including reimbursement to State, Federal, and local 6
agencies and their employees for inspection services ren-7
dered, $264,500,000. 8
O
FFICE OFLABOR-MANAGEMENTSTANDARDS 9
SALARIES AND EXPENSES 10
For necessary expenses for the Office of Labor-Man-11
agement Standards, $48,515,000. 12
O
FFICE OFFEDERALCONTRACTCOMPLIANCE 13
P
ROGRAMS 14
SALARIES AND EXPENSES 15
For necessary expenses for the Office of Federal Con-16
tract Compliance Programs, $110,976,000. 17
O
FFICE OFWORKERS’ COMPENSATIONPROGRAMS 18
SALARIES AND EXPENSES 19
For necessary expenses for the Office of Workers’ 20
Compensation Programs, $120,500,000, together with 21
$2,205,000 which may be expended from the Special Fund 22
in accordance with sections 39(c), 44(d), and 44(j) of the 23
Longshore and Harbor Workers’ Compensation Act. 24 23 
•S 2624 RS
SPECIAL BENEFITS 1
(INCLUDING TRANSFER OF FUNDS) 2
For the payment of compensation, benefits, and ex-3
penses (except administrative expenses not otherwise au-4
thorized) accruing during the current or any prior fiscal 5
year authorized by 5 U.S.C. 81; continuation of benefits 6
as provided for under the heading ‘‘Civilian War Benefits’’ 7
in the Federal Security Agency Appropriation Act, 1947; 8
the Employees’ Compensation Commission Appropriation 9
Act, 1944; section 5(f) of the War Claims Act (50 U.S.C. 10
App. 2012); obligations incurred under the War Hazards 11
Compensation Act (42 U.S.C. 1701 et seq.); and 50 per-12
cent of the additional compensation and benefits required 13
by section 10(h) of the Longshore and Harbor Workers’ 14
Compensation Act, $700,000,000, together with such 15
amounts as may be necessary to be charged to the subse-16
quent year appropriation for the payment of compensation 17
and other benefits for any period subsequent to August 18
15 of the current year, for deposit into and to assume 19
the attributes of the Employees’ Compensation Fund es-20
tablished under 5 U.S.C. 8147(a): Provided, That 21
amounts appropriated may be used under 5 U.S.C. 8104 22
by the Secretary to reimburse an employer, who is not the 23
employer at the time of injury, for portions of the salary 24
of a re-employed, disabled beneficiary: Provided further, 25 24 
•S 2624 RS
That balances of reimbursements unobligated on Sep-1
tember 30, 2023, shall remain available until expended for 2
the payment of compensation, benefits, and expenses: Pro-3
vided further, That in addition there shall be transferred 4
to this appropriation from the Postal Service and from 5
any other corporation or instrumentality required under 6
5 U.S.C. 8147(c) to pay an amount for its fair share of 7
the cost of administration, such sums as the Secretary de-8
termines to be the cost of administration for employees 9
of such fair share entities through September 30, 2024: 10
Provided further, That of those funds transferred to this 11
account from the fair share entities to pay the cost of ad-12
ministration of the Federal Employees’ Compensation Act, 13
$83,007,000 shall be made available to the Secretary as 14
follows: 15
(1) For enhancement and maintenance of auto-16
mated data processing systems operations and tele-17
communications systems, $28,153,000; 18
(2) For automated workload processing oper-19
ations, including document imaging, centralized mail 20
intake, and medical bill processing, $26,526,000; 21
(3) For periodic roll disability management and 22
medical review, $26,527,000; 23
(4) For program integrity, $1,801,000; and 24 25 
•S 2624 RS
(5) The remaining funds shall be paid into the 1
Treasury as miscellaneous receipts: 2
Provided further, That the Secretary may require that any 3
person filing a notice of injury or a claim for benefits 4
under 5 U.S.C. 81, or the Longshore and Harbor Work-5
ers’ Compensation Act, provide as part of such notice and 6
claim, such identifying information (including Social Secu-7
rity account number) as such regulations may prescribe. 8
SPECIAL BENEFITS FOR DISABLED COAL MINERS 9
For carrying out title IV of the Federal Mine Safety 10
and Health Act of 1977, as amended by Public Law 107– 11
275, $22,890,000, to remain available until expended. 12
For making after July 31 of the current fiscal year, 13
benefit payments to individuals under title IV of such Act, 14
for costs incurred in the current fiscal year, such amounts 15
as may be necessary. 16
For making benefit payments under title IV for the 17
first quarter of fiscal year 2025, $7,000,000, to remain 18
available until expended. 19
ADMINISTRATIVE EXPENSES , ENERGY EMPLOYEES 20
OCCUPATIONAL ILLNESS COMPENSATION FUND 21
For necessary expenses to administer the Energy 22
Employees Occupational Illness Compensation Program 23
Act, $66,532,000, to remain available until expended: Pro-24
vided, That the Secretary may require that any person fil-25 26 
•S 2624 RS
ing a claim for benefits under the Act provide as part of 1
such claim such identifying information (including Social 2
Security account number) as may be prescribed. 3
BLACK LUNG DISABILITY TRUST FUND 4
(INCLUDING TRANSFER OF FUNDS) 5
Such sums as may be necessary from the Black Lung 6
Disability Trust Fund (the ‘‘Fund’’), to remain available 7
until expended, for payment of all benefits authorized by 8
section 9501(d)(1), (2), (6), and (7) of the Internal Rev-9
enue Code of 1986; and repayment of, and payment of 10
interest on advances, as authorized by section 9501(d)(4) 11
of that Act. In addition, the following amounts may be 12
expended from the Fund for fiscal year 2024 for expenses 13
of operation and administration of the Black Lung Bene-14
fits program, as authorized by section 9501(d)(5): not to 15
exceed $44,059,000 for transfer to the Office of Workers’ 16
Compensation Programs, ‘‘Salaries and Expenses’’; not to 17
exceed $41,178,000 for transfer to Departmental Manage-18
ment, ‘‘Salaries and Expenses’’; not to exceed $368,000 19
for transfer to Departmental Management, ‘‘Office of In-20
spector General’’; and not to exceed $356,000 for pay-21
ments into miscellaneous receipts for the expenses of the 22
Department of the Treasury. 23 27 
•S 2624 RS
OCCUPATIONALSAFETY ANDHEALTHADMINISTRATION 1
SALARIES AND EXPENSES 2
For necessary expenses for the Occupational Safety 3
and Health Administration, $628,522,000, including not 4
to exceed $120,000,000 which shall be the maximum 5
amount available for grants to States under section 23(g) 6
of the Occupational Safety and Health Act (the ‘‘Act’’), 7
which grants shall be no less than 50 percent of the costs 8
of State occupational safety and health programs required 9
to be incurred under plans approved by the Secretary 10
under section 18 of the Act; and, in addition, notwith-11
standing 31 U.S.C. 3302, the Occupational Safety and 12
Health Administration may retain up to $499,000 per fis-13
cal year of training institute course tuition and fees, other-14
wise authorized by law to be collected, and may utilize 15
such sums for occupational safety and health training and 16
education: Provided, That notwithstanding 31 U.S.C. 17
3302, the Secretary is authorized, during the fiscal year 18
ending September 30, 2024, to collect and retain fees for 19
services provided to Nationally Recognized Testing Lab-20
oratories, and may utilize such sums, in accordance with 21
the provisions of 29 U.S.C. 9a, to administer national and 22
international laboratory recognition programs that ensure 23
the safety of equipment and products used by workers in 24
the workplace: Provided further, That none of the funds 25 28 
•S 2624 RS
appropriated under this paragraph shall be obligated or 1
expended to prescribe, issue, administer, or enforce any 2
standard, rule, regulation, or order under the Act which 3
is applicable to any person who is engaged in a farming 4
operation which does not maintain a temporary labor 5
camp and employs 10 or fewer employees: Provided fur-6
ther, That no funds appropriated under this paragraph 7
shall be obligated or expended to administer or enforce 8
any standard, rule, regulation, or order under the Act with 9
respect to any employer of 10 or fewer employees who is 10
included within a category having a Days Away, Re-11
stricted, or Transferred (‘‘DART’’) occupational injury 12
and illness rate, at the most precise industrial classifica-13
tion code for which such data are published, less than the 14
national average rate as such rates are most recently pub-15
lished by the Secretary, acting through the Bureau of 16
Labor Statistics, in accordance with section 24 of the Act, 17
except— 18
(1) to provide, as authorized by the Act, con-19
sultation, technical assistance, educational and train-20
ing services, and to conduct surveys and studies; 21
(2) to conduct an inspection or investigation in 22
response to an employee complaint, to issue a cita-23
tion for violations found during such inspection, and 24
to assess a penalty for violations which are not cor-25 29 
•S 2624 RS
rected within a reasonable abatement period and for 1
any willful violations found; 2
(3) to take any action authorized by the Act 3
with respect to imminent dangers; 4
(4) to take any action authorized by the Act 5
with respect to health hazards; 6
(5) to take any action authorized by the Act 7
with respect to a report of an employment accident 8
which is fatal to one or more employees or which re-9
sults in hospitalization of two or more employees, 10
and to take any action pursuant to such investiga-11
tion authorized by the Act; and 12
(6) to take any action authorized by the Act 13
with respect to complaints of discrimination against 14
employees for exercising rights under the Act: 15
Provided further, That the foregoing proviso shall not 16
apply to any person who is engaged in a farming operation 17
which does not maintain a temporary labor camp and em-18
ploys 10 or fewer employees: Provided further, That 19
$10,000,000 shall be available for Susan Harwood train-20
ing grants: Provided further, That not less than 21
$3,500,000 shall be for Voluntary Protection Programs. 22 30 
•S 2624 RS
MINESAFETY ANDHEALTHADMINISTRATION 1
SALARIES AND EXPENSES 2
For necessary expenses for the Mine Safety and 3
Health Administration, $387,816,000, including purchase 4
and bestowal of certificates and trophies in connection 5
with mine rescue and first-aid work, and the hire of pas-6
senger motor vehicles, including up to $2,000,000 for 7
mine rescue and recovery activities and not less than 8
$10,537,000 for State assistance grants: Provided, That 9
notwithstanding 31 U.S.C. 3302, not to exceed $750,000 10
may be collected by the National Mine Health and Safety 11
Academy for room, board, tuition, and the sale of training 12
materials, otherwise authorized by law to be collected, to 13
be available for mine safety and health education and 14
training activities: Provided further, That notwithstanding 15
31 U.S.C. 3302, the Mine Safety and Health Administra-16
tion is authorized to collect and retain up to $2,499,000 17
from fees collected for the approval and certification of 18
equipment, materials, and explosives for use in mines, and 19
may utilize such sums for such activities: Provided further, 20
That the Secretary is authorized to accept lands, build-21
ings, equipment, and other contributions from public and 22
private sources and to prosecute projects in cooperation 23
with other agencies, Federal, State, or private: Provided 24
further, That the Mine Safety and Health Administration 25 31 
•S 2624 RS
is authorized to promote health and safety education and 1
training in the mining community through cooperative 2
programs with States, industry, and safety associations: 3
Provided further, That the Secretary is authorized to rec-4
ognize the Joseph A. Holmes Safety Association as a prin-5
cipal safety association and, notwithstanding any other 6
provision of law, may provide funds and, with or without 7
reimbursement, personnel, including service of Mine Safe-8
ty and Health Administration officials as officers in local 9
chapters or in the national organization: Provided further, 10
That any funds available to the Department of Labor may 11
be used, with the approval of the Secretary, to provide 12
for the costs of mine rescue and survival operations in the 13
event of a major disaster. 14
B
UREAU OFLABORSTATISTICS 15
SALARIES AND EXPENSES 16
For necessary expenses for the Bureau of Labor Sta-17
tistics, including advances or reimbursements to State, 18
Federal, and local agencies and their employees for serv-19
ices rendered, $629,952,000, together with not to exceed 20
$68,000,000 which may be expended from the Employ-21
ment Security Administration account in the Unemploy-22
ment Trust Fund. 23 32 
•S 2624 RS
OFFICE OFDISABILITYEMPLOYMENTPOLICY 1
SALARIES AND EXPENSES 2
(INCLUDING TRANSFER OF FUNDS) 3
For necessary expenses for the Office of Disability 4
Employment Policy to provide leadership, develop policy 5
and initiatives, and award grants furthering the objective 6
of eliminating barriers to the training and employment of 7
people with disabilities, $37,000,000, of which not less 8
than $9,000,000 shall be for research and demonstration 9
projects related to testing effective ways to promote great-10
er labor force participation of people with disabilities: Pro-11
vided, That the Secretary may transfer amounts made 12
available under this heading for research and demonstra-13
tion projects to the ‘‘State Unemployment Insurance and 14
Employment Service Operations’’ account for such pur-15
poses. 16
D
EPARTMENTAL MANAGEMENT 17
SALARIES AND EXPENSES 18
(INCLUDING TRANSFER OF FUNDS) 19
For necessary expenses for Departmental Manage-20
ment, including the hire of passenger motor vehicles, 21
$392,389,000, together with not to exceed $308,000, 22
which may be expended from the Employment Security 23
Administration account in the Unemployment Trust 24
Fund: Provided, That $81,725,000 for the Bureau of 25 33 
•S 2624 RS
International Labor Affairs shall be available for obliga-1
tion through December 31, 2024: Provided further, That 2
funds available to the Bureau of International Labor Af-3
fairs may be used to administer or operate international 4
labor activities, bilateral and multilateral technical assist-5
ance, and microfinance programs, by or through contracts, 6
grants, subgrants and other arrangements: Provided fur-7
ther, That not less than $30,175,000 shall be for programs 8
to combat exploitative child labor internationally and not 9
less than $30,175,000 shall be used to implement model 10
programs that address worker rights issues through tech-11
nical assistance in countries with which the United States 12
has free trade agreements or trade preference programs: 13
Provided further, That $4,281,000 shall be used for pro-14
gram evaluation and shall be available for obligation 15
through September 30, 2025: Provided further, That funds 16
available for program evaluation may be used to admin-17
ister grants for the purpose of evaluation: Provided fur-18
ther, That grants made for the purpose of evaluation shall 19
be awarded through fair and open competition: Provided 20
further, That funds available for program evaluation may 21
be transferred to any other appropriate account in the De-22
partment for such purpose: Provided further, That the 23
Committees on Appropriations of the House of Represent-24
atives and the Senate are notified at least 15 days in ad-25 34 
•S 2624 RS
vance of any transfer: Provided further, That the funds 1
available to the Women’s Bureau may be used for grants 2
to serve and promote the interests of women in the work-3
force: Provided further, That of the amounts made avail-4
able to the Women’s Bureau, not less than $5,000,000 5
shall be used for grants authorized by the Women in Ap-6
prenticeship and Nontraditional Occupations Act. 7
VETERANS’ EMPLOYMENT AND TRAINING 8
Not to exceed $269,841,000 may be derived from the 9
Employment Security Administration account in the Un-10
employment Trust Fund to carry out the provisions of 11
chapters 41, 42, and 43 of title 38, United States Code, 12
of which— 13
(1) $185,000,000 is for Jobs for Veterans State 14
grants under 38 U.S.C. 4102A(b)(5) to support dis-15
abled veterans’ outreach program specialists under 16
section 4103A of such title and local veterans’ em-17
ployment representatives under section 4104(b) of 18
such title, and for the expenses described in section 19
4102A(b)(5)(C), which shall be available for expend-20
iture by the States through September 30, 2026, 21
and not to exceed 3 percent for the necessary Fed-22
eral expenditures for data systems and contract sup-23
port to allow for the tracking of participant and per-24
formance information: Provided, That, in addition, 25 35 
•S 2624 RS
such funds may be used to support such specialists 1
and representatives in the provision of services to 2
transitioning members of the Armed Forces who 3
have participated in the Transition Assistance Pro-4
gram and have been identified as in need of inten-5
sive services, to members of the Armed Forces who 6
are wounded, ill, or injured and receiving treatment 7
in military treatment facilities or warrior transition 8
units, and to the spouses or other family caregivers 9
of such wounded, ill, or injured members; 10
(2) $34,379,000 is for carrying out the Transi-11
tion Assistance Program under 38 U.S.C. 4113 and 12
10 U.S.C. 1144; 13
(3) $47,048,000 is for Federal administration 14
of chapters 41, 42, and 43 of title 38, and sections 15
2021, 2021A and 2023 of title 38, United States 16
Code: Provided, That up to $500,000 may be used 17
to carry out the Hire VETS Act (division O of Pub-18
lic Law 115–31); and 19
(4) $3,414,000 is for the National Veterans’ 20
Employment and Training Services Institute under 21
38 U.S.C. 4109: 22
Provided, That the Secretary may reallocate among the 23
appropriations provided under paragraphs (1) through (4) 24 36 
•S 2624 RS
above an amount not to exceed 3 percent of the appropria-1
tion from which such reallocation is made. 2
In addition, from the General Fund of the Treasury, 3
$65,500,000 is for carrying out programs to assist home-4
less veterans and veterans at risk of homelessness who are 5
transitioning from certain institutions under sections 6
2021, 2021A, and 2023 of title 38, United States Code: 7
Provided, That notwithstanding subsections (c)(3) and (d) 8
of section 2023, the Secretary may award grants through 9
September 30, 2024, to provide services under such sec-10
tion: Provided further, That services provided under sec-11
tions 2021 or under 2021A may include, in addition to 12
services to homeless veterans described in section 13
2002(a)(1), services to veterans who were homeless at 14
some point within the 60 days prior to program entry or 15
veterans who are at risk of homelessness within the next 16
60 days, and that services provided under section 2023 17
may include, in addition to services to the individuals de-18
scribed in subsection (e) of such section, services to vet-19
erans recently released from incarceration who are at risk 20
of homelessness: Provided further, That notwithstanding 21
paragraph (3) under this heading, funds appropriated in 22
this paragraph may be used for data systems and contract 23
support to allow for the tracking of participant and per-24
formance information: Provided further, That notwith-25 37 
•S 2624 RS
standing sections 2021(e)(2) and 2021A(f)(2) of title 38, 1
United States Code, such funds shall be available for ex-2
penditure pursuant to 31 U.S.C. 1553. 3
In addition, fees may be assessed and deposited in 4
the HIRE Vets Medallion Award Fund pursuant to sec-5
tion 5(b) of the HIRE Vets Act, and such amounts shall 6
be available to the Secretary to carry out the HIRE Vets 7
Medallion Award Program, as authorized by such Act, and 8
shall remain available until expended: Provided, That such 9
sums shall be in addition to any other funds available for 10
such purposes, including funds available under paragraph 11
(3) of this heading: Provided further, That section 2(d) 12
of division O of the Consolidated Appropriations Act, 2017 13
(Public Law 115–31; 38 U.S.C. 4100 note) shall not 14
apply. 15
IT MODERNIZATION 16
For necessary expenses for Department of Labor cen-17
tralized infrastructure technology investment activities re-18
lated to support systems and modernization, $29,269,000, 19
which shall be available through September 30, 2025. 20
OFFICE OF INSPECTOR GENERAL 21
For salaries and expenses of the Office of Inspector 22
General in carrying out the provisions of the Inspector 23
General Act of 1978, $91,187,000, together with not to 24
exceed $5,841,000 which may be expended from the Em-25 38 
•S 2624 RS
ployment Security Administration account in the Unem-1
ployment Trust Fund: Provided, That not more than 2
$2,000,000 of the amount provided under this heading 3
may be available until expended. 4
G
ENERALPROVISIONS 5
S
EC. 101. None of the funds appropriated by this Act 6
for the Job Corps shall be used to pay the salary and bo-7
nuses of an individual, either as direct costs or any prora-8
tion as an indirect cost, at a rate in excess of Executive 9
Level II. 10
(TRANSFER OF FUNDS) 11
S
EC. 102. Not to exceed 1 percent of any discre-12
tionary funds (pursuant to the Balanced Budget and 13
Emergency Deficit Control Act of 1985) which are appro-14
priated for the current fiscal year for the Department of 15
Labor in this Act may be transferred between a program, 16
project, or activity, but no such program, project, or activ-17
ity shall be increased by more than 3 percent by any such 18
transfer: Provided, That the transfer authority granted by 19
this section shall not be used to create any new program 20
or to fund any project or activity for which no funds are 21
provided in this Act: Provided further, That the Commit-22
tees on Appropriations of the House of Representatives 23
and the Senate are notified at least 15 days in advance 24
of any transfer. 25 39 
•S 2624 RS
SEC. 103. In accordance with Executive Order 1
13126, none of the funds appropriated or otherwise made 2
available pursuant to this Act shall be obligated or ex-3
pended for the procurement of goods mined, produced, 4
manufactured, or harvested or services rendered, in whole 5
or in part, by forced or indentured child labor in industries 6
and host countries already identified by the United States 7
Department of Labor prior to enactment of this Act. 8
S
EC. 104. Except as otherwise provided in this sec-9
tion, none of the funds made available to the Department 10
of Labor for grants under section 414(c) of the American 11
Competitiveness and Workforce Improvement Act of 1998 12
(29 U.S.C. 2916a) may be used for any purpose other 13
than competitive grants for training individuals who are 14
older than 16 years of age and are not currently enrolled 15
in school within a local educational agency in the occupa-16
tions and industries for which employers are using H–1B 17
visas to hire foreign workers, and the related activities 18
necessary to support such training. 19
S
EC. 105. None of the funds made available by this 20
Act under the heading ‘‘Employment and Training Ad-21
ministration’’ shall be used by a recipient or subrecipient 22
of such funds to pay the salary and bonuses of an indi-23
vidual, either as direct costs or indirect costs, at a rate 24
in excess of Executive Level II. This limitation shall not 25 40 
•S 2624 RS
apply to vendors providing goods and services as defined 1
in Office of Management and Budget Circular A–133. 2
Where States are recipients of such funds, States may es-3
tablish a lower limit for salaries and bonuses of those re-4
ceiving salaries and bonuses from subrecipients of such 5
funds, taking into account factors including the relative 6
cost-of-living in the State, the compensation levels for 7
comparable State or local government employees, and the 8
size of the organizations that administer Federal pro-9
grams involved including Employment and Training Ad-10
ministration programs. 11
(TRANSFER OF FUNDS) 12
S
EC. 106. (a) Notwithstanding section 102, the Sec-13
retary may transfer funds made available to the Employ-14
ment and Training Administration by this Act, either di-15
rectly or through a set-aside, for technical assistance serv-16
ices to grantees to ‘‘Program Administration’’ when it is 17
determined that those services will be more efficiently per-18
formed by Federal employees: Provided, That this section 19
shall not apply to section 171 of the WIOA. 20
(b) Notwithstanding section 102, the Secretary may 21
transfer not more than 0.5 percent of each discretionary 22
appropriation made available to the Employment and 23
Training Administration by this Act to ‘‘Program Admin-24
istration’’ in order to carry out program integrity activities 25 41 
•S 2624 RS
relating to any of the programs or activities that are fund-1
ed under any such discretionary appropriations: Provided, 2
That notwithstanding section 102 and the preceding pro-3
viso, the Secretary may transfer not more than 0.5 percent 4
of funds made available in paragraphs (1) and (2) of the 5
‘‘Office of Job Corps’’ account to paragraph (3) of such 6
account to carry out program integrity activities related 7
to the Job Corps program: Provided further, That funds 8
transferred under this subsection shall be available to the 9
Secretary to carry out program integrity activities directly 10
or through grants, cooperative agreements, contracts and 11
other arrangements with States and other appropriate en-12
tities: Provided further, That funds transferred under the 13
authority provided by this subsection shall be available for 14
obligation through September 30, 2025. 15
(TRANSFER OF FUNDS) 16
S
EC. 107. (a) The Secretary may reserve not more 17
than 0.75 percent from each appropriation made available 18
in this Act identified in subsection (b) in order to carry 19
out evaluations of any of the programs or activities that 20
are funded under such accounts. Any funds reserved under 21
this section shall be transferred to ‘‘Departmental Man-22
agement’’ for use by the Office of the Chief Evaluation 23
Officer within the Department of Labor, and shall be 24
available for obligation through September 30, 2025: Pro-25 42 
•S 2624 RS
vided, That such funds shall only be available if the Chief 1
Evaluation Officer of the Department of Labor submits 2
a plan to the Committees on Appropriations of the House 3
of Representatives and the Senate describing the evalua-4
tions to be carried out 15 days in advance of any transfer. 5
(b) The accounts referred to in subsection (a) are: 6
‘‘Training and Employment Services’’, ‘‘Job Corps’’, 7
‘‘Community Service Employment for Older Americans’’, 8
‘‘State Unemployment Insurance and Employment Service 9
Operations’’, ‘‘Employee Benefits Security Administra-10
tion’’, ‘‘Office of Workers’ Compensation Programs’’, 11
‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract 12
Compliance Programs’’, ‘‘Office of Labor Management 13
Standards’’, ‘‘Occupational Safety and Health Adminis-14
tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘Of-15
fice of Disability Employment Policy’’, funding made 16
available to the ‘‘Bureau of International Labor Affairs’’ 17
and ‘‘Women’s Bureau’’ within the ‘‘Departmental Man-18
agement, Salaries and Expenses’’ account, and ‘‘Veterans’ 19
Employment and Training’’. 20
S
EC. 108. (a) Section 7 of the Fair Labor Standards 21
Act of 1938 (29 U.S.C. 207) shall be applied as if the 22
following text is part of such section: 23 43 
•S 2624 RS
‘‘(s)(1) The provisions of this section shall not apply 1
for a period of 2 years after the occurrence of a major 2
disaster to any employee— 3
‘‘(A) employed to adjust or evaluate claims re-4
sulting from or relating to such major disaster, by 5
an employer not engaged, directly or through an af-6
filiate, in underwriting, selling, or marketing prop-7
erty, casualty, or liability insurance policies or con-8
tracts; 9
‘‘(B) who receives from such employer on aver-10
age weekly compensation of not less than $591.00 11
per week or any minimum weekly amount estab-12
lished by the Secretary, whichever is greater, for the 13
number of weeks such employee is engaged in any 14
of the activities described in subparagraph (C); and 15
‘‘(C) whose duties include any of the following: 16
‘‘(i) interviewing insured individuals, indi-17
viduals who suffered injuries or other damages 18
or losses arising from or relating to a disaster, 19
witnesses, or physicians; 20
‘‘(ii) inspecting property damage or review-21
ing factual information to prepare damage esti-22
mates; 23
‘‘(iii) evaluating and making recommenda-24
tions regarding coverage or compensability of 25 44 
•S 2624 RS
claims or determining liability or value aspects 1
of claims; 2
‘‘(iv) negotiating settlements; or 3
‘‘(v) making recommendations regarding 4
litigation. 5
‘‘(2) The exemption in this subsection shall not affect 6
the exemption provided by section 13(a)(1). 7
‘‘(3) For purposes of this subsection— 8
‘‘(A) the term ‘major disaster’ means any dis-9
aster or catastrophe declared or designated by any 10
State or Federal agency or department; 11
‘‘(B) the term ‘employee employed to adjust or 12
evaluate claims resulting from or relating to such 13
major disaster’ means an individual who timely se-14
cured or secures a license required by applicable law 15
to engage in and perform the activities described in 16
clauses (i) through (v) of paragraph (1)(C) relating 17
to a major disaster, and is employed by an employer 18
that maintains worker compensation insurance cov-19
erage or protection for its employees, if required by 20
applicable law, and withholds applicable Federal, 21
State, and local income and payroll taxes from the 22
wages, salaries and any benefits of such employees; 23
and 24 45 
•S 2624 RS
‘‘(C) the term ‘affiliate’ means a company that, 1
by reason of ownership or control of 25 percent or 2
more of the outstanding shares of any class of voting 3
securities of one or more companies, directly or indi-4
rectly, controls, is controlled by, or is under common 5
control with, another company.’’. 6
(b) This section shall be effective on the date of en-7
actment of this Act. 8
S
EC. 109. (a) FLEXIBILITYWITHRESPECT TO THE 9
C
ROSSING OFH–2B NONIMMIGRANTSWORKING IN THE 10
S
EAFOODINDUSTRY.— 11
(1) I
N GENERAL.—Subject to paragraph (2), if 12
a petition for H–2B nonimmigrants filed by an em-13
ployer in the seafood industry is granted, the em-14
ployer may bring the nonimmigrants described in 15
the petition into the United States at any time dur-16
ing the 120-day period beginning on the start date 17
for which the employer is seeking the services of the 18
nonimmigrants without filing another petition. 19
(2) R
EQUIREMENTS FOR CROSSINGS AFTER 20
90TH DAY.—An employer in the seafood industry 21
may not bring H–2B nonimmigrants into the United 22
States after the date that is 90 days after the start 23
date for which the employer is seeking the services 24
of the nonimmigrants unless the employer— 25 46 
•S 2624 RS
(A) completes a new assessment of the 1
local labor market by— 2
(i) listing job orders in local news-3
papers on 2 separate Sundays; and 4
(ii) posting the job opportunity on the 5
appropriate Department of Labor Elec-6
tronic Job Registry and at the employer’s 7
place of employment; and 8
(B) offers the job to an equally or better 9
qualified United States worker who— 10
(i) applies for the job; and 11
(ii) will be available at the time and 12
place of need. 13
(3) E
XEMPTION FROM RULES WITH RESPECT 14
TO STAGGERING.—The Secretary of Labor shall not 15
consider an employer in the seafood industry who 16
brings H–2B nonimmigrants into the United States 17
during the 120-day period specified in paragraph (1) 18
to be staggering the date of need in violation of sec-19
tion 655.20(d) of title 20, Code of Federal Regula-20
tions, or any other applicable provision of law. 21
(b) H–2B N
ONIMMIGRANTSDEFINED.—In this sec-22
tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad-23
mitted to the United States pursuant to section 24 47 
•S 2624 RS
101(a)(15)(H)(ii)(B) of the Immigration and Nationality 1
Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 2
S
EC. 110. The determination of prevailing wage for 3
the purposes of the H–2B program shall be the greater 4
of—(1) the actual wage level paid by the employer to other 5
employees with similar experience and qualifications for 6
such position in the same location; or (2) the prevailing 7
wage level for the occupational classification of the posi-8
tion in the geographic area in which the H–2B non-9
immigrant will be employed, based on the best information 10
available at the time of filing the petition. In the deter-11
mination of prevailing wage for the purposes of the H– 12
2B program, the Secretary shall accept private wage sur-13
veys even in instances where Occupational Employment 14
Statistics survey data are available unless the Secretary 15
determines that the methodology and data in the provided 16
survey are not statistically supported. 17
S
EC. 111. None of the funds in this Act shall be used 18
to enforce the definition of corresponding employment 19
found in 20 CFR 655.5 or the three-fourths guarantee 20
rule definition found in 20 CFR 655.20, or any references 21
thereto. Further, for the purpose of regulating admission 22
of temporary workers under the H–2B program, the defi-23
nition of temporary need shall be that provided in 8 CFR 24
214.2(h)(6)(ii)(B). 25 48 
•S 2624 RS
SEC. 112. Notwithstanding any other provision of 1
law, the Secretary may furnish through grants, coopera-2
tive agreements, contracts, and other arrangements, up to 3
$2,000,000 of excess personal property, at a value deter-4
mined by the Secretary, to apprenticeship programs for 5
the purpose of training apprentices in those programs. 6
S
EC. 113. (a) The Act entitled ‘‘An Act to create a 7
Department of Labor’’, approved March 4, 1913 (37 Stat. 8
736, chapter 141) shall be applied as if the following text 9
is part of such Act: 10
‘‘SEC. 12. SECURITY DETAIL. 11
‘‘(a) I
NGENERAL.—The Secretary of Labor is au-12
thorized to employ law enforcement officers or special 13
agents to— 14
‘‘(1) provide protection for the Secretary of 15
Labor during the workday of the Secretary and dur-16
ing any activity that is preliminary or postliminary 17
to the performance of official duties by the Sec-18
retary; 19
‘‘(2) provide protection, incidental to the protec-20
tion provided to the Secretary, to a member of the 21
immediate family of the Secretary who is partici-22
pating in an activity or event relating to the official 23
duties of the Secretary; 24 49 
•S 2624 RS
‘‘(3) provide continuous protection to the Sec-1
retary (including during periods not described in 2
paragraph (1)) and to the members of the imme-3
diate family of the Secretary if there is a unique and 4
articulable threat of physical harm, in accordance 5
with guidelines established by the Secretary; and 6
‘‘(4) provide protection to the Deputy Secretary 7
of Labor or another senior officer representing the 8
Secretary of Labor at a public event if there is a 9
unique and articulable threat of physical harm, in 10
accordance with guidelines established by the Sec-11
retary. 12
‘‘(b) A
UTHORITIES.—The Secretary of Labor may 13
authorize a law enforcement officer or special agent em-14
ployed under subsection (a), for the purpose of performing 15
the duties authorized under subsection (a), to— 16
‘‘(1) carry firearms; 17
‘‘(2) make arrests without a warrant for any of-18
fense against the United States committed in the 19
presence of such officer or special agent; 20
‘‘(3) perform protective intelligence work, in-21
cluding identifying and mitigating potential threats 22
and conducting advance work to review security mat-23
ters relating to sites and events; 24 50 
•S 2624 RS
‘‘(4) coordinate with local law enforcement 1
agencies; and 2
‘‘(5) initiate criminal and other investigations 3
into potential threats to the security of the Sec-4
retary, in coordination with the Inspector General of 5
the Department of Labor. 6
‘‘(c) C
OMPLIANCEWITHGUIDELINES.—A law en-7
forcement officer or special agent employed under sub-8
section (a) shall exercise any authority provided under this 9
section in accordance with any— 10
‘‘(1) guidelines issued by the Attorney General; 11
and 12
‘‘(2) guidelines prescribed by the Secretary of 13
Labor.’’. 14
(b) This section shall be effective on the date of en-15
actment of this Act. 16
S
EC. 114. The Secretary is authorized to dispose of 17
or divest, by any means the Secretary determines appro-18
priate, including an agreement or partnership to construct 19
a new Job Corps center, all or a portion of the real prop-20
erty on which the Treasure Island Job Corps Center is 21
situated. Any sale or other disposition, to include any as-22
sociated construction project, will not be subject to any 23
requirement of any Federal law or regulation relating to 24
the disposition of Federal real property or relating to Fed-25 51 
•S 2624 RS
eral procurement, including but not limited to subchapter 1
III of chapter 5 of title 40 of the United States Code, 2
subchapter V of chapter 119 of title 42 of the United 3
States Code, and chapter 33 of division C of subtitle I 4
of title 41 of the United States Code. The net proceeds 5
of such a sale shall be transferred to the Secretary, which 6
shall be available until expended to carry out the Job 7
Corps Program on Treasure Island. 8
S
EC. 115. None of the funds made available by this 9
Act may be used to— 10
(1) alter or terminate the Interagency Agree-11
ment between the United States Department of 12
Labor and the United States Department of Agri-13
culture; or 14
(2) close any of the Civilian Conservation Cen-15
ters, except if such closure is necessary to prevent 16
the endangerment of the health and safety of the 17
students, the capacity of the program is retained, 18
and the requirements of section 159(j) of the WIOA 19
are met. 20
(RESCISSION) 21
S
EC. 116. Of the unobligated funds available under 22
section 286(s)(2) of the Immigration and Nationality Act 23
(8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma-24
nently rescinded not later than September 30, 2024. 25 52 
•S 2624 RS
(RESCISSION) 1
S
EC. 117. Of the funds made available under the 2
heading ‘‘Employment and Training Administration– 3
Training and Employment Services’’ in division H of Pub-4
lic Law 117–328, $100,000,000 are hereby permanently 5
rescinded, to be derived from the amount made available 6
in paragraph (2)(A) under such heading for the period Oc-7
tober 1, 2023, through September 30, 2024. 8
S
EC. 118. Funds made available to the Employment 9
and Training Administration by this Act, either directly 10
or through a set-aside, to provide technical assistance 11
services to grantees may also be used by the Employment 12
and Training Administration to assist in the establishment 13
and operation of workforce development technical assist-14
ance centers, through grants, contracts, or cooperative 15
agreements, to provide technical assistance relating to any 16
of the activities administered by the Employment and 17
Training Administration. 18
S
EC. 119. Notwithstanding sections 1552 and 1553 19
of title 31, United States Code, funds made available to 20
the Department of Labor in Public Law 114–113 in para-21
graph (2) under the heading ‘‘Department of Labor—Em-22
ployment and Training Administration—Job Corps’’ that 23
were obligated for the construction of the Atlanta Job 24 53 
•S 2624 RS
Corps center in Georgia shall be available for the liquida-1
tion of such obligations through September 30, 2029. 2
This title may be cited as the ‘‘Department of Labor 3
Appropriations Act, 2024’’. 4 54 
•S 2624 RS
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. 18
HEALTH WORKFORCE 19
For carrying out titles III, VII, and VIII of the PHS 20
Act with respect to the health workforce, sections 1128E 21
and 1921 of the Social Security Act, and the Health Care 22
Quality Improvement Act of 1986, $1,391,376,000: Pro-23
vided, That section 751(j)(2) of the PHS Act and the pro-24
portional funding amounts in paragraphs (1) through (4) 25 55 
•S 2624 RS
of section 756(f) of the PHS Act shall not apply to funds 1
made available under this heading: Provided further, That 2
for any program operating under section 751 of the PHS 3
Act on or before January 1, 2009, the Secretary of Health 4
and Human Services (referred to in this title as the ‘‘Sec-5
retary’’) may hereafter waive any of the requirements con-6
tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 7
Act for the full project period of a grant under such sec-8
tion: Provided further, That section 756(c) of the PHS Act 9
shall apply to paragraphs (1) through (4) of section 10
756(a) of such Act: Provided further, That no funds shall 11
be available for section 340G–1 of the PHS Act: Provided 12
further, That fees collected for the disclosure of informa-13
tion under section 427(b) of the Health Care Quality Im-14
provement Act of 1986 and sections 1128E(d)(2) and 15
1921 of the Social Security Act shall be sufficient to re-16
cover the full costs of operating the programs authorized 17
by such sections and shall remain available until expended 18
for the National Practitioner Data Bank: Provided further, 19
That funds transferred to this account to carry out section 20
846 and subpart 3 of part D of title III of the PHS Act 21
may be used to make prior year adjustments to awards 22
made under such section and subpart: Provided further, 23
That $128,600,000 shall remain available until expended 24
for the purposes of providing primary health services, as-25 56 
•S 2624 RS
signing National Health Service Corps (‘‘NHSC’’) partici-1
pants to expand the delivery of substance use disorder 2
treatment services, notwithstanding the assignment prior-3
ities and limitations under sections 333(a)(1)(D), 333(b), 4
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-5
ments under the NHSC Loan Repayment Program under 6
section 338B of such Act: Provided further, That, within 7
the amount made available in the previous proviso, 8
$15,600,000 shall remain available until expended for the 9
purposes of making payments under the NHSC Loan Re-10
payment Program under section 338B of the PHS Act 11
to individuals participating in such program who provide 12
primary health services in Indian Health Service facilities, 13
Tribally-Operated 638 Health Programs, and Urban In-14
dian Health Programs (as those terms are defined by the 15
Secretary), notwithstanding the assignment priorities and 16
limitations under section 333(b) of such Act: Provided fur-17
ther, That for purposes of the previous two provisos, sec-18
tion 331(a)(3)(D) of the PHS Act shall be applied as if 19
the term ‘‘primary health services’’ includes clinical sub-20
stance use disorder treatment services, including those 21
provided by masters level, licensed substance use disorder 22
treatment counselors: Provided further, That of the funds 23
made available under this heading, $6,000,000 shall be 24
available to make grants to establish, expand, or maintain 25 57 
•S 2624 RS
optional community-based nurse practitioner fellowship 1
programs that are accredited or in the accreditation proc-2
ess, with a preference for those in Federally Qualified 3
Health Centers, for practicing postgraduate nurse practi-4
tioners in primary care or behavioral health: Provided fur-5
ther, That of the funds made available under this heading, 6
$10,000,000 shall remain available until expended for ac-7
tivities under section 775 of the PHS Act: Provided fur-8
ther, That the United States may recover liquidated dam-9
ages in an amount determined by the formula under sec-10
tion 338E(c)(1) of the PHS Act if an individual either 11
fails to begin or complete the service obligated by a con-12
tract under section 775(b) of the PHS Act: Provided fur-13
ther, That for purposes of section 775(c)(1) of the PHS 14
Act, the Secretary may include other mental and behav-15
ioral health disciplines as the Secretary deems appro-16
priate: Provided further, That the Secretary may termi-17
nate a contract entered into under section 775 of the PHS 18
Act in the same manner articulated in section 206 of this 19
title for fiscal year 2024 contracts entered into under sec-20
tion 338B of the PHS Act. 21
Of the funds made available under this heading, 22
$36,000,000 shall remain available until expended for 23
grants to public institutions of higher education to expand 24
or support graduate education for physicians provided by 25 58 
•S 2624 RS
such institutions, including funding for infrastructure de-1
velopment, maintenance, equipment, and minor renova-2
tions or alterations: Provided, That, in awarding such 3
grants, the Secretary shall give priority to public institu-4
tions of higher education located in States with a projected 5
primary care provider shortage in 2025, as determined by 6
the Secretary: Provided further, That grants so awarded 7
are limited to such public institutions of higher education 8
in States in the top quintile of States with a projected 9
primary care provider shortage in 2025, as determined by 10
the Secretary: Provided further, That the minimum 11
amount of a grant so awarded to such an institution shall 12
be not less than $1,000,000 per year: Provided further, 13
That such a grant may be awarded for a period not to 14
exceed 5 years: Provided further, That such a grant award-15
ed with respect to a year to such an institution shall be 16
subject to a matching requirement of non-Federal funds 17
in an amount that is not less than 10 percent of the total 18
amount of Federal funds provided in the grant to such 19
institution with respect to such year. 20
MATERNAL AND CHILD HEALTH 21
For carrying out titles III, XI, XII, and XIX of the 22
PHS Act with respect to maternal and child health and 23
title V of the Social Security Act, $1,169,430,000: Pro-24
vided, That notwithstanding sections 502(a)(1) and 25 59 
•S 2624 RS
502(b)(1) of the Social Security Act, not more than 1
$209,116,000 shall be available for carrying out special 2
projects of regional and national significance pursuant to 3
section 501(a)(2) of such Act and $10,276,000 shall be 4
available for projects described in subparagraphs (A) 5
through (F) of section 501(a)(3) of such Act. 6
RYAN WHITE HIV/AIDS PROGRAM 7
For carrying out title XXVI of the PHS Act with 8
respect to the Ryan White HIV/AIDS program, 9
$2,571,041,000, of which $2,045,630,000 shall remain 10
available to the Secretary through September 30, 2026, 11
for parts A and B of title XXVI of the PHS Act, and 12
of which not less than $900,313,000 shall be for State 13
AIDS Drug Assistance Programs under the authority of 14
section 2616 or 311(c) of such Act; and of which 15
$165,000,000, to remain available until expended, shall be 16
available to the Secretary for carrying out a program of 17
grants and contracts under title XXVI or section 311(c) 18
of such Act focused on ending the nationwide HIV/AIDS 19
epidemic, with any grants issued under such section 20
311(c) administered in conjunction with title XXVI of the 21
PHS Act, including the limitation on administrative ex-22
penses. 23 60 
•S 2624 RS
HEALTH SYSTEMS 1
For carrying out titles III and XII of the PHS Act 2
with respect to health care systems, and the Stem Cell 3
Therapeutic and Research Act of 2005, $101,009,000, of 4
which $122,000 shall be available until expended for facili-5
ties-related expenses of the National Hansen’s Disease 6
Program: Provided, That the second sentence in section 7
372(a) of the PHS Act and section 372(b)(1)(A) of the 8
PHS Act shall not apply to any contracts awarded by the 9
Secretary for the operation of the Organ Procurement and 10
Transplantation Network. 11
RURAL HEALTH 12
For carrying out titles III and IV of the PHS Act 13
with respect to rural health, section 427(a) of the Federal 14
Coal Mine Health and Safety Act of 1969, and sections 15
711 and 1820 of the Social Security Act, $364,407,000, 16
of which $64,277,000 from general revenues, notwith-17
standing section 1820(j) of the Social Security Act, shall 18
be available for carrying out the Medicare rural hospital 19
flexibility grants program: Provided, That of the funds 20
made available under this heading for Medicare rural hos-21
pital flexibility grants, up to $20,942,000 shall be avail-22
able for the Small Rural Hospital Improvement Grant 23
Program for quality improvement and adoption of health 24
information technology, no less than $5,000,000 shall be 25 61 
•S 2624 RS
available to award grants to public or non-profit private 1
entities for the Rural Emergency Hospital Technical As-2
sistance Program, and up to $1,000,000 shall be to carry 3
out section 1820(g)(6) of the Social Security Act, with 4
funds provided for grants under section 1820(g)(6) avail-5
able for the purchase and implementation of telehealth 6
services and other efforts to improve health care coordina-7
tion for rural veterans between rural providers and the 8
Department of Veterans Affairs: Provided further, That 9
notwithstanding section 338J(k) of the PHS Act, 10
$12,500,000 shall be available for State Offices of Rural 11
Health: Provided further, That $12,500,000 shall remain 12
available through September 30, 2026, to support the 13
Rural Residency Development Program: Provided further, 14
That $155,000,000 shall be for the Rural Communities 15
Opioids Response Program. 16
FAMILY PLANNING 17
For carrying out the program under title X of the 18
PHS Act to provide for voluntary family planning 19
projects, $286,479,000: Provided, That amounts provided 20
to said projects under such title shall not be expended for 21
abortions, that all pregnancy counseling shall be nondirec-22
tive, and that such amounts shall not be expended for any 23
activity (including the publication or distribution of lit-24
erature) that in any way tends to promote public support 25 62 
•S 2624 RS
or opposition to any legislative proposal or candidate for 1
public office. 2
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 3
For carrying out title III of the Public Health Service 4
Act and for cross-cutting activities and program support 5
for activities funded in other appropriations included in 6
this Act for the Health Resources and Services Adminis-7
tration, $1,112,585,000, of which $38,050,000 shall be 8
for expenses necessary for the Office for the Advancement 9
of Telehealth, including grants, contracts, and cooperative 10
agreements for the advancement of telehealth activities: 11
Provided, That funds made available under this heading 12
may be used to supplement program support funding pro-13
vided under the headings ‘‘Primary Health Care’’, 14
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 15
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 16
and ‘‘Rural Health’’: Provided further, That of the amount 17
made available under this heading, $891,997,000 shall be 18
used for the projects financing the construction and ren-19
ovation (including equipment) of health care and other fa-20
cilities, and for the projects financing one-time grants that 21
support health-related activities, including training and in-22
formation technology, and in the amounts specified in the 23
table titled ‘‘Congressionally Directed Spending’’ included 24
in the report accompanying this Act: Provided further, 25 63 
•S 2624 RS
That none of the funds made available for projects de-1
scribed in the preceding proviso shall be subject to section 2
241 of the PHS Act or section 205 of this Act: Provided 3
further, That of the funds made available under this head-4
ing, $5,000,000 shall be to establish, through grants or 5
contracts, a comprehensive, coordinated system for the 6
training, diagnosis, and treatment of Post-Acute Sequelae 7
of SARS COV–2 COVID. 8
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 9
For payments from the Vaccine Injury Compensation 10
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 11
may be necessary for claims associated with vaccine-re-12
lated injury or death with respect to vaccines administered 13
after September 30, 1988, pursuant to subtitle 2 of title 14
XXI of the PHS Act, to remain available until expended: 15
Provided, That for necessary administrative expenses, not 16
to exceed $15,200,000 shall be available from the Trust 17
Fund to the Secretary. 18
COVERED COUNTERMEASURES PROCESS FUND 19
For carrying out section 319F–4 of the PHS Act, 20
$7,000,000, to remain available until expended. 21
C
ENTERS FORDISEASECONTROL ANDPREVENTION 22
IMMUNIZATION AND RESPIRATORY DISEASES 23
For carrying out titles II, III, XVII, and XXI, and 24
section 2821 of the PHS Act, and titles II and IV of the 25 64 
•S 2624 RS
Immigration and Nationality Act, with respect to immuni-1
zation and respiratory diseases, $217,041,000. 2
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 3
DISEASES, AND TUBERCULOSIS PREVENTION 4
For carrying out titles II, III, XVII, and XXIII of 5
the PHS Act with respect to HIV/AIDS, viral hepatitis, 6
sexually transmitted diseases, and tuberculosis prevention, 7
$1,395,056,000. 8
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 9
For carrying out titles II, III, and XVII, and section 10
2821 of the PHS Act, titles II and IV of the Immigration 11
and Nationality Act, with respect to emerging and 12
zoonotic infectious diseases, $698,772,000: Provided, That 13
of the amounts made available under this heading, up to 14
$1,000,000 shall remain available until expended to pay 15
for the transportation, medical care, treatment, and other 16
related costs of persons quarantined or isolated under 17
Federal or State quarantine law. 18
CHRONIC DISEASE PREVENTION AND HEALTH 19
PROMOTION 20
For carrying out titles II, III, XI, XV, XVII, and 21
XIX of the PHS Act with respect to chronic disease pre-22
vention and health promotion, $1,180,464,000: Provided, 23
That funds made available under this heading may be 24
available for making grants under section 1509 of the 25 65 
•S 2624 RS
PHS Act for not less than 21 States, tribes, or tribal orga-1
nizations: Provided further, That of the funds made avail-2
able under this heading, $16,500,000 shall be available to 3
continue and expand community specific extension and 4
outreach programs to combat obesity in counties with the 5
highest levels of obesity: Provided further, That the pro-6
portional funding requirements under section 1503(a) of 7
the PHS Act shall not apply to funds made available 8
under this heading. 9
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES , 10
DISABILITIES AND HEALTH 11
For carrying out titles II, III, XI, and XVII of the 12
PHS Act with respect to birth defects, developmental dis-13
abilities, disabilities and health, $206,060,000. 14
PUBLIC HEALTH SCIENTIFIC SERVICES 15
For carrying out titles II, III, and XVII of the PHS 16
Act with respect to health statistics, surveillance, health 17
informatics, and workforce development, $495,167,000: 18
Provided, That in addition to amounts provided under this 19
heading, $244,330,000 shall be available for surveillance, 20
epidemiology, and informatics from amounts made avail-21
able under section 241 of the PHS Act. 22
ENVIRONMENTAL HEALTH 23
For carrying out titles II, III, and XVII of the PHS 24
Act with respect to environmental health, $229,850,000: 25 66 
•S 2624 RS
Provided, That of the amounts appropriated under this 1
heading up to $4,000,000 may remain available until ex-2
pended for carrying out the Vessel Sanitation Program, 3
in addition to user fee collections available for such pur-4
pose: Provided further, That the Committees on Appro-5
priations of the House of Representatives and the Senate 6
are notified at least 15 days in advance of any use of funds 7
pursuant to the preceding proviso. 8
INJURY PREVENTION AND CONTROL 9
For carrying out titles II, III, and XVII of the PHS 10
Act with respect to injury prevention and control, 11
$761,879,000. 12
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 13
HEALTH 14
For carrying out titles II, III, and XVII of the PHS 15
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 16
of the Federal Mine Safety and Health Act, section 13 17
of the Mine Improvement and New Emergency Response 18
Act, and sections 20, 21, and 22 of the Occupational Safe-19
ty and Health Act, with respect to occupational safety and 20
health, $362,800,000. 21
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 22
COMPENSATION PROGRAM 23
For necessary expenses to administer the Energy 24
Employees Occupational Illness Compensation Program 25 67 
•S 2624 RS
Act, $55,358,000, to remain available until expended: Pro-1
vided, That this amount shall be available consistent with 2
the provision regarding administrative expenses in section 3
151(b) of division B, title I of Public Law 106–554. 4
GLOBAL HEALTH 5
For carrying out titles II, III, and XVII of the PHS 6
Act with respect to global health, $692,843,000, of which: 7
(1) $128,921,000 shall remain available through Sep-8
tember 30, 2025 for international HIV/AIDS; and (2) 9
$293,200,000 shall remain available through September 10
30, 2026 for global public health protection: Provided, 11
That funds made available under this heading may be 12
used for purchase and insurance of official motor vehicles 13
in foreign countries. 14
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 15
For carrying out titles II, III, and XVII of the PHS 16
Act with respect to public health preparedness and re-17
sponse, and for expenses necessary to support activities 18
related to countering potential biological, nuclear, radio-19
logical, and chemical threats to civilian populations, 20
$898,200,000: Provided, That the Director of the Centers 21
for Disease Control and Prevention (referred to in this 22
title as ‘‘CDC’’) or the Administrator of the Agency for 23
Toxic Substances and Disease Registry may detail staff 24
without reimbursement to support an activation of the 25 68 
•S 2624 RS
CDC Emergency Operations Center, so long as the Direc-1
tor or Administrator, as applicable, provides a notice to 2
the Committees on Appropriations of the House of Rep-3
resentatives and the Senate within 15 days of the use of 4
this authority, a full report within 30 days after use of 5
this authority which includes the number of staff and 6
funding level broken down by the originating center and 7
number of days detailed, and an update of such report 8
every 180 days until staff are no longer on detail without 9
reimbursement to the CDC Emergency Operations Center. 10
BUILDINGS AND FACILITIES 11
(INCLUDING TRANSFER OF FUNDS) 12
For acquisition of real property, equipment, construc-13
tion, installation, demolition, and renovation of facilities, 14
$40,000,000, which shall remain available until September 15
30, 2028: Provided, That funds made available to this ac-16
count in this or any prior Act that are available for the 17
acquisition of real property or for construction or improve-18
ment of facilities shall be available to make improvements 19
on non-federally owned property, provided that any im-20
provements that are not adjacent to federally owned prop-21
erty do not exceed $2,500,000, and that the primary ben-22
efit of such improvements accrues to CDC: Provided fur-23
ther, That funds previously set-aside by CDC for repair 24
and upgrade of the Lake Lynn Experimental Mine and 25 69 
•S 2624 RS
Laboratory shall be used to acquire a replacement mine 1
safety research facility: Provided further, That funds made 2
available to this account in this or any prior Act that are 3
available for the acquisition of real property or for con-4
struction or improvement of facilities in conjunction with 5
the new replacement mine safety research facility shall be 6
available to make improvements on non-federally owned 7
property, provided that any improvements that are not ad-8
jacent to federally owned property do not exceed 9
$5,000,000: Provided further, That in addition to the 10
amounts made available under this heading, the prior year 11
unobligated balance of any amounts assigned to former 12
employees in accounts of CDC made available for Indi-13
vidual Learning Accounts shall be credited to and merged 14
with the amounts made available under this heading to 15
support the replacement of the mine safety research facil-16
ity. 17
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 18
(INCLUDING TRANSFER OF FUNDS) 19
For carrying out titles II, III, XVII and XIX, and 20
section 2821 of the PHS Act and for cross-cutting activi-21
ties and program support for activities funded in other 22
appropriations included in this Act for the Centers for 23
Disease Control and Prevention, $533,570,000, of which: 24
(1) $350,000,000 shall remain available through Sep-25 70 
•S 2624 RS
tember 30, 2025, for public health infrastructure and ca-1
pacity; and (2) $45,000,000 shall remain available 2
through September 30, 2025 for forecasting epidemics 3
and outbreak analytics: Provided, That paragraphs (1) 4
through (3) of subsection (b) of section 2821 of the PHS 5
Act shall not apply to funds appropriated under this head-6
ing and in all other accounts of the CDC: Provided further, 7
That of the amounts made available under this heading, 8
$10,000,000, to remain available until expended, shall be 9
available to the Director of the CDC for deposit in the 10
Infectious Diseases Rapid Response Reserve Fund estab-11
lished by section 231 of division B of Public Law 115– 12
245: Provided further, That funds appropriated under this 13
heading may be used to support a contract for the oper-14
ation and maintenance of an aircraft in direct support of 15
activities throughout CDC to ensure the agency is pre-16
pared to address public health preparedness emergencies: 17
Provided further, That employees of CDC or the Public 18
Health Service, both civilian and commissioned officers, 19
detailed to States, municipalities, or other organizations 20
under the authority of section 214 of the PHS Act, or 21
serving in overseas assignments, shall be treated as non- 22
Federal employees for reporting purposes only and shall 23
not be included within any personnel ceiling applicable to 24
the Agency, Service, or HHS during the period of detail 25 71 
•S 2624 RS
or assignment: Provided further, That CDC may use up 1
to $10,000 from amounts appropriated to CDC in this Act 2
for official reception and representation expenses when 3
specifically approved by the Director of CDC: Provided 4
further, That in addition to amounts provided under this 5
heading, such sums as may be derived from authorized 6
user fees, which shall be credited to the appropriation 7
charged with the cost thereof: Provided further, That with 8
respect to the previous proviso, authorized user fees from 9
the Vessel Sanitation Program and the Respirator Certifi-10
cation Program shall be available through September 30, 11
2025. 12
N
ATIONALINSTITUTES OFHEALTH 13
NATIONAL CANCER INSTITUTE 14
For carrying out section 301 and title IV of the PHS 15
Act with respect to cancer, $7,380,159,000, of which 16
$216,000,000 shall remain available until expended, and 17
of which up to $30,000,000 may be used for facilities re-18
pairs and improvements at the National Cancer Insti-19
tute—Frederick Federally Funded Research and Develop-20
ment Center in Frederick, Maryland: Provided, That of 21
the amounts made available under this heading, 22
$216,000,000 is designated by the Congress as being for 23
an emergency requirement pursuant to section 24 72 
•S 2624 RS
251(b)(2)(A)(i) of the Balanced Budget and Emergency 1
Deficit Control Act of 1985. 2
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 3
For carrying out section 301 and title IV of the PHS 4
Act with respect to cardiovascular, lung, and blood dis-5
eases, and blood and blood products, $3,982,345,000. 6
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 7
RESEARCH 8
For carrying out section 301 and title IV of the PHS 9
Act with respect to dental and craniofacial diseases, 10
$520,163,000. 11
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 12
KIDNEY DISEASES 13
For carrying out section 301 and title IV of the PHS 14
Act with respect to diabetes and digestive and kidney dis-15
ease, $2,310,721,000. 16
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 17
AND STROKE 18
For carrying out section 301 and title IV of the PHS 19
Act with respect to neurological disorders and stroke, 20
$2,763,925,000: Provided, That of the amounts made 21
available under this heading, $139,000,000 is designated 22
by the Congress as being for an emergency requirement 23
pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-24
et and Emergency Deficit Control Act of 1985. 25 73 
•S 2624 RS
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 1
DISEASES 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to allergy and infectious diseases, 4
$6,562,279,000. 5
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 6
For carrying out section 301 and title IV of the PHS 7
Act with respect to general medical sciences, 8
$3,239,679,000, of which $1,412,482,000 shall be from 9
funds available under section 241 of the PHS Act: Pro-10
vided, That not less than $425,956,000 is provided for the 11
Institutional Development Awards program. 12
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 13
CHILD HEALTH AND HUMAN DEVELOPMENT 14
For carrying out section 301 and title IV of the PHS 15
Act with respect to child health and human development, 16
$1,759,078,000. 17
NATIONAL EYE INSTITUTE 18
For carrying out section 301 and title IV of the PHS 19
Act with respect to eye diseases and visual disorders, 20
$896,549,000. 21 74 
•S 2624 RS
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 1
SCIENCES 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to environmental health sciences, 4
$913,979,000. 5
NATIONAL INSTITUTE ON AGING 6
For carrying out section 301 and title IV of the PHS 7
Act with respect to aging, $4,509,623,000. 8
NATIONAL INSTITUTE OF ARTHRITIS AND 9
MUSCULOSKELETAL AND SKIN DISEASES 10
For carrying out section 301 and title IV of the PHS 11
Act with respect to arthritis and musculoskeletal and skin 12
diseases, $685,465,000. 13
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 14
COMMUNICATION DISORDERS 15
For carrying out section 301 and title IV of the PHS 16
Act with respect to deafness and other communication dis-17
orders, $534,333,000. 18
NATIONAL INSTITUTE OF NURSING RESEARCH 19
For carrying out section 301 and title IV of the PHS 20
Act with respect to nursing research, $197,693,000. 21 75 
•S 2624 RS
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 1
ALCOHOLISM 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to alcohol abuse and alcoholism, 4
$595,318,000. 5
NATIONAL INSTITUTE ON DRUG ABUSE 6
For carrying out section 301 and title IV of the PHS 7
Act with respect to drug abuse, $1,672,695,000. 8
NATIONAL INSTITUTE OF MENTAL HEALTH 9
For carrying out section 301 and title IV of the PHS 10
Act with respect to mental health, $2,351,843,000: Pro-11
vided, That of the amounts made available under this 12
heading, $139,000,000 is designated by the Congress as 13
being for an emergency requirement pursuant to section 14
251(b)(2)(A)(i) of the Balanced Budget and Emergency 15
Deficit Control Act of 1985. 16
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 17
For carrying out section 301 and title IV of the PHS 18
Act with respect to human genome research, 19
$663,200,000. 20
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 21
BIOENGINEERING 22
For carrying out section 301 and title IV of the PHS 23
Act with respect to biomedical imaging and bioengineering 24
research, $440,627,000. 25 76 
•S 2624 RS
NATIONAL CENTER FOR COMPLEMENTARY AND 1
INTEGRATIVE HEALTH 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to complementary and integrative health, 4
$170,384,000. 5
NATIONAL INSTITUTE ON MINORITY HEALTH AND 6
HEALTH DISPARITIES 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to minority health and health disparities 9
research, $524,395,000. 10
JOHN E. FOGARTY INTERNATIONAL CENTER 11
For carrying out the activities of the John E. Fogarty 12
International Center (described in subpart 2 of part E of 13
title IV of the PHS Act), $95,162,000. 14
NATIONAL LIBRARY OF MEDICINE 15
For carrying out section 301 and title IV of the PHS 16
Act with respect to health information communications, 17
$497,548,000: Provided, That of the amounts available for 18
improvement of information systems, $4,000,000 shall be 19
available until September 30, 2025: Provided further, That 20
in fiscal year 2024, the National Library of Medicine may 21
enter into personal services contracts for the provision of 22
services in facilities owned, operated, or constructed under 23
the jurisdiction of the National Institutes of Health (re-24
ferred to in this title as ‘‘NIH’’). 25 77 
•S 2624 RS
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 1
SCIENCES 2
For carrying out section 301 and title IV of the PHS 3
Act with respect to translational sciences, $923,323,000: 4
Provided, That up to $70,000,000 shall be available to im-5
plement section 480 of the PHS Act, relating to the Cures 6
Acceleration Network: Provided further, That at least 7
$629,560,000 is provided to the Clinical and Translational 8
Sciences Awards program. 9
OFFICE OF THE DIRECTOR 10
(INCLUDING TRANSFER OF FUNDS) 11
For carrying out the responsibilities of the Office of 12
the Director, NIH, $2,821,914,000: Provided, That fund-13
ing shall be available for the purchase of not to exceed 14
29 passenger motor vehicles for replacement only: Pro-15
vided further, That all funds credited to the NIH Manage-16
ment Fund shall remain available for one fiscal year after 17
the fiscal year in which they are deposited: Provided fur-18
ther, That $180,000,000 shall be for the Environmental 19
Influences on Child Health Outcomes study: Provided fur-20
ther, That $722,401,000 shall be available for the Com-21
mon Fund established under section 402A(c)(1) of the 22
PHS Act: Provided further, That of the funds provided, 23
$10,000 shall be for official reception and representation 24
expenses when specifically approved by the Director of the 25 78 
•S 2624 RS
NIH: Provided further, That the Office of AIDS Research 1
within the Office of the Director of the NIH may spend 2
up to $8,000,000 to make grants for construction or ren-3
ovation of facilities as provided for in section 4
2354(a)(5)(B) of the PHS Act: Provided further, That up 5
to $30,000,000 shall be used to carry out section 404I 6
of the PHS Act (42 U.S.C. 283k) with respect to the Na-7
tional Primate Research Centers and Caribbean Primate 8
Research Center: Provided further, That $5,000,000 shall 9
be transferred to and merged with the appropriation for 10
the ‘‘Office of Inspector General’’ for oversight of grant 11
programs and operations of the NIH, including agency ef-12
forts to ensure the integrity of its grant application eval-13
uation and selection processes, and shall be in addition 14
to funds otherwise made available for oversight of the 15
NIH: Provided further, That the funds provided in the pre-16
vious proviso may be transferred from one specified activ-17
ity to another with 15 days prior approval of the Commit-18
tees on Appropriations of the House of Representatives 19
and the Senate: Provided further, That the Inspector Gen-20
eral shall consult with the Committees on Appropriations 21
of the House of Representatives and the Senate before 22
submitting to the Committees an audit plan for fiscal 23
years 2024 and 2025 no later than 30 days after the date 24
of enactment of this Act: Provided further, That amounts 25 79 
•S 2624 RS
made available under this heading are also available to es-1
tablish, operate, and support the Research Policy Board 2
authorized by section 2034(f) of the 21st Century Cures 3
Act: Provided further, That the funds made available 4
under this heading for the Office of Research on Women’s 5
Health shall also be available for making grants to serve 6
and promote the interests of women in research, and the 7
Director of such Office may, in making such grants, use 8
the authorities available to NIH Institutes and Centers: 9
Provided further, That of the amounts made available 10
under this heading, $184,000,000 is designated by the 11
Congress as being for an emergency requirement pursuant 12
to section 251(b)(2)(A)(i) of the Balanced Budget and 13
Emergency Deficit Control Act of 1985. 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 80 
•S 2624 RS
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
$292,000,000, to remain available through September 30, 5
2028. 6
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 7
For carrying out section 301 and title IV of the PHS 8
Act with respect to advanced research projects for health, 9
$1,500,000,000, to remain available through September 10
30, 2026. 11
NIH INNOVATION ACCOUNT , CURES ACT 12
(INCLUDING TRANSFER OF FUNDS) 13
For necessary expenses to carry out the purposes de-14
scribed in section 1001(b)(4) of the 21st Century Cures 15
Act, in addition to amounts available for such purposes 16
in the appropriations provided to the NIH in this Act, 17
$407,000,000, to remain available until expended: Pro-18
vided, That such amounts are appropriated pursuant to 19
section 1001(b)(3) of such Act, are to be derived from 20
amounts transferred under section 1001(b)(2)(A) of such 21
Act, and may be transferred by the Director of the Na-22
tional Institutes of Health to other accounts of the Na-23
tional Institutes of Health solely for the purposes provided 24
in such Act: Provided further, That upon a determination 25 81 
•S 2624 RS
by the Director that funds transferred pursuant to the 1
previous proviso are not necessary for the purposes pro-2
vided, such amounts may be transferred back to the Ac-3
count: Provided further, That the transfer authority pro-4
vided under this heading is in addition to any other trans-5
fer authority provided by law. 6
S
UBSTANCEABUSE ANDMENTALHEALTHSERVICES 7
A
DMINISTRATION 8
MENTAL HEALTH 9
For carrying out titles III, V, and XIX of the PHS 10
Act with respect to mental health, the Protection and Ad-11
vocacy for Individuals with Mental Illness Act, and the 12
SUPPORT for Patients and Communities Act, 13
$2,817,507,000: Provided, That of the funds made avail-14
able under this heading, $93,887,000 shall be for the Na-15
tional Child Traumatic Stress Initiative: Provided further, 16
That notwithstanding section 520A(f)(2) of the PHS Act, 17
no funds appropriated for carrying out section 520A shall 18
be available for carrying out section 1971 of the PHS Act: 19
Provided further, That in addition to amounts provided 20
herein, $21,039,000 shall be available under section 241 21
of the PHS Act to supplement funds otherwise available 22
for mental health activities and to carry out subpart I of 23
part B of title XIX of the PHS Act to fund section 24
1920(b) technical assistance, national data, data collection 25 82 
•S 2624 RS
and evaluation activities, and further that the total avail-1
able under this Act for section 1920(b) activities shall not 2
exceed 5 percent of the amounts appropriated for subpart 3
I of part B of title XIX: Provided further, That of the 4
funds made available under this heading for subpart I of 5
part B of title XIX of the PHS Act, at least 5 percent 6
shall be available to support evidence-based crisis systems: 7
Provided further, That up to 10 percent of the amounts 8
made available to carry out the Children’s Mental Health 9
Services program may be used to carry out demonstration 10
grants or contracts for early interventions with persons 11
not more than 25 years of age at clinical high risk of de-12
veloping a first episode of psychosis: Provided further, 13
That section 520E(b)(2) of the PHS Act shall not apply 14
to funds appropriated in this Act for fiscal year 2024: Pro-15
vided further, That $400,000,000 shall be available until 16
September 30, 2026 for grants to communities and com-17
munity organizations who meet criteria for Certified Com-18
munity Behavioral Health Clinics pursuant to section 19
223(a) of Public Law 113–93: Provided further, That none 20
of the funds provided for section 1911 of the PHS Act 21
shall be subject to section 241 of such Act: Provided fur-22
ther, That of the funds made available under this heading, 23
$21,420,000 shall be to carry out section 224 of the Pro-24 83 
•S 2624 RS
tecting Access to Medicare Act of 2014 (Public Law 113– 1
93; 42 U.S.C. 290aa 22 note). 2
SUBSTANCE ABUSE TREATMENT 3
For carrying out titles III and V of the PHS Act 4
with respect to substance abuse treatment and title XIX 5
of such Act with respect to substance abuse treatment and 6
prevention, section 1003 of the 21st Century Cures Act, 7
and the SUPPORT for Patients and Communities Act, 8
$4,138,098,000: Provided, That $1,595,000,000 shall be 9
for carrying out section 1003 of the 21st Century Cures 10
Act: Provided further, That of such amount $60,000,000 11
shall be made available to Indian Tribes or tribal organiza-12
tions: Provided further, That of the amount not reserved 13
by the previous proviso, the Secretary shall make alloca-14
tions to States, territories, and the District of Columbia 15
according to a formula using data that the Secretary de-16
termines to be the most objective and reliable measure of 17
drug use and drug-related deaths: Provided further, That 18
prevention and treatment activities funded through such 19
grants may include education, treatment (including the 20
provision of medication), behavioral health services for in-21
dividuals in treatment programs, referral to treatment 22
services, recovery support, and medical screening associ-23
ated with such treatment: Provided further, That in addi-24
tion to amounts provided herein, the following amounts 25 84 
•S 2624 RS
shall be available under section 241 of the PHS Act: (1) 1
$79,200,000 to supplement funds otherwise available for 2
substance use treatment activities and to carry out sub-3
part II of part B of title XIX of the PHS Act to fund 4
section 1935(b) technical assistance, national data, data 5
collection and evaluation activities, and further that the 6
total available under this Act for section 1935(b) activities 7
shall not exceed 5 percent of the amounts appropriated 8
for subpart II of part B of title XIX; and (2) $2,000,000 9
to evaluate substance abuse treatment programs: Provided 10
further, That none of the funds provided for section 1921 11
of the PHS Act or State Opioid Response Grants shall 12
be subject to section 241 of such Act: Provided further, 13
That of the amounts made available under this heading, 14
$217,000,000 is designated by the Congress as being for 15
an emergency requirement pursuant to section 16
251(b)(2)(A)(i) of the Balanced Budget and Emergency 17
Deficit Control Act of 1985. 18
SUBSTANCE ABUSE PREVENTION 19
For carrying out titles III and V of the PHS Act 20
with respect to substance abuse prevention, $236,879,000. 21
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 22
For program support and cross-cutting activities that 23
supplement activities funded under the headings ‘‘Mental 24
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 25 85 
•S 2624 RS
Abuse Prevention’’ in carrying out titles III, V, and XIX 1
of the PHS Act and the Protection and Advocacy for Indi-2
viduals with Mental Illness Act in the Substance Abuse 3
and Mental Health Services Administration, 4
$212,117,000: Provided, That of the amount made avail-5
able under this heading, $70,962,000 shall be used for the 6
projects, and in the amounts, specified in the table titled 7
‘‘Congressionally Directed Spending’’ included in the re-8
port accompanying this Act: Provided further, That none 9
of the funds made available for projects described in the 10
preceding proviso shall be subject to section 241 of the 11
PHS Act or section 205 of this Act: Provided further, That 12
in addition to amounts provided herein, $31,428,000 shall 13
be available under section 241 of the PHS Act to supple-14
ment funds available to carry out national surveys on drug 15
abuse and mental health, to collect and analyze program 16
data, and to conduct public awareness and technical as-17
sistance activities: Provided further, That, in addition, fees 18
may be collected for the costs of publications, data, data 19
tabulations, and data analysis completed under title V of 20
the PHS Act and provided to a public or private entity 21
upon request, which shall be credited to this appropriation 22
and shall remain available until expended for such pur-23
poses: Provided further, That amounts made available in 24
this Act for carrying out section 501(o) of the PHS Act 25 86 
•S 2624 RS
shall remain available through September 30, 2025: Pro-1
vided further, That funds made available under this head-2
ing (other than amounts specified in the first proviso 3
under this heading) may be used to supplement program 4
support funding provided under the headings ‘‘Mental 5
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 6
Abuse Prevention’’. 7
A
GENCY FORHEALTHCARERESEARCH ANDQUALITY 8
HEALTHCARE RESEARCH AND QUALITY 9
For carrying out titles III and IX of the PHS Act, 10
part A of title XI of the Social Security Act, and section 11
1013 of the Medicare Prescription Drug, Improvement, 12
and Modernization Act of 2003, $370,500,000: Provided, 13
That section 947(c) of the PHS Act shall not apply in 14
fiscal year 2024: Provided further, That in addition, 15
amounts received from Freedom of Information Act fees, 16
reimbursable and interagency agreements, and the sale of 17
data shall be credited to this appropriation and shall re-18
main available until September 30, 2025. 19
C
ENTERS FORMEDICARE& MEDICAIDSERVICES 20
GRANTS TO STATES FOR MEDICAID 21
For carrying out, except as otherwise provided, titles 22
XI and XIX of the Social Security Act, $406,956,850,000, 23
to remain available until expended. 24 87 
•S 2624 RS
In addition, for carrying out such titles after May 31, 1
2024, for the last quarter of fiscal year 2024 for unantici-2
pated costs incurred for the current fiscal year, such sums 3
as may be necessary, to remain available until expended. 4
In addition, for carrying out such titles for the first 5
quarter of fiscal year 2025, $245,580,414,000, to remain 6
available until expended. 7
Payment under such title XIX may be made for any 8
quarter with respect to a State plan or plan amendment 9
in effect during such quarter, if submitted in or prior to 10
such quarter and approved in that or any subsequent 11
quarter. 12
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 13
For payment to the Federal Hospital Insurance 14
Trust Fund and the Federal Supplementary Medical In-15
surance Trust Fund, as provided under sections 217(g), 16
1844, and 1860D–16 of the Social Security Act, sections 17
103(c) and 111(d) of the Social Security Amendments of 18
1965, section 278(d)(3) of Public Law 97–248, and for 19
administrative expenses incurred pursuant to section 20
201(g) of the Social Security Act, $476,725,000,000. 21
In addition, for making matching payments under 22
section 1844 and benefit payments under section 1860D– 23
16 of the Social Security Act that were not anticipated 24
in budget estimates, such sums as may be necessary. 25 88 
•S 2624 RS
PROGRAM MANAGEMENT 1
For carrying out, except as otherwise provided, titles 2
XI, XVIII, XIX, and XXI of the Social Security Act, titles 3
XIII and XXVII of the PHS Act, the Clinical Laboratory 4
Improvement Amendments of 1988, and other responsibil-5
ities of the Centers for Medicare & Medicaid Services, not 6
to exceed $3,669,744,000 to be transferred from the Fed-7
eral Hospital Insurance Trust Fund and the Federal Sup-8
plementary Medical Insurance Trust Fund, as authorized 9
by section 201(g) of the Social Security Act; together with 10
all funds collected in accordance with section 353 of the 11
PHS Act and section 1857(e)(2) of the Social Security 12
Act, funds retained by the Secretary pursuant to section 13
1893(h) of the Social Security Act, and such sums as may 14
be collected from authorized user fees and the sale of data, 15
which shall be credited to this account and remain avail-16
able until expended: Provided, That all funds derived in 17
accordance with 31 U.S.C. 9701 from organizations estab-18
lished under title XIII of the PHS Act shall be credited 19
to and available for carrying out the purposes of this ap-20
propriation: Provided further, That the Secretary is di-21
rected to collect fees in fiscal year 2024 from Medicare 22
Advantage organizations pursuant to section 1857(e)(2) 23
of the Social Security Act and from eligible organizations 24
with risk-sharing contracts under section 1876 of that Act 25 89 
•S 2624 RS
pursuant to section 1876(k)(4)(D) of that Act: Provided 1
further, That of the amount made available under this 2
heading, $397,334,000 shall remain available until Sep-3
tember 30, 2025, and shall be available for the Survey 4
and Certification Program: Provided further, That 5
amounts available under this heading to support quality 6
improvement organizations (as defined in section 1152 of 7
the Social Security Act) shall not exceed the amount spe-8
cifically provided for such purpose under this heading in 9
division H of the Consolidated Appropriations Act, 2018 10
(Public Law 115–141). 11
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 12
In addition to amounts otherwise available for pro-13
gram integrity and program management, $915,000,000, 14
to remain available through September 30, 2025, to be 15
transferred from the Federal Hospital Insurance Trust 16
Fund and the Federal Supplementary Medical Insurance 17
Trust Fund, as authorized by section 201(g) of the Social 18
Security Act, of which $682,048,000 shall be for the Cen-19
ters for Medicare & Medicaid Services program integrity 20
activities, of which $107,735,000 shall be for the Depart-21
ment of Health and Human Services Office of Inspector 22
General to carry out fraud and abuse activities authorized 23
by section 1817(k)(3) of such Act, and of which 24
$125,217,000 shall be for the Department of Justice to 25 90 
•S 2624 RS
carry out fraud and abuse activities authorized by section 1
1817(k)(3) of such Act: Provided, That the report re-2
quired by section 1817(k)(5) of the Social Security Act 3
for fiscal year 2024 shall include measures of the oper-4
ational efficiency and impact on fraud, waste, and abuse 5
in the Medicare, Medicaid, and CHIP programs for the 6
funds provided by this appropriation: Provided further, 7
That of the amount provided under this heading, 8
$311,000,000 is provided to meet the terms of section 9
251(b)(2)(C)(ii) of the Balanced Budget and Emergency 10
Deficit Control Act of 1985, as amended, and 11
$604,000,000 is additional new budget authority specified 12
for purposes of section 251(b)(2)(C) of such Act: Provided 13
further, That the Secretary shall provide not less than 14
$35,000,000 from amounts made available under this 15
heading and amounts made available for fiscal year 2024 16
under section 1817(k)(3)(A) of the Social Security Act for 17
the Senior Medicare Patrol program to combat health care 18
fraud and abuse. 19
A
DMINISTRATION FOR CHILDREN ANDFAMILIES 20
PAYMENTS TO STATES FOR CHILD SUPPORT 21
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 22
For carrying out, except as otherwise provided, titles 23
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 24
and the Act of July 5, 1960, $3,309,000,000, to remain 25 91 
•S 2624 RS
available until expended; and for such purposes for the 1
first quarter of fiscal year 2025, $1,400,000,000, to re-2
main available until expended. 3
For carrying out, after May 31 of the current fiscal 4
year, except as otherwise provided, titles I, IV–D, X, XI, 5
XIV, and XVI of the Social Security Act and the Act of 6
July 5, 1960, for the last 3 months of the current fiscal 7
year for unanticipated costs, incurred for the current fiscal 8
year, such sums as may be necessary. 9
LOW INCOME HOME ENERGY ASSISTANCE 10
For making payments under subsections (b) and (d) 11
of section 2602 of the Low-Income Home Energy Assist-12
ance Act of 1981 (42 U.S.C. 8621 et seq.), 13
$4,075,000,000: Provided, That notwithstanding section 14
2609A(a) of such Act, not more than $9,600,000 may be 15
reserved by the Secretary for technical assistance, train-16
ing, and monitoring of program activities for compliance 17
with internal controls, policies and procedures, and to sup-18
plement funding otherwise available for necessary admin-19
istrative expenses to carry out such Act, and the Secretary 20
may, in addition to the authorities provided in section 21
2609A(a)(1), use such funds through contracts with pri-22
vate entities that do not qualify as nonprofit organiza-23
tions: Provided further, That all but $922,348,000 of the 24
amount appropriated under this heading shall be allocated 25 92 
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as though the total appropriation for such payments for 1
fiscal year 2024 was less than $1,975,000,000: Provided 2
further, That, after applying all applicable provisions of 3
section 2604 of such Act and the previous proviso, each 4
State or territory that would otherwise receive an alloca-5
tion that is less than 97 percent of the amount that it 6
received under this heading for fiscal year 2023 from 7
amounts appropriated in Public Law 117–328 shall have 8
its allocation increased to that 97 percent level, with the 9
portions of other States’ and territories’ allocations that 10
would exceed 100 percent of the amounts they respectively 11
received in such fashion for fiscal year 2023 being ratably 12
reduced: Provided further, That of the amounts made 13
available under this heading, $2,575,000,000 is des-14
ignated by the Congress as being for an emergency re-15
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-16
anced Budget and Emergency Deficit Control Act of 1985. 17
REFUGEE AND ENTRANT ASSISTANCE 18
(INCLUDING TRANSFER OF FUNDS) 19
For necessary expenses for refugee and entrant as-20
sistance activities authorized by section 414 of the Immi-21
gration and Nationality Act and section 501 of the Ref-22
ugee Education Assistance Act of 1980, and for carrying 23
out section 462 of the Homeland Security Act of 2002, 24
section 235 of the William Wilberforce Trafficking Victims 25 93 
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Protection Reauthorization Act of 2008, the Trafficking 1
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-2
ture Victims Relief Act of 1998, $6,427,214,000, of which 3
$6,377,459,000 shall remain available through September 4
30, 2026 for carrying out such sections 414, 501, 462, 5
and 235: Provided, That amounts available under this 6
heading to carry out the TVPA shall also be available for 7
research and evaluation with respect to activities under 8
such Act: Provided further, That the limitation in section 9
205 of this Act regarding transfers increasing any appro-10
priation shall apply to transfers to appropriations under 11
this heading by substituting ‘‘15 percent’’ for ‘‘3 percent’’: 12
Provided further, That the contribution of funds require-13
ment under section 235(c)(6)(C)(iii) of the William Wil-14
berforce Trafficking Victims Protection Reauthorization 15
Act of 2008 shall not apply to funds made available under 16
this heading: Provided further, That for any month in fis-17
cal year 2024 that the number of unaccompanied children 18
referred to the Department of Health and Human Serv-19
ices pursuant to section 462 of the Homeland Security Act 20
of 2002 and section 235 of the William Wilberforce Traf-21
ficking Victims Protection Reauthorization Act of 2008 22
exceeds 13,000, as determined by the Secretary of Health 23
and Human Services, an additional $27,000,000, to re-24
main available until September 30, 2025, shall be made 25 94 
•S 2624 RS
available for obligation for every 500 unaccompanied chil-1
dren above that level (including a pro rata amount for any 2
increment less than 500), for carrying out such sections 3
462 and 235: Provided further, That amounts made avail-4
able under the previous proviso are designated by the Con-5
gress as being for an emergency requirement pursuant to 6
section 251(b)(2)(A)(i) of the Balanced Budget and 7
Emergency Deficit Control Act of 1985. 8
PAYMENTS TO STATES FOR THE CHILD CARE AND 9
DEVELOPMENT BLOCK GRANT 10
For carrying out the Child Care and Development 11
Block Grant Act of 1990 (‘‘CCDBG Act’’), 12
$8,721,387,000 shall be used to supplement, not supplant 13
State general revenue funds for child care assistance for 14
low-income families: Provided, That technical assistance 15
under section 658I(a)(3) of such Act may be provided di-16
rectly, or through the use of contracts, grants, cooperative 17
agreements, or interagency agreements: Provided further, 18
That all funds made available to carry out section 418 19
of the Social Security Act (42 U.S.C. 618), including 20
funds appropriated for that purpose in such section 418 21
or any other provision of law, shall be subject to the res-22
ervation of funds authority in paragraphs (4) and (5) of 23
section 658O(a) of the CCDBG Act: Provided further, 24
That in addition to the amounts required to be reserved 25 95 
•S 2624 RS
by the Secretary under section 658O(a)(2)(A) of such Act, 1
$235,480,000 shall be for Indian tribes and tribal organi-2
zations: Provided further, That of the amounts made avail-3
able under this heading, the Secretary may reserve up to 4
0.5 percent for Federal administrative expenses. 5
SOCIAL SERVICES BLOCK GRANT 6
For making grants to States pursuant to section 7
2002 of the Social Security Act, $1,700,000,000: Pro-8
vided, That notwithstanding subparagraph (B) of section 9
404(d)(2) of such Act, the applicable percent specified 10
under such subparagraph for a State to carry out State 11
programs pursuant to title XX–A of such Act shall be 10 12
percent. 13
CHILDREN AND FAMILIES SERVICES PROGRAMS 14
For carrying out, except as otherwise provided, the 15
Runaway and Homeless Youth Act, the Head Start Act, 16
the Every Student Succeeds Act, the Child Abuse Preven-17
tion and Treatment Act, sections 303 and 313 of the 18
Family Violence Prevention and Services Act, the Native 19
American Programs Act of 1974, title II of the Child 20
Abuse Prevention and Treatment and Adoption Reform 21
Act of 1978 (adoption opportunities), part B–1 of title IV 22
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 23
of the Social Security Act, and the Community Services 24
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-25 96 
•S 2624 RS
istrative expenses to carry out titles I, IV, V, X, XI, XIV, 1
XVI, and XX–A of the Social Security Act, the Act of 2
July 5, 1960, and the Low-Income Home Energy Assist-3
ance Act of 1981, $14,801,100,000, of which 4
$70,000,000, to remain available through September 30, 5
2025, shall be for grants to States for adoption and legal 6
guardianship incentive payments, as defined by section 7
473A of the Social Security Act and may be made for 8
adoptions and legal guardianships completed before Sep-9
tember 30, 2024: Provided, That $12,271,820,000 shall 10
be for making payments under the Head Start Act, includ-11
ing for Early Head Start–Child Care Partnerships, and, 12
of which, notwithstanding section 640 of such Act: 13
(1) $275,000,000 shall be available for a cost 14
of living adjustment, and with respect to any con-15
tinuing appropriations act, funding available for a 16
cost of living adjustment shall not be construed as 17
an authority or condition under this Act; 18
(2) $25,000,000 shall be available for allocation 19
by the Secretary to supplement activities described 20
in paragraphs (7)(B) and (9) of section 641(c) of 21
the Head Start Act under the Designation Renewal 22
System, established under the authority of sections 23
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 24
and such funds shall not be included in the calcula-25 97 
•S 2624 RS
tion of ‘‘base grant’’ in subsequent fiscal years, as 1
such term is used in section 640(a)(7)(A) of such 2
Act; 3
(3) $8,000,000 shall be available for the Tribal 4
Colleges and Universities Head Start Partnership 5
Program consistent with section 648(g) of such Act; 6
and 7
(4) $21,000,000 shall be available to supple-8
ment funding otherwise available for research, eval-9
uation, and Federal administrative costs: 10
Provided further, That the Secretary may reduce the res-11
ervation of funds under section 640(a)(2)(C) of such Act 12
in lieu of reducing the reservation of funds under sections 13
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 14
Act: Provided further, That $310,000,000 shall be avail-15
able until December 31, 2024 for carrying out sections 16
9212 and 9213 of the Every Student Succeeds Act: Pro-17
vided further, That up to 3 percent of the funds in the 18
preceding proviso shall be available for technical assist-19
ance and evaluation related to grants awarded under such 20
section 9212: Provided further, That $799,383,000 shall 21
be for making payments under the CSBG Act: Provided 22
further, That for services furnished under the CSBG Act 23
with funds made available for such purpose in this fiscal 24
year and in fiscal year 2023, States may apply the last 25 98 
•S 2624 RS
sentence of section 673(2) of the CSBG Act by sub-1
stituting ‘‘200 percent’’ for ‘‘125 percent’’: Provided fur-2
ther, That $34,383,000 shall be for section 680 of the 3
CSBG Act, of which not less than $22,383,000 shall be 4
for section 680(a)(2) and not less than $12,000,000 shall 5
be for section 680(a)(3)(B) of such Act: Provided further, 6
That, notwithstanding section 675C(a)(3) of the CSBG 7
Act, to the extent Community Services Block Grant funds 8
are distributed as grant funds by a State to an eligible 9
entity as provided under such Act, and have not been ex-10
pended by such entity, they shall remain with such entity 11
for carryover into the next fiscal year for expenditure by 12
such entity consistent with program purposes: Provided 13
further, That the Secretary shall establish procedures re-14
garding the disposition of intangible assets and program 15
income that permit such assets acquired with, and pro-16
gram income derived from, grant funds authorized under 17
section 680 of the CSBG Act to become the sole property 18
of such grantees after a period of not more than 12 years 19
after the end of the grant period for any activity consistent 20
with section 680(a)(2)(A) of the CSBG Act: Provided fur-21
ther, That intangible assets in the form of loans, equity 22
investments and other debt instruments, and program in-23
come may be used by grantees for any eligible purpose 24
consistent with section 680(a)(2)(A) of the CSBG Act: 25 99 
•S 2624 RS
Provided further, That these procedures shall apply to 1
such grant funds made available after November 29, 1999: 2
Provided further, That funds appropriated for section 3
680(a)(2) of the CSBG Act shall be available for financing 4
construction and rehabilitation and loans or investments 5
in private business enterprises owned by community devel-6
opment corporations: Provided further, That 7
$235,000,000 shall be for carrying out section 303(a) of 8
the Family Violence Prevention and Services Act, of which 9
$7,000,000 shall be allocated notwithstanding section 10
303(a)(2) of such Act for carrying out section 309 of such 11
Act: Provided further, That the percentages specified in 12
section 112(a)(2) of the Child Abuse Prevention and 13
Treatment Act shall not apply to funds appropriated 14
under this heading: Provided further, That $1,864,000 15
shall be for a human services case management system 16
for federally declared disasters, to include a comprehensive 17
national case management contract and Federal costs of 18
administering the system: Provided further, That up to 19
$2,000,000 shall be for improving the Public Assistance 20
Reporting Information System, including grants to States 21
to support data collection for a study of the system’s effec-22
tiveness: Provided further, That $40,011,000 shall be used 23
for the projects, and in the amounts, specified in the table 24
titled ‘‘Congressionally Directed Spending’’ included in the 25 100 
•S 2624 RS
report accompanying this Act: Provided further, That none 1
of the funds made available for projects described in the 2
preceding proviso shall be subject to section 241 of the 3
PHS Act or section 205 of this Act: Provided further, That 4
of the amounts made available under this heading, 5
$275,000,000 is designated by the Congress as being for 6
an emergency requirement pursuant to section 7
251(b)(2)(A)(i) of the Balanced Budget and Emergency 8
Deficit Control Act of 1985. 9
PROMOTING SAFE AND STABLE FAMILIES 10
For carrying out, except as otherwise provided, sec-11
tion 436 of the Social Security Act, $345,000,000 and, 12
for carrying out, except as otherwise provided, section 437 13
of such Act, $72,515,000: Provided, That of the funds 14
available to carry out section 437, $59,765,000 shall be 15
allocated consistent with subsections (b) through (d) of 16
such section: Provided further, That of the funds available 17
to carry out section 437, to assist in meeting the require-18
ments described in section 471(e)(4)(C), $10,000,000 19
shall be for grants to each State, territory, and Indian 20
tribe operating title IV–E plans for developing, enhancing, 21
or evaluating kinship navigator programs, as described in 22
section 427(a)(1) of such Act and $2,750,000, in addition 23
to funds otherwise appropriated in section 476 for such 24
purposes, shall be for the Family First Clearinghouse and 25 101 
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to support evaluation and technical assistance relating to 1
the evaluation of child and family services: Provided fur-2
ther, That section 437(b)(1) shall be applied to amounts 3
in the previous proviso by substituting ‘‘5 percent’’ for 4
‘‘3.3 percent’’, and notwithstanding section 436(b)(1), 5
such reserved amounts may be used for identifying, estab-6
lishing, and disseminating practices to meet the criteria 7
specified in section 471(e)(4)(C): Provided further, That 8
the reservation in section 437(b)(2) and the limitations 9
in section 437(d) shall not apply to funds specified in the 10
second proviso: Provided further, That the minimum grant 11
award for kinship navigator programs in the case of States 12
and territories shall be $200,000, and, in the case of 13
tribes, shall be $25,000. 14
PAYMENTS FOR FOSTER CARE AND PERMANENCY 15
For carrying out, except as otherwise provided, title 16
IV–E of the Social Security Act, $8,594,000,000. 17
For carrying out, except as otherwise provided, title 18
IV–E of the Social Security Act, for the first quarter of 19
fiscal year 2025, $3,400,000,000. 20
For carrying out, after May 31 of the current fiscal 21
year, except as otherwise provided, section 474 of title IV– 22
E of the Social Security Act, for the last 3 months of the 23
current fiscal year for unanticipated costs, incurred for the 24
current fiscal year, such sums as may be necessary. 25 102 
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ADMINISTRATION FOR COMMUNITYLIVING 1
AGING AND DISABILITY SERVICES PROGRAMS 2
(INCLUDING TRANSFER OF FUNDS) 3
For carrying out, to the extent not otherwise pro-4
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 5
RAISE Family Caregivers Act, the Supporting Grand-6
parents Raising Grandchildren Act, titles III and XXIX 7
of the PHS Act, sections 1252 and 1253 of the PHS Act, 8
section 119 of the Medicare Improvements for Patients 9
and Providers Act of 2008, title XX–B of the Social Secu-10
rity Act, the Developmental Disabilities Assistance and 11
Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 12
of title II of the Help America Vote Act of 2002, the As-13
sistive Technology Act of 1998, titles II and VII (and sec-14
tion 14 with respect to such titles) of the Rehabilitation 15
Act of 1973, and for Department-wide coordination of pol-16
icy and program activities that assist individuals with dis-17
abilities, $2,469,350,000, together with $55,242,000 to be 18
transferred from the Federal Hospital Insurance Trust 19
Fund and the Federal Supplementary Medical Insurance 20
Trust Fund to carry out section 4360 of the Omnibus 21
Budget Reconciliation Act of 1990: Provided, That of 22
amounts made available under this heading to carry out 23
sections 311, 331, and 336 of the OAA, up to one percent 24
of such amounts shall be available for developing and im-25 103 
•S 2624 RS
plementing evidence-based practices for enhancing senior 1
nutrition, including medically-tailored meals: Provided fur-2
ther, That notwithstanding any other provision of this Act, 3
funds made available under this heading to carry out sec-4
tion 311 of the OAA may be transferred to the Secretary 5
of Agriculture in accordance with such section: Provided 6
further, That up to 5 percent of the funds provided for 7
adult protective services grants under section 2042 of title 8
XX of the Social Security Act may be used to make grants 9
to Tribes and tribal organizations: Provided further, That 10
none of the funds made available under this heading may 11
be used by an eligible system (as defined in section 102 12
of the Protection and Advocacy for Individuals with Men-13
tal Illness Act (42 U.S.C. 10802)) to continue to pursue 14
any legal action in a Federal or State court on behalf of 15
an individual or group of individuals with a developmental 16
disability (as defined in section 102(8)(A) of the Develop-17
mental Disabilities and Assistance and Bill of Rights Act 18
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 19
a mental impairment (or a combination of mental and 20
physical impairments), that has as the requested remedy 21
the closure of State operated intermediate care facilities 22
for people with intellectual or developmental disabilities, 23
unless reasonable public notice of the action has been pro-24
vided to such individuals (or, in the case of mental inca-25 104 
•S 2624 RS
pacitation, the legal guardians who have been specifically 1
awarded authority by the courts to make healthcare and 2
residential decisions on behalf of such individuals) who are 3
affected by such action, within 90 days of instituting such 4
legal action, which informs such individuals (or such legal 5
guardians) of their legal rights and how to exercise such 6
rights consistent with current Federal Rules of Civil Pro-7
cedure: Provided further, That the limitations in the imme-8
diately preceding proviso shall not apply in the case of an 9
individual who is neither competent to consent nor has a 10
legal guardian, nor shall the proviso apply in the case of 11
individuals who are a ward of the State or subject to pub-12
lic guardianship: Provided further, That of the amount 13
made available under this heading, $29,268,000 shall be 14
used for the projects, and in the amounts, specified in the 15
table titled ‘‘Congressionally Directed Spending’’ included 16
in the report accompanying this Act: Provided further, 17
That none of the funds made available for projects de-18
scribed in the preceding proviso shall be subject to section 19
241 of the PHS Act or section 205 of this Act. 20
A
DMINISTRATION FOR STRATEGICPREPAREDNESS AND 21
R
ESPONSE 22
RESEARCH, DEVELOPMENT, AND PROCUREMENT 23
For carrying out title III and subtitles A and B of 24
title XXVIII of the PHS Act, with respect to the research, 25 105 
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development, storage, production, and procurement of 1
medical countermeasures to counter potential chemical, bi-2
ological, radiological, and nuclear threats to civilian popu-3
lations, $3,056,991,000. Of such amount: 4
(1) $970,000,000, to remain available through 5
September 30, 2025, shall be for expenses necessary 6
to support advanced research and development pur-7
suant to section 319L of the PHS Act and other ad-8
ministrative expenses of the Biomedical Advanced 9
Research and Development Authority: Provided, 10
That funds provided under this heading for purposes 11
of acquisition of security countermeasures shall be in 12
addition to any other funds made available for such 13
purposes: Provided further, That products purchased 14
with funds made available under this paragraph 15
may, at the discretion of the Secretary, be deposited 16
in the Strategic National Stockpile pursuant to sec-17
tion 319F–2 of the PHS Act; 18
(2) $820,000,000, to remain available until ex-19
pended, shall be for expenses necessary for pro-20
curing security countermeasures (as defined in sec-21
tion 319F–2(c)(1)(B) of the PHS Act); 22
(3) $965,000,000, to remain available until ex-23
pended, shall be for expenses necessary to carry out 24
section 319F–2(a) of the PHS Act; and 25 106 
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(4) $301,991,000 shall be for expenses nec-1
essary to prepare for or respond to an influenza 2
pandemic, of which $274,000,000 shall remain avail-3
able until expended for activities including the devel-4
opment and purchase of vaccines, antivirals, nec-5
essary medical supplies, diagnostics, and surveillance 6
tools: Provided, That notwithstanding section 496(b) 7
of the PHS Act, funds allocated under this para-8
graph may be used for the construction or renova-9
tion of privately owned facilities for the production 10
of pandemic influenza vaccines and other biologics, 11
if the Secretary finds such construction or renova-12
tion necessary to secure sufficient supplies of such 13
vaccines or biologics: 14
Provided, That of the amounts made available under this 15
heading, $300,000,000 is designated by the Congress as 16
being for an emergency requirement pursuant to section 17
251(b)(2)(A)(i) of the Balanced Budget and Emergency 18
Deficit Control Act of 1985. 19
OPERATIONS, PREPAREDNESS, AND EMERGENCY 20
RESPONSE 21
For carrying out titles III, XII, and subtitles A and 22
B of title XXVIII of the PHS Act, operations and emer-23
gency response activities related to countering potential 24
chemical biological, radiological, and nuclear threats and 25 107 
•S 2624 RS
other public health emergencies, $541,686,000: Provided, 1
That of the amounts made available under this heading, 2
$5,000,000 shall remain available through September 30, 3
2026, to support emergency operations: Provided further, 4
That of the amounts made available under this heading, 5
$50,000,000 shall remain available through September 6
30, 2025, to support coordination of the development, pro-7
duction, and distribution of vaccines, therapeutics, and 8
other medical countermeasures. 9
MANUFACTURING AND PRODUCTION 10
For carrying out title III and subtitles A and B of 11
title XXVIII of the PHS Act, for advanced research and 12
development, manufacturing, production, procurement, 13
distribution, and the acquisition, construction, alteration, 14
or renovation of non-federally owned facilities for the pro-15
duction and purchase of medical countermeasures, includ-16
ing the development, translation, and demonstration at 17
scale of innovations in manufacturing platform, and to 18
carry out titles I and III of the Defense Production Act 19
of 1950 in the event of a public health emergency declara-20
tion or significant potential for a public health emergency, 21
$75,000,000, to remain available until September 30, 22
2025: Provided, That such amount is designated by the 23
Congress as being for an emergency requirement pursuant 24 108 
•S 2624 RS
to section 251(b)(2)(A)(i) of the Balanced Budget and 1
Emergency Deficit Control Act of 1985. 2
O
FFICE OF THESECRETARY 3
GENERAL DEPARTMENTAL MANAGEMENT 4
For necessary expenses, not otherwise provided, for 5
general departmental management, including hire of six 6
passenger motor vehicles, and for carrying out titles III, 7
XVII, XXI, and section 229 of the PHS Act, the United 8
States-Mexico Border Health Commission Act, and re-9
search studies under section 1110 of the Social Security 10
Act, $537,144,000, together with $64,828,000 from the 11
amounts available under section 241 of the PHS Act to 12
carry out national health or human services research and 13
evaluation activities: Provided, That of this amount, 14
$60,000,000 shall be for minority AIDS prevention and 15
treatment activities: Provided further, That of the funds 16
made available under this heading, $101,000,000 shall be 17
for making competitive contracts and grants to public and 18
private entities to fund medically accurate and age appro-19
priate programs that reduce teen pregnancy and for the 20
Federal costs associated with administering and evalu-21
ating such contracts and grants, of which not more than 22
10 percent of the available funds shall be for training and 23
technical assistance, evaluation, outreach, and additional 24
program support activities, and of the remaining amount 25 109 
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75 percent shall be for replicating programs that have 1
been proven effective through rigorous evaluation to re-2
duce teenage pregnancy, behavioral risk factors underlying 3
teenage pregnancy, or other associated risk factors, and 4
25 percent shall be available for research and demonstra-5
tion grants to develop, replicate, refine, and test additional 6
models and innovative strategies for preventing teenage 7
pregnancy: Provided further, That of the amounts provided 8
under this heading from amounts available under section 9
241 of the PHS Act, $6,800,000 shall be available to carry 10
out evaluations (including longitudinal evaluations) of 11
teenage pregnancy prevention approaches: Provided fur-12
ther, That of the funds made available under this heading, 13
$35,000,000 shall be for making competitive grants which 14
exclusively implement education in sexual risk avoidance 15
(defined as voluntarily refraining from non-marital sexual 16
activity): Provided further, That funding for such competi-17
tive grants for sexual risk avoidance shall use medically 18
accurate information referenced to peer-reviewed publica-19
tions by educational, scientific, governmental, or health or-20
ganizations; implement an evidence-based approach inte-21
grating research findings with practical implementation 22
that aligns with the needs and desired outcomes for the 23
intended audience; and teach the benefits associated with 24
self-regulation, success sequencing for poverty prevention, 25 110 
•S 2624 RS
healthy relationships, goal setting, and resisting sexual co-1
ercion, dating violence, and other youth risk behaviors 2
such as underage drinking or illicit drug use without nor-3
malizing teen sexual activity: Provided further, That no 4
more than 10 percent of the funding for such competitive 5
grants for sexual risk avoidance shall be available for tech-6
nical assistance and administrative costs of such pro-7
grams: Provided further, That funds provided in this Act 8
for embryo adoption activities may be used to provide to 9
individuals adopting embryos, through grants and other 10
mechanisms, medical and administrative services deemed 11
necessary for such adoptions: Provided further, That such 12
services shall be provided consistent with 42 CFR 13
59.5(a)(4): Provided further, That of the funds made 14
available under this heading, $5,000,000 shall be for car-15
rying out prize competitions sponsored by the Office of 16
the Secretary to accelerate innovation in the prevention, 17
diagnosis, and treatment of kidney diseases (as authorized 18
by section 24 of the Stevenson-Wydler Technology Innova-19
tion Act of 1980 (15 U.S.C. 3719)). 20
MEDICARE HEARINGS AND APPEALS 21
For expenses necessary for Medicare hearings and 22
appeals in the Office of the Secretary, $196,000,000 shall 23
remain available until September 30, 2025, to be trans-24
ferred in appropriate part from the Federal Hospital In-25 111 
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surance Trust Fund and the Federal Supplementary Med-1
ical Insurance Trust Fund. 2
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 3
INFORMATION TECHNOLOGY 4
For expenses necessary for the Office of the National 5
Coordinator for Health Information Technology, including 6
grants, contracts, and cooperative agreements for the de-7
velopment and advancement of interoperable health infor-8
mation technology, $71,238,000 shall be from amounts 9
made available under section 241 of the PHS Act. 10
OFFICE OF INSPECTOR GENERAL 11
For expenses necessary for the Office of Inspector 12
General, including the hire of passenger motor vehicles for 13
investigations, in carrying out the provisions of the Inspec-14
tor General Act of 1978, $87,000,000: Provided, That of 15
such amount, necessary sums shall be available for pro-16
viding protective services to the Secretary and inves-17
tigating non-payment of child support cases for which non- 18
payment is a Federal offense under 18 U.S.C. 228: Pro-19
vided further, That of the amount appropriated under this 20
heading, necessary sums shall be available for carrying out 21
activities authorized under section 3022 of the PHS Act 22
(42 U.S.C. 300jj–52). 23 112 
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OFFICE FOR CIVIL RIGHTS 1
For expenses necessary for the Office for Civil 2
Rights, $39,798,000. 3
RETIREMENT PAY AND MEDICAL BENEFITS FOR 4
COMMISSIONED OFFICERS 5
For retirement pay and medical benefits of Public 6
Health Service Commissioned Officers as authorized by 7
law, for payments under the Retired Serviceman’s Family 8
Protection Plan and Survivor Benefit Plan, and for med-9
ical care of dependents and retired personnel under the 10
Dependents’ Medical Care Act, such amounts as may be 11
required during the current fiscal year. 12
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 13
FUND 14
For expenses necessary to carry out title II of the 15
PHS Act to support, except as otherwise provided, activi-16
ties related to safeguarding classified national security in-17
formation and providing intelligence and national security 18
support across the Department; and to counter cybersecu-19
rity threats to civilian populations, $108,983,000. 20
For an additional amount for expenses necessary to 21
prepare for or respond to an influenza pandemic, preven-22
tion, and response, $7,009,000: Provided, That notwith-23
standing section 496(b) of the PHS Act, funds available 24
for preparing for or responding to an influenza pandemic 25 113 
•S 2624 RS
may be used for the construction or renovation of privately 1
owned facilities for the production of pandemic influenza 2
vaccines and other biologics, if the Secretary finds such 3
construction or renovation necessary to secure sufficient 4
supplies of such vaccines or biologics. 5
G
ENERALPROVISIONS 6
S
EC. 201. Funds appropriated in this title shall be 7
available for not to exceed $50,000 for official reception 8
and representation expenses when specifically approved by 9
the Secretary. 10
S
EC. 202. None of the funds appropriated in this title 11
shall be used to pay the salary of an individual, through 12
a grant or other extramural mechanism, at a rate in excess 13
of Executive Level II: Provided, That none of the funds 14
appropriated in this title shall be used to prevent the NIH 15
from paying up to 100 percent of the salary of an indi-16
vidual at this rate. 17
S
EC. 203. None of the funds appropriated in this Act 18
may be expended pursuant to section 241 of the PHS Act, 19
except for funds specifically provided for in this Act, or 20
for other taps and assessments made by any office located 21
in HHS, prior to the preparation and submission of a re-22
port by the Secretary to the Committees on Appropria-23
tions of the House of Representatives and the Senate de-24
tailing the planned uses of such funds. 25 114 
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SEC. 204. Notwithstanding section 241(a) of the 1
PHS Act, such portion as the Secretary shall determine, 2
but not more than 2.8 percent, of any amounts appro-3
priated for programs authorized under such Act shall be 4
made available for the evaluation (directly, or by grants 5
or contracts) and the implementation and effectiveness of 6
programs funded in this title. 7
(TRANSFER OF FUNDS) 8
S
EC. 205. Not to exceed 1 percent of any discre-9
tionary funds (pursuant to the Balanced Budget and 10
Emergency Deficit Control Act of 1985) which are appro-11
priated for the current fiscal year for HHS in this Act 12
may be transferred between appropriations, but no such 13
appropriation shall be increased by more than 3 percent 14
by any such transfer: Provided, That the transfer author-15
ity granted by this section shall not be used to create any 16
new program or to fund any project or activity for which 17
no funds are provided in this Act: Provided further, That 18
the Committees on Appropriations of the House of Rep-19
resentatives and the Senate are notified at least 15 days 20
in advance of any transfer. 21
S
EC. 206. In lieu of the timeframe specified in section 22
338E(c)(2) of the PHS Act, terminations described in 23
such section may occur up to 60 days after the effective 24
date of a contract awarded in fiscal year 2024 under sec-25 115 
•S 2624 RS
tion 338B of such Act, or at any time if the individual 1
who has been awarded such contract has not received 2
funds due under the contract. 3
S
EC. 207. None of the funds appropriated in this Act 4
may be made available to any entity under title X of the 5
PHS Act unless the applicant for the award certifies to 6
the Secretary that it encourages family participation in 7
the decision of minors to seek family planning services and 8
that it provides counseling to minors on how to resist at-9
tempts to coerce minors into engaging in sexual activities. 10
S
EC. 208. Notwithstanding any other provision of 11
law, no provider of services under title X of the PHS Act 12
shall be exempt from any State law requiring notification 13
or the reporting of child abuse, child molestation, sexual 14
abuse, rape, or incest. 15
S
EC. 209. None of the funds appropriated by this Act 16
(including funds appropriated to any trust fund) may be 17
used to carry out the Medicare Advantage program if the 18
Secretary denies participation in such program to an oth-19
erwise eligible entity (including a Provider Sponsored Or-20
ganization) because the entity informs the Secretary that 21
it will not provide, pay for, provide coverage of, or provide 22
referrals for abortions: Provided, That the Secretary shall 23
make appropriate prospective adjustments to the capita-24
tion payment to such an entity (based on an actuarially 25 116 
•S 2624 RS
sound estimate of the expected costs of providing the serv-1
ice to such entity’s enrollees): Provided further, That noth-2
ing in this section shall be construed to change the Medi-3
care program’s coverage for such services and a Medicare 4
Advantage organization described in this section shall be 5
responsible for informing enrollees where to obtain infor-6
mation about all Medicare covered services. 7
S
EC. 210. None of the funds made available in this 8
title may be used, in whole or in part, to advocate or pro-9
mote gun control. 10
S
EC. 211. The Secretary shall make available through 11
assignment not more than 60 employees of the Public 12
Health Service to assist in child survival activities and to 13
work in AIDS programs through and with funds provided 14
by the Agency for International Development, the United 15
Nations International Children’s Emergency Fund or the 16
World Health Organization. 17
S
EC. 212. In order for HHS to carry out inter-18
national health activities, including HIV/AIDS and other 19
infectious disease, chronic and environmental disease, and 20
other health activities abroad during fiscal year 2024: 21
(1) The Secretary may exercise authority equiv-22
alent to that available to the Secretary of State in 23
section 2(c) of the State Department Basic Authori-24
ties Act of 1956. The Secretary shall consult with 25 117 
•S 2624 RS
the Secretary of State and relevant Chief of Mission 1
to ensure that the authority provided in this section 2
is exercised in a manner consistent with section 207 3
of the Foreign Service Act of 1980 and other appli-4
cable statutes administered by the Department of 5
State. 6
(2) The Secretary is authorized to provide such 7
funds by advance or reimbursement to the Secretary 8
of State as may be necessary to pay the costs of ac-9
quisition, lease, alteration, renovation, and manage-10
ment of facilities outside of the United States for 11
the use of HHS. The Department of State shall co-12
operate fully with the Secretary to ensure that HHS 13
has secure, safe, functional facilities that comply 14
with applicable regulation governing location, set-15
back, and other facilities requirements and serve the 16
purposes established by this Act. The Secretary is 17
authorized, in consultation with the Secretary of 18
State, through grant or cooperative agreement, to 19
make available to public or nonprofit private institu-20
tions or agencies in participating foreign countries, 21
funds to acquire, lease, alter, or renovate facilities in 22
those countries as necessary to conduct programs of 23
assistance for international health activities, includ-24
ing activities relating to HIV/AIDS and other infec-25 118 
•S 2624 RS
tious diseases, chronic and environmental diseases, 1
and other health activities abroad. 2
(3) The Secretary is authorized to provide to 3
personnel appointed or assigned by the Secretary to 4
serve abroad, allowances and benefits similar to 5
those provided under chapter 9 of title I of the For-6
eign Service Act of 1980, and 22 U.S.C. 4081 7
through 4086 and subject to such regulations pre-8
scribed by the Secretary. The Secretary is further 9
authorized to provide locality-based comparability 10
payments (stated as a percentage) up to the amount 11
of the locality-based comparability payment (stated 12
as a percentage) that would be payable to such per-13
sonnel under section 5304 of title 5, United States 14
Code if such personnel’s official duty station were in 15
the District of Columbia. Leaves of absence for per-16
sonnel under this subsection shall be on the same 17
basis as that provided under subchapter I of chapter 18
63 of title 5, United States Code, or section 903 of 19
the Foreign Service Act of 1980, to individuals serv-20
ing in the Foreign Service. 21
(TRANSFER OF FUNDS) 22
S
EC. 213. The Director of the NIH, jointly with the 23
Director of the Office of AIDS Research, may transfer up 24
to 3 percent among institutes and centers from the total 25 119 
•S 2624 RS
amounts identified by these two Directors as funding for 1
research pertaining to the human immunodeficiency virus: 2
Provided, That the Committees on Appropriations of the 3
House of Representatives and the Senate are notified at 4
least 15 days in advance of any transfer. 5
(TRANSFER OF FUNDS) 6
S
EC. 214. Of the amounts made available in this Act 7
for NIH, the amount for research related to the human 8
immunodeficiency virus, as jointly determined by the Di-9
rector of NIH and the Director of the Office of AIDS Re-10
search, shall be made available to the ‘‘Office of AIDS 11
Research’’ account. The Director of the Office of AIDS 12
Research shall transfer from such account amounts nec-13
essary to carry out section 2353(d)(3) of the PHS Act. 14
S
EC. 215. (a) AUTHORITY.—Notwithstanding any 15
other provision of law, the Director of NIH (‘‘Director’’) 16
may use funds authorized under section 402(b)(12) of the 17
PHS Act to enter into transactions (other than contracts, 18
cooperative agreements, or grants) to carry out research 19
identified pursuant to or research and activities described 20
in such section 402(b)(12). 21
(b) P
EERREVIEW.—In entering into transactions 22
under subsection (a), the Director may utilize such peer 23
review procedures (including consultation with appropriate 24
scientific experts) as the Director determines to be appro-25 120 
•S 2624 RS
priate to obtain assessments of scientific and technical 1
merit. Such procedures shall apply to such transactions 2
in lieu of the peer review and advisory council review pro-3
cedures that would otherwise be required under sections 4
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 5
and 494 of the PHS Act. 6
S
EC. 216. Not to exceed $100,000,000 of funds ap-7
propriated by this Act to the institutes and centers of the 8
National Institutes of Health may be used for alteration, 9
repair, or improvement of facilities, as necessary for the 10
proper and efficient conduct of the activities authorized 11
herein, at not to exceed $5,000,000 per project. 12
(TRANSFER OF FUNDS) 13
S
EC. 217. Of the amounts made available for NIH, 14
1 percent of the amount made available for National Re-15
search Service Awards (‘‘NRSA’’) shall be made available 16
to the Administrator of the Health Resources and Services 17
Administration to make NRSA awards for research in pri-18
mary medical care to individuals affiliated with entities 19
who have received grants or contracts under sections 736, 20
739, or 747 of the PHS Act, and 1 percent of the amount 21
made available for NRSA shall be made available to the 22
Director of the Agency for Healthcare Research and Qual-23
ity to make NRSA awards for health service research. 24 121 
•S 2624 RS
SEC. 218. (a) The Biomedical Advanced Research 1
and Development Authority (‘‘BARDA’’) may enter into 2
a contract, for more than one but no more than 10 pro-3
gram years, for purchase of research services or of security 4
countermeasures, as that term is defined in section 319F– 5
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 6
if— 7
(1) funds are available and obligated— 8
(A) for the full period of the contract or 9
for the first fiscal year in which the contract is 10
in effect; and 11
(B) for the estimated costs associated with 12
a necessary termination of the contract; and 13
(2) the Secretary determines that a multi-year 14
contract will serve the best interests of the Federal 15
Government by encouraging full and open competi-16
tion or promoting economy in administration, per-17
formance, and operation of BARDA’s programs. 18
(b) A contract entered into under this section— 19
(1) shall include a termination clause as de-20
scribed by subsection (c) of section 3903 of title 41, 21
United States Code; and 22
(2) shall be subject to the congressional notice 23
requirement stated in subsection (d) of such section. 24 122 
•S 2624 RS
SEC. 219. (a) The Secretary shall publish in the fiscal 1
year 2025 budget justification and on Departmental Web 2
sites information concerning the employment of full-time 3
equivalent Federal employees or contractors for the pur-4
poses of implementing, administering, enforcing, or other-5
wise carrying out the provisions of the ACA, and the 6
amendments made by that Act, in the proposed fiscal year 7
and each fiscal year since the enactment of the ACA. 8
(b) With respect to employees or contractors sup-9
ported by all funds appropriated for purposes of carrying 10
out the ACA (and the amendments made by that Act), 11
the Secretary shall include, at a minimum, the following 12
information: 13
(1) For each such fiscal year, the section of 14
such Act under which such funds were appropriated, 15
a statement indicating the program, project, or ac-16
tivity receiving such funds, the Federal operating di-17
vision or office that administers such program, and 18
the amount of funding received in discretionary or 19
mandatory appropriations. 20
(2) For each such fiscal year, the number of 21
full-time equivalent employees or contracted employ-22
ees assigned to each authorized and funded provision 23
detailed in accordance with paragraph (1). 24 123 
•S 2624 RS
(c) In carrying out this section, the Secretary may 1
exclude from the report employees or contractors who— 2
(1) are supported through appropriations en-3
acted in laws other than the ACA and work on pro-4
grams that existed prior to the passage of the ACA; 5
(2) spend less than 50 percent of their time on 6
activities funded by or newly authorized in the ACA; 7
or 8
(3) work on contracts for which FTE reporting 9
is not a requirement of their contract, such as fixed- 10
price contracts. 11
S
EC. 220. The Secretary shall publish, as part of the 12
fiscal year 2025 budget of the President submitted under 13
section 1105(a) of title 31, United States Code, informa-14
tion that details the uses of all funds used by the Centers 15
for Medicare & Medicaid Services specifically for Health 16
Insurance Exchanges for each fiscal year since the enact-17
ment of the ACA and the proposed uses for such funds 18
for fiscal year 2025. Such information shall include, for 19
each such fiscal year, the amount of funds used for each 20
activity specified under the heading ‘‘Health Insurance 21
Exchange Transparency’’ in the report accompanying this 22
Act. 23
S
EC. 221. None of the funds made available by this 24
Act from the Federal Hospital Insurance Trust Fund or 25 124 
•S 2624 RS
the Federal Supplemental Medical Insurance Trust Fund, 1
or transferred from other accounts funded by this Act to 2
the ‘‘Centers for Medicare & Medicaid Services—Program 3
Management’’ account, may be used for payments under 4
section 1342(b)(1) of Public Law 111–148 (relating to 5
risk corridors). 6
(TRANSFER OF FUNDS) 7
S
EC. 222. (a) Within 45 days of enactment of this 8
Act, the Secretary shall transfer funds appropriated under 9
section 4002 of the ACA to the accounts specified, in the 10
amounts specified, and for the activities specified under 11
the heading ‘‘Prevention and Public Health Fund’’ in the 12
report accompanying this Act. 13
(b) Notwithstanding section 4002(c) of the ACA, the 14
Secretary may not further transfer these amounts. 15
(c) Funds transferred for activities authorized under 16
section 2821 of the PHS Act shall be made available with-17
out reference to section 2821(b) of such Act. 18
S
EC. 223. Effective during the period beginning on 19
November 1, 2015 and ending January 1, 2026, any pro-20
vision of law that refers (including through cross-reference 21
to another provision of law) to the current recommenda-22
tions of the United States Preventive Services Task Force 23
with respect to breast cancer screening, mammography, 24 125 
•S 2624 RS
and prevention shall be administered by the Secretary in-1
volved as if— 2
(1) such reference to such current recommenda-3
tions were a reference to the recommendations of 4
such Task Force with respect to breast cancer 5
screening, mammography, and prevention last issued 6
before 2009; and 7
(2) such recommendations last issued before 8
2009 applied to any screening mammography modal-9
ity under section 1861(jj) of the Social Security Act 10
(42 U.S.C. 1395x(jj)). 11
S
EC. 224. In making Federal financial assistance, the 12
provisions relating to indirect costs in part 75 of title 45, 13
Code of Federal Regulations, including with respect to the 14
approval of deviations from negotiated rates, shall con-15
tinue to apply to the National Institutes of Health to the 16
same extent and in the same manner as such provisions 17
were applied in the third quarter of fiscal year 2017. None 18
of the funds appropriated in this or prior Acts or otherwise 19
made available to the Department of Health and Human 20
Services or to any department or agency may be used to 21
develop or implement a modified approach to such provi-22
sions, or to intentionally or substantially expand the fiscal 23
effect of the approval of such deviations from negotiated 24 126 
•S 2624 RS
rates beyond the proportional effect of such approvals in 1
such quarter. 2
(TRANSFER OF FUNDS) 3
S
EC. 225. The NIH Director may transfer funds for 4
opioid addiction, opioid alternatives, stimulant misuse and 5
addiction, pain management, and addiction treatment to 6
other Institutes and Centers of the NIH to be used for 7
the same purpose 15 days after notifying the Committees 8
on Appropriations of the House of Representatives and the 9
Senate: Provided, That the transfer authority provided in 10
the previous proviso is in addition to any other transfer 11
authority provided by law. 12
S
EC. 226. (a) The Secretary shall provide to the 13
Committees on Appropriations of the House of Represent-14
atives and the Senate: 15
(1) Detailed monthly enrollment figures from 16
the Exchanges established under the Patient Protec-17
tion and Affordable Care Act of 2010 pertaining to 18
enrollments during the open enrollment period; and 19
(2) Notification of any new or competitive grant 20
awards, including supplements, authorized under 21
section 330 of the Public Health Service Act. 22
(b) The Committees on Appropriations of the House 23
and Senate must be notified at least 2 business days in 24 127 
•S 2624 RS
advance of any public release of enrollment information 1
or the award of such grants. 2
S
EC. 227. In addition to the amounts otherwise avail-3
able for ‘‘Centers for Medicare & Medicaid Services, Pro-4
gram Management’’, the Secretary of Health and Human 5
Services may transfer up to $455,000,000 to such account 6
from the Federal Hospital Insurance Trust Fund and the 7
Federal Supplementary Medical Insurance Trust Fund to 8
support program management activity related to the Medi-9
care Program: Provided, That except for the foregoing 10
purpose, such funds may not be used to support any provi-11
sion of Public Law 111–148 or Public Law 111–152 (or 12
any amendment made by either such Public Law) or to 13
supplant any other amounts within such account. 14
S
EC. 228. The Department of Health and Human 15
Services shall provide the Committees on Appropriations 16
of the House of Representatives and Senate a biannual 17
report 30 days after enactment of this Act on staffing de-18
scribed in the report accompanying this Act. 19
S
EC. 229. Funds appropriated in this Act that are 20
available for salaries and expenses of employees of the De-21
partment of Health and Human Services shall also be 22
available to pay travel and related expenses of such an 23
employee or of a member of his or her family, when such 24
employee is assigned to duty, in the United States or in 25 128 
•S 2624 RS
a U.S. territory, during a period and in a location that 1
are the subject of a determination of a public health emer-2
gency under section 319 of the Public Health Service Act 3
and such travel is necessary to obtain medical care for 4
an illness, injury, or medical condition that cannot be ade-5
quately addressed in that location at that time. For pur-6
poses of this section, the term ‘‘U.S. territory’’ means 7
Guam, the Commonwealth of Puerto Rico, the Northern 8
Mariana Islands, the Virgin Islands, American Samoa, or 9
the Trust Territory of the Pacific Islands. 10
S
EC. 230. The Department of Health and Human 11
Services may accept donations from the private sector, 12
nongovernmental organizations, and other groups inde-13
pendent of the Federal Government for the care of unac-14
companied alien children (as defined in section 462(g)(2) 15
of the Homeland Security Act of 2002 (6 U.S.C. 16
279(g)(2))) in the care of the Office of Refugee Resettle-17
ment of the Administration for Children and Families, in-18
cluding medical goods and services, which may include 19
early childhood developmental screenings, school supplies, 20
toys, clothing, and any other items intended to promote 21
the wellbeing of such children. 22
S
EC. 231. None of the funds made available in this 23
Act under the heading ‘‘Department of Health and 24
Human Services—Administration for Children and Fami-25 129 
•S 2624 RS
lies—Refugee and Entrant Assistance’’ may be obligated 1
to a grantee or contractor to house unaccompanied alien 2
children (as such term is defined in section 462(g)(2) of 3
the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 4
in any facility that is not State-licensed for the care of 5
unaccompanied alien children, except in the case that the 6
Secretary determines that housing unaccompanied alien 7
children in such a facility is necessary on a temporary 8
basis due to an influx of such children or an emergency, 9
provided that— 10
(1) the terms of the grant or contract for the 11
operations of any such facility that remains in oper-12
ation for more than six consecutive months shall re-13
quire compliance with— 14
(A) the same requirements as licensed 15
placements, as listed in Exhibit 1 of the Flores 16
Settlement Agreement that the Secretary deter-17
mines are applicable to non-State licensed facili-18
ties; and 19
(B) staffing ratios of one (1) on-duty 20
Youth Care Worker for every eight (8) children 21
or youth during waking hours, one (1) on-duty 22
Youth Care Worker for every sixteen (16) chil-23
dren or youth during sleeping hours, and clini-24
cian ratios to children (including mental health 25 130 
•S 2624 RS
providers) as required in grantee cooperative 1
agreements; 2
(2) the Secretary may grant a 60-day waiver 3
for a contractor’s or grantee’s non-compliance with 4
paragraph (1) if the Secretary certifies and provides 5
a report to Congress on the contractor’s or grantee’s 6
good-faith efforts and progress towards compliance; 7
(3) not more than four consecutive waivers 8
under paragraph (2) may be granted to a contractor 9
or grantee with respect to a specific facility; 10
(4) ORR shall ensure full adherence to the 11
monitoring requirements set forth in section 5.5 of 12
its Policies and Procedures Guide as of May 15, 13
2019; 14
(5) for any such unlicensed facility in operation 15
for more than three consecutive months, ORR shall 16
conduct a minimum of one comprehensive moni-17
toring visit during the first three months of oper-18
ation, with quarterly monitoring visits thereafter; 19
and 20
(6) not later than 60 days after the date of en-21
actment of this Act, ORR shall brief the Committees 22
on Appropriations of the House of Representatives 23
and the Senate outlining the requirements of ORR 24
for influx facilities including any requirement listed 25 131 
•S 2624 RS
in paragraph (1)(A) that the Secretary has deter-1
mined are not applicable to non-State licensed facili-2
ties. 3
S
EC. 232. In addition to the existing Congressional 4
notification for formal site assessments of potential influx 5
facilities, the Secretary shall notify the Committees on Ap-6
propriations of the House of Representatives and the Sen-7
ate at least 15 days before operationalizing an unlicensed 8
facility, and shall (1) specify whether the facility is hard- 9
sided or soft-sided, and (2) provide analysis that indicates 10
that, in the absence of the influx facility, the likely out-11
come is that unaccompanied alien children will remain in 12
the custody of the Department of Homeland Security for 13
longer than 72 hours or that unaccompanied alien children 14
will be otherwise placed in danger. Within 60 days of 15
bringing such a facility online, and monthly thereafter, the 16
Secretary shall provide to the Committees on Appropria-17
tions of the House of Representatives and the Senate a 18
report detailing the total number of children in care at 19
the facility, the average length of stay and average length 20
of care of children at the facility, and, for any child that 21
has been at the facility for more than 60 days, their length 22
of stay and reason for delay in release. 23
S
EC. 233. None of the funds made available in this 24
Act may be used to prevent a United States Senator or 25 132 
•S 2624 RS
Member of the House of Representatives from entering, 1
for the purpose of conducting oversight, any facility in the 2
United States used for the purpose of maintaining custody 3
of, or otherwise housing, unaccompanied alien children (as 4
defined in section 462(g)(2) of the Homeland Security Act 5
of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 6
or Member has coordinated the oversight visit with the 7
Office of Refugee Resettlement not less than two business 8
days in advance to ensure that such visit would not inter-9
fere with the operations (including child welfare and child 10
safety operations) of such facility. 11
S
EC. 234. Not later than 14 days after the date of 12
enactment of this Act, and monthly thereafter, the Sec-13
retary shall submit to the Committees on Appropriations 14
of the House of Representatives and the Senate, and make 15
publicly available online, a report with respect to children 16
who were separated from their parents or legal guardians 17
by the Department of Homeland Security (DHS) (regard-18
less of whether or not such separation was pursuant to 19
an option selected by the children, parents, or guardians), 20
subsequently classified as unaccompanied alien children, 21
and transferred to the care and custody of ORR during 22
the previous month. Each report shall contain the fol-23
lowing information: 24 133 
•S 2624 RS
(1) the number and ages of children so sepa-1
rated subsequent to apprehension at or between 2
ports of entry, to be reported by sector where sepa-3
ration occurred; and 4
(2) the documented cause of separation, as re-5
ported by DHS when each child was referred. 6
S
EC. 235. Funds appropriated in this Act that are 7
available for salaries and expenses of employees of the 8
Centers for Disease Control and Prevention shall also be 9
available for the primary and secondary schooling of eligi-10
ble dependents of personnel stationed in a U.S. territory 11
as defined in section 229 of this Act at costs not in excess 12
of those paid for or reimbursed by the Department of De-13
fense. 14
S
EC. 236. In this and all fiscal years hereafter, not-15
withstanding the income eligibility requirements of sub-16
sections (a) and paragraphs (1) and (2) of subsection (d) 17
of section 645 of the Head Start Act and income eligibility 18
criteria and allowances prescribed in regulations, an In-19
dian tribe that operates a Head Start program may, at 20
its discretion, establish selection criteria, including criteria 21
to prioritize children in families for which a child, a family 22
member, or a member of the same household, is a member 23
of an Indian tribe, to enroll children who would benefit 24
from the Head Start program. 25 134 
•S 2624 RS
SEC. 237. In this and all fiscal years hereafter, not-1
withstanding the income eligibility requirements of sub-2
section (a) of section 645 of the Head Start Act and in-3
come eligibility criteria and allowances prescribed in regu-4
lations, an agency that operates a migrant or seasonal 5
Head Start program may, at its discretion, establish selec-6
tion criteria to enroll children who would benefit from the 7
Head Start program, giving priority to children of migrant 8
farmworker families: Provided, That such selection criteria 9
shall limit that enrollment to children who have at least 10
one family member whose income comes primarily from 11
agricultural employment as defined in section 3 of the Mi-12
grant and Seasonal Agricultural Worker Protection Act 13
(29 U.S.C. 1802). 14
(RESCISSION) 15
S
EC. 238. Of the unobligated balances in the ‘‘Non-16
recurring Expenses Fund’’ established in section 223 of 17
division G of Public Law 110–161, $1,000,000,000 are 18
hereby rescinded not later than September 30, 2024. 19
This title may be cited as the ‘‘Department of Health 20
and Human Services Appropriations Act, 2024’’. 21 135 
•S 2624 RS
TITLE III 1
DEPARTMENT OF EDUCATION 2
E
DUCATION FOR THE DISADVANTAGED 3
For carrying out title I and subpart 2 of part B of 4
title II of the Elementary and Secondary Education Act 5
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 6
418A of the Higher Education Act of 1965 (referred to 7
in this Act as ‘‘HEA’’), $19,262,790,000, of which 8
$8,334,490,000 shall become available on July 1, 2024, 9
and shall remain available through September 30, 2025, 10
and of which $10,841,177,000 shall become available on 11
October 1, 2024, and shall remain available through Sep-12
tember 30, 2025, for academic year 2024–2025: Provided, 13
That $6,459,401,000 shall be for basic grants under sec-14
tion 1124 of the ESEA: Provided further, That up to 15
$5,000,000 of these funds shall be available to the Sec-16
retary of Education (referred to in this title as ‘‘Sec-17
retary’’) on October 1, 2023, to obtain annually updated 18
local educational agency-level census poverty data from 19
the Bureau of the Census: Provided further, That 20
$1,362,301,000 shall be for concentration grants under 21
section 1124A of the ESEA: Provided further, That 22
$5,370,050,000 shall be for targeted grants under section 23
1125 of the ESEA: Provided further, That 24
$5,370,050,000 shall be for education finance incentive 25 136 
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grants under section 1125A of the ESEA: Provided fur-1
ther, That $224,000,000 shall be for carrying out subpart 2
2 of part B of title II: Provided further, That $52,123,000 3
shall be for carrying out section 418A of the HEA. 4
I
MPACTAID 5
For carrying out programs of financial assistance to 6
federally affected schools authorized by title VII of the 7
ESEA, $1,628,151,000, of which $1,477,000,000 shall be 8
for basic support payments under section 7003(b), 9
$48,316,000 shall be for payments for children with dis-10
abilities under section 7003(d), $19,000,000 shall be for 11
construction under section 7007(a), $79,000,000 shall be 12
for Federal property payments under section 7002, and 13
$4,835,000, to remain available until expended, shall be 14
for facilities maintenance under section 7008: Provided, 15
That for purposes of computing the amount of a payment 16
for an eligible local educational agency under section 17
7003(a) for school year 2023–2024, children enrolled in 18
a school of such agency that would otherwise be eligible 19
for payment under section 7003(a)(1)(B) of such Act, but 20
due to the deployment of both parents or legal guardians, 21
or a parent or legal guardian having sole custody of such 22
children, or due to the death of a military parent or legal 23
guardian while on active duty (so long as such children 24
reside on Federal property as described in section 25 137 
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7003(a)(1)(B)), are no longer eligible under such section, 1
shall be considered as eligible students under such section, 2
provided such students remain in average daily attendance 3
at a school in the same local educational agency they at-4
tended prior to their change in eligibility status. 5
S
CHOOLIMPROVEMENT PROGRAMS 6
For carrying out school improvement activities au-7
thorized by part B of title I, part A of title II, subpart 8
1 of part A of title IV, part B of title IV, part B of title 9
V, and parts B and C of title VI of the ESEA; the McKin-10
ney-Vento Homeless Assistance Act; section 203 of the 11
Educational Technical Assistance Act of 2002; the Com-12
pact of Free Association Amendments Act of 2003; and 13
the Civil Rights Act of 1964, $5,820,642,000, of which 14
$3,967,312,000 shall become available on July 1, 2024, 15
and remain available through September 30, 2025, and 16
of which $1,681,441,000 shall become available on Octo-17
ber 1, 2024, and shall remain available through September 18
30, 2025, for academic year 2024–2025: Provided, That 19
$380,000,000 shall be for part B of title I: Provided fur-20
ther, That $1,329,673,000 shall be for part B of title IV: 21
Provided further, That $45,897,000 shall be for part B 22
of title VI, which may be used for construction, renova-23
tion, and modernization of any public elementary school, 24
secondary school, or structure related to a public elemen-25 138 
•S 2624 RS
tary school or secondary school that serves a predomi-1
nantly Native Hawaiian student body, and that the 5 per-2
cent limitation in section 6205(b) of the ESEA on the use 3
of funds for administrative purposes shall apply only to 4
direct administrative costs: Provided further, That 5
$44,953,000 shall be for part C of title VI, which shall 6
be awarded on a competitive basis, and may be used for 7
construction, and that the 5 percent limitation in section 8
6305 of the ESEA on the use of funds for administrative 9
purposes shall apply only to direct administrative costs: 10
Provided further, That $50,000,000 shall be available to 11
carry out section 203 of the Educational Technical Assist-12
ance Act of 2002 and the Secretary shall make such ar-13
rangements as determined to be necessary to ensure that 14
the Bureau of Indian Education has access to services pro-15
vided under this section: Provided further, That 16
$24,464,000 shall be available to carry out the Supple-17
mental Education Grants program for the Federated 18
States of Micronesia and the Republic of the Marshall Is-19
lands: Provided further, That the Secretary may reserve 20
up to 5 percent of the amount referred to in the previous 21
proviso to provide technical assistance in the implementa-22
tion of these grants: Provided further, That $220,000,000 23
shall be for part B of title V: Provided further,That in 24
carrying out such part B the percentage in section 25 139 
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316(b)(1)(D) of title III of division H of Public Law 116– 1
260 shall be deemed 83.33 percent: Provided further, That 2
$1,400,000,000 shall be available for grants under sub-3
part 1 of part A of title IV: Provided further, That funds 4
provided by Public Law 117–328 and this Act for subpart 5
B of title VII of the McKinney-Vento Homeless Assistance 6
Act shall be available for expenditure by educational agen-7
cies and institutions for an additional fiscal year following 8
the succeeding fiscal year provided by subsection 9
421(b)(1) of the General Education Provisions Act. 10
I
NDIANEDUCATION 11
For expenses necessary to carry out, to the extent 12
not otherwise provided, title VI, part A of the ESEA, 13
$194,746,000, of which $72,000,000 shall be for subpart 14
2 of part A of title VI and $12,365,000 shall be for sub-15
part 3 of part A of title VI: Provided, That the 5 percent 16
limitation in sections 6115(d), 6121(e), and 6133(g) of 17
the ESEA on the use of funds for administrative purposes 18
shall apply only to direct administrative costs: Provided 19
further, That grants awarded under sections 6132 and 20
6133 of the ESEA with funds provided under this heading 21
may be for a period of up to 5 years. 22
I
NNOVATION ANDIMPROVEMENT 23
For carrying out activities authorized by subparts 1, 24
3 and 4 of part B of title II, and parts C, D, and E and 25 140 
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subparts 1 and 4 of part F of title IV of the ESEA, 1
$1,149,500,000: Provided, That $233,000,000 shall be for 2
subparts 1, 3 and 4 of part B of title II and shall be made 3
available without regard to sections 2201, 2231(b) and 4
2241: Provided further, That $676,500,000 shall be for 5
parts C, D, and E and subpart 4 of part F of title IV, 6
and shall be made available without regard to sections 7
4311, 4409(a), and 4601 of the ESEA: Provided further, 8
That section 4303(d)(3)(A)(i) shall not apply to the funds 9
available for part C of title IV: Provided further, That of 10
the funds available for part C of title IV, the Secretary 11
shall use not less than $60,000,000 to carry out section 12
4304, of which not more than $10,000,000 shall be avail-13
able to carry out section 4304(k), not more than 14
$140,000,000, to remain available through March 31, 15
2025, to carry out section 4305(b), from which the 16
amount necessary for continuation grants may be available 17
for obligation through March 31, 2025, and not more than 18
$16,000,000 to carry out the activities in section 19
4305(a)(3): Provided further, That notwithstanding sec-20
tion 4601(b), $240,000,000 shall be available through De-21
cember 31, 2024 for subpart 1 of part F of title IV: Pro-22
vided further, That of the funds available for subpart 4 23
of part F of title IV, not less than $8,000,000 shall be 24
used for continuation grants for eligible national nonprofit 25 141 
•S 2624 RS
organizations, as described in the Applications for New 1
Awards; Assistance for Arts Education Program published 2
in the Federal Register on May 31, 2022, for activities 3
described under section 4642(a)(1)(C). 4
S
AFESCHOOLS ANDCITIZENSHIPEDUCATION 5
For carrying out activities authorized by subparts 2 6
and 3 of part F of title IV of the ESEA, $437,000,000, 7
to remain available through December 31, 2024: Provided, 8
That $196,000,000 shall be available for section 4631, of 9
which up to $5,000,000, to remain available until ex-10
pended, shall be for the Project School Emergency Re-11
sponse to Violence (Project SERV) program: Provided fur-12
ther, That $150,000,000 shall be available for section 13
4625: Provided further, That $91,000,000 shall be for sec-14
tion 4624. 15
E
NGLISHLANGUAGEACQUISITION 16
For carrying out part A of title III of the ESEA, 17
$897,000,000, which shall become available on July 1, 18
2024, and shall remain available through September 30, 19
2025, except that 6.5 percent of such amount shall be 20
available on October 1, 2023, and shall remain available 21
through September 30, 2025, to carry out activities under 22
section 3111(c)(1)(C). 23 142 
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SPECIALEDUCATION 1
For carrying out the Individuals with Disabilities 2
Education Act (IDEA) and the Special Olympics Sport 3
and Empowerment Act of 2004, $15,661,764,000, of 4
which $6,065,321,000 shall become available on July 1, 5
2024, and shall remain available through September 30, 6
2025, and of which $9,283,383,000 shall become available 7
on October 1, 2024, and shall remain available through 8
September 30, 2025, for academic year 2024–2025: Pro-9
vided, That the amount for section 611(b)(2) of the IDEA 10
shall be equal to the lesser of the amount available for 11
that activity during fiscal year 2023, increased by the 12
amount of inflation as specified in section 619(d)(2)(B) 13
of the IDEA, or the percent change in the funds appro-14
priated under section 611(i) of the IDEA, but not less 15
than the amount for that activity during fiscal year 2023: 16
Provided further, That the Secretary shall, without regard 17
to section 611(d) of the IDEA, distribute to all other 18
States (as that term is defined in section 611(g)(2)), sub-19
ject to the third proviso, any amount by which a State’s 20
allocation under section 611, from funds appropriated 21
under this heading, is reduced under section 22
612(a)(18)(B), according to the following: 85 percent on 23
the basis of the States’ relative populations of children 24
aged 3 through 21 who are of the same age as children 25 143 
•S 2624 RS
with disabilities for whom the State ensures the avail-1
ability of a free appropriate public education under this 2
part, and 15 percent to States on the basis of the States’ 3
relative populations of those children who are living in pov-4
erty: Provided further, That the Secretary may not dis-5
tribute any funds under the previous proviso to any State 6
whose reduction in allocation from funds appropriated 7
under this heading made funds available for such a dis-8
tribution: Provided further, That the States shall allocate 9
such funds distributed under the second proviso to local 10
educational agencies in accordance with section 611(f): 11
Provided further, That the amount by which a State’s allo-12
cation under section 611(d) of the IDEA is reduced under 13
section 612(a)(18)(B) and the amounts distributed to 14
States under the previous provisos in fiscal year 2012 or 15
any subsequent year shall not be considered in calculating 16
the awards under section 611(d) for fiscal year 2013 or 17
for any subsequent fiscal years: Provided further, That, 18
notwithstanding the provision in section 612(a)(18)(B) re-19
garding the fiscal year in which a State’s allocation under 20
section 611(d) is reduced for failure to comply with the 21
requirement of section 612(a)(18)(A), the Secretary may 22
apply the reduction specified in section 612(a)(18)(B) over 23
a period of consecutive fiscal years, not to exceed 5, until 24
the entire reduction is applied: Provided further, That the 25 144 
•S 2624 RS
Secretary may, in any fiscal year in which a State’s alloca-1
tion under section 611 is reduced in accordance with sec-2
tion 612(a)(18)(B), reduce the amount a State may re-3
serve under section 611(e)(1) by an amount that bears 4
the same relation to the maximum amount described in 5
that paragraph as the reduction under section 6
612(a)(18)(B) bears to the total allocation the State 7
would have received in that fiscal year under section 8
611(d) in the absence of the reduction: Provided further, 9
That the Secretary shall either reduce the allocation of 10
funds under section 611 for any fiscal year following the 11
fiscal year for which the State fails to comply with the 12
requirement of section 612(a)(18)(A) as authorized by 13
section 612(a)(18)(B), or seek to recover funds under sec-14
tion 452 of the General Education Provisions Act (20 15
U.S.C. 1234a): Provided further, That the funds reserved 16
under 611(c) of the IDEA may be used to provide tech-17
nical assistance to States to improve the capacity of the 18
States to meet the data collection requirements of sections 19
616 and 618 and to administer and carry out other serv-20
ices and activities to improve data collection, coordination, 21
quality, and use under parts B and C of the IDEA: Pro-22
vided further, That the Secretary may use funds made 23
available for the State Personnel Development Grants pro-24
gram under part D, subpart 1 of IDEA to evaluate pro-25 145 
•S 2624 RS
gram performance under such subpart: Provided further, 1
That States may use funds reserved for other State-level 2
activities under sections 611(e)(2) and 619(f) of the IDEA 3
to make subgrants to local educational agencies, institu-4
tions of higher education, other public agencies, and pri-5
vate non-profit organizations to carry out activities au-6
thorized by those sections: Provided further, That, not-7
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 8
fewer States apply for grants pursuant to section 643(e) 9
of such Act, the Secretary shall provide a grant to each 10
State in an amount equal to the maximum amount de-11
scribed in section 643(e)(2)(B) of such Act: Provided fur-12
ther, That if more than 5 States apply for grants pursuant 13
to section 643(e) of the IDEA, the Secretary shall award 14
funds to those States on the basis of the States’ relative 15
populations of infants and toddlers except that no such 16
State shall receive a grant in excess of the amount de-17
scribed in section 643(e)(2)(B) of such Act: Provided fur-18
ther, That States may use funds allotted under section 19
643(c) of the IDEA to make subgrants to local edu-20
cational agencies, institutions of higher education, other 21
public agencies, and private non-profit organizations to 22
carry out activities authorized by section 638 of IDEA: 23
Provided further, That, notwithstanding section 638 of the 24
IDEA, a State may use funds it receives under section 25 146 
•S 2624 RS
633 of the IDEA to offer continued early intervention 1
services to a child who previously received services under 2
part C of the IDEA from age 3 until the beginning of 3
the school year following the child’s third birthday with 4
parental consent and without regard to the procedures in 5
section 635(c) of the IDEA. 6
R
EHABILITATIONSERVICES 7
(INCLUDING TRANSFER OF FUNDS) 8
For carrying out, to the extent not otherwise pro-9
vided, the Rehabilitation Act of 1973 and the Helen Keller 10
National Center Act, $4,397,033,000, of which 11
$4,253,834,000 shall be for grants for vocational rehabili-12
tation services under title I of the Rehabilitation Act: Pro-13
vided, That the Secretary may use amounts provided in 14
this Act, and unobligated balances from title III of the 15
Departments of Labor, Health and Human Services, and 16
Education, and Related Agencies Appropriations Act, 17
2023, (division H of Public Law 117–328), that remain 18
available subsequent to the reallotment of funds to States 19
pursuant to section 110(b) of the Rehabilitation Act for 20
innovative activities aimed at increasing competitive inte-21
grated employment as defined in section 7 of such Act 22
for youth and other individuals with disabilities, including 23
related Federal administrative expenses, for improving 24
monitoring and oversight of grants for vocational rehabili-25 147 
•S 2624 RS
tation services under title I of the Rehabilitation Act, and 1
information technology needs under section 15 and titles 2
I, III, VI, and VII of the Rehabilitation Act: Provided fur-3
ther, That up to 15 percent of the amounts available sub-4
sequent to reallotment for the activities described in the 5
first proviso from funds provided under this paragraph in 6
this Act, may be used for evaluation and technical assist-7
ance related to such activities: Provided further, That any 8
funds made available subsequent to reallotment for the ac-9
tivities described in the first proviso may be provided to 10
States and other public, private and nonprofit entities, in-11
cluding Indian tribes and institutions of higher education 12
for carrying out such activities: Provided further, That 13
States and other public and nonprofit entities, including 14
Indian tribes and institutions of higher education may 15
award subgrants for a portion of the funds to other eligible 16
entities: Provided further, That any funds provided in this 17
Act and made available subsequent to reallotment for the 18
purposes described in the first proviso shall remain avail-19
able until September 30, 2025: Provided further, That the 20
Secretary may transfer funds provided in this Act and 21
made available subsequent to the reallotment of funds to 22
States pursuant to section 110(b) of the Rehabilitation 23
Act to ‘‘Institute of Education Sciences’’ for the evalua-24
tion of outcomes for students receiving services and sup-25 148 
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ports under IDEA and under title I, section 504 of title 1
V, and title VI of the Rehabilitation Act: Provided further, 2
That the transfer authority in the preceding proviso is in 3
addition to any other transfer authority in this Act. 4
S
PECIALINSTITUTIONS FORPERSONSWITH 5
D
ISABILITIES 6
AMERICAN PRINTING HOUSE FOR THE BLIND 7
For carrying out the Act to Promote the Education 8
of the Blind of March 3, 1879, $43,431,000. 9
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 10
For the National Technical Institute for the Deaf 11
under titles I and II of the Education of the Deaf Act 12
of 1986, $92,500,000: Provided, That from the total 13
amount available, the Institute may at its discretion use 14
funds for the endowment program as authorized under 15
section 207 of such Act. 16
GALLAUDET UNIVERSITY 17
For the Kendall Demonstration Elementary School, 18
the Model Secondary School for the Deaf, and the partial 19
support of Gallaudet University under titles I and II of 20
the Education of the Deaf Act of 1986, $165,361,000, of 21
which up to $15,000,000, to remain available until ex-22
pended, shall be for construction, as defined by section 23
201(2) of such Act: Provided, That from the total amount 24
available, the University may at its discretion use funds 25 149 
•S 2624 RS
for the endowment program as authorized under section 1
207 of such Act. 2
C
AREER, TECHNICAL, ANDADULTEDUCATION 3
For carrying out, to the extent not otherwise pro-4
vided, the Carl D. Perkins Career and Technical Edu-5
cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu-6
cation and Family Literacy Act (‘‘AEFLA’’), 7
$2,211,436,000, of which $1,420,436,000 shall become 8
available on July 1, 2024, and shall remain available 9
through September 30, 2025, and of which $791,000,000 10
shall become available on October 1, 2024, and shall re-11
main available through September 30, 2025: Provided, 12
That up to $6,100,000 shall be available for innovation 13
and modernization grants under such section 114(e) of the 14
Perkins Act: Provided further, That of the amounts made 15
available for AEFLA, $13,712,000 shall be for national 16
leadership activities under section 242. 17
S
TUDENTFINANCIALASSISTANCE 18
For carrying out subparts 1, 3, and 10 of part A, 19
and part C of title IV of the HEA, $24,595,352,000 which 20
shall remain available through September 30, 2025. 21
The maximum Pell Grant for which a student shall 22
be eligible during award year 2024–2025 shall be $6,585. 23 150 
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STUDENTAIDADMINISTRATION 1
For Federal administrative expenses to carry out part 2
D of title I, and subparts 1, 3, 9, and 10 of part A, and 3
parts B, C, D, and E of title IV of the HEA, and subpart 4
1 of part A of title VII of the Public Health Service Act, 5
$2,183,943,000, to remain available through September 6
30, 2025: Provided, That the Secretary shall allocate new 7
student loan borrower accounts to eligible student loan 8
servicers on the basis of their past performance compared 9
to all loan servicers utilizing established common metrics, 10
and on the basis of the capacity of each servicer to process 11
new and existing accounts: Provided further, That for stu-12
dent loan contracts awarded prior to October 1, 2017, the 13
Secretary shall allow student loan borrowers who are con-14
solidating Federal student loans to select from any stu-15
dent loan servicer to service their new consolidated student 16
loan: Provided further, That in order to promote account-17
ability and high-quality service to borrowers, the Secretary 18
shall not award funding for any contract solicitation for 19
a new Federal student loan servicing environment, includ-20
ing the solicitation for the Federal Student Aid (FSA) 21
Next Generation Processing and Servicing Environment, 22
unless such an environment provides for the participation 23
of multiple student loan servicers that contract directly 24
with the Department of Education to manage a unique 25 151 
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portfolio of borrower accounts and the full life-cycle of 1
loans from disbursement to pay-off with certain limited 2
exceptions, and allocates student loan borrower accounts 3
to eligible student loan servicers based on performance: 4
Provided further, That the Department shall re-allocate 5
accounts from servicers for recurring non-compliance with 6
FSA guidelines, contractual requirements, and applicable 7
laws, including for failure to sufficiently inform borrowers 8
of available repayment options: Provided further, That 9
such servicers shall be evaluated based on their ability to 10
meet contract requirements (including an understanding 11
of Federal and State law), future performance on the con-12
tracts, and history of compliance with applicable consumer 13
protections laws: Provided further, That to the extent FSA 14
permits student loan servicing subcontracting, FSA shall 15
hold prime contractors accountable for meeting the re-16
quirements of the contract, and the performance and ex-17
pectations of subcontractors shall be accounted for in the 18
prime contract and in the overall performance of the prime 19
contractor: Provided further, That FSA shall ensure that 20
the Next Generation Processing and Servicing Environ-21
ment, or any new Federal loan servicing environment, 22
incentivize more support to borrowers at risk of delin-23
quency or default: Provided further, That FSA shall en-24
sure that in such environment contractors have the capac-25 152 
•S 2624 RS
ity to meet and are held accountable for performance on 1
service levels; are held accountable for and have a history 2
of compliance with applicable consumer protection laws; 3
and have relevant experience and demonstrated effective-4
ness: Provided further, That the Secretary shall provide 5
quarterly briefings to the Committees on Appropriations 6
and Education and the Workforce of the House of Rep-7
resentatives and the Committees on Appropriations and 8
Health, Education, Labor, and Pensions of the Senate on 9
general progress related to implementation of Federal stu-10
dent loan servicing contracts: Provided further, That FSA 11
shall provide notification to the Committees not later than 12
7 days after issuing a student loan servicing contract 13
Change Request, including a summary of any new require-14
ments, adjustments to existing requirements, or removal 15
of requirements in the Change Request : Provided further, 16
That FSA shall strengthen transparency through ex-17
panded publication of aggregate data on student loan and 18
servicer performance: Provided further, That 19
$150,000,000 shall be for ensuring the continuation of 20
student loan servicing activities, including supporting bor-21
rowers reentering repayment: Provided further, That the 22
limitation in section 302 of this Act regarding transfers 23
increasing any appropriation shall apply to transfers to 24
appropriations under this heading by substituting ‘‘10 25 153 
•S 2624 RS
percent’’ for ‘‘3 percent’’ for the purposes of the continu-1
ation of basic operations, including student loan servicing, 2
business process operations, digital customer care, com-3
mon origination and disbursement, cybersecurity activi-4
ties, and information technology systems: Provided further, 5
That not later than 45 days after enactment of this Act, 6
FSA shall provide to the Committees on Appropriations 7
of the House of Representatives and the Senate a detailed 8
spend plan of anticipated uses of funds made available in 9
this account for fiscal year 2024 and provide quarterly up-10
dates on this plan (including contracts awarded, change 11
orders, bonuses paid to staff, reorganization costs, and 12
any other activity carried out using amounts provided 13
under this heading for fiscal year 2024) no later than 10 14
days prior to the start of such quarter: Provided further, 15
That FSA shall notify the Committees within 10 days of 16
any modification of such spend plan that exceeds one per-17
cent of the amount appropriated under the heading ‘‘Stu-18
dent Aid Administration’’: Provided further, That the FSA 19
Next Generation Processing and Servicing Environment, 20
or any new Federal student loan servicing environment, 21
shall include accountability measures that account for the 22
performance of the portfolio and contractor compliance 23
with FSA guidelines. 24 154 
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HIGHEREDUCATION 1
For carrying out, to the extent not otherwise pro-2
vided, titles II, III, IV, V, VI, VII, and VIII of the HEA, 3
the Mutual Educational and Cultural Exchange Act of 4
1961, and section 117 of the Perkins Act, 5
$3,260,429,000: Provided, That notwithstanding any 6
other provision of law, funds made available in this Act 7
to carry out title VI of the HEA and section 102(b)(6) 8
of the Mutual Educational and Cultural Exchange Act of 9
1961 may be used to support visits and study in foreign 10
countries by individuals who are participating in advanced 11
foreign language training and international studies in 12
areas that are vital to United States national security and 13
who plan to apply their language skills and knowledge of 14
these countries in the fields of government, the profes-15
sions, or international development: Provided further, That 16
of the funds referred to in the preceding proviso up to 17
1 percent may be used for program evaluation, national 18
outreach, and information dissemination activities: Pro-19
vided further, That up to 1.5 percent of the funds made 20
available under chapter 2 of subpart 2 of part A of title 21
IV of the HEA may be used for evaluation: Provided fur-22
ther, That section 313(d) of the HEA shall not apply to 23
an institution of higher education that is eligible to receive 24
funding under section 318 of the HEA: Provided further, 25 155 
•S 2624 RS
That amounts made available for carrying out section 1
419N of the HEA may be awarded notwithstanding the 2
limitations in section 419N(b)(2) of the HEA: Provided 3
further, That of the amounts made available under this 4
heading, $202,979,000 shall be used for the projects, and 5
in the amounts, specified in the table titled ‘‘Congression-6
ally Directed Spending’’ included in the report accom-7
panying this Act: Provided further, That none of the funds 8
made available for projects described in the preceding pro-9
viso shall be subject to section 302 of this Act. 10
H
OWARDUNIVERSITY 11
For partial support of Howard University, 12
$304,018,000, of which not less than $3,405,000 shall be 13
for a matching endowment grant pursuant to the Howard 14
University Endowment Act and shall remain available 15
until expended. 16
C
OLLEGEHOUSING ANDACADEMICFACILITIESLOANS 17
P
ROGRAM 18
For Federal administrative expenses to carry out ac-19
tivities related to existing facility loans pursuant to section 20
121 of the HEA, $298,000. 21
H
ISTORICALLYBLACKCOLLEGE ANDUNIVERSITY 22
C
APITALFINANCINGPROGRAMACCOUNT 23
For the cost of guaranteed loans, $20,150,000, as au-24
thorized pursuant to part D of title III of the HEA, which 25 156 
•S 2624 RS
shall remain available through September 30, 2025: Pro-1
vided, That such costs, including the cost of modifying 2
such loans, shall be as defined in section 502 of the Con-3
gressional Budget Act of 1974: Provided further, That 4
these funds are available to subsidize total loan principal, 5
any part of which is to be guaranteed, not to exceed 6
$377,340,824: Provided further, That these funds may be 7
used to support loans to public and private Historically 8
Black Colleges and Universities without regard to the limi-9
tations within section 344(a) of the HEA. 10
In addition, for administrative expenses to carry out 11
the Historically Black College and University Capital Fi-12
nancing Program entered into pursuant to part D of title 13
III of the HEA, $528,000. 14
I
NSTITUTE OFEDUCATIONSCIENCES 15
For necessary expenses for the Institute of Education 16
Sciences as authorized by section 208 of the Department 17
of Education Organization Act and carrying out activities 18
authorized by the National Assessment of Educational 19
Progress Authorization Act, section 208 of the Edu-20
cational Technical Assistance Act of 2002, and section 21
664 of the Individuals with Disabilities Education Act, 22
$793,106,000, which shall remain available through Sep-23
tember 30, 2025: Provided, That funds available to carry 24
out section 208 of the Educational Technical Assistance 25 157 
•S 2624 RS
Act may be used to link Statewide elementary and sec-1
ondary data systems with early childhood, postsecondary, 2
and workforce data systems, or to further develop such 3
systems: Provided further, That up to $6,000,000 of the 4
funds available to carry out section 208 of the Educational 5
Technical Assistance Act may be used for awards to public 6
or private organizations or agencies to support activities 7
to improve data coordination, quality, and use at the local, 8
State, and national levels. 9
D
EPARTMENTAL MANAGEMENT 10
PROGRAM ADMINISTRATION 11
For carrying out, to the extent not otherwise pro-12
vided, the Department of Education Organization Act, in-13
cluding rental of conference rooms in the District of Co-14
lumbia and hire of three passenger motor vehicles, 15
$419,907,000: Provided, That, notwithstanding any other 16
provision of law, none of the funds provided by this Act 17
or provided by previous Appropriations Acts to the De-18
partment of Education available for obligation or expendi-19
ture in the current fiscal year may be used for any activity 20
relating to implementing a reorganization that decentral-21
izes, reduces the staffing level, or alters the responsibil-22
ities, structure, authority, or functionality of the Budget 23
Service of the Department of Education, relative to the 24 158 
•S 2624 RS
organization and operation of the Budget Service as in 1
effect on January 1, 2018. 2
OFFICE FOR CIVIL RIGHTS 3
For expenses necessary for the Office for Civil 4
Rights, as authorized by section 203 of the Department 5
of Education Organization Act, $140,000,000. 6
OFFICE OF INSPECTOR GENERAL 7
For expenses necessary for the Office of Inspector 8
General, as authorized by section 212 of the Department 9
of Education Organization Act, $67,500,000, of which 10
$3,000,000 shall remain available until expended. 11
G
ENERALPROVISIONS 12
S
EC. 301. No funds appropriated in this Act may be 13
used to prevent the implementation of programs of vol-14
untary prayer and meditation in the public schools. 15
(TRANSFER OF FUNDS) 16
S
EC. 302. Not to exceed 1 percent of any discre-17
tionary funds (pursuant to the Balanced Budget and 18
Emergency Deficit Control Act of 1985) which are appro-19
priated for the Department of Education in this Act may 20
be transferred between appropriations, but no such appro-21
priation shall be increased by more than 3 percent by any 22
such transfer: Provided, That the transfer authority grant-23
ed by this section shall not be used to create any new pro-24
gram or to fund any project or activity for which no funds 25 159 
•S 2624 RS
are provided in this Act: Provided further, That the Com-1
mittees on Appropriations of the House of Representatives 2
and the Senate are notified at least 15 days in advance 3
of any transfer. 4
S
EC. 303. Funds appropriated in this Act and con-5
solidated for evaluation purposes under section 8601(c) of 6
the ESEA shall be available from July 1, 2024, through 7
September 30, 2025. 8
S
EC. 304. (a) An institution of higher education that 9
maintains an endowment fund supported with funds ap-10
propriated for title III or V of the HEA for fiscal year 11
2024 may use the income from that fund to award schol-12
arships to students, subject to the limitation in section 13
331(c)(3)(B)(i) of the HEA. The use of such income for 14
such purposes, prior to the enactment of this Act, shall 15
be considered to have been an allowable use of that in-16
come, subject to that limitation. 17
(b) Subsection (a) shall be in effect until titles III 18
and V of the HEA are reauthorized. 19
S
EC. 305. Section 114(f) of the HEA (20 U.S.C. 20
1011c(f)) shall be applied by substituting ‘‘2024’’ for 21
‘‘2021’’. 22
S
EC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 23
1087h(a)) shall be applied by substituting ‘‘2024’’ for 24
‘‘2021’’. 25 160 
•S 2624 RS
SEC. 307. Funds appropriated in this Act under the 1
heading ‘‘Student Aid Administration’’ may be available 2
for payments for student loan servicing to an institution 3
of higher education that services outstanding Federal Per-4
kins Loans under part E of title IV of the Higher Edu-5
cation Act of 1965 (20 U.S.C. 1087aa et seq.). 6
(RESCISSION) 7
S
EC. 308. Of the amounts appropriated under section 8
401(b)(7)(A)(iv)(XI) of the Higher Education Act of 1965 9
(20 U.S.C. 1070a(b)(7)(A)(iv)(XI)) for fiscal year 2024, 10
$50,000,000 are hereby rescinded. 11
S
EC. 309. Of the amounts made available in this title 12
under the heading ‘‘Student Aid Administration’’, 13
$2,300,000 shall be used by the Secretary of Education 14
to conduct outreach to borrowers of loans made under part 15
D of title IV of the Higher Education Act of 1965 who 16
may intend to qualify for loan cancellation under section 17
455(m) of such Act (20 U.S.C. 1087e(m)), to ensure that 18
borrowers are meeting the terms and conditions of such 19
loan cancellation: Provided, That the Secretary shall spe-20
cifically conduct outreach to assist borrowers who would 21
qualify for loan cancellation under section 455(m) of such 22
Act except that the borrower has made some, or all, of 23
the 120 required payments under a repayment plan that 24
is not described under section 455(m)(A) of such Act, to 25 161 
•S 2624 RS
encourage borrowers to enroll in a qualifying repayment 1
plan: Provided further, That the Secretary shall also com-2
municate to all Direct Loan borrowers the full require-3
ments of section 455(m) of such Act and improve the fil-4
ing of employment certification by providing improved out-5
reach and information such as outbound calls, electronic 6
communications, ensuring prominent access to program 7
requirements and benefits on each servicer’s website, and 8
creating an option for all borrowers to complete the entire 9
payment certification process electronically and on a cen-10
tralized website. 11
S
EC. 310. The Secretary may reserve not more than 12
0.5 percent from any amount made available in this Act 13
for an HEA program, except for any amounts made avail-14
able for subpart 1 of part A of title IV of the HEA, to 15
carry out rigorous and independent evaluations and to col-16
lect and analyze outcome data for any program authorized 17
by the HEA: Provided, That no funds made available in 18
this Act for the ‘‘Student Aid Administration’’ account 19
shall be subject to the reservation under this section: Pro-20
vided further, That any funds reserved under this section 21
shall be available through September 30, 2026: Provided 22
further, That if, under any other provision of law, funds 23
are authorized to be reserved or used for evaluation activi-24
ties with respect to a program or project, the Secretary 25 162 
•S 2624 RS
may also reserve funds for such program or project for 1
the purposes described in this section so long as the total 2
reservation of funds for such program or project does not 3
exceed any statutory limits on such reservations: Provided 4
further, That not later than 30 days prior to the initial 5
obligation of funds reserved under this section, the Sec-6
retary shall submit to the Committees on Appropriations 7
of the Senate and the House of Representatives, the Com-8
mittee on Health, Education, Labor and Pensions of the 9
Senate, and the Committee on Education and the Work-10
force of the House of Representatives a plan that identi-11
fies the source and amount of funds reserved under this 12
section, the impact on program grantees if funds are with-13
held for the purposes of this section, and the activities to 14
be carried out with such funds. 15
S
EC. 311. In addition to amounts otherwise appro-16
priated by this Act under the heading ‘‘Innovation and 17
Improvement’’ for purposes authorized by the Elementary 18
and Secondary Education Act of 1965, there are hereby 19
appropriated an additional $87,344,000 which shall be 20
used for the projects, and in the amounts, specified in the 21
table titled ‘‘Congressionally Directed Spending’’ included 22
in the report accompanying this Act: Provided, That none 23
of the funds made available for such projects shall be sub-24
ject to section 302 of this Act. 25 163 
•S 2624 RS
(INCLUDING TRANSFER OF FUNDS) 1
S
EC. 312. Of the amounts appropriated in this Act 2
for ‘‘Institute of Education Sciences’’, $19,000,000 shall 3
be available for the Secretary of Education (‘‘the Sec-4
retary’’) to provide support services to the Institute of 5
Education Sciences (including, but not limited to informa-6
tion technology services, lease or procurement of office 7
space, human resource services, financial management 8
services, financial systems support, budget formulation 9
and execution, legal counsel, equal employment oppor-10
tunity services, physical security, facilities management, 11
acquisition and contract management, grants administra-12
tion and policy, and enterprise risk management): Pro-13
vided, That the Secretary shall calculate the actual 14
amounts obligated and expended for such support services 15
by using a standard Department of Education method-16
ology for allocating the cost of all such support services: 17
Provided further, That the Secretary may transfer any 18
amounts available for IES support services in excess of 19
actual amounts needed for IES support services, as so cal-20
culated, to the ‘‘Program Administration’’ account from 21
the ‘‘Institute of Education Sciences’’ account: Provided 22
further, That in order to address any shortfall between 23
amounts available for IES support services and amounts 24
needed for IES support services, as so calculated, the Sec-25 164 
•S 2624 RS
retary may transfer necessary amounts to the ‘‘Institute 1
of Education Sciences’’ account from the ‘‘Program Ad-2
ministration’’ account: Provided further, That the Com-3
mittees on Appropriations of the House of Representatives 4
and the Senate are notified at least 14 days in advance 5
of any transfer made pursuant to this section. 6
(RESCISSION) 7
S
EC. 313. Of the unobligated balances available 8
under the heading ‘‘Student Financial Assistance’’ for car-9
rying out subpart 1 of part A of title IV of the HEA, 10
$200,000,000 are hereby rescinded. 11
This title may be cited as the ‘‘Department of Edu-12
cation Appropriations Act, 2024’’. 13 165 
•S 2624 RS
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 25 166 
•S 2624 RS
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’’), $975,525,000, 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: (1) up to 1 percent 16
of program grant funds may be used to defray the costs 17
of conducting grant application reviews, including the use 18
of outside peer reviewers and electronic management of 19
the grants cycle; (2) $19,538,000 shall be available to pro-20
vide assistance to State commissions on national and com-21
munity service, under section 126(a) of the 1990 Act and 22
notwithstanding section 501(a)(5)(B) of the 1990 Act; (3) 23
$37,735,000 shall be available to carry out subtitle E of 24
the 1990 Act; and (4) $8,558,000 shall be available for 25 167 
•S 2624 RS
expenses authorized under section 501(a)(4)(F) of the 1
1990 Act, which, notwithstanding the provisions of section 2
198P shall be awarded by CNCS on a competitive basis: 3
Provided further, That for the purposes of carrying out 4
the 1990 Act, satisfying the requirements in section 5
122(c)(1)(D) may include a determination of need by the 6
local community. 7
NATIONAL SERVICE TRUST 8
(INCLUDING RESCISSION AND TRANSFER OF FUNDS) 9
For expenses of the National Service Trust estab-10
lished under subtitle D of title I of the 1990 Act, 11
$180,000,000, to remain available until expended: Pro-12
vided, That CNCS may transfer additional funds from the 13
amount provided within ‘‘Operating Expenses’’ allocated 14
to grants under subtitle C of title I of the 1990 Act to 15
the National Service Trust upon determination that such 16
transfer is necessary to support the activities of national 17
service participants and after notice is transmitted to the 18
Committees on Appropriations of the House of Represent-19
atives and the Senate: Provided further, That amounts ap-20
propriated for or transferred to the National Service Trust 21
may be invested under section 145(b) of the 1990 Act 22
without regard to the requirement to apportion funds 23
under 31 U.S.C. 1513(b): Provided further, That of the 24
discretionary unobligated balances from amounts made 25 168 
•S 2624 RS
available in prior appropriations Acts to the National 1
Service Trust, $243,000,000 are hereby permanently re-2
scinded, except that no amounts may be rescinded from 3
amounts that were previously designated by the Congress 4
as being for an emergency requirement pursuant to a con-5
current resolution on the budget or the Balanced Budget 6
and Emergency Deficit Control Act of 1985. 7
SALARIES AND EXPENSES 8
For necessary expenses of administration as provided 9
under section 501(a)(5) of the 1990 Act and under section 10
504(a) of the 1973 Act, including payment of salaries, au-11
thorized travel, hire of passenger motor vehicles, the rental 12
of conference rooms in the District of Columbia, the em-13
ployment of experts and consultants authorized under 5 14
U.S.C. 3109, and not to exceed $2,500 for official recep-15
tion and representation expenses, $99,686,000. 16
OFFICE OF INSPECTOR GENERAL 17
For necessary expenses of the Office of Inspector 18
General in carrying out the Inspector General Act of 1978, 19
$7,595,000. 20
ADMINISTRATIVE PROVISIONS 21
S
EC. 401. CNCS shall make any significant changes 22
to program requirements, service delivery or policy only 23
through public notice and comment rulemaking. For fiscal 24
year 2024, during any grant selection process, an officer 25 169 
•S 2624 RS
or employee of CNCS shall not knowingly disclose any cov-1
ered grant selection information regarding such selection, 2
directly or indirectly, to any person other than an officer 3
or employee of CNCS that is authorized by CNCS to re-4
ceive such information. 5
S
EC. 402. AmeriCorps programs receiving grants 6
under the National Service Trust program shall meet an 7
overall minimum share requirement of 24 percent for the 8
first 3 years that they receive AmeriCorps funding, and 9
thereafter shall meet the overall minimum share require-10
ment as provided in section 2521.60 of title 45, Code of 11
Federal Regulations, without regard to the operating costs 12
match requirement in section 121(e) or the member sup-13
port Federal share limitations in section 140 of the 1990 14
Act, and subject to partial waiver consistent with section 15
2521.70 of title 45, Code of Federal Regulations. 16
S
EC. 403. Donations made to CNCS under section 17
196 of the 1990 Act for the purposes of financing pro-18
grams and operations under titles I and II of the 1973 19
Act or subtitle B, C, D, or E of title I of the 1990 Act 20
shall be used to supplement and not supplant current pro-21
grams and operations. 22
S
EC. 404. In addition to the requirements in section 23
146(a) of the 1990 Act, use of an educational award for 24
the purpose described in section 148(a)(4) shall be limited 25 170 
•S 2624 RS
to individuals who are veterans as defined under section 1
101 of the Act. 2
S
EC. 405. For the purpose of carrying out section 3
189D of the 1990 Act— 4
(1) entities described in paragraph (a) of such 5
section shall be considered ‘‘qualified entities’’ under 6
section 3 of the National Child Protection Act of 7
1993 (‘‘NCPA’’); 8
(2) individuals described in such section shall 9
be considered ‘‘volunteers’’ under section 3 of 10
NCPA; and 11
(3) State Commissions on National and Com-12
munity Service established pursuant to section 178 13
of the 1990 Act, are authorized to receive criminal 14
history record information, consistent with Public 15
Law 92–544. 16
S
EC. 406. Notwithstanding sections 139(b), 146, and 17
147 of the 1990 Act, the Corporation may determine the 18
number of hours required to successfully complete any 19
term of service of less than 1,700 hours, except that any 20
reduction of the required term of service below 1,700 21
hours shall include a corresponding reduction in the 22
amount of any national service educational award that 23
may be available under subtitle D with regard to that serv-24
ice. 25 171 
•S 2624 RS
SEC. 407. Section 148(f)(2)(A)(i) of the 1990 Act 1
shall be applied by substituting ‘‘an approved national 2
service position’’ for ‘‘a national service program that re-3
ceives grants under subtitle C’’. 4
C
ORPORATION FORPUBLICBROADCASTING 5
For payment to the Corporation for Public Broad-6
casting (‘‘CPB’’), as authorized by the Communications 7
Act of 1934, an amount which shall be available within 8
limitations specified by that Act, for the fiscal year 2026, 9
$535,000,000: Provided, That none of the funds made 10
available to CPB by this Act shall be used to pay for re-11
ceptions, parties, or similar forms of entertainment for 12
Government officials or employees: Provided further, That 13
none of the funds made available to CPB by this Act shall 14
be available or used to aid or support any program or ac-15
tivity from which any person is excluded, or is denied ben-16
efits, or is discriminated against, on the basis of race, 17
color, national origin, religion, or sex: Provided further, 18
That none of the funds made available to CPB by this 19
Act shall be used to apply any political test or qualification 20
in selecting, appointing, promoting, or taking any other 21
personnel action with respect to officers, agents, and em-22
ployees of CPB. 23
In addition, for the costs associated with replacing 24
and upgrading the public broadcasting interconnection 25 172 
•S 2624 RS
system and other technologies and services that create in-1
frastructure and efficiencies within the public media sys-2
tem, $60,000,000. 3
F
EDERALMEDIATION ANDCONCILIATIONSERVICE 4
SALARIES AND EXPENSES 5
For expenses necessary for the Federal Mediation 6
and Conciliation Service (‘‘Service’’) to carry out the func-7
tions vested in it by the Labor-Management Relations Act, 8
1947, including hire of passenger motor vehicles; for ex-9
penses necessary for the Labor-Management Cooperation 10
Act of 1978; and for expenses necessary for the Service 11
to carry out the functions vested in it by the Civil Service 12
Reform Act, $53,705,000: Provided, That notwithstanding 13
31 U.S.C. 3302, fees charged, up to full-cost recovery, for 14
special training activities and other conflict resolution 15
services and technical assistance, including those provided 16
to foreign governments and international organizations, 17
and for arbitration services shall be credited to and 18
merged with this account, and shall remain available until 19
expended: Provided further, That fees for arbitration serv-20
ices shall be available only for education, training, and 21
professional development of the agency workforce: Pro-22
vided further, That the Director of the Service is author-23
ized to accept and use on behalf of the United States gifts 24
of services and real, personal, or other property in the aid 25 173 
•S 2624 RS
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, $289,800,000. 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. 25 174 
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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
$299,224,000: 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. 23 175 
•S 2624 RS
ADMINISTRATIVE PROVISION 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
N
ATIONALMEDIATIONBOARD 9
SALARIES AND EXPENSES 10
For expenses necessary to carry out the provisions 11
of the Railway Labor Act, including emergency boards ap-12
pointed by the President, $15,113,000. 13
O
CCUPATIONALSAFETY ANDHEALTHREVIEW 14
C
OMMISSION 15
SALARIES AND EXPENSES 16
For expenses necessary for the Occupational Safety 17
and Health Review Commission, $15,449,000. 18
R
AILROADRETIREMENTBOARD 19
DUAL BENEFITS PAYMENTS ACCOUNT 20
For payment to the Dual Benefits Payments Ac-21
count, authorized under section 15(d) of the Railroad Re-22
tirement Act of 1974, $8,000,000, which shall include 23
amounts becoming available in fiscal year 2024 pursuant 24
to section 224(c)(1)(B) of Public Law 98–76; and in addi-25 176 
•S 2624 RS
tion, an amount, not to exceed 2 percent of the amount 1
provided herein, shall be available proportional to the 2
amount by which the product of recipients and the average 3
benefit received exceeds the amount available for payment 4
of vested dual benefits: Provided, That the total amount 5
provided herein shall be credited in 12 approximately 6
equal amounts on the first day of each month in the fiscal 7
year. 8
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 9
ACCOUNTS 10
For payment to the accounts established in the 11
Treasury for the payment of benefits under the Railroad 12
Retirement Act for interest earned on unnegotiated 13
checks, $150,000, to remain available through September 14
30, 2025, which shall be the maximum amount available 15
for payment pursuant to section 417 of Public Law 98– 16
76. 17
LIMITATION ON ADMINISTRATION 18
For necessary expenses for the Railroad Retirement 19
Board (‘‘Board’’) for administration of the Railroad Re-20
tirement Act and the Railroad Unemployment Insurance 21
Act, $128,000,000, to be derived in such amounts as de-22
termined by the Board from the railroad retirement ac-23
counts and from moneys credited to the railroad unem-24
ployment insurance administration fund: Provided, That 25 177 
•S 2624 RS
notwithstanding section 7(b)(9) of the Railroad Retire-1
ment Act this limitation may be used to hire attorneys 2
only through the excepted service: Provided further, That 3
the previous proviso shall not change the status under 4
Federal employment laws of any attorney hired by the 5
Railroad Retirement Board prior to January 1, 2013: Pro-6
vided further, That notwithstanding section 7(b)(9) of the 7
Railroad Retirement Act, this limitation may be used to 8
hire students attending qualifying educational institutions 9
or individuals who have recently completed qualifying edu-10
cational programs using current excepted hiring authori-11
ties established by the Office of Personnel Management: 12
Provided further, That of the unobligated balances of 13
funds provided under this heading at the end of fiscal year 14
2024 not needed for fiscal year 2024, not to exceed 15
$2,771,000 shall remain available until expended for infor-16
mation technology improvements and investments. 17
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 18
For expenses necessary for the Office of Inspector 19
General for audit, investigatory and review activities, as 20
authorized by the Inspector General Act of 1978, not more 21
than $14,000,000, to be derived from the railroad retire-22
ment accounts and railroad unemployment insurance ac-23
count. 24 178 
•S 2624 RS
SOCIALSECURITYADMINISTRATION 1
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 2
For payment to the Federal Old-Age and Survivors 3
Insurance Trust Fund and the Federal Disability Insur-4
ance Trust Fund, as provided under sections 201(m) and 5
1131(b)(2) of the Social Security Act, $10,000,000. 6
SUPPLEMENTAL SECURITY INCOME PROGRAM 7
For carrying out titles XI and XVI of the Social Se-8
curity Act, section 401 of Public Law 92–603, section 212 9
of Public Law 93–66, as amended, and section 405 of 10
Public Law 95–216, including payment to the Social Secu-11
rity trust funds for administrative expenses incurred pur-12
suant to section 201(g)(1) of the Social Security Act, 13
$45,561,145,000, to remain available until expended: Pro-14
vided, That any portion of the funds provided to a State 15
in the current fiscal year and not obligated by the State 16
during that year shall be returned to the Treasury: Pro-17
vided further, That not more than $91,000,000 shall be 18
available for research and demonstrations under sections 19
1110, 1115, and 1144 of the Social Security Act, and re-20
main available through September 30, 2026. 21
For making, after June 15 of the current fiscal year, 22
benefit payments to individuals under title XVI of the So-23
cial Security Act, for unanticipated costs incurred for the 24
current fiscal year, such sums as may be necessary. 25 179 
•S 2624 RS
For making benefit payments under title XVI of the 1
Social Security Act for the first quarter of fiscal year 2
2025, $21,700,000,000, to remain available until ex-3
pended. 4
LIMITATION ON ADMINISTRATIVE EXPENSES 5
(INCLUDING TRANSFER OF FUNDS) 6
For necessary expenses, including the hire and pur-7
chase of two passenger motor vehicles, and not to exceed 8
$20,000 for official reception and representation expenses, 9
not more than $14,267,978,000 may be expended, as au-10
thorized by section 201(g)(1) of the Social Security Act, 11
from any one or all of the trust funds referred to in such 12
section: Provided, That not less than $2,700,000 shall be 13
for the Social Security Advisory Board: Provided further, 14
That $55,000,000 shall remain available through Sep-15
tember 30, 2025, for activities to address the disability 16
hearings backlog within the Office of Hearings Oper-17
ations: Provided further, That unobligated balances of 18
funds provided under this paragraph at the end of fiscal 19
year 2024 not needed for fiscal year 2024 shall remain 20
available until expended to invest in the Social Security 21
Administration information technology and telecommuni-22
cations hardware and software infrastructure, including 23
related equipment and non-payroll administrative expenses 24
associated solely with this information technology and tele-25 180 
•S 2624 RS
communications infrastructure: Provided further, That the 1
Commissioner of Social Security shall notify the Commit-2
tees on Appropriations of the House of Representatives 3
and the Senate prior to making unobligated balances 4
available under the authority in the previous proviso: Pro-5
vided further, That reimbursement to the trust funds 6
under this heading for expenditures for official time for 7
employees of the Social Security Administration pursuant 8
to 5 U.S.C. 7131, and for facilities or support services 9
for labor organizations pursuant to policies, regulations, 10
or procedures referred to in section 7135(b) of such title 11
shall be made by the Secretary of the Treasury, with inter-12
est, from amounts in the general fund not otherwise ap-13
propriated, as soon as possible after such expenditures are 14
made. 15
From funds provided under the first paragraph under 16
this heading, not more than $1,851,000,000, to remain 17
available through March 31, 2025, is for the costs associ-18
ated with continuing disability reviews under titles II and 19
XVI of the Social Security Act, including work-related 20
continuing disability reviews to determine whether earn-21
ings derived from services demonstrate an individual’s 22
ability to engage in substantial gainful activity, for the 23
cost associated with conducting redeterminations of eligi-24
bility under title XVI of the Social Security Act, for the 25 181 
•S 2624 RS
cost of co-operative disability investigation units, and for 1
the cost associated with the prosecution of fraud in the 2
programs and operations of the Social Security Adminis-3
tration by Special Assistant United States Attorneys: Pro-4
vided, That, of such amount, $273,000,000 is provided to 5
meet the terms of section 251(b)(2)(B)(ii)(III) of the Bal-6
anced Budget and Emergency Deficit Control Act of 1985, 7
as amended, and $1,578,000,000 is additional new budget 8
authority specified for purposes of section 251(b)(2)(B) 9
of such Act: Provided further, That, of the additional new 10
budget authority described in the preceding proviso, up 11
to $15,100,000 may be transferred to the ‘‘Office of In-12
spector General’’, Social Security Administration, for the 13
cost of jointly operated co-operative disability investigation 14
units: Provided further, That such transfer authority is in 15
addition to any other transfer authority provided by law: 16
Provided further, That the Commissioner shall provide to 17
the Congress (at the conclusion of the fiscal year) a report 18
on the obligation and expenditure of these funds, similar 19
to the reports that were required by section 103(d)(2) of 20
Public Law 104–121 for fiscal years 1996 through 2002: 21
Provided further, That none of the funds described in this 22
paragraph shall be available for transfer or reprogram-23
ming except as specified in this paragraph. 24 182 
•S 2624 RS
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 25 183 
•S 2624 RS
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. 11 184 
•S 2624 RS
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-25 185 
•S 2624 RS
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. 25 186 
•S 2624 RS
SEC. 504. The Secretaries of Labor and Education 1
are authorized to make available not to exceed $33,000 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; 24 187 
•S 2624 RS
(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 25 188 
•S 2624 RS
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, 25 189 
•S 2624 RS
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. 25 190 
•S 2624 RS
(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. 25 191 
•S 2624 RS
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; 25 192 
•S 2624 RS
(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 25 193 
•S 2624 RS
(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 25 194 
•S 2624 RS
in this Act, the detailed table in the report accompanying 1
this Act or the fiscal year 2024 budget request. 2
S
EC. 517. The Secretaries of Labor, Health and 3
Human Services, and Education shall each prepare and 4
submit to the Committees on Appropriations of the House 5
of Representatives and the Senate a report on the number 6
and amount of contracts, grants, and cooperative agree-7
ments exceeding $500,000, individually or in total for a 8
particular project, activity, or programmatic initiative, in 9
value and awarded by the Department on a non-competi-10
tive basis during each quarter of fiscal year 2024, but not 11
to include grants awarded on a formula basis or directed 12
by law. Such report shall include the name of the con-13
tractor or grantee, the amount of funding, the govern-14
mental purpose, including a justification for issuing the 15
award on a non-competitive basis. Such report shall be 16
transmitted to the Committees within 30 days after the 17
end of the quarter for which the report is submitted. 18
S
EC. 518. None of the funds appropriated in this Act 19
shall be expended or obligated by the Commissioner of So-20
cial Security, for purposes of administering Social Security 21
benefit payments under title II of the Social Security Act, 22
to process any claim for credit for a quarter of coverage 23
based on work performed under a social security account 24
number that is not the claimant’s number and the per-25 195 
•S 2624 RS
formance of such work under such number has formed the 1
basis for a conviction of the claimant of a violation of sec-2
tion 208(a)(6) or (7) of the Social Security Act. 3
S
EC. 519. None of the funds appropriated by this Act 4
may be used by the Commissioner of Social Security or 5
the Social Security Administration to pay the compensa-6
tion of employees of the Social Security Administration 7
to administer Social Security benefit payments, under any 8
agreement between the United States and Mexico estab-9
lishing totalization arrangements between the social secu-10
rity system established by title II of the Social Security 11
Act and the social security system of Mexico, which would 12
not otherwise be payable but for such agreement. 13
S
EC. 520. (a) None of the funds made available in 14
this Act may be used to maintain or establish a computer 15
network unless such network blocks the viewing, 16
downloading, and exchanging of pornography. 17
(b) Nothing in subsection (a) shall limit the use of 18
funds necessary for any Federal, State, tribal, or local law 19
enforcement agency or any other entity carrying out crimi-20
nal investigations, prosecution, or adjudication activities. 21
S
EC. 521. For purposes of carrying out Executive 22
Order 13589, Office of Management and Budget Memo-23
randum M–12–12 dated May 11, 2012, and requirements 24 196 
•S 2624 RS
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 25 197 
•S 2624 RS
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 25 198 
•S 2624 RS
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-25 199 
•S 2624 RS
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. In addition to the amount otherwise avail-8
able for ‘‘National Labor Relations Board, Salaries and 9
Expenses’’, $10,000,000 shall be available for obligation 10
through September 30, 2028, solely for costs necessary for 11
the relocation and replication of space to house National 12
Labor Relations Board headquarters or regional offices, 13
including furniture, fixtures, and equipment. 14
S
EC. 528. Each department and related agency fund-15
ed through this Act shall provide answers to questions 16
submitted for the record by members of the Committee 17
within 45 business days after receipt. 18
S
EC. 529. Of amounts deposited in the Child Enroll-19
ment Contingency Fund under section 2104(n)(2) of the 20
Social Security Act and the income derived from invest-21
ment of those funds pursuant to section 2104(n)(2)(C) of 22
that Act, $19,193,000,000 shall not be available for obli-23
gation in this fiscal year. 24 200 
•S 2624 RS
SEC. 530. Of the unobligated balances made available 1
for purposes of carrying out section 2105(a)(3) of the So-2
cial Security Act, $5,031,000,000 shall not be available 3
for obligation in this fiscal year. 4
S
EC. 531. Of the unobligated balances of funds made 5
available by section 2401 of Public Law 117–2 6
$850,000,000 are hereby permanently rescinded. 7
S
EC. 532. (a) This section applies to: (1) the Admin-8
istration for Children and Families in the Department of 9
Health and Human Services; and (2) the Chief Evaluation 10
Office and the statistical-related cooperative and inter-11
agency agreements and contracting activities of the Bu-12
reau of Labor Statistics in the Department of Labor. 13
(b) Amounts made available under this Act which are 14
either appropriated, allocated, advanced on a reimbursable 15
basis, or transferred to the functions and organizations 16
identified in subsection (a) for research, evaluation, or sta-17
tistical purposes shall be available for obligation through 18
September 30, 2028: Provided, That when an office ref-19
erenced in subsection (a) receives research and evaluation 20
funding from multiple appropriations, such offices may 21
use a single Treasury account for such activities, with 22
funding advanced on a reimbursable basis. 23
(c) Amounts referenced in subsection (b) that are un-24
expended at the time of completion of a contract, grant, 25 201 
•S 2624 RS
or cooperative agreement may be deobligated and shall im-1
mediately become available and may be reobligated in that 2
fiscal year or the subsequent fiscal year for the research, 3
evaluation, or statistical purposes for which such amounts 4
are available. 5
S
EC. 533. Each amount designated in this Act by the 6
Congress as an emergency requirement pursuant to sec-7
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-8
gency Deficit Control Act of 1985 shall be available (or 9
rescinded, if applicable) only if the President subsequently 10
so designates all such amounts and transmits such des-11
ignations to the Congress. 12
This Act may be cited as the ‘‘Departments of Labor, 13
Health and Human Services, and Education, and Related 14
Agencies Appropriations Act, 2024’’. 15 Calendar No. 
187 
118
TH
CONGRESS 
1
ST
S
ESSION
 
S. 2624 
[Report No. 118–84] 
A BILL 
Making appropriations for the Departments of 
Labor, Health and Human Services, and Edu-
cation, and related agencies for the fiscal year 
ending September 30, 2024, and for other pur-
poses. 
J
ULY
27, 2023 
Read twice and placed on the calendar